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- W2117862829 abstract "ASOCIACION ENTRE LAS SEVERIDAD DE LAS ALTERACIONES DE LA CONDUCTA ALIMENTARIA Y EL PATRON DIETETICO: ESTUDIO COMPARATIVO EN ESCOLARES DE PRIMARIA Y SECUNDARIAObjetivos: Valorar si los diferentes grados de severidad de los trastornos de la Conducta Alimentaria (TCA) conllevan cambios alimentarios con trascendencia nutricional o son cuadros conductuales con escasa repercusion sobre el desarrollo desde edades tempranas previas a la adolescencia. Estudiar en que medida factores antropometricos y psicosociales participan en el proceso de desarrollo de los TCA desde la pradolescencia.Material y Metodos: Se baso en dos estudios transversales con diseno en doble fase. En la primera fase se han cribado a 1522 escolares de primaria o preadolescentes y a 3122 escolares de secundaria o adolescentes. En la segunda fase se estudiaron a 259 sujetos de primaria (129 de riesgo y 130 controles) y a 425 sujetos de secundaria (217 de riesgo y 208 controles). Se determino, en cada grupo de edad, los sujetos con Trastornos de la Conducta Alimentaria No Especificados.Se administraron el Children Eating Atittudes Test (ChEAT), el Eating Atittudes Test (EAT) y Youths Inventory-IV. Se confirmaron los diagnosticos de TCA mediante la Entrevista de Diagnostico para Ninos y Adolescentes (en los preadolescentes) y el Schedules for Clinical Assesment in Neuropsychiatry (en los adolescentes). Se determino el consumo alimentario de 3 dias no consecutivos (incluyendo uno no festivo). Se aplico la tecnica de Goldberg para validar la estimacion de la ingesta energetica referida. Se determinaron los patrones alimentarios mediante analisis factorial (metodo de componentes principales), el sobrepeso y la obesidad mediante los puntos de corte de Cole y col. y la insatisfaccion corporal (IC) a traves del Body Areas Satisfaction Test. Se analizaron los datos con el paquete estadistico SPSS 13.0.Resultados: Las mujeres consumen menos energia a mayor severidad de los TCA y esta restriccion es mas evidente en la adolescencia. Los nutrientes que presentan mayor riesgo nutricional son calcio, fosforo, hierro y folatos. Existen diferencias en el patron alimentario segun la severidad de los TCA y de la edad. En ambos sexos y en los dos grupos de edad, la frecuencia de exceso de peso y de masa grasa aumenta significativamente a mayor severidad de los TCA. Las chicas que tienen riesgo de padecer un TCA y que presentan mayor IMC manifiestan mas IC. En las chicas adolescentes del grupo de riesgo, factores socioculturales y emocionales esta asociados a la IC.Conclusiones: Las mujeres consumen menos energia y nutrientes a mayor severidad de los TCA, siendo significativo en las mujeres adolescentes. La restriccion se debe a los lipidos en las preadolescentes, mientras que en las adolescentes se debe a los tres macronutrientes de forma proporcional. Tanto en la preadolescencia como en la adolescencia, el mayor IMC y la menor satisfaccion corporal estan asociados negativamente con la ingesta energetica solo en el sexo femenino y principalmente cuando existe riesgo de TCA.ASSOCIATION BETWEEN SEVERITY OF ALTERATIONS IN EATING BEHAVIOUR AND FEEDING PATTERN: COMPARATIVE STUDY IN PRIMARY AND SECONDARY SCHOOLS.Objectives: To evaluate whether differing grades of severity of eating disorders (ED) bring about changes in feeding of nutritional importance or whether they are behavioural conditions with little repercussion on development from early ages prior to adolescence.To study to what extent anthropometrical and psycho-social factors participate in the process of development of ED from pre-adolescence.Material and Methods: Two transversal studies with two phases were performed. During the first phase 1522 primary or pre-adolescent school children were screened and 3122 secondary or adolescent school children. During the second phase 259 primary school subjects (129 at risk and 130 controls) and 425 secondary school subjects (217 at risk and 208 controls). Subjects with unspecified eating disorders were identified in each age group.The Children Eating Attitudes Test (ChEAT), Eating Attitudes Test (EAT) and Youths Inventory-IV tests were performed. ED diagnoses were confirmed using the diagnostic interview for children and adolescents (in preadolescents) and the Schedules for Clinical Assessment in Neuropsychiatry (in adolescents). 3 nonconsecutive days food intake was recorded (including a weekday). The Goldberg test was used to validate the estimation of energy intake. Feeding patterns were determined using factorial analysis (method of principal components), overweight and obesity using Cole et als cut-off points and body dissatisfaction (BD) using the Body Areas Satisfaction Test. Data was analysed using the SPPS statistical package (version 13.0).Results: ED of greater severity was associated with lower energy intake in girls and this was more evident during adolescence. Calcium, phosphorous, iron and folates are the most susceptible nutrients to deficiency. Differences in feeding patterns were observed according to severity of the ED and age. In both sexes and in both age groups the frequency of excess weight and fat mass increased significantly with greater severity of ED. Girls at risk of ED and with greater BMI showed greater BD. In the risk group of adolescent girls, socio-cultural and emotional factors were associated with BD.Conclusions: Greater severity of ED was associated with less energy and nutrient intake in girls and this was significant in adolescents. While the restriction is of lipid origin in preadolescents, the three macronutrients are equally restricted in adolescents. In both preadolescence and adolescence, greater BMI and less body satisfaction are negatively associated with energy intake only in girls and mainly in situations of ED risk." @default.
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- W2117862829 date "2007-10-29" @default.
- W2117862829 modified "2023-09-27" @default.
- W2117862829 title "Asociación entre la severidad de las alteraciones de la conducta alimentaria y el patrón dietético: estudio comparativo en escolares de primaria y secundaria" @default.
- W2117862829 hasPublicationYear "2007" @default.
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