Objective: To estimate the relationship of Food Craving (FC) behavior with females’ Body Mass Index (BMI), and body-composition. Design, setting and participants: A cross-sectional study of 302 reproductive-age women...Objective: To estimate the relationship of Food Craving (FC) behavior with females’ Body Mass Index (BMI), and body-composition. Design, setting and participants: A cross-sectional study of 302 reproductive-age women from middle-socioeconomic class was conducted at the Health & Occupational-Environmental Laboratory. Variable Measures: A FC behavior questionnaire (FCQ) was designed and validated in 151 female subjects. This questionnaire evaluated five dimensions: FC-leisure, FC-psychological reactance, FC-depression, FC-anxiety/stress, and FC-anger. Dependent variables were Body Mass Index (BMI, kg/m2) and the body fat mass. Interventions: A second group of 151 women completed the FCQ. Anthropometrical variables were recorded using the International Society for the Advancement of Kinanthropometry procedure. Analysis: A multiple regression-analysis using STAT- ISTICS version 7 was performed to determine the relationship of FC behavior with anthropometrical variables described. Results: We demonstrated that 98.7% of women had FC behavior. Women with higher BMI had higher scores of FC-depressions (p = 0.02) and FC-anger (p = 0.007). Food craving behavior (p < 0.0008), and food psychological-reactance (p = 0.006), were positive predictors of BMI;food psychological reactance was also a positive predictor of upper and lower-body fat mass (p = 0.005) and (p = 0.008), respectively. Conclusion and Implications: The food craving behavior is a common problem in the female population. Food psychological reactance, in addition to another affective alteration that present the population of women are predictor variables for the increase in BMI and in body-fat mass. It is important that health professionals are aware of the affective states of their patients.展开更多
目的分析神经梅毒(neurosyphilis,NS)患者的临床资料,探讨影响其日常生活活动能力(activity of daily living,ADL)的因素。方法对90例NS患者的临床资料进行回顾性分析,使用巴塞尔指数(Barthel index,BI)评估患者入院时ADL,将患者分为无...目的分析神经梅毒(neurosyphilis,NS)患者的临床资料,探讨影响其日常生活活动能力(activity of daily living,ADL)的因素。方法对90例NS患者的临床资料进行回顾性分析,使用巴塞尔指数(Barthel index,BI)评估患者入院时ADL,将患者分为无需依赖组、轻度依赖组和中重度依赖组,通过比较分析和多因素线性回归分析,探讨ADL的影响因素。采用受试者操作特征(receiver operating characteristic,ROC)曲线评估临床指标对出院时ADL恢复不良(BI评分≤60分)患者的预测效能。结果90例NS患者,年龄(54.17±12.45)岁,男性70例(77.78%)。临床表现中精神行为异常(44.44%)最为常见,其次为肢体感觉或运动障碍(25.56%)、构音障碍(16.67%)。根据BI评分分组,无需依赖组41例(45.6%),轻度依赖组31例(34.4%),中重度依赖组18例(20.0%)。3组比较,中性粒细胞/淋巴细胞比值(neutrophil-to-lymphocyte ratio,NLR)逐渐增高[2.80(1.97,4.73)vs.3.80(2.28,4.89)vs.5.37(3.76,7.20)],中重度依赖组分别高于无需依赖组及轻度依赖组(P<0.05);脑脊液蛋白浓度逐渐增多[427(341,644)mg/L vs.553(425,830)mg/L vs.933(641,1706.5)mg/L],两两比较均有统计学差异(P<0.05)。多因素线性回归分析显示,NLR(β=-0.242,P=0.018)和脑脊液蛋白浓度(β=-0.461,P<0.001)与入院时的ADL呈负相关。脑脊液蛋白浓度预测出院时ADL恢复不良患者的曲线下面积(area under the curve,AUC)为0.806(95%CI:0.708~0.883,P<0.001),最佳截断值为620 mg/L,敏感性和特异性分别为86.7%和69.4%。结论NS患者主要临床表现为精神行为异常,NLR、脑脊液蛋白浓度增高与ADL降低相关联,早期积极干预炎症反应及脑脊液蛋白异常可能为改善患者预后提供新思路。展开更多
