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Anja Hilbert - One of the best experts on this subject based on the ideXlab platform.
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Pathological and non-pathological variants of Restrictive Eating behaviors in middle childhood: A latent class analysis.
Appetite, 2018Co-Authors: Ricarda Schmidt, Mandy Vogel, Andreas Hiemisch, Wieland Kiess, Anja HilbertAbstract:Abstract Although Restrictive Eating behaviors are very common during early childhood, their precise nature and clinical correlates remain unclear. Especially, there is little evidence on Restrictive Eating behaviors in older children and their associations with children's shape concern. The present population-based study sought to delineate subgroups of Restrictive Eating patterns in N = 799 7-14 year old children. Using Latent Class Analysis, children were classified based on six Restrictive Eating behaviors (for example, picky Eating, food neophobia, and Eating-related anxiety) and shape concern, separately in three age groups. For cluster validation, sociodemographic and objective anthropometric data, parental feeding practices, and general and Eating disorder psychopathology were used. The results showed a 3-cluster solution across all age groups: an asymptomatic class (Cluster 1), a class with Restrictive Eating behaviors without shape concern (Cluster 2), and a class showing Restrictive Eating behaviors with prominent shape concern (Cluster 3). The clusters differed in all variables used for validation. Particularly, the proportion of children with symptoms of avoidant/Restrictive food intake disorder was greater in Cluster 2 than Clusters 1 and 3. The study underlined the importance of considering shape concern to distinguish between different phenotypes of children's Restrictive Eating patterns. Longitudinal data are needed to evaluate the clusters' predictive effects on children's growth and development of clinical Eating disorders.
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variants of early onset Restrictive Eating disturbances in middle childhood
International Journal of Eating Disorders, 2016Co-Authors: Susanne Kurz, Zoé Van Dyck, Daniela Dremmel, Simone Munsch, Anja HilbertAbstract:Objective This study sought to determine the factor structure of the newly developed self-report screening questionnaire Eating Disturbances in Youth-Questionnaire (EDY-Q) as well as to report the distribution of variants of early-onset Restrictive Eating disturbances characteristic of avoidant/Restrictive food intake disorder (ARFID) in a middle childhood population sample. Method Using the EDY-Q, a total of 1,444 children aged 8–13 years were screened in elementary schools in Switzerland via self-report. The factor analysis of the 12 items covering ARFID related symptoms was performed using a principal component analysis (PCA). Results The PCA showed a four factor solution, with clear allocation to the scales covering three variants of early-onset Restrictive Eating disturbances and weight problems. Inadequate overall food intake was reported by 19.3% of the children, a limited accepted amount of food by 26.1%, and food avoidance based on a specific underlying fear by 5.0%. Discussion The postulated factor structure of the EDY-Q was confirmed, further supporting the existence of distinct variants of early-onset Restrictive Eating disturbances. Avoidant/Restrictive Eating behavior seems to be a common experience in middle childhood, but results have to be confirmed using validated interviews. © 2015 Wiley Periodicals, Inc. (Int J Eat Disord 2015).
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Early-onset Restrictive Eating disturbances in primary school boys and girls
European child & adolescent psychiatry, 2014Co-Authors: Susanne Kurz, Zoé Van Dyck, Daniela Dremmel, Simone Munsch, Anja HilbertAbstract:This study sought to determine the distribution of early-onset Restrictive Eating disturbances characteristic of the new DSM-5 diagnosis, avoidant/Restrictive food intake disorder (ARFID) in middle childhood, as well as to evaluate the screening instrument, Eating Disturbances in Youth-Questionnaire (EDY-Q). A total of 1,444 8- to 13-year-old children were screened in regular schools (3rd to 6th grade) in Switzerland using the self-report measure EDY-Q, consisting of 12 items based on the DSM-5 cri- teria for ARFID. 46 children (3.2 %) reported features of ARFID in the self-rating. Group differences were found for body mass index, with underweight children reporting features of ARFID more often than normal and overweight children. The EDY-Q revealed good psychometric prop- erties, including adequate discriminant and convergent validity. Early-onset Restrictive Eating disturbances are commonly reported in middle childhood. Because of pos- sible negative short- and long-term impact, early detection is essential. Further studies with structured interviews and parent reports are needed to confirm this study's findings.
Robert V Bryant - One of the best experts on this subject based on the ideXlab platform.
