Sunday, January 26, 2020

Effectiveness of Interventions for Emotional Eating

Effectiveness of Interventions for Emotional Eating Peer review: Does educating pupils on emotional eating have a positive effect on their emotional eating behaviours? Summary of aims, rationale and hypotheses The applicant proposes an intervention for controlling emotional eating because emotional eating often has been linked to obesity, which is a major concern in the UK. This proposal focuses on prevention by giving people information about the topic via seminars before the emotional eating started. The applicant extended previous research about the assumption that stress can cause emotional eating and that eating disorders, such as obesity, binge eating and anorexia nervosa, are linked to emotional eating. A lot of emotions, such as arousal, fear, boredom and a negative mood can lead to food intake. The applicant focused on research about interventions on alcohol use and abuse and the success of these interventions because the participants behaviours and attitudes were changed. Three key parts were mentioned: drinking alcohol wont turn everybody in an alcoholic, the act of drinking is normal, but abusive drinking isnt and education starts early. This proposal hypothesized that pupils w ho receive emotional eating seminars, compared to pupils who receive litter picking seminars, will alter their behaviours and their emotional eating scores will reduce by educating them about emotional eating and thereby reduce obesity levels, trying to receive long-term outcomes. Summary of methods and expected results The applicant found 140 pupils from year 9, between the age of 13 and 14. These pupils were split up in two groups. The experimental group received the emotional eating seminars, while the control group received seminars about litter picking. Afterwards, the applicant used the Dutch Eating Behaviour Questionnaire, particularly the part about emotional eating and participants had to add their height and weight. Participants asked to fill in the questionnaire twice, once in the beginning and once at the end of term. Both groups were asked to fill in another short questionnaire at the end of each seminar to measure the impact of the seminar on their behaviour. The proposal expected to see a change in the behaviour of the pupils in terms of emotional eating and that pupils have a better chance of noticing these eating behaviours. Summary of limitation and challenges The applicant mentioned that previous research found little gender differences and therefore this proposal does not account for gender differences. Secondly, because increased stress causes an increased food consumption, the applicant found an additional test. Pupils were shown a stress inducing video while having snacks in front of them. The bowl was weighed before and after they had watched the video. Third, litter picking was chosen as the control variable because the applicant assumed that it had nothing to do with emotional eating. Constructive suggestions on how to improve the proposal (385) This proposal is very useful because it highlights a major problem in our society, obesity. Obesity is a worldwide problem with a lot of health problems, such as cardiovascular diseases, diabetes and cancer (Wang et al, 2011). Therefore, research is necessary to find preventions and interventions for this problem because researcher expect 11 million obese adults more in the UK by 2030 (ibid). Another good part about this proposal is that the questionnaires are quantitative, which means that it based on a measurement, for example a five-point scale, and that this study consists of numbers, which makes this proposal more valid. The extra stress test is very good to control the reliability of the questionnaire scores and therefore to measure a third variable, which might make the proposal again more valid. However, this proposal has it flaws. First, this proposal is not neuro-cognitive. Nothing in this study measures something neurological. The applicant could have measured brain activi ty in participants while they were eating before and after the seminars, in both, the control and the experimental group, to see if something changed neurologically while they were eating after the seminars compared to before the seminars, for example, the experimental group might think more about what they eat and how much instead of just eating without thinking at all. Secondly, only two seminars might not be enough. Most studies who use prevention methods, such as seminars, were longitudinally (Hivert et al., 2007; Keller, 1978; Schnell Doetkott, 2003). It might be better if the applicant would have done this study for two years or so, which would mean that every group would have for example 12 seminars each year for two years long. A longitudinal study gives more long-term outcomes instead of only short-term outcomes (Schnell Doetkott, 2003). The applicant is doing this study in only one school. It might be better to take participants out of different schools because it is pos sible that one school pays more attention to what their students eat or pay more attention to prevent unhealthy children than another school, which could affect the study. Therefore, more schools should be participating this study to make it more valid. Is the proposal feasible? Are the requested resources well justified? This proposal seems very feasible. The requested resources are well justified and the study shouldnt be too difficult to conduct. How novel is the proposal? This proposal is not a really new study, but not adopted either. Daubenmier et al. (2011) suggested a mindfulness intervention, based on therapy, instead of seminars. Although the intention of both is the same, the study differs in certain respects. Hivert et al. (2007) did a study that is very alike to this proposal, only they did the study on participants, who were already obese. What is the intentional impact of this proposal? Given that this study might already have been done and the few limitations, this study is not unnecessary. The impact in this proposal is to prevent eating disorders. Good in this study is that, if it works, it prevents eating disorders before they even come up compared to other studies, who only start these interventions when it is already too late. REFERENCES Daubenmier, J., Kristeller, J., Hecht, F. M., Maninger, N., Kuwata, M., Jhaveri, K., Epel, E. (2011). Mindfulness intervention for stress eating to reduce cortisol and abdominal fat among overweight and obese women: an exploratory randomized controlled study.  Journal of obesity,  2011. Hivert, M. F., Langlois, M. F., Berard, P., Cuerrier, J. P., Carpentier, A. C. (2007). Prevention of weight gain in young adults through a seminar-based intervention program.  International Journal of Obesity,  31(8), 1262-1269.. Keller, R. T. (1978). A Longitudinal Assessment of a Managerial Grid ® Seminar Training Program.Group Organization Management,  3(3), 343-355. Schnell, C. A., Doetkott, C. D. (2003). First year seminars produce long-term impact.Journal of College Student Retention: Research, Theory and Practice,  4(4), 377-391. Wang, Y. C., McPherson, K., Marsh, T., Gortmaker, S. L., Brown, M. (2011). Health and economic burden of the projected obesity trends in the USA and the UK.  The Lancet,  378(9793), 815-825.

