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Query: UMLS:C0028754 (obesity)
 124,988 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

To examine the effect of stressful life events and chronic emotional distress in the development of hypertension (HT), we have compared the blood pressure (BP) of 1150 Israelis (aged 50-80 years) who immigrated from Europe before the Second World War with 2159 Israelis who survived the Holocaust and came to Israel after the Second World War. Most of the subjects were examined as part of a periodical health examination offered by their employers. There were only minor differences in age, height, country of origin and level of education between the two groups. There was no difference in the prevalence of HT (lying systolic > or = 160 mmHg and/or diastolic > or = 95 mmHg and/or on antihypertensive medications) between the two immigration groups and a similar percentage of both groups were receiving treatment. Analyses of variance showed that age, sex and degree of obesity were the main factors contributing to the BP. Although the degree of emotional stress was greater in the Holocaust survivors, there was no correlation between level of emotional distress, satisfaction with life or number of psychosomatic complaints and level of BP or prevalence of HT.
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PMID:Hypertension in European immigrants to Israel: those who experienced the Holocaust and those who did not. 285 45

To examine the effect of stressful life events and chronic emotional distress in the development of hypertension, we compared the blood pressure of 1,150 Israelis (aged 50 to 80) who immigrated from Europe before 1939 with that of 2,159 European-born Israelis who immigrated to Israel after World War II. Most of the subjects were examined as part of a periodical health examination offered by their employers. There were only minor differences in age, height, country of origin and level of education between the two groups. There was no difference in the prevalence of hypertension between the two immigration groups, and a similar percentage of both groups were receiving treatment. Hypertension was defined as any one or more of the following: supine systolic greater than or equal to 160 mm Hg, diastolic greater than or equal to 95 mm Hg, or treatment with antihypertensive medications. Analysis of variance showed that age, sex and degree of obesity were the main factors contributing to the blood pressure. Although the degree of emotional stress was greater in the Holocaust survivors, there was no correlation between level of emotional distress, satisfaction with life or number of psychosomatic complaints and level of blood pressure or prevalence of hypertension.
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PMID:Hypertension in European immigrants to Israel--the possible effect of the holocaust. 362 84

A multiple factor approach toward body weight regulation was proposed which uses elements of self-perception theory to integrate seemingly unrelated or conflicting findings on the etiology of human obesity. Four factors--cue responsiveness, incidence of eating related to emotional distress, dietary restraint, and activity level--were hypothesized to influence the likelihood of obesity, with eating style being the most important variable. The existence of subgroups--normal weight and overweight individuals differing with respect to eating style, emotional-distress-related eating, dieting, and activity level--were proposed. In experimental tests on 90 Ss, predictions about the relationship of independent variables to obesity and the existence of subgroups of obese and normal weight individuals received support.
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PMID:A multiple factor study of body weight control. 669 28

Hispanic elders living in the United States compose a rapidly increasing population. They are underinsured and more likely to be living in poverty. Health care is hindered in this population by lower access to health services and less use of preventive services. Barriers to access are primarily socioeconomic. Acculturation exerts an effect, primarily through its association with language skills, employment, and education. Cardiovascular disease is the leading cause of mortality for Hispanics, who have a higher prevalence of risk factors for cardiovascular disease, such as diabetes mellitus, obesity, and hyperlipidemia. Although neoplasia is the second most frequent cause of death among Hispanics, as it is in whites who are not Hispanic, Hispanics have an overall lower cancer rate. Cancer rates are increasing, however. Non-insulin-dependent diabetes mellitus is a significant cause of morbidity and mortality in the Hispanic population, affecting nearly a quarter of adult Puerto Ricans and Mexican Americans. Although higher prevalence of obesity in the Hispanic population accounts for some of this difference, some data suggest the possibility of a genetic component as well. Assessment of psychological health in Hispanic elders is impeded by the lack of instruments designed for this population. Distress is often expressed as somatic symptoms. Values traditional to Hispanic culture, such as respeto, allocentrism, and familialism, are important to US Hispanic elders, many of whom were born in rural Mexico. Our knowledge of determinants of healthy aging in this population is still preliminary, but rapidly expanding, in part, because of increased attention to ethnicity in health reporting.
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PMID:Health status of Hispanic elders. 772 19

