Women's health reports (New Rochelle, N.Y.)最新文献

{"title":"Barriers to Interconception Care Delivery in Primary Care: Clinician, Staff, and Patient Perspectives.","authors":"Caitlin Somerville, Hannah Shireman, Amanda Geppert, Ashley McHugh, Emily White VanGompel, Jane L Holl, Debra B Stulberg","doi":"10.1089/whr.2024.0110","DOIUrl":"10.1089/whr.2024.0110","url":null,"abstract":"<p><strong>Purpose: </strong>Many reproductive age women, cared for routinely by primary care providers (PCPs), would benefit from interconception care, yet a minority of primary care visits include interconception care. This study assessed barriers to providing interconception care from the perspective of primary care clinicians, staff, and patients.</p><p><strong>Materials and methods: </strong>Clinicians (<i>n</i> = 11), staff (<i>n</i> = 14), and patients eligible for interconception care (<i>n</i> = 6) from three primary care clinics in Chicago, Illinois participated in focus groups or interviews. Sessions with clinicians and staff elicited descriptions of their clinic's current care delivery processes; sessions with patients focused on their experiences accessing care following pregnancy. Data were used to produce a process map and to identify barriers and facilitators to providing interconception care. Sessions were audio-recorded, transcribed, and thematically analyzed using Dedoose. Findings on barriers are presented here.</p><p><strong>Results: </strong>Processes for clinics to identify patients eligible for interconception care are lacking. PCPs do not routinely receive information about their patients' prior pregnancies, and relevant information can be hard to access. While patients describe many care needs between pregnancies, they are unsure of where to turn for help: their PCP, obstetrical clinician, or other sources. Contributing organizational limitations involve clinic structure, appointment availability, resources, and insurance coverage.</p><p><strong>Conclusions: </strong>Multiple barriers in current primary care systems and processes contribute to poor interconception care delivery. These findings, given the known benefits of interconception care, can inform human-centered design to overcome barriers.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"1032-1039"},"PeriodicalIF":1.6,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Linguistic Validation of a British-English Version of the SAMANTA Questionnaire and HMB-VAS Tool: A Step Toward Improved Diagnosis of Heavy Menstrual Bleeding.","authors":"Josep Perelló-Capó, Joan Rius-Tarruella, Joaquim Calaf Alsina","doi":"10.1089/whr.2024.0061","DOIUrl":"https://doi.org/10.1089/whr.2024.0061","url":null,"abstract":"<p><strong>Background: </strong>Heavy menstrual bleeding (HMB) is a common disorder interfering with physical, emotional and social domains, and overall quality of life (QoL). The Heavy Menstrual Bleeding-Visual Analog Scale (HMB-VAS) tool, including the VAS for menstrual bleeding intensity (VAS-Int) and the VAS for its interference with daily activities (VAS-Imp), is useful for HMB screening. The SAMANTA questionnaire (SAMANTA-Q) was developed and psychometrically validated in Spanish to easily identify women with HMB. However, these instruments have not been validated in other languages. This study seeks to linguistically validate the SAMANTA-Q and the HMB-VAS tool in British English.</p><p><strong>Methods: </strong>Linguistic validation was conducted following the principles laid out by the International Society for Health Economics and Outcomes Research (ISPOR). This process included two forward translations by two independent native English-speakers; reconciled version; two backward translations by two independent native Spanish-speakers; review and reconciliation; 60-minute cognitive debriefing interviews with women with HMB balanced by educational levels; analysis and integration of changes in the reconciled version; proofreading, and creation of the final version.</p><p><strong>Results: </strong>No major issues were found in the linguistic validation process. Overall, cognitive debriefing participants with HMB considered that the SAMANTA-Q and the HMB-VAS tool were easy to read, comprehensive, quick to answer, and covered most of the issues related to HMB.</p><p><strong>Conclusions: </strong>Linguistically validated British-English versions of the SAMANTA-Q and HMB-VAS tool are now available for clinical practice and research. These validated tools will be useful to easily diagnose excessive menstrual blood loss impacting on QoL.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"1017-1031"},"PeriodicalIF":1.6,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11693961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes Toward Pregnancy and Their Impact on Timing of Prenatal Care Initiation after Prior Spontaneous Preterm Delivery: A Qualitative Descriptive Study.","authors":"Siera R Lunn, Adwoa A Baffoe-Bonnie, Carrie B Dombeck, Teresa Swezey, Amy Corneli, Kelley E Massengale, Sarahn M Wheeler","doi":"10.1089/whr.2024.0129","DOIUrl":"https://doi.org/10.1089/whr.2024.0129","url":null,"abstract":"<p><strong>Introduction: </strong>Timely presentation to prenatal care (PNC) is especially important for patients with a history of spontaneous preterm birth (sPTB). Our objective was to identify factors that pregnant individuals with prior sPTB perceived affected the timing of initiating PNC.</p><p><strong>Materials and methods: </strong>We conducted in-depth interviews (IDIs) with non-Hispanic (NH) Black or NH White pregnant individuals who had a prior sPTB and presented early (<20 weeks gestation) or late (≥20 weeks gestation) to care in the index pregnancy. The IDIs focused on how patients' initial emotions about their pregnancy and their history of sPTB(s) impacted their initiation of PNC. IDIs were analyzed via applied thematic analysis.</p><p><strong>Results: </strong>We interviewed 41 individuals (28 early presenters and 13 late presenters). Nearly all early presenters and about half of the late presenters expressed feeling both positive emotions (e.g., excitement or happiness) and worry about their pregnancies. Participants were worried about having another sPTB or miscarriage or concerned about their baby's health. A few participants in both groups described intentionally delaying seeking care because they were worried. Also, a few early and late presenters felt uncertain about continuing their pregnancies. For a few late presenters, contemplating abortion or adoption delayed their PNC initiation; however, most participants (24 early, 4 late) sought PNC as soon as they learned they were pregnant.</p><p><strong>Conclusions: </strong>Positive emotions, worry, and uncertainty about pregnancy may influence timing of PNC initiation. These findings may inform postpartum counseling to improve the rate of patients with prior sPTB that present early during future pregnancies.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"1008-1016"},"PeriodicalIF":1.6,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11693946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eye Movement Desensitization and Reprocessing: Efficacy in Improving Clinical, Neuropsychological, and Quality of Life in Women Victims of Violence.","authors":"Alexandra Yakeline Meneses Meneses, Sol Fernández-Gonzalo, Mercè Jodar Vicente","doi":"10.1089/whr.2023.0110","DOIUrl":"https://doi.org/10.1089/whr.2023.0110","url":null,"abstract":"<p><strong>Background: </strong>The number of female victims of violence has significantly increased in recent years, resulting in physical, mental, and social damage.</p><p><strong>Objective: </strong>To determine the effectiveness of the eye movement desensitization and reprocessing (EMDR) psychotherapeutic model compared with narrative exposure therapy (NET) as treatments for clinical improvement, neuropsychological outcomes, and quality of life in women who have experienced violence.</p><p><strong>Methods: </strong>A randomized experimental study was conducted, involving 120 women exposed to physical, psychological, and sexual violence, who were assigned to either an EMDR or NET group. An extensive battery of clinical, neuropsychological, and quality of life tests was administered both before and after a 10-session therapeutic intervention.</p><p><strong>Results: </strong>Compared with the group of women treated with NET, the group of women who received EMDR therapy, exposed to physical, psychological, and sexual violence, achieved a greater decrease in anxiety (<i>p</i> = 0.001), depression (<i>p</i> = 0.001), and post-traumatic symptoms (<i>p</i> = 0.002). Additionally, there was an increase in the quality of life index (<i>p</i> = 0.001), performance in working memory (<i>p</i> = 0.000), and executive functioning tests (<i>p</i> = 0.000), compared with NET.</p><p><strong>Conclusions: </strong>EMDR proved to be more effective compared with NET in reducing post-traumatic clinical symptoms, increasing the level of quality of life, and enhancing cognitive performance in women affected by gender-based violence. Additionally, it demonstrated independence in therapeutic response across most estimated sociodemographic factors, making it a therapy with broader therapeutic reach in the community of Ecuadorian women.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"984-996"},"PeriodicalIF":1.6,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11693959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dietary Factors Associated with Depressive Symptoms in Midlife Women 40-50 Years of Age Living in the United States.","authors":"Holly J Jones, Natalie Ledesma, Alex Gomez, Rochelle Zak, Kathryn A Lee","doi":"10.1089/whr.2024.0107","DOIUrl":"https://doi.org/10.1089/whr.2024.0107","url":null,"abstract":"<p><strong>Purpose: </strong>Women in the decade before menopause are at risk for depression. This study describes dietary factors associated with depression risk in late premenopausal women that could be modifiable with targeted interventions.</p><p><strong>Methods: </strong>Descriptive cross-sectional study comparing a community-based sample of 342 healthy premenopausal women categorized as low-risk and high-risk for depression in a secondary analysis of dietary variables. Depression risk was estimated with the Center for Epidemiological Studies-Depression (CES-D) scale. Dietary variables were based on three random 24-hour diet recalls during a 1-week period that included an in-person visit with measures of potential covariates such as blood pressure, height, and weight for body mass index (BMI), a urine sample for follicle-stimulating hormone, demographic factors, exercise and sleep. Independent <i>t</i>-tests were used initially to compare groups, followed by logistic regression to adjust for covariates. Statistical significance was set at <i>p</i> ≤ 0.05.</p><p><strong>Results: </strong>Depression risk (CES-D ≥ 16) was present in 30% of participants. Compared with the low-risk group, the high-risk group had significantly higher intake of polyunsaturated fat, omega-6 linoleic acid and sucrose, and lower intake of galactose, vitamin C, and omega-3 eicosapentaenoic acid. After adjusting for energy intake and significant covariates (income adequacy, education, race/ethnicity, marital status, BMI, exercise and sleep duration), only polyunsaturated fat, omega-6, and sucrose remained significant.</p><p><strong>Conclusion: </strong>Depression prior to menopause is common and multifactorial. Findings support the importance of assessing saturated fats, omega-6 fatty acids, and sucrose. Attention to diet in addition to exercise and sleep may improve intervention outcomes for mental health in midlife women.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"997-1007"},"PeriodicalIF":1.6,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11693945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Scoping Review on Sex and Gender Differences in the Adverse Health Outcomes of Individuals with Sickle Cell Trait.","authors":"Angela K Phillips, Laura Segovia, Alicia A Livinski, Candy Wilson, Arun S Shet, Margaret Bevans","doi":"10.1089/whr.2024.0092","DOIUrl":"https://doi.org/10.1089/whr.2024.0092","url":null,"abstract":"<p><p>Although there is an emerging body of evidence that addresses the adverse health outcomes of individuals with sickle cell trait (SCT), it is not clear if the findings are generalizable from a sex and gender perspective. The purpose of this scoping review was to complete an assessment of main concepts, identify knowledge gaps, and determine the potential value of conducting an eventual systematic review. The research question guiding this scoping review is: In SCT individuals with adverse health outcomes, what is known about sex and gender differences? We conducted a scoping review of research on SCT from 2016 to 2022 across five databases, with 36 research studies included in the review. The majority of the included studies were cohort studies (67%) in the United States (61%) focusing on a variety of health outcomes. One-third reported health outcomes by both SCT status and sex, and one-third controlled for sex; no studies addressed gender. Further research is needed on the role of sex and gender for individuals with SCT.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"973-983"},"PeriodicalIF":1.6,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11693941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Young Adults' Understanding of Modifiable Risk Factors of Infertility.","authors":"Lauren Lim, Meredith Hoppe, Lauren Kennedy, Allison Gunderson, Lingchen Wang, Neda Etezadi-Amoli","doi":"10.1089/whr.2024.0058","DOIUrl":"https://doi.org/10.1089/whr.2024.0058","url":null,"abstract":"<p><strong>Objective: </strong>Assess the knowledge of young adults regarding modifiable risk factors of infertility.</p><p><strong>Design: </strong>Web-based validated survey.</p><p><strong>Setting: </strong>University of Nevada, Reno (UNR).</p><p><strong>Subjects: </strong>Undergraduate students at the UNR.</p><p><strong>Interventions: </strong>A survey encompassing participants' demographics, understanding of infertility risk factors, willingness to modify behaviors to prevent infertility, personal significance of fertility, previous sources for fertility knowledge, and preferred sources for fertility education.</p><p><strong>Main outcome measures: </strong>Subject-reported knowledge of modifiable risk factors for infertility and value of fertility.</p><p><strong>Results: </strong>A total of 427 individuals responded. Thirty-seven percent of females indicated that oral contraceptive pills negatively impact their future fertility and 34.4% were unsure. Regarding prior use of long-acting reversible contraceptives on future fertility, 31.4% of females believed it had a negative impact and 36.9% were unsure of its impact. Only 21.7% of males thought testosterone had a negative impact on fertility. Participants were significantly more likely to avoid certain modifiable risk factors to prevent infertility than they were to avoid excessive alcohol to prevent liver disease (<i>p</i> = 0.008). The largest percentage of women reported obtaining the most information about their fertility from social media.</p><p><strong>Conclusions: </strong>Young adults would benefit from and are interested in a better understanding of their fertility and modifiable risk factors for infertility. Obstetrics and gynecology physicians and primary care providers can use these findings to guide education and address misconceptions.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"815-824"},"PeriodicalIF":1.6,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increased risks of Maternal Mental Health Conditions Following the COVID-19 Pandemic.","authors":"Anita Zhou, Allison Zetterman, Megan Ott, Colman Freel, Kayla Adams, Andrea Rodriguez-Dasta, Rebekah Rapoza, Rebecca Drakowski, Sarah Sweeney, Alyssa Freeman, Matthew VanOrmer, Melissa Thoene, Elizabeth Lyden, Charmayne R Adams, Gurudutt Pendyala, Corrine Hanson, Ashley J Blount, Ann Anderson-Berry","doi":"10.1089/whr.2024.0070","DOIUrl":"https://doi.org/10.1089/whr.2024.0070","url":null,"abstract":"<p><strong>Background: </strong>Women are at an increased risk of developing psychiatric conditions such as anxiety and depression during pregnancy. Psychiatric conditions during pregnancy can put mothers and fetuses at risk of worse physical and mental health before, during, and after the completion of a pregnancy. Previous research indicates that women pregnant during COVID-19 were at a greater risk of developing mental health conditions and being exposed to stressors. While most of the research in the field focuses solely on maternal mental health or interactions between stressors and maternal mental health, little research has been done comparing maternal mental health, demographic variables, and socioeconomic variables across pre-, during-, and post-COVID-19 time periods.</p><p><strong>Methods: </strong>We conducted <i>an observational cohort study</i> of 703 mothers divided into pre-, during-, and post-COVID-19 groups based on time of enrollment.</p><p><strong>Results: </strong>Rates of maternal anxiety (<i>p</i> < 0.001), medication use for anxiety (<i>p</i> < 0.001), depression (<i>p</i> < 0.001), medication use for depression (<i>p</i> < 0.001), history of postpartum depression (<i>p</i> < 0.001), and medication use for other psychiatric conditions (<i>p</i> < 0.001) significantly increased during COVID-19 and remained at elevated levels post-COVID-19 compared with pre-COVID-19. Income >150% of the poverty level (<i>p</i> = 0.003), food security level (<i>p</i> = 0.010), marital status (<i>p</i> = 0.001), and private insurance type (<i>p</i> < 0.001) were significantly increased during COVID-19 compared with pre-COVID-19 levels.</p><p><strong>Conclusions: </strong>Future work should focus on stratifying the effects of the COVID-19 pandemic on maternal mental health by race and ethnicity and establishing guidelines to support maternal mental health during epidemics and pandemics.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"805-814"},"PeriodicalIF":1.6,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gut <i>Akkermansia muciniphila</i>, <i>Prevotellaceae</i>, and <i>Enterobacteriaceae</i> spp. as Possible Markers in Women-Related Nutritional and Clinical Trials: Familial Mediterranean Fever Disease.","authors":"Astghik Pepoyan","doi":"10.1089/whr.2024.0076","DOIUrl":"https://doi.org/10.1089/whr.2024.0076","url":null,"abstract":"<p><strong>Background: </strong>Studies have shown that the gut microbiota of healthy men and men with familial Mediterranean fever (FMF) disease respond differently to placebo. Given the fact that the composition of the gut microbiota is different in men and women, this study aimed to describe in detail the placebo response of the gut microbiota in healthy and FMF women.</p><p><strong>Materials and methods: </strong>The bacterial response to placebo was fully evaluated on a previous PhyloChip™ DNA microarray-based assay (GEO Series; accession number GSE111835).</p><p><strong>Results: </strong>The change in the total number of operational taxonomic units in healthy women exposed to placebo is more than that of healthy men, in contrast to FMF people (704 vs. 140 and 409 vs. 7560, respectively [<i>p</i> < 0.05]). Gut Firmicutes diversities are more sensitive to placebo, whereas <i>Akkermansia muciniphila</i> remained unchanged after the placebo administration for both healthy and FMF people. <i>Gut Prevotellaceae</i> and <i>Enterobacteriaceae</i> diversities of healthy subjects and FMF women are also almost unchanged from placebo. Meanwhile, only 56.35% of gut <i>Enterobacteriaceae</i> diversities in FMF men were placebo resistant.</p><p><strong>Conclusion: </strong>The response to a placebo varies depending on a person's gender and health status. Healthy and FMF women's placebo study groups could be avoided by excluding placebo-sensitive 704 of 18,725 and 409 of 18,725 bacterial diversities, respectively. Because the placebo causes changes in all gut bacterial phyla in healthy and FMF women, and only the representatives of Enterobacteriaceae and Prevotellaceae families and <i>A. muciniphila</i> spp. are not affected by placebo, these bacteria can be considered as possible markers in women-related nutritional/clinical trials. Data on the response of the gut microbiota in healthy women to placebo might be used in studies of diseases other than FMF. The response of gut bacteria from different taxonomic affiliations to placebo may provide a basis for uncovering the role of these bacteria in the gut-brain axis.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"785-793"},"PeriodicalIF":1.6,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11491588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Illness Perception in Overweight and Obesity on Bio-Functional Age and Eating/Movement Behavior-A Follow-Up Study.","authors":"Tiziana Felicitas Aimée Marti, Elena Pavicic, Linda Maria Roggo, Norman Bitterlich, Michael von Wolff, Dagmar Poethig, Petra Stute","doi":"10.1089/whr.2024.0012","DOIUrl":"https://doi.org/10.1089/whr.2024.0012","url":null,"abstract":"<p><strong>Background: </strong>Despite the widespread prevalence of obesity and its potential adverse impacts on health, the majority of interventions aimed at weight loss stay ineffective. This study aimed to assess illness perception in people with overweight/obesity and its impact on bio-functional age (BFA) and cognitive patterns governing eating and movement behavior.</p><p><strong>Methods: </strong>A total of 40 subjects from the original overweight/obesity subcohort of the Bern Cohort Study 2014 (BeCS14) were included and assessed for a follow-up from 2019-11-29 to 2020-07-14. The subjects completed a validated \"bio-functional status\" test battery with calculation of BFA, as well as validated questionnaires for eating and movement behavior and illness perception.</p><p><strong>Results: </strong>Participants were overall bio-functionally younger than their chronological age (mean 4.3 ± 6.9 year equivalents) but aging was more pronounced than anticipated. Mental occupation with illness cause was moderate to high with psychosocial (PS) factors being more pronounced than naturalistic (NT) factors. There was a shift from defined theory with focus clearly on PS theories to diffuse theory with consideration of both PS and NT theories. Participants with good sense of coherence (SOC) were less likely to be mentally preoccupied with illness cause (<i>p</i> < 0.05, <i>r_s</i> = -0.404), especially with PS factors. PS theories on illness cause correlated with pathological eating behavior (emotional eating: <i>p</i> > 0.05, <i>r_s</i> = 0.378; temptation: <i>p</i> < 0.01, <i>r_s</i> = 0.486).</p><p><strong>Conclusions: </strong>Illness perception does affect cognitive patterns and integrating it into therapeutic management for people with obesity can enhance outcomes. Strengthening of SOC is important to decrease PS stress and achieve better subjective health, less mental preoccupation, and less dysfunctional eating behavior.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"794-804"},"PeriodicalIF":1.6,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11491568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}