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Sabry SD, Carioca AAF, Arruda SPM, Adriano LS, Sampaio HADC. [Cross-cultural adaptation and evaluation of the psychometric properties of the Emotional Appetite Questionnaire among Portuguese-speaking women]. CIENCIA & SAUDE COLETIVA 2020; 25:2633-2643. [PMID: 32667546 DOI: 10.1590/1413-81232020257.16772018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Accepted: 09/11/2018] [Indexed: 11/22/2022] Open
Abstract
Obesity and its determinants have been the topic of broad research. Emotional appetite, defined as the tendency to overeat in response to negative emotions, is among these determinants. Some instruments were created to measure this construct, the Emotional Appetite Questionnaire (EMAQ) being one of them. The objective of this study was to perform cross-cultural adaptation and evaluation of psychometric properties of EMAQ among Portuguese-speaking women. Methodological research was carried out by translation, back-translation and cross-cultural adaptation of the instrument. A study was conducted with 450 women, through cross-cultural adaptation and evaluation of the instrument's psychometric properties (validity and reliability). The internal consistency of the instrument was measured using Cronbach's Alpha and stability was checked by means of test-retest. The instrument showed good internal consistency and intraclass correlation. The interviewees did not mention changes in food consumption linked to positive emotions and situations. There was a tendency towards reduction in emotional appetite when subjected to negative emotions and situations. The Portuguese EMAQ (QUEAPEM) was considered a reliable instrument, easy to apply and administer, to assess emotional appetite in the Portuguese language.
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Affiliation(s)
- Sabrina Dantas Sabry
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Estadual do Ceará. Av. Dr. Silas Munguba 1700, Parangaba. 65080-040 Fortaleza CE Brasil.
| | | | - Soraia Pinheiro Machado Arruda
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Estadual do Ceará. Av. Dr. Silas Munguba 1700, Parangaba. 65080-040 Fortaleza CE Brasil.
| | | | - Helena Alves de Carvalho Sampaio
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Estadual do Ceará. Av. Dr. Silas Munguba 1700, Parangaba. 65080-040 Fortaleza CE Brasil.
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Bonnefond A, Keller R, Meyre D, Stutzmann F, Thuillier D, Stefanov DG, Froguel P, Horber FF, Kral JG. Eating Behavior, Low-Frequency Functional Mutations in the Melanocortin-4 Receptor (MC4R) Gene, and Outcomes of Bariatric Operations: A 6-Year Prospective Study. Diabetes Care 2016; 39:1384-92. [PMID: 27222505 DOI: 10.2337/dc16-0115] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2016] [Accepted: 05/02/2016] [Indexed: 02/03/2023]
Abstract
OBJECTIVE Data on the effects of eating behavior and genetics on outcomes of gastrointestinal surgery for diabesity have been sparse, often flawed, and controversial. We aimed to assess long-term outcomes of bariatric operations in patients characterized for eating behavior and rare mutations in the melanocortin-4 receptor (MC4R) gene, which is strongly implicated in energy balance. RESEARCH DESIGN AND METHODS Between 1996 and 2005, 1,264 severely obese Swiss patients underwent current laparoscopic adjustable gastric banding, gastroduodenal bypass, or a hybrid operation. Of these, 872 patients were followed for a minimum of 6 years and were screened for MC4R mutations. Using regression models, we studied relationships between eating behavior and MC4R mutations and postoperative weight loss, complications, and reoperations after 6 years. RESULTS At baseline, rare functional MC4R mutation carriers exhibited a significantly higher prevalence of binge eating disorder (BED) or loss-of-control eating independent of age, sex, and BMI. Six years after bariatric surgery, the mutation carriers had more major complications than wild-type subjects independent of age, baseline BMI, sex, operation type, and weight loss. Furthermore, high baseline BMI, male sex, BED, and functional MC4R mutations were independent predictors of higher reoperation rates. CONCLUSIONS Sequencing of MC4R and eating typology, combined with stratification for sex and baseline BMI, might significantly improve patient allocation to banding or bypass operations for diabesity as well as reduce both complication and reoperation rates.
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Affiliation(s)
- Amélie Bonnefond
- CNRS UMR 8199, Lille Pasteur Institute, Lille, France Lille University, Lille, France European Genome Institute for Diabetes, FR 3508, Lille, France Department of Genomics of Common Disease, School of Public Health, Hammersmith Hospital, Imperial College London, London, U.K
| | - Ramsi Keller
- Department of Internal Medicine, Landesspital Liechtenstein, Vaduz, Liechtenstein Dr. Horber Adipositas Stiftung, Zurich, Switzerland
| | - David Meyre
- Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada
| | - Fanny Stutzmann
- CNRS UMR 8199, Lille Pasteur Institute, Lille, France Lille University, Lille, France European Genome Institute for Diabetes, FR 3508, Lille, France
| | - Dorothée Thuillier
- CNRS UMR 8199, Lille Pasteur Institute, Lille, France Lille University, Lille, France European Genome Institute for Diabetes, FR 3508, Lille, France
| | - Dimitre G Stefanov
- Scientific Computing Center and Departments of Surgery, Medicine, and Cell Biology, SUNY Downstate Medical Center, Brooklyn, NY
| | - Philippe Froguel
- CNRS UMR 8199, Lille Pasteur Institute, Lille, France Lille University, Lille, France European Genome Institute for Diabetes, FR 3508, Lille, France Department of Genomics of Common Disease, School of Public Health, Hammersmith Hospital, Imperial College London, London, U.K.