A representative sample from a nonclinical population was drawn to compare bingers and nonbingers across weight categories. Subjects were 112 women drawn from a cross-section of undergraduate classes at a large state university. Four groups were formed: obese bingers, obese nonbingers, normal-weight bingers (bulimics), and normal-weight nonbingers. Bingers, regardless of weight category, suffered higher levels of depression and anxiety and lower levels of self-esteem than nonbingers, regardless of weight category. Obese nonbingers were indistinguishable on these variables from normal-weight nonbingers, with both groups of nonbingers experiencing less emotional distress. Results support the position that the obese population should be conceptualized and treated as a diverse group with different psychological characteristics and needs.
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PMID:Psychological characteristics of binging and nonbinging obese women. 804 68

We administered the Symptom Checklist (Derogatis, 1975; SCL-90-R) to 37 obese subjects in outpatient treatment for obesity. Patients with early onset obesity demonstrated a greater frequency and higher levels of emotional distress and psychiatric symptomatology than patients with late onset obesity. Individuals who developed obesity in childhood showed more psychopathology than those who developed obesity later in life. Overall, these findings support the belief that obesity is characteristically associated with greater internal psychological conflict. These findings further suggest that childhood obesity could serve as a predictor variable for possible future psychological disturbance in obese populations.
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PMID:The relationship between childhood onset obesity and psychopathology in adulthood. 827 Dec 33

Characteristics of morbidity obese adults in the general population and morbidly obese adults presenting for obesity surgery were compared. Black morbidly obese women in the general population were less obese than black women obesity surgery patients, showed less emotional distress, and had fewer abnormal eating behaviours; age and socio-economic status were similar. A greater proportion of morbidly obese surgery patients were white women than would be expected either on the basis of the prevalence of morbid obesity in the general population or on census data. It was hypothesized that black women and white men avoid obesity surgery until they are physically debilitated by their overweight, while white women elect for obesity surgery when the emotional distress associated with obesity becomes debilitating.
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PMID:Morbid obesity: a comparison between a general population and obesity surgery patients. 828 Dec 24

One hundred significantly overweight patients sequentially applying to a very low calorie diet (VLCD) program were interviewed to learn how the onset of obesity correlated with other life events. By comparison with a control group of 100 always-slender adults, the obese applicants were found to be different at a highly significant level in the prevalence of childhood sexual abuse, nonsexual childhood abuse, early parental loss, parental alcoholism, chronic depression, and marital family dysfunction in their own adult lives. The obese patients commonly reported using obesity as a sexually protective device; many reported overeating to cope with emotional distress. Inquiry into depression, past sexual abuse, and past or present dysfunctional family life should be added to the current medical evaluation of all obese patients. The resultant findings are likely to be relevant to their treatment, whether for obesity or for other medical conditions.
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PMID:Childhood sexual abuse, depression, and family dysfunction in adult obese patients: a case control study. 820 85

Psychosomatic theories hold that the obese abnormally increase eating in response to emotional distress. Empirical support for this assertion has come mainly from self-report studies. A review of the literature for methodological rigor reveals that many studies previously considered supportive are substantially flawed with regard to control groups, failure to control Type-I error rate, and the possibility of confounding of social desirability and other response sets with self-reports of emotional eating. Five alternative conceptualization of the obesity-emotional eating association are presented along with suggested research which would elucidate the nature of this frequently reported connection.
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PMID:Emotion and eating in obesity? A critical analysis. 847 1

In August 1985 Sharon Russell was dismissed from Salve Regina College just before her senior year of nursing education. The reasons given for her dismissal focused on Russell's obesity and her inability to lose weight. The issues raised by this case pose important questions that nursing programs and nurse educators must address. This article explores the questions raised by Russell: (1) What constitutes substantial compliance with both academic and nonacademic performance criteria in a contract between a student and an educational institution? (2) What duties to preserve the privacy interests of students may be imposed on programs and educators? Ms Russell's case has been settled. She established that she had met the terms of the contract and substantially complied with the academic and nonacademic criteria of the nursing curriculum. She was awarded monetary damages for the college's breach of contract in nonperformance of an agreement to educate. She did not prevail in her claims of intentional infliction of emotional distress or invasion of privacy. She did, however, put nursing education programs on notice that colleges and universities are not immune from these contractual challenges and must demonstrate respect and consideration for student's personal concerns.
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PMID:Responsibilities of nursing education: the lessons of Russell v Salve Regina. 851 47


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