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food avoidance Restrictive Eating behaviour and association with quality of life in adults with inflammatory bowel disease a systematic scoping review
Appetite, 2021Co-Authors: Alice S Day, Chu K Yao, Samuel P Costello, Jane M Andrews, Robert V BryantAbstract:Abstract Background Dietary misconceptions and behaviours may worsen outcomes of inflammatory bowel disease (IBD). This scoping review aims to examine the dietary beliefs and behaviours of individuals with IBD and identify evidence of food avoidance, dietary restriction or disordered Eating and any association with quality of life (QoL). Methodology A systematic search of CINAL, EMBASE, MEDLINE was conducted. Primary, peer-reviewed studies in English examining dietary beliefs and dietary behaviours or diet and quality of life in adults with inflammatory bowel disease were included. Key dietary terminology was pre-defined. Results Twenty-nine studies met inclusion criteria. A range of quantitative self-reported questionnaires (16/29), qualitative interviews (1/29) and mixed methods (7/29) were used to measure dietary beliefs and dietary behaviours. A high prevalence of food avoidance (28–89%) and Restrictive dietary behaviours (41–93%) were identified. Factors associated with these behaviours included a diagnosis of CD, perceived active disease, female sex, dietary misinformation, and fears of adverse bowel symptoms. Diet and QoL remains largely unexplored in IBD beyond two recent studies demonstrating impairment of food-related quality of life in IBD. Conclusion A high prevalence of self-reported food avoidance and Restrictive dietary behaviour exists in people with IBD. The psychosocial impact of IBD-related dietary behaviour is poorly understood. Validated tools with predefined diet terminology and objective markers of disease activity are required to measure dietary behaviour in future prospective studies, using food-related quality of life as an outcome measure.
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food related quality of life in adults with inflammatory bowel disease is associated with Restrictive Eating behaviour disease activity and surgery a prospective multi centre observational study
Journal of Human Nutrition and Dietetics, 2021Co-Authors: Alice S Day, Chu K Yao, Samuel P Costello, Jane M Andrews, Robert V BryantAbstract:BACKGROUND Measuring food-related quality of life (FRQoL) quantifies the psychosocial impact of Eating and drinking. FRQoL and associated factors are not well explored in people with inflammatory bowel disease (IBD), despite IBD being a chronic disease affecting the digestive tract. The present study aimed to characterise and identify any patient or disease-related predictors of FRQoL in individuals with IBD. METHODS Adults with a formal diagnosis of IBD were recruited to a prospective multicentre cross-sectional study between April 2018 and December 2019. Participants completed questionnaires measuring FRQoL (FRQoL-29), clinical disease activity (Harvey Bradshaw Index and Simple Clinical Colitis Activity Index), Restrictive Eating behaviour (Nine-Item Avoidant/Restrictive Food Intake Disorder Screen), mental health (Depression Anxiety Stress Scale-21) and other patient and disease-related variables. A multivariable regression was performed to identify factors associated with FRQoL. RESULTS One hundred and eight participants completed the questionnaires (n = 39, Crohn's disease; n = 69, ulcerative colitis). The mean FRQoL was 79 (95% confidence interval = 75-84) (poor, 0; superior, 145). Poorer FRQoL was observed in those with Restrictive Eating behaviour associated with fear of a negative consequence from Eating (p < 0.0001) and reduced appetite (p < 0.030). Greater FRQoL was observed in those with lower disease activity (p < 0.0001) and previous IBD surgery (p = 0.024). FRQoL was not associated either way by IBD phenotype, duration, or gender. The majority of participants obtained their dietary information from the internet (60%) or gastroenterologist (46%). CONCLUSIONS FRQoL in people with IBD is poorer in those with Restrictive Eating behaviours and clinically active disease. Interestingly, it was greater in those with previous IBD surgery. Further research is required to validate these associations and explore longitudinal effects of poor FRQoL on patient outcomes and potential strategies for prevention or management of impaired FRQoL in IBD.
Susanne Kurz - One of the best experts on this subject based on the ideXlab platform.
