COMPARISON OF TWO BODY WEIGHT SCREENINGS OF SELF-CONSCIOUS EMOTIONS AND COPING

Novel technologies are currently being utilized in fitness and clinical settings. However, there is not much research to examine the emotional responses to such screenings. PURPOSE: To examine the group differences between the FIT3D and DXA protocol on emotional responses and the differences between weight classifications. METHODS: The Body and Appearance-related Self-conscious Emotions Scale and WEIGHTCOPE were used to assess self-conscious emotions and intention to utilize 10 different weight-related coping strategies following the scans. Motivation was measured by a 10-point Likert scale measuring motivation pre and post scans. RESULTS: There were no differences in motivation, affective response, or intention to cope between the FIT3D and DXA groups. However, participants self-reported higher motivation to lose weight. Coping responses did differ between BMI classifications. CONCLUSIONS: Health care providers can utilize these individual differences to aid in their clients and patients health journey

Affective and Motivational Responses to 3D Body Imaging

Common body weight and composition testing has been shown to impact emotional, motivational, and behavioral responses. Three-dimensional body imaging is a relatively new technology to be utilized in medical and fitness settings to provide detailed body image feedback to the patient or client, while encouraging motivation to control body weight, fat, and shape. However, such responses to 3D body imaging have not been examined. To examine the acute affective and motivational responses to 3D body imaging (Fit3D) in a sample of college-aged women (N = 32), classified as either normal weight (NW; n = 13) or overweight/obese (OWOB; n = 19). Positive and negative affect were assessed with the Positive (PA) and Negative Affect (NA) Schedule (PANAS; range: 1-5), and one item assessed motivation to lose weight (range: 1-10). These variables were assessed immediately before and after a single 3D body imaging session. Participants had 1-minute to examine their 3D body scan, and then continued to examine their scan during all post-measures. Overall, PA did not change pre- to post-scan (3.11 ± .98 to 3.18 ± 1.07, p \u3e .05), nor did NA (1.52 ± .58 to 1.63 ± .89, p \u3e .05). In addition, there was not a time by BMI (NW versus OWOB) interaction for both PA and NA. Overall, motivation to lose weight slightly increased (6.41 ± 2.78 to 7.09 ± 2.75, p = .001). There was not an interaction of time by BMI, with both groups increasing over time. However, there was a between-subjects effect with OWOB holding higher pre-motivation to lose weight than NW participants (7.63 versus 4.62, respectively; p \u3c .01). Within the present sample of college-aged women, a 3D body image scanning session did not appear impact PA or NA responses, but did produce a slight increase in motivation to lose body weight in participants classified as NW or OWOB. This research provides foundational insight to future research and the use of this novel technology for health behavior change in fitness and clinical settings

Effects of a 3D Body Imaging Trigger on Self-Perceived Attractiveness, Self-conscious Emotions and Coping

Novel technologies currently being utilized in fitness and clinical settings, such as 3D body scans, are proposed to act as a trigger or spark for weight control behavior. However, other weight-related triggers in women have been shown to produce variation in emotional and weight control responses, and there is limited research on their impact. The purpose of the study was to examine the acute effect of 3D body imaging system (Fit3D) on self-conscious emotions (guilt, shame, pride) and body weight-related coping in a sample of college-aged women (N = 30) classified as normal weight (NW, n = 12) or overweight/obese (OWOB, n = 18). To this end, the Body and Appearance-related Self-conscious Emotions Scale (BASES; range: 1-5) and the WEIGHTCOPE (range: 1-7) were used to assess self-conscious emotions and intention to utilize 10 different weight-related coping strategies following a single 3D body scanning session. Body fat percentage (BF%) was assessed via Dual-energy x-ray absorptiometry (DXA). Following the 3D scan, participants experienced low to moderate feelings of guilt (3.18 ± .99), shame (2.67 ± 1.05), authentic pride (2.68 ± .96), and hubristic pride (2.49 ± .87). Significant differences (p \u3c .05) were found between participants classified as NW or OWOB, respectively, in shame (2.11 ± .76 vs. 3.05 ± 1.07), guilt (2.82 ± .85 vs. 3.43 ± 1.02), and authentic pride (3.10 ± .78 vs. 2.39 ± .98). Increasing physical activity and self-regulation, eating healthier, and positively reframing the situation were the highest rated coping responses (M = 5.23 to 6.25). Differences were found between BMI groups for intention to cope by suppressing appetite (NW = 2.68 ± 1.05, OWOB = 3.56 ± 1.02; t = 2.24, p \u3c .05), supplement use (NW = 1.14 ± .22, OWOB = 1.85 ± 1.28; t = 2.30, p \u3c .05), and a trend for camouflaging body (NW = 2.70 ± .51, OWOB = 3.14 ± .99, t = 1.57, p = .06). Feelings of shame were correlated with intention to camouflage body (r = .46, p = .01), while authentic pride trended toward a negative correlation with suppressing appetite (r = -.31), camouflaging (r = -.35), and supplement use (-.34). In conclusion, an acute 3D body image scan session was shown to produce variation in self-conscious emotions (shame, guilt, and pride) and coping choices between NW and OWOB participants. These individual differences should be taken into consideration to better accommodate healthy behavior change following 3D imaging use

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Generation of Anti-Müllerian Knockout in Chickens by CRISPR/Cas9 Genome Editing to Study Sex Development

https://openworks.mdanderson.org/sumexp21/1153/thumbnail.jp