文摘Objective: To estimate the relationship of Food Craving (FC) behavior with females’ Body Mass Index (BMI), and body-composition. Design, setting and participants: A cross-sectional study of 302 reproductive-age women from middle-socioeconomic class was conducted at the Health & Occupational-Environmental Laboratory. Variable Measures: A FC behavior questionnaire (FCQ) was designed and validated in 151 female subjects. This questionnaire evaluated five dimensions: FC-leisure, FC-psychological reactance, FC-depression, FC-anxiety/stress, and FC-anger. Dependent variables were Body Mass Index (BMI, kg/m2) and the body fat mass. Interventions: A second group of 151 women completed the FCQ. Anthropometrical variables were recorded using the International Society for the Advancement of Kinanthropometry procedure. Analysis: A multiple regression-analysis using STAT- ISTICS version 7 was performed to determine the relationship of FC behavior with anthropometrical variables described. Results: We demonstrated that 98.7% of women had FC behavior. Women with higher BMI had higher scores of FC-depressions (p = 0.02) and FC-anger (p = 0.007). Food craving behavior (p < 0.0008), and food psychological-reactance (p = 0.006), were positive predictors of BMI;food psychological reactance was also a positive predictor of upper and lower-body fat mass (p = 0.005) and (p = 0.008), respectively. Conclusion and Implications: The food craving behavior is a common problem in the female population. Food psychological reactance, in addition to another affective alteration that present the population of women are predictor variables for the increase in BMI and in body-fat mass. It is important that health professionals are aware of the affective states of their patients.
文摘目的分析神经梅毒(neurosyphilis,NS)患者的临床资料,探讨影响其日常生活活动能力(activity of daily living,ADL)的因素。方法对90例NS患者的临床资料进行回顾性分析,使用巴塞尔指数(Barthel index,BI)评估患者入院时ADL,将患者分为无需依赖组、轻度依赖组和中重度依赖组,通过比较分析和多因素线性回归分析,探讨ADL的影响因素。采用受试者操作特征(receiver operating characteristic,ROC)曲线评估临床指标对出院时ADL恢复不良(BI评分≤60分)患者的预测效能。结果90例NS患者,年龄(54.17±12.45)岁,男性70例(77.78%)。临床表现中精神行为异常(44.44%)最为常见,其次为肢体感觉或运动障碍(25.56%)、构音障碍(16.67%)。根据BI评分分组,无需依赖组41例(45.6%),轻度依赖组31例(34.4%),中重度依赖组18例(20.0%)。3组比较,中性粒细胞/淋巴细胞比值(neutrophil-to-lymphocyte ratio,NLR)逐渐增高[2.80(1.97,4.73)vs.3.80(2.28,4.89)vs.5.37(3.76,7.20)],中重度依赖组分别高于无需依赖组及轻度依赖组(P<0.05);脑脊液蛋白浓度逐渐增多[427(341,644)mg/L vs.553(425,830)mg/L vs.933(641,1706.5)mg/L],两两比较均有统计学差异(P<0.05)。多因素线性回归分析显示,NLR(β=-0.242,P=0.018)和脑脊液蛋白浓度(β=-0.461,P<0.001)与入院时的ADL呈负相关。脑脊液蛋白浓度预测出院时ADL恢复不良患者的曲线下面积(area under the curve,AUC)为0.806(95%CI:0.708~0.883,P<0.001),最佳截断值为620 mg/L,敏感性和特异性分别为86.7%和69.4%。结论NS患者主要临床表现为精神行为异常,NLR、脑脊液蛋白浓度增高与ADL降低相关联,早期积极干预炎症反应及脑脊液蛋白异常可能为改善患者预后提供新思路。