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variants of early onset Restrictive Eating disturbances in middle childhood
International Journal of Eating Disorders, 2016Co-Authors: Susanne Kurz, Zoé Van Dyck, Daniela Dremmel, Simone Munsch, Anja HilbertAbstract:Objective This study sought to determine the factor structure of the newly developed self-report screening questionnaire Eating Disturbances in Youth-Questionnaire (EDY-Q) as well as to report the distribution of variants of early-onset Restrictive Eating disturbances characteristic of avoidant/Restrictive food intake disorder (ARFID) in a middle childhood population sample. Method Using the EDY-Q, a total of 1,444 children aged 8–13 years were screened in elementary schools in Switzerland via self-report. The factor analysis of the 12 items covering ARFID related symptoms was performed using a principal component analysis (PCA). Results The PCA showed a four factor solution, with clear allocation to the scales covering three variants of early-onset Restrictive Eating disturbances and weight problems. Inadequate overall food intake was reported by 19.3% of the children, a limited accepted amount of food by 26.1%, and food avoidance based on a specific underlying fear by 5.0%. Discussion The postulated factor structure of the EDY-Q was confirmed, further supporting the existence of distinct variants of early-onset Restrictive Eating disturbances. Avoidant/Restrictive Eating behavior seems to be a common experience in middle childhood, but results have to be confirmed using validated interviews. © 2015 Wiley Periodicals, Inc. (Int J Eat Disord 2015).
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Early-onset Restrictive Eating disturbances in primary school boys and girls
European child & adolescent psychiatry, 2014Co-Authors: Susanne Kurz, Zoé Van Dyck, Daniela Dremmel, Simone Munsch, Anja HilbertAbstract:This study sought to determine the distribution of early-onset Restrictive Eating disturbances characteristic of the new DSM-5 diagnosis, avoidant/Restrictive food intake disorder (ARFID) in middle childhood, as well as to evaluate the screening instrument, Eating Disturbances in Youth-Questionnaire (EDY-Q). A total of 1,444 8- to 13-year-old children were screened in regular schools (3rd to 6th grade) in Switzerland using the self-report measure EDY-Q, consisting of 12 items based on the DSM-5 cri- teria for ARFID. 46 children (3.2 %) reported features of ARFID in the self-rating. Group differences were found for body mass index, with underweight children reporting features of ARFID more often than normal and overweight children. The EDY-Q revealed good psychometric prop- erties, including adequate discriminant and convergent validity. Early-onset Restrictive Eating disturbances are commonly reported in middle childhood. Because of pos- sible negative short- and long-term impact, early detection is essential. Further studies with structured interviews and parent reports are needed to confirm this study's findings.
Jane M Andrews - One of the best experts on this subject based on the ideXlab platform.
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food avoidance Restrictive Eating behaviour and association with quality of life in adults with inflammatory bowel disease a systematic scoping review
Appetite, 2021Co-Authors: Alice S Day, Chu K Yao, Samuel P Costello, Jane M Andrews, Robert V BryantAbstract:Abstract Background Dietary misconceptions and behaviours may worsen outcomes of inflammatory bowel disease (IBD). This scoping review aims to examine the dietary beliefs and behaviours of individuals with IBD and identify evidence of food avoidance, dietary restriction or disordered Eating and any association with quality of life (QoL). Methodology A systematic search of CINAL, EMBASE, MEDLINE was conducted. Primary, peer-reviewed studies in English examining dietary beliefs and dietary behaviours or diet and quality of life in adults with inflammatory bowel disease were included. Key dietary terminology was pre-defined. Results Twenty-nine studies met inclusion criteria. A range of quantitative self-reported questionnaires (16/29), qualitative interviews (1/29) and mixed methods (7/29) were used to measure dietary beliefs and dietary behaviours. A high prevalence of food avoidance (28–89%) and Restrictive dietary behaviours (41–93%) were identified. Factors associated with these behaviours included a diagnosis of CD, perceived active disease, female sex, dietary misinformation, and fears of adverse bowel symptoms. Diet and QoL remains largely unexplored in IBD beyond two recent studies demonstrating impairment of food-related quality of life in IBD. Conclusion A high prevalence of self-reported food avoidance and Restrictive dietary behaviour exists in people with IBD. The psychosocial impact of IBD-related dietary behaviour is poorly understood. Validated tools with predefined diet terminology and objective markers of disease activity are required to measure dietary behaviour in future prospective studies, using food-related quality of life as an outcome measure.