Friday, January 17, 2020

Insulin and American Diabetes Association

Diabetes is an endocrine disease that affects the blood sugars of individuals throughout the United States. It is one of the leading causes of death. There are three different types of diabetes: type 1 diabetes, gestational diabetes, and type 2 diabetes. Hispanics are the second highest minority diagnosed with diabetes. Hispanics are less likely to seek medical care because of cultural beliefs and lack of insurance. There is also a genetic link to Hispanics and diabetes.â€Å"Type 1 diabetes, once known as juvenile diabetes or insulin-dependent diabetes, is a chronic condition in which the pancreas produces little or no insulin, a hormone needed to allow sugar (glucose) to enter cells to produce energy† (Mayo Clinic, 2013). This diabetes is common during adolescence but is possible during adulthood. There is no cure for type 1 diabetes but there are medicines that can help an individual that is dealing with this disease. Signs and symptoms for type 1 diabetes is increased thir st, frequent urination, hunger, weight loss, fatigue, and blurred vision.  (Mayo Clinic, 2013)Risk factors for type 1 diabetes are famlial history, location, genetics, and viral exposure. â€Å"Exposure to Epstein-Barr virus, coxsackievirus, mumps virus or cytomegalovirus may trigger the autoimmune destruction of the islet cells, or the virus may directly infect the islet cells† (Mayo Clinic, 2013). Gestational diabetes occurs during pregnancy. It is when sugar levels are high because the â€Å"body is not able to produce and use all the insulin it needs during pregnancy† . The cause of gestational diabetes is still unknown.Pregnant women are usually tested for gestational diabetes between 24 to 28 weeks but doctors could recommend early testing if the pregnant woman shows signs of diabetes. If it is not controlled, the unborn child could be affected by the high sugar levels. The glucose passes through the placenta and causes the baby’s pancreas to produce mor e insulin to help control the sugar levels. The increase of energy that the glucose gives the unborn child is too much so instead of the baby using it up, it is stored as fat. This increase of fat may cause macrosomia.Macrosomia may cause problems during delivery because it increases the baby’s weight and size. Also, â€Å"the extra insulin that the baby’s pancreas makes may cause newborns to have very low blood glucose levels at birth and are also at higher risk for breathing problems† . According to American Diabetes Association (2013), babies that are born with low levels of sugar are more likely to develop type 2 diabetes later in life. â€Å"Type 2 diabetes is a chronic condition that affects the way your body metabolize sugar (glucose)†.When an individual has type 2 diabetes their body does not produce enough insulin or their body ignores the insulin it has produced. This is commonly in adulthood but there is an increased of cases in adolescent beca use of the obesity is increasing. If type 2 diabetes is untreated, it can be life threatening or cause other health complications. Some complications that may occur are heart disease, neuropathy, nephropathy, eye damage, foot damage, osteoporosis, and Alzheimer’s disease. â€Å"An individual can manage the condition by eating well, exercising and maintaining a healthy weight† .Risk factors that will contribute to a individual getting type 2 diabetes are their weight, fat distribution, inactivity, familial history, race, age, and if they had gestational diabetes or prediabetes. â€Å"Prediabetes is a condition in which your blood glucose levels is higher than normal, but not too high to be classified as diabetes† . Race plays a factor in type 2 diabetes. African Americans, Hispanics, Native Americans, and Asian American (Pacific Islanders) are more susceptible to it. According to the American Diabetes Association (2013), there are 25.8 million children and adults in the United States living with diabetes.Of those 25. 8 million people 11. 8% of them are Hispanics. Hispanics have a higher rate because of their lack of access to quality health care, social and cultural factors, or genetics. â€Å"The United States Department of Health and Human Services estimates 1 out of every 3 Hispanics do not have health insurance† . Without health insurance Hispanics are least likely to visit doctors for preventive care. This increases their chances to developing a disease that could have been prevented with correct treatment or changes in life style.