脂肪移植：是利器还是传说？

近年来,自体脂肪移植技术的不断进步,使脂肪移植成为比较安全有效的方法。目前,已有很多期刊和会议报道了关于自体脂肪移植的成功案例。然而,对于这种技术方法是否使患者满意,还值得商榷。为了找出自体脂肪移植技术成功或失败的原因,本文对自体脂肪移植相关文献进行了综述,包括对脂肪采集、加工、配送、注射及围手术期护理的技术的讨论。目的是突出现行技术方法的争议,展望脂肪移植技术的未来发展趋势。     

Differences in psychosocial factors and fat consumption between stages of change for fat reduction

Abstract

Differences in fat consumption and psychosocial factors between subjects in different trans-theoretical stages of change for fat reduction were studied. Data on fat consumption, self-rated fat intake, attitudes, social support and self-efficacy were collected among a sample of 507 adults. Analysis of variance with Scheffe's multiple-comparison test was used to study differences in these factors between stages of change. Attitudes and social support were most positive among subjects in preparation and action. Self-efficacy expectations were lowest among subjects in contemplation and preparation. Fat consumption was highest among precontemplators hut no substantial differences between other stages were found. It is concluded that subjects in different stages of change differ in psychosocial factors that are regarded as important determinants of behavioral change. Based on these differences it is recommended to develop stage-tailored nutrition education. A majority of subjects in maintenance consumed more fat than is recommended. Therefore, it is suggested that the usually applied staging algorithms might need adjustment for a valid application in nutrition research.     

Active but not consistent: dietary behaviour and the stages of change model

In Stages of Change studies on dietary fat, standard algorithms allocate many respondents to the maintenance stage and their stage allocations are not always supported by objective criteria. In defining the preparation stage standard instruments emphasise inactivity allied to confident intention to change. In contrast Lamb and Joshi's (1996) staging instrument emphasises inconsistent effort, and thereby allocates inconsistently active respondents to preparation when a standard instrument might place them in action or maintenance. In the current cross-sectional study 375 respondents completed a standard algorithm, the Lamb and Joshi instrument and a 24-hour recall food diary. They also gave judgements of their current weight and diet. Unlike the standard instrument, the Lamb and Joshi instrument: (a) allocated fewer respondents to action/maintenance, (b) discriminated key behavioural stages by percent fat in diet, and (c) captured non-linear discontinuities in the respondents’ weight and diet self-perceptions. Such discontinuities in the psychosocial processes are predicted by the transtheoretical model, and support the claim that its stages are categorically distinct rather than artificially isolated points on a continuum. Distinguishing between respondents who describe themselves as consistently active and those who describe themselves as inconsistently active may help to overcome some apparent problems in the application of the transtheoretical model to behavioural change.     

Why did I eat that? Perspectives on food decision making and dietary restraint

Consumers trying to watch or restrict what they eat face a battle each day as they attempt to navigate the food-rich environments in which they live. Due to the complexity of food decision making, consumers are susceptible to a wide range of social, cognitive, affective, and environmental forces determined to interrupt their intentions to restrict their dietary intake. In this article, we integrate literature from diverse theoretical perspectives into a conceptual framework designed to offer a better understanding of the antecedents, interruptions, and consequences of dietary restraint. We outline a path for researchers to investigate how restraint behaviors in the eating domain influence a wide variety of consumer psychological phenomena. It is our hope that a collective examination of this literature provides a lens that directs future research on food decision making and dietary restraint and empowers consumers to invest their cognitive and behavioral resources towards healthy eating behaviors.     

Implicit and explicit attitudes toward fatness and thinness: The role of the internalization of societal standards

Two studies examined restrained and unrestrained eaters’ implicit and explicit attitudes toward fatness and thinness. Participants completed measures of implicit and explicit attitudes toward fatness and thinness (Studies 1 and 2), and a measure of the internalization of sociocultural attitudes toward thinness (Study 2). Restrained and unrestrained eaters both had strong implicit negative attitudes toward fatness, but restrained eaters had stronger negative explicit attitudes and beliefs about fatness. Explicit attitudes and beliefs were related to the degree of internalization of sociocultural attitudes, and the internalization of sociocultural attitudes partially mediated the relation between dietary restraint and explicit attitudes. These results suggest that most people are aware of societal standards regarding fatness and thinness and have developed negative implicit attitudes toward fatness, but that only some people (in particular, restrained eaters) have internalized these standards and developed negative explicit attitudes toward fatness that they endorse as personal beliefs.     

