ABSTRACT
Resumen: Objetivo: Evaluar la efectividad de una intervención multidisciplinar en línea (psicológica, médica y nutricional) en mujeres con trastornos por atracón (TpA). Método: participaron 5 mujeres diagnosticadas con TpA con una edad promedio de 43.2 años y un peso corporal inicial promedio de 90 kg. El tratamiento se realizó durante 24 sesiones, cada una de dos horas por semana; la primera hora era terapia grupal y la segunda individual. Se contó con cuatro momentos de evaluación: pre, post y dos seguimientos Resultados: Las comparaciones se realizaron a través de la prueba no paramétrica de Friedman, encontrando una disminución estadísticamente significativa de la sintomatología de atracón pre χ1= 30.30 al segundo seguimiento χ2=10.80 (x2=12.84; p=.005), sintomatología de ansiedad χ1= 28.80 χ2=12.40 (x2=10.83.96; p=.013) y depresión χ1= 19.80, χ2=4.0 (x2=10.18; p=.017). Se observó mejoría en la comprensión χ1= 21.00, χ2=30.20 (x2=9.63; p=.025) y regulación emocional χ1= 28.40 χ2=33.00, (x2=7.77; p=.050). Las pacientes redujeron su peso corporal, mejoraron hábitos alimentarios introduciendo fruta y verdura diariamente e incluyeron la actividad física en su rutina diaria, realizando de 20 a 30 minutos diarios. A partir del cambio clínico objetivo se observó un cambio positivo en las variables abordadas en tratamiento en todas las participantes. Conclusiones: Se puede observar que la intervención multidisciplinaria en línea fue efectiva en el tratamiento de TpA en mujeres.
Abstract: Objective: To evaluate the effectiveness of a multidisciplinary online intervention (psychological, medical, and nutritional) in women with binge eating disorder (BED). Method: 5 women diagnosed with BED with a mean age of 43.2 years and a mean initial body weight of 90 kg participated. The treatment was carried out during 24 sessions, each of two hours per week; the first hour was group therapy and the second individual. There were four moments of evaluation: pre, post and two follow-ups. Results: The comparisons were made through the non-parametric Friedman test, finding a statistically significant decrease in binge eating symptoms before χ1= 30.30 at the second follow-up χ2 =10.80 (x2=12.84; p=.005), symptoms of anxiety χ1= 28.80, χ2=12.40 (x2=10.83.96; p=.013) and depression χ1= 19.80, χ2=4.0 (x2= 10.18, p=.017). Improvement was observed in comprehension χ1= 21.00, χ2=30.20 (x2=9.63; p=.025) and emotional regulation χ1= 28.40 χ2=33.00, (x2=7.77; p=.050). The patients reduced their body weight, improved their eating habits by introducing fruit and vegetables daily and included physical activity in their daily routine, performing 20 to 30 minutes a day. From the objective clinical change, a positive change was observed in the variables addressed in treatment in all the participants. Conclusions: The online multidisciplinary intervention was effective in the treatment of BED in women.
Subject(s)
Humans , Female , Adult , Middle Aged , Patient Care Team , Binge-Eating Disorder/therapy , Internet-Based Intervention , Anxiety , Body Weight , Exercise , Follow-Up Studies , Treatment Outcome , Depression , Emotional Intelligence , Binge-Eating Disorder/diagnosis , Binge-Eating Disorder/psychologyABSTRACT
Resumen Actualmente el sobrepeso y la obesidad presentan una alta prevalencia a nivel mundial, y se encuentran relacionados con enfermedades crónico-degenerativas, mortalidad prematura y disminución en la calidad de vida. El propósito de esta investigación fue comparar la calidad de vida relacionada con la salud (CVRS) en función del estado de nutrición (EN) y sexo. Participaron 202 adultos (84 hombres y 118 mujeres), con una edad entre 18 y 81 años (M =39.74 DE = 13.77), quienes fueron distribuidos por su EN en: normopeso, sobrepeso y obesidad. Los participantes completaron el cuestionario 36-Item Short Form Health Survey (SF-36). En la muestra predominó la dimensión Función física (FF), considerándola muy buena. Las dimensiones Rol emocional (RE), Rol físico (RF), Vitalidad (VT) y Salud mental (SM) se ubicaron en el nivel de bueno, y solamente la Salud general (SG) se consideró regular. En el caso de la comparación entre los grupos en función del EN no se encontraron diferencias significativas; sin embargo, en la comparación por sexo, los hombres obtuvieron mayores puntuaciones en: FF, SM, VT y RE. Se concluye que no hay diferencia estadísticamente significativa de la CVRS entre los grupos por EN, no obstante, al realizar la comparación por sexo se encuentran diferencias significativas a favor de los hombres.
Abstract Overweight and obesity currently have a high prevalence worldwide, are related to chronic degenerative diseases, premature mortality and the decline in quality of life. The purpose of the present investigation was to compare the quality of life related to health (HRQoL) between groups by their nutritional status (NS) and by sex. There was a sample of 202 participants (84 men and 118 women) with an age between 18 and 81 years (M =39.74 SD = 13.77), distributed by their NS in: normal weight, overweight and obesity, they were administered the questionnaire 36-Item Short Form Health Survey (SF-36). In the general sample, the Physical Function (PF) dimension was predominant, being considered as very good, the scores obtained in the Emotional Role (ER), Physical Role (PR), Vitality (VT) and Mental Health (MH) dimensions were in a range estimated as good and only the General Health (GH) dimension was considered regular. In the case of the comparison between the groups by state of nutrition, no statistically significant differences were found between them, however, in the comparison made by sex, statistically significant differences were found in the factors of PF, MH, VT and ER in favor of the group of men. In conclusion, there is not statistically significant difference of the HRQoL between the groups by NS, nevertheless, when performing the comparison by sex, significant differences are found in favor of the men.