â€Å"Hispanics are raised to be self-reliant, which may be the reason 42% of them say they have had zero visit to a medical provider† . â€Å"Many Hispanic parents feel guilty about putting their own health needs above those of their families and they feel their time and money could be better spent than using it for preventive care† . They did not go to see the doctor until they are very ill or they use house remedies to help with their illnesses. Sometimes, house remedies worked temporary and then the illnesses comes back stronger than before.At this time, Hispanics might seek professional help. If they do seek medical attention, the doctors find array of illnesses. The doctors attention to the more severe ones and ask them to go back. Since, Hispanics are less likely to see the doctors when they believe they are healthy, they will not go back for a follow-up. Then the cycle may start all over again. A culture factor is Hispanics perceive their weight different than other cultures. â€Å"The researchers found about 25% of the overweight Hispanic women perceive their weight as â€Å"normal† when in fact they are overweight† .The Hispanic culture perceives curves as an attractive feature in women. They are blind to the fact that the curves may be a sign of illnesses such as diabetes. Since Hispanics have a high rate of individuals with diabetes, the pr edisposition of their family members of being diagnose with diabetes is much higher. Studies have shown that when a youth is diagnosed with diabetes there is a 45%-80% chance that one of their parents has diabetes and 74-100% has a first or second degree relative with type 2 diabetes .Diabetes is an illness that greatly affects the Hispanic culture. There are organizations that are trying to create programs to help families and individuals deal with it. The â€Å"National Council for La Raza are focusing their efforts on implementing more healthy shopping programs like the â€Å"Comprando Rico y Sano† (Buying Delicious and Healthy) to help Hispanics make healthier and more economical choices when grocery shopping†. The National Diabetes Prevention Programs is focusing more on finding ways for the prevention of diabetes by getting agencies to help with the cause.They â€Å"encourage collaboration among federal agencies, community-based organizations, employers, insurer s, health care professionals, academia, and other stakeholders to prevent or delay the onset of type 2 diabetes among people with prediabetes in the United States†. Diabetes is one of the leading causes of death in the United States. It could easily be prevented by making healthy life changes such as losing weight and eating healthy. If a person is diagnosed with diabetes, they needed to take measures to help control their condition and make a better choice when it comes to their health. Insulin and American Diabetes Association Diabetes Diabetes is an endocrine disease that affects the blood sugars of individuals throughout the United States. It is one of the leading causes of death. There are three different types of diabetes: type 1 diabetes, gestational diabetes, and type 2 diabetes. Hispanics are the second highest minority diagnosed with diabetes. Hispanics are less likely to seek medical care because of cultural beliefs and lack of insurance. There is also a genetic link to Hispanics and diabetes.â€Å"Type 1 diabetes, once known as juvenile diabetes or insulin-dependent diabetes, is a chronic condition in which the pancreas produces little or no insulin, a hormone needed to allow sugar (glucose) to enter cells to produce energy† (Mayo Clinic, 2013). This diabetes is common during adolescence but is possible during adulthood. There is no cure for type 1 diabetes but there are medicines that can help an individual that is dealing with this disease. Signs and symptoms for type 1 diabetes is incre ased thirst, frequent urination, hunger, weight loss, fatigue, and blurred vision.  (Mayo Clinic, 2013)Risk factors for type 1 diabetes are famlial history, location, genetics, and viral exposure. â€Å"Exposure to Epstein-Barr virus, coxsackievirus, mumps virus or cytomegalovirus may trigger the autoimmune destruction of the islet cells, or the virus may directly infect the islet cells† (Mayo Clinic, 2013). Gestational diabetes occurs during pregnancy. It is when sugar levels are high because the â€Å"body is not able to produce and use all the insulin it needs during pregnancy† . The cause of gestational diabetes is still unknown.Pregnant women are usually tested for gestational diabetes between 24 to 28 weeks but doctors could recommend early testing if the pregnant woman shows signs of diabetes. If it is not controlled, the unborn child could be affected by the high sugar levels. The glucose passes through the placenta and causes the baby’s pancreas to pr oduce more insulin to help control the sugar levels. The increase of energy that the glucose gives the unborn child is too much so instead of the baby using it up, it is stored as fat. This increase of fat may cause macrosomia.Macrosomia may cause problems during delivery because it increases the baby’s weight and size. Also, â€Å"the extra insulin that the baby’s pancreas makes may cause newborns to have very low blood glucose levels at birth and are also at higher risk for breathing problems† . According to American Diabetes Association (2013), babies that are born with low levels of sugar are more likely to develop type 2 diabetes later in life. â€Å"Type 2 diabetes is a chronic condition that affects the way your body metabolize sugar (glucose)†.When an individual has type 2 diabetes their body does not produce enough insulin or their body ignores the insulin it has produced. This is commonly in adulthood but there is an increased of cases in adoles cent because of the obesity is increasing. If type 2 diabetes is untreated, it can be life threatening or cause other health complications. Some complications that may occur are heart disease, neuropathy, nephropathy, eye damage, foot damage, osteoporosis, and Alzheimer’s disease. â€Å"An individual can manage the condition by eating well, exercising and maintaining a healthy weight† .Risk factors that will contribute to a individual getting type 2 diabetes are their weight, fat distribution, inactivity, familial history, race, age, and if they had gestational diabetes or prediabetes. â€Å"Prediabetes is a condition in which your blood glucose levels is higher than normal, but not too high to be classified as diabetes† . Race plays a factor in type 2 diabetes. African Americans, Hispanics, Native Americans, and Asian American (Pacific Islanders) are more susceptible to it.According to the American Diabetes Association (2013), there are 25.8 million children an d adults in the United States living with diabetes. Of those 25. 8 million people 11. 8% of them are Hispanics. Hispanics have a higher rate because of their lack of access to quality health care, social and cultural factors, or genetics. â€Å"The United States Department of Health and Human Services estimates 1 out of every 3 Hispanics do not have health insurance† . Without health insurance Hispanics are least likely to visit doctors for preventive care. This increases their chances to developing a disease that could have been prevented with correct treatment or changes in life style.â€Å"Hispanics are raised to be self-reliant, which may be the reason 42% of them say they have had zero visit to a medical provider† . â€Å"Many Hispanic parents feel guilty about putting their own health needs above those of their families and they feel their time and money could be better spent than using it for preventive care† . They did not go to see the doctor until they are very ill or they use house remedies to help with their illnesses. Sometimes, house remedies worked temporary and then the illnesses comes back stronger than before.At this time, Hispanics might seek professional help. If they do seek medical attention, the doctors find array of illnesses. The doctors attention to the more severe ones and ask them to go back. Since, Hispanics are less likely to see the doctors when they believe they are healthy, they will not go back for a follow-up. Then the cycle may start all over again. A culture factor is Hispanics perceive their weight different than other cultures. â€Å"The researchers found about 25% of the overweight Hispanic women perceive their weight as â€Å"normal† when in fact they are overweight† .The Hispanic culture perceives curves as an attractive feature in women. They are blind to the fact that the curves may be a sign of illnesses such as diabetes. Since Hispanics have a high rate of individuals with diabete s, the predisposition of their family members of being diagnose with diabetes is much higher. Studies have shown that when a youth is diagnosed with diabetes there is a 45%-80% chance that one of their parents has diabetes and 74-100% has a first or second degree relative with type 2 diabetes .Diabetes is an illness that greatly affects the Hispanic culture. There are organizations that are trying to create programs to help families and individuals deal with it. The â€Å"National Council for La Raza are focusing their efforts on implementing more healthy shopping programs like the â€Å"Comprando Rico y Sano† (Buying Delicious and Healthy) to help Hispanics make healthier and more economical choices when grocery shopping†. The National Diabetes Prevention Programs is focusing more on finding ways for the prevention of diabetes by getting agencies to help with the cause.They â€Å"encourage collaboration among federal agencies, community-based organizations, employers , insurers, health care professionals, academia, and other stakeholders to prevent or delay the onset of type 2 diabetes among people with prediabetes in the United States†. Diabetes is one of the leading causes of death in the United States. It could easily be prevented by making healthy life changes such as losing weight and eating healthy. If a person is diagnosed with diabetes, they needed to take measures to help control their condition and make a better choice when it comes to their health.

Wednesday, January 1, 2020

Social Work Practice Theory Paper - 1442 Words

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