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food related quality of life in adults with inflammatory bowel disease is associated with Restrictive Eating behaviour disease activity and surgery a prospective multi centre observational study
Journal of Human Nutrition and Dietetics, 2021Co-Authors: Alice S Day, Chu K Yao, Samuel P Costello, Jane M Andrews, Robert V BryantAbstract:BACKGROUND Measuring food-related quality of life (FRQoL) quantifies the psychosocial impact of Eating and drinking. FRQoL and associated factors are not well explored in people with inflammatory bowel disease (IBD), despite IBD being a chronic disease affecting the digestive tract. The present study aimed to characterise and identify any patient or disease-related predictors of FRQoL in individuals with IBD. METHODS Adults with a formal diagnosis of IBD were recruited to a prospective multicentre cross-sectional study between April 2018 and December 2019. Participants completed questionnaires measuring FRQoL (FRQoL-29), clinical disease activity (Harvey Bradshaw Index and Simple Clinical Colitis Activity Index), Restrictive Eating behaviour (Nine-Item Avoidant/Restrictive Food Intake Disorder Screen), mental health (Depression Anxiety Stress Scale-21) and other patient and disease-related variables. A multivariable regression was performed to identify factors associated with FRQoL. RESULTS One hundred and eight participants completed the questionnaires (n = 39, Crohn's disease; n = 69, ulcerative colitis). The mean FRQoL was 79 (95% confidence interval = 75-84) (poor, 0; superior, 145). Poorer FRQoL was observed in those with Restrictive Eating behaviour associated with fear of a negative consequence from Eating (p < 0.0001) and reduced appetite (p < 0.030). Greater FRQoL was observed in those with lower disease activity (p < 0.0001) and previous IBD surgery (p = 0.024). FRQoL was not associated either way by IBD phenotype, duration, or gender. The majority of participants obtained their dietary information from the internet (60%) or gastroenterologist (46%). CONCLUSIONS FRQoL in people with IBD is poorer in those with Restrictive Eating behaviours and clinically active disease. Interestingly, it was greater in those with previous IBD surgery. Further research is required to validate these associations and explore longitudinal effects of poor FRQoL on patient outcomes and potential strategies for prevention or management of impaired FRQoL in IBD.
Ingemar Swenne - One of the best experts on this subject based on the ideXlab platform.
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family based intervention in adolescent Restrictive Eating disorders early treatment response and low weight suppression is associated with favourable one year outcome
BMC Psychiatry, 2017Co-Authors: Ingemar Swenne, Thomas Parling, Helena Salonen RosAbstract:Family-based treatments are first-line treatments for adolescents with Restrictive Eating disorders (ED) but have to be improved since outcome is poor for some. We have investigated the one-year outcome of a family-based intervention programme with defined and decisive interventions at the start of treatment. Data pertaining 201 adolescents with Restrictive ED with features of anorexia nervosa but not fulfilling the weight criterion starting treatment 2010-2015, had a wide range of body mass index (BMI) and of weight loss at presentation, and completed a one-year follow-up was analysed. Recovery from the ED was defined as an Eating Disorder Examination-questionnaire (EDE-Q) score < 2.0 or as not fulfilling criteria for an ED at a clinical interview. By EDE-Q 130 (65%) had recovered at 1 year and by clinical interview 106 (53%). According to the EDE-Q criterion recovery was independently associated with lower EDE-Q score at presentation, higher weight gain after 3 months of treatment and lower weight suppression at follow-up, weight suppression being defined as the difference between premorbid and current BMI. Not fulfilling criteria for an ED was associated with the same factors and also by higher BMI at presentation. The observations that low weight and high ED cognitions confer a poor prognosis but that rapid weight gain at the start of treatment predicts a better prognosis are presently extended to adolescents with Restrictive ED with a wide range of BMI at presentation. High weight suppression at follow-up is associated with a poor prognosis and indicates the importance of taking premorbid BMI into account when setting weight targets for treatment.
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Low weight gain at the start of a family-based intervention for adolescent girls with Restrictive Eating disorders predicted emergency hospital admission.