| | - Fritz F Horber
- Department of Internal Medicine, Landesspital Liechtenstein, Vaduz, Liechtenstein Dr. Horber Adipositas Stiftung, Zurich, Switzerland University of Bern, Bern, Switzerland
| | - John G Kral
- Scientific Computing Center and Departments of Surgery, Medicine, and Cell Biology, SUNY Downstate Medical Center, Brooklyn, NY
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Bowen PG, Lee LT, Martin MY, Clay OJ. Depression and physical functioning among older Americans with diabesity: NHANES 2009-2010. J Am Assoc Nurse Pract 2016; 29:70-76. [PMID: 27472244 DOI: 10.1002/2327-6924.12393] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2016] [Revised: 04/19/2016] [Accepted: 06/02/2016] [Indexed: 11/06/2022]
Abstract
BACKGROUND Caring for older adults with diabesity can be challenging for primary care nurse practitioners. The purpose of this study was to examine whether there would be an additive effect of diabesity on depressive symptoms and physical functioning of older adults. We hypothesized that there is an additive effect of diabesity on depressive symptoms and physical functioning among older adults with one or neither condition. METHODS We performed a cross-sectional analysis of data from National Health and Nutrition Examination Surveys collected from African-American and Caucasian adults aged 65 and over between 2009 and 2010. Multivariate linear regression models were utilized. The sample consisted of 918 participants. In covariate-adjusted models, participants with diabesity reported more depressive symptoms than people with neither condition. Individuals with diabesity and those with obesity alone reported significantly more difficulty with physical function when compared to participants with neither condition. CONCLUSION Findings suggest that diabesity was more burdensome to older adults than either condition alone. More research is needed to understand the interplay between depression, physical function, and diabesity. IMPLICATIONS FOR PRACTICE To disrupt the adverse effects of diabesity burden, increased nurse practitioner awareness of this phenomenon may be beneficial in improving and maintaining physical and mental health among older adults.
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Affiliation(s)
- Pamela G Bowen
- School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama
| | - Loretta T Lee
- School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama
| | - Michelle Y Martin
- Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
| | - Olivio J Clay
- Department of Psychology, University of Alabama at Birmingham, Birmingham, Alabama
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Abstract
Synaptosomal-associated protein of 25 kDa (SNAP-25) is a key molecule in the soluble N-ethylmaleimide-sensitive factor attachment protein (SNARE) complex mediating fast Ca(2+)-triggered release of hormones and neurotransmitters, and both splice variants, SNAP-25a and SNAP-25b, can participate in this process. Here we explore the hypothesis that minor alterations in the machinery mediating regulated membrane fusion can increase the susceptibility for metabolic disease and precede obesity and type 2 diabetes. Thus, we used a mouse mutant engineered to express normal levels of SNAP-25 but only SNAP-25a. These SNAP-25b-deficient mice were exposed to either a control or a high-fat/high-sucrose diet. Monitoring of food intake, body weight, hypothalamic function, and lipid and glucose homeostases showed that SNAP-25b-deficient mice fed with control diet developed hyperglycemia, liver steatosis, and adipocyte hypertrophy, conditions dramatically exacerbated when combined with the high-fat/high-sucrose diet. Thus, modified SNARE function regulating stimulus-dependent exocytosis can increase the vulnerability to and even provoke metabolic disease. When combined with a high-fat/high-sucrose diet, this vulnerability resulted in diabesity. Our SNAP-25b-deficient mouse may represent a diabesity model.
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Wahlqvist ML, Krawetz SA, Rizzo NS, Dominguez-Bello MG, Szymanski LM, Barkin S, Yatkine A, Waterland RA, Mennella JA, Desai M, Ross MG, Krebs NF, Young BE, Wardle J, Wrann CD, Kral JG. Early-life influences on obesity: from preconception to adolescence. Ann N Y Acad Sci 2015; 1347:1-28. [PMID: 26037603 PMCID: PMC4522218 DOI: 10.1111/nyas.12778] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2015] [Accepted: 03/30/2015] [Indexed: 12/12/2022]
Abstract
The double burden of under- and overnutrition profoundly affects human health globally. According to the World Health Organization, obesity and diabetes rates have almost doubled worldwide since 1980, and, in 2011, more than 40 million children under 5 years of age were overweight. Ecologic factors, parental genetics and fitness, and the intrauterine environment significantly influence the likelihood of offspring developing the dysmetabolic diathesis of obesity. This report examines the effects of these factors, including preconception, intrauterine and postnatal energy balance affecting programming of transgenerational transmission, and development of chronic diseases later in life-in particular, diabesity and its comorbidities.
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Affiliation(s)
| | - Stephen A Krawetz
- C.S. Mott Center for Human Growth and Development and Center for Molecular Medicine and Genetics, Department of Obstetrics and Gynecology, Wayne State University, Detroit, Michigan
| | - Nico S Rizzo
- Center of Community Resilience, School of Public Health, Loma Linda University, Loma Linda, California
- Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden
| | | | | | - Shari Barkin
- Vanderbilt University Medical Center, Nashville, Tennessee
| | - Ann Yatkine
- Vanderbilt University Medical Center, Nashville, Tennessee
| | - Robert A Waterland
- Departments of Pediatrics and Molecular and Human Genetics, Baylor College of Medicine and USDA/ARS Children's Nutrition Research Center, Houston, Texas
| | | | - Mina Desai
- University of California Los Angeles Medical Center, Los Angeles, California
| | - Michael G Ross
- University of California Los Angeles Medical Center, Los Angeles, California
| | - Nancy F Krebs
- University of Colorado School of Medicine, Aurora, Colorado
| | | | - Jane Wardle
- Department of Epidemiology and Public Health, University College London, London, United Kingdom
| | - Christiane D Wrann
- Dana-Farber Cancer Institute and Department of Cell Biology, Harvard Medical School, Boston, Massachusetts
| | - John G Kral
- SUNY Downstate Medical Center, Brooklyn, New York
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