An ecological momentary assessment of comparison target as a moderator of the effects of appearance-focused social comparisons

This research examined whether comparison target moderates the effects of naturally occurring appearance-focused social comparisons on women's affect, appearance esteem, and dieting thoughts. During daily activities, body-satisfied (BS) women and body-dissatisfied (BD) women recorded their comparison targets and reactions to comparison information. For BS women, upward comparisons with peers were associated with more positive affect (PA) and appearance esteem and less guilt than upward comparisons with media images and downward comparisons with peers were associated with less PA than downward comparisons with media images. For BD women, upward comparisons with peers were associated with more appearance esteem and diet thoughts than upward comparisons with media images and downward comparisons with peers were associated with less PA, appearance esteem, and diet thoughts and more guilt than downward comparisons with media images.     

Quality of Life and General Health Perception in Women with Obesity

The purpose of this study was to determine the differences in general health status and quality of life between patients who present “non-normative eating behaviours” (namely, binge eating disorder, night eating syndrome, sweet /fat food cravings and continuous nibbling) and patients without these eating behaviour characteristics. A cohort of 168 women with obesity, all candidates to bariatric surgery, aged between 15 and 65 (M = 39.04; SD = 10.86), with a body mass index ranging between 30.37 and 80.65 (M = 48.79; SD = 8.37), was studied. Participants answered to a clinical interview, to SF-36 and to ORWELL-97, after their informed consent. Results suggest that women with obesity reporting binge eating disorder, night eating syndrome and continuous nibbling show poorer general health status and worst quality of life than those who do not present these “non-normative eating behaviours”. Moreover, the general health status and the quality of life of patients with sweet/fat food cravings do not differ from those who do not report this eating behaviour. Nevertheless, patients reporting the eating behaviours studied do not differ from the others regarding their body mass index.     

Body images of patients with anorexia nervosa, bulimia nervosa and female control subjects: a comparison with male ideals of female attractiveness

Body images of female patients with anorexia nervosa and bulimia nervosa were assessed against females without eating disorders and compared with male ideals of female attractiveness. A computer program was applied to examine body images of 62 patients with anorexia nervosa, 45 patients with bulimia nervosa, and 40 female and 39 male control subjects. Body size overestimation was most distinct in the two patient groups. Self-ideal discrepancy was highest in bulimia nervosa. Estimation of the society's ideal female body in all three female groups did not differ from men's perception of the most attractive female body. Congruence of ideals of female attractiveness in patients, female, and male control subjects and described differences between patients and female controls support the theory that body image disturbance is a problem of processing self-referential information regarding body image rather than a problem of processing body image related information per se.     

A comparison of body perceptions in relation to measured body composition in young Japanese males and females

The body composition of 139 Japanese females and 84 Japanese males (aged 18–30 years) was measured using anthropometry to assess gender differences in body perceptions in relation to their measured values. Participants were asked to rate perceptions of their own “heaviness” and “fatness” and these were compared to their BMI and percent body fat (%BF). Japanese females showed a significantly greater desire to lose body weight (−4.20 ± 0.6 kg) compared to males (0.27 ± 1.4 kg). Females also showed poor understanding of their “heaviness” and “fatness” in relation to actual body composition compared to males. The results confirmed distinct gender differences in body perception in relation to actual body composition and attitudes to weight management. Further promotion of “healthy” body image is recommended for the Japanese population.     

Support for the uniqueness of body dissatisfaction from drive for muscularity among men

This study explored whether three dimensions of men's body dissatisfaction (muscularity, body fat, and height) are distinct from drive for muscularity (body image, behaviors, and attitudes) in a sample of 368 college men. If body dissatisfaction is a unique construct, then it will be associated with psychological well-being above and beyond the variance accounted for by drive for muscularity body image, behaviors, and attitudes. Findings revealed such incremental evidence, supporting body dissatisfaction's unique contribution to all five investigated indices of psychological well-being. Overall, body dissatisfaction and drive for muscularity are not completely parallel constructs, highlighting the need to assess men's dissatisfaction with their muscularity, body fat, and height for a more comprehensive picture of their body image.