Acta paediatrica (Oslo Norway : 1992), 2017Co-Authors: Ingemar Swenne, Helena Salonen RosAbstract:Aim This study examined predictors of emergency hospitalisation of adolescent girls with Restrictive Eating disorders and weight loss treated by a family-based intervention programme. Methods We studied 339 girls aged 10-17 years treated in a specialist unit at Uppsala University Children's Hospital, Sweden, from August 2010 to December 2015. Historical weight data were obtained from school health services and other weight data were determined at presentation. Weight controlling behaviour was recorded and patients were evaluated using the Eating Disorder Examination Questionnaire. A family-based intervention started after assessment and the early weight gain after one week, one month and three months was assessed. Results There were 17 emergency admissions of 15 patients for refusing food, progressive weight loss and medical instability. Logistic regression analysis showed that emergency admissions were predicted by a low body mass index standard deviation score at presentation (odds ratio 2.57), a high rate of weight loss before presentation (odds ratio 4.38) and a low rate of weight gain at the start of treatment (odds ratio 4.59). Conclusion Poor weight gain at the start of a family-based intervention for adolescent girls with Restrictive Eating disorders predicted emergency hospital admission. This article is protected by copyright. All rights reserved.
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Limbic-thalamo-cortical projections and reward-related circuitry integrity affects Eating behavior : A longitudinal DTI study in adolescents with Restrictive Eating disorders
PloS one, 2017Co-Authors: Gaia Olivo, Ingemar Swenne, Lyle Wiemerslage, Christina Zhukowsky, Helena Salonen-ros, Elna-marie Larsson, Santino Gaudio, Samantha J. Brooks, Helgi B. SchiöthAbstract:Few studies have used diffusion tensor imaging (DTI) to investigate the micro-structural alterations of WM in patients with Restrictive Eating disorders (rED), and longitudinal data are lacking. Twelve patients with rED were scanned at diagnosis and after one year of family-based treatment, and compared to twenty-four healthy controls (HCs) through DTI analysis. A tract-based spatial statistics procedure was used to investigate diffusivity parameters: fractional anisotropy (FA) and mean, radial and axial diffusivities (MD, RD and AD, respectively). Reduced FA and increased RD were found in patients at baseline in the corpus callosum, corona radiata and posterior thalamic radiation compared with controls. However, no differences were found between follow-up patients and controls, suggesting a partial normalization of the diffusivity parameters. In patients, trends for a negative correlation were found between the baseline FA of the right anterior corona radiata and the Eating Disorder Examination Questionnaire total score, while a positive trend was found between the baseline FA in the splenium of corpus callosum and the weight loss occurred between maximal documented weight and time of admission. A positive trend for correlation was also found between baseline FA in the right anterior corona radiata and the decrease in the Obsessive-Compulsive Inventory Revised total score over time. Our results suggest that the integrity of the limbic-thalamo-cortical projections and the reward-related circuitry are important for cognitive control processes and reward responsiveness in regulating Eating behavior.
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One-year outcome and incidence of anorexia nervosa and Restrictive Eating disorders among adolescent girls treated as out-patients in a family-based setting.
Upsala journal of medical sciences, 2016Co-Authors: Agneta Rosling, Helena Salonen Ros, Ingemar SwenneAbstract:Aims To study the 1-year outcome and to analyse predictors of outcome of a cohort of adolescent girls with anorexia nervosa (AN) or Restrictive Eating disorders not otherwise specified (EDNOSr) treated as out-patients in a family-based programme at a specialized Eating disorder service. To calculate the incidence of anorexia nervosa among treatment-seeking girls younger than 18 in Uppsala County from 2004 to 2006. Methods A total of 168 female patients were offered treatment, and 141 were followed-up 1 year after starting treatment, 29 with AN and 112 with EDNOSr. Results Of the 29 girls who initially had AN, 6 (20%) had a good outcome and were free of any form of Eating disorder at follow-up; only 1 (3%) had AN. Of the patients with EDNOSr, 54 (48%) had a good outcome and were free of Eating disorders. Three (3%) had a poor outcome and had developed AN. The incidence of AN was 18/100,000 person-years in girls younger than 12 and 63/100,000 in girls younger than 18. Conclusion Restrictive Eating disorders, including AN, in children and adolescents can be successfully treated in a family-based specialized out-patient service without in-patient care.
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Favorable effects of clearly defined interventions by parents at the start of treatment of adolescents with Restrictive Eating disorders
The International journal of eating disorders, 2015Co-Authors: Josefin Månsson, Thomas Parling, Ingemar SwenneAbstract:ObjectiveTo study the effect of clearly defined and decisive parental interventions at the start of treatment of Restrictive Eating disorders (ED) in adolescents.MethodForty-seven adolescents with ...