Obesity appears to be a complex condition. Current treatments are based on simple models of input and output power with regular short-term results. It is possible that changing the model of understanding long-term, better results are achieved. Neurobiological research proposes to consider the existence of an Adaptative Obesogenic Pattern (AOP) where the functioning of the nervous system is organized to increase intake. AOP is proposed as an early and maladaptive response establishing that the reward systems can modulate the axis HPA (hypothalamic pituitary adrenal axis) in the absence of suffi cient social regulation. This would facilitate the reverberation of the reward system by exposing it to addictions. Based on the failure of integration between axis HPA a model is presented. Child and adolescent observational grid is proposed to evaluate AOP during the current clinical interview.
The aim of this study was to ascertain the psychometric properties of the Multidimensional Body-Self Relations Questionnaire (MBSRQ) for a sample of youth in Chile. Cross-sectional survey was conducted with 451 participants. A non-clinical sample of adolescents and young adults between 15 and 25 years responded the MBSRQ and a sociodemographic questionnaire. Factorial analysis identified seven factors and provided empirical evidence that supports the use of these factors to evaluate body perception in Chilean youth. Scores exhibited good reliability in three factors (over 0.80) and acceptable reliability in the other four (over 0.70). Findings suggest that the Spanish MBSRQ was psychometrically sound, with 7 factors which are largely consistent with those identified in the original version and validation study of this scale. These factors possess sufficient internal consistency to make it plausible for use in research and screening with Chilean youth, and potentially useful as an adjunctive measure in the context of clinical decision making.
Introduction: Obesity is a public health problem and Chile prevalence has increased in recent years, showing a higher percentage of overweight in adult men and of obesity in adult women. In this context, bariatric surgery appears to be a feasible, alternative. Objective: To describe meanings and experiences of adult patients who have undergone bariatric surgery in private clinics. Method: A qualitative approach based on Grounded Theory was used. The sample selection was made trough key informants and snowball, and was composed of 8 women and 3 men. To collect data semi-structured in depth interviews were used, and data analysis was performed trough open coding. Results: Three categories emerge from descriptive analysis: 1) Motivations and expectations regarding bariatric surgery; 2) Experiences in relation to overweight, and 3) Experiences in relation to food. Conclusions: Further investigation is needed from the subjectivity of the patients themselves, given the impact that obesity and bariatric surgery hason people's lives.
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