Prevalence of problematic internet use in Slovenia

BACKGROUND: Internet use is an integral part of our everyday activities; however, Internet use may become problematic and harmful in a minority of cases. The majority of reported prevalence rates of problematic Internet use refer to adolescent samples, whereas epidemiological studies on representative adult populations are lacking. This study aimed to reveal the prevalence and characteristics of problematic Internet use in Slovenia. METHODS: Problematic Internet Use Questionnaire (PIUQ) was included in European Health Interview Study (EHIS) on representative Slovenian sample. The frequency of Internet use and problematic Internet use were both assessed. RESULTS: 59.9% of Slovenian adult population uses the Internet daily, and 3.1% are at risk of becoming problematic Internet users, 11% in the age group from 20 to 24 years. Those being at risk for becoming problematic Internet users are younger (mean age 31.3 vs. 48.3 for non-problematic users), more likely to be males (3.6% of males, whereas 2.6% of females are affected), students (12.0%), unemployed (6.3%) or unable to work (8.7%), single (6.5%), with high education (4.5%). Regression analysis revealed that the strongest predictor of being at risk for problematic Internet use is age (ß=-0.338, p<0.001); followed by high educational level (ß=0.145; p<0.001) and student status (ß=0.136; p<0.001). CONCLUSION: 3.1% of Slovenian adult population are at risk of becoming problematic Internet users, whereas 3 out of 20 Slovenian adolescents aged from 18 to 19 years are at risk (14.6%). Prevention programs and treatment for those affected are paramount, especially for the young generation

Coupling Neurogenetics (GARS™) and a Nutrigenomic Based Dopaminergic Agonist to Treat Reward Deficiency Syndrome (RDS): Targeting Polymorphic Reward Genes for Carbohydrate Addiction Algorithms

Earlier work from our laboratory, showing anti-addiction activity of a nutraceutical consisting of amino-acid precursors and enkephalinase inhibition properties and our discovery of the first polymorphic gene (Dopamine D2 Receptor Gene [DRD2]) to associate with severe alcoholism serves as a blue-print for the development of “Personalized Medicine” in addiction. Prior to the later genetic finding, we developed the concept of Brain Reward Cascade, which continues to act as an important component for stratification of addiction risk through neurogenetics. In 1996 our laboratory also coined the term “Reward Deficiency Syndrome (RDS)” to define a common genetic rubric for both substance and non-substance related addictive behaviors. Following many reiterations we utilized polymorphic targets of a number of reward genes (serotonergic, Opioidergic, GABAergic and Dopaminergic) to customize KB220 [Neuroadaptogen- amino-acid therapy (NAAT)] by specific algorithms. Identifying 1,000 obese subjects in the Netherlands a subsequent small subset was administered various KB220Z formulae customized according to respective DNA polymorphisms individualized that translated to significant decreases in both Body Mass Index (BMI) and weight in pounds. Following these experiments, we have been successfully developing a panel of genes known as “Genetic Addiction Risk Score” (GARSp(DX))™. Selection of 10 genes with appropriate variants, a statistically significant association between the ASI-Media Version-alcohol and drug severity scores and GARSp(Dx) was found A variant of KB220Z in abstinent heroin addicts increased resting state functional connectivity in a putative network including: dorsal anterior cingulate, medial frontal gyrus, nucleus accumbens, posterior cingulate, occipital cortical areas, and cerebellum. In addition, we show that KB220Z significantly activates, above placebo, seed regions of interest including the left nucleus accumbens, cingulate gyrus, anterior thalamic nuclei, hippocampus, pre-limbic and infra-limbic loci. KB220Z demonstrates significant functional connectivity, increased brain volume recruitment and enhanced dopaminergic functionality across the brain reward circuitry. We propose a Reward Deficiency System Solution that promotes early identification and stratification of risk alleles by utilizing GARS(Dx), allowing for customized nutrigenomic targeting of these risk alleles by altering KB220Z ingredients as an algorithmic function of carrying these polymorphic DNA–SNPS, potentially yielding the first ever nutrigenomic solution for addiction and pain

Hypothesizing that a Pro-Dopaminergic Regulator (KB220z(™) Liquid Variant) can Induce “Dopamine Homeostasis” and Provide Adjunctive Detoxification Benefits in Opiate/Opioid Dependence

In order to explore the initiation of detoxification of addictive patients to opiates/opioids (along with some other anti-withdrawal agents), we developed a protocol to be utilized in treatment centers particularly with heavily dependent opiate/opