BACKGROUND Self-efficacy is needed for effectuating lifestyle changes, and it is therefore an important target related to health. The purpose of this study was to evaluate the psychometric properties of the General Self-Efficacy Scale (GSE) using Rasch analysis in a sample of adults with morbid obesity. METHODS A convenience sample of adults with morbid obesity was recruited from patient educ...

Several states and local communities have started to experiment with policy initiatives that affect the built-up environment in an attempt to decrease the prevalence of obesity. The focus of these policy measures has generally been to eliminate geographical disparities in access to food. Recent policy proposals include the use of zoning laws to create a healthier food environment by providing i...

BACKGROUND Intracranial lesions may affect the hypothalamo-hypophyseal axis and lead to some neuro-endocrinological dysfunctions (hyperphagia, sleep disorders and hormonal dysfunctions). There is a very limited number of studies about childhood obesity and intracranial lesions. AIMS To evaluate the incidence of intracranial lesions and its role in clinical symptoms and aetiology in cases with...

e fi rst edition of Morbid Obesity: Peri-operative Manage ment, published in 2005, was heralded as an important and timely comprehensive review of perioperative care of morbidly obese surgical patients. Adrian Alvarez has built on the success of the fi rst book and, with the help of three new editors, has presented a concise and well-written text about the complexities of dealing with morbidly ...

Objective: To analyze the personality traits and psychological discomfort, eighteen months after bariatric surgery (vertical banded gastroplasty) in morbidly obese patients. Method: We used the Millon Clinical Multiaxial Inventory-II (MCMI-II) for assessing personality traits in 100 morbidly obese patients. Results: Six basic factor dimensions in the mental state were obtained: (1) Personality ...

n engl j med 356;21 www.nejm.org may 24, 2007 2176 This Journal feature begins with a case vignette that includes a therapeutic recommendation. A discussion of the clinical problem and the mechanism of benefit of this form of therapy follows. Major clinical studies, the clinical use of this therapy, and potential adverse effects are reviewed. Relevant formal guidelines, if they exist, are prese...

Childhood overweight and obesity (ow/ob) has become a serious threat to many countries, including China. However, limited evidence was obtained from longitudinal data in China. This study examined the secular trends and geographic variation in the prevalence of ow/ob and obesity only, and age, gender, and urban-rural disparities among school-aged children across China. Data from children aged 6...

The obesity epidemic is a threat to the health of millions and to the economic viability of healthcare systems, governments, businesses, and nations. A range of answers come to mind if and when we ask, "What can we, health professionals (physicians, nurses, nutritionists, behavioral psychologists), do about this epidemic?" In this paper, we describe the Common-Sense Model of Self-Regulation as ...

background: very few studies have been performed on small populations about the links between employment and bariatric surgery. objective: to determine if rates of employment are increased among patients who have undergone bariatric surgery, to assess their post-operative health consequences (post-prandial weakness, diarrhea), and patients' ability to maintain post-operative advice (ie, 30 minu...