Can power and anaerobic capacity reduce according to disordered eating behaviors in cyclists?

Abstract The present study aimed to compare the power, anaerobic capacity (AC) and performance in a road bicycle race among cyclists with and without risk of disordered eating behaviors (DEB). The sample was selected in a non-probabilistic way, totaling 69 male road cyclists aged between 19 and 30 years. The Wingate test was used to evaluate peak power (PP) and mean power. Time in minutes was adopted to determine performance in a 120-km road cycling race (competitive event). The Eating Attitudes Test (EAT-26) was completed to assess DEBs. The results did not indicate a difference in PP among cyclists with and without risk of DEBs (F (2, 67)=3.92; p=0.13). Findings showed a difference in mean power among cyclists with and without risk of DEBs (F (2, 67)=36.43; p=0.01). The results revealed a difference in performance in 120-km cycling races among cyclists with and without risk of DEBs (F (2, 67)=46.03; p=0.01). It could be concluded that DEBs were associated with a lower mean power and performance in a competitive event among male road cyclists, although the same was not true for PP.(AU)

Alimentación de los trabajadores dependientes residentes en Montevideo y ciudades cercanas / FEEDING OF DEPENDENT WORKERS LIVING IN MONTEVIDEO AND NEARBY CITIES

The objective of the research was to learn the characteristics of Uruguayan workers' feeding, their health situations and the context and considerations that their companies offer to the consumption of food. The descriptive and cross-sectional type of the study allowed to collect data, through a telephone survey (n=295), on relevant aspects of eating behavior. Almost all the workers had a meal time in hours of work and lunch was the meal that prevailed. Half of them chose red meat-based food followed by cooked vegetables as a second choice. Around 40 percent of workers said they had diet-related pathologies. Only 8 percent used the time recommended by the WHO for food consumption at work. Some companies do not respect the regulations of the Uruguayan government on the necessary conditions for the feeding of their employees. The implementation ofpolicies that consider the feeding of the workers as a fundamental right is necessary.

El objetivo de la investigación fue conocer las características de la alimentación de los trabajadores/as uruguayos, su situación de salud y las condiciones ofrecidas por empleadores para el consumo de comidas. Este estudio descriptivo de corte transversal, permitió recabar mediante una encuesta telefónica (n=295), datos relevantes del comportamiento alimentario. Casi el total de trabajadores, realizaban alguna comida en horario laboral, predominando el almuerzo. La mitad de ellos seleccionaban preparaciones con carnes rojas, le seguían los vegetales cocidos. Aproximadamente, el 40 por ciento de los trabajadores declaró presentar patologías relacionadas con la dieta. Únicamente el 8 por ciento destinaba el tiempo recomendado por la OMS para el consumo de alimentos en el trabajo. Algunas empresas incumplen las normativas del Gobierno Uruguayo sobre las condiciones necesarias para la alimentación de sus empleados. Continuar investigando en la temática implica hacer camino en la instauración de políticas que contemplen la alimentación de los trabajadores como un derecho fundamental.

Distribuição de transtornos alimentares em indivíduos com diabetes melito do tipo 1 e do tipo 2: descrição de dois casos / Distribution of eating disorders in subjects with type 1 and type 2 diabetes mellitus: a description of two cases

A presença de alterações do comportamento alimentar parece estar aumentada no diabetes melito (DM). Entretanto, a distribuição das diversas categorias de transtornos alimentares tende a se distinguir de acordo com a fisiopatologia do diabetes. O objetivo dessa apresentação é discutir dois casos distintos de ocorrência de transtornos alimentares no DM do tipo 1 (DM1) e no DM do tipo 2 (DM2). A paciente A é do sexo feminino, tem 19 anos e apresenta DM1 desde os 13 anos. Evidenciava sintomas depressivos proeminentes e, há 2 anos, passou a apresentar episódios de compulsão alimentar seguidos de vômitos auto-induzidos e omissão das doses de insulina com o objetivo de evitar ganho de peso. Em função desse comportamento, apresentou diversas internações associadas a uma piora do controle glicêmico. Após o uso de fluoxetina, houve remissão da psicopatologia alimentar e melhora do controle do DM. A paciente B possui 42 anos e é portadora do DM2 há 6 anos. Apresenta obesidade grau II e vinha exibindo, antes mesmo do diagnóstico do DM2, episódios de compulsão alimentar na ausência de comportamentos compensatórios, que prejudicavam o controle metabólico do diabetes. Foi iniciada fluoxetina até a dose de 60 mg/dia, com remissão do descontrole alimentar, perda ponderal e redução da hemoglobina glicosilada. A incidência de transtornos alimentares no DM1 estaria associada com um aumento da preocupação com a forma corporal e a possibilidade da omissão do uso da insulina como comportamento compensatório. No DM2, a obesidade seria um dos fatores associados ao desenvolvimento da psicopatologia alimentar.

The presence of changes in eating behavior seems to be increased in diabetes mellitus (DM). However, the distribution of varied categories of eating disorders tends to be distinguished according to the physiopathology of diabetes. The objective of this report is to discuss two distinct cases of eating disorders in type 1 (T1DM) and type 2 diabetes mellitus (T2DM). Patient A is a 19-year-old female who has had T1DM since she was 13 years old. She presented prominent depressive symptoms and 2 years ago she started presenting binge eating episodes followed by self-induced vomits and insulin omission to avoid weight gain. Due to this behavior, she had several hospitalizations associated with worse glycemic control. After treatment with fluoxetine, there was remission of eating psychopathology and improvement in DM control. Patient B is a 42-year-old female who has had T2DM for 6 years. She has grade II obesity and had been showing, even before the diagnosis of T2DM, binge eating episodes in the absence of compensatory behaviors that jeopardized the metabolic control of DM. She started a treatment with fluoxetine up to 60 mg/day, with remission of binge eating, weight loss and reduction in glycosylated hemoglobin. The incidence of eating disorders in T1DM seems to be associated with an increase in concern with body shape and the possibility of insulin omission as a compensatory behavior. In T2DM, obesity seems to be one of the factors associated with the development of eating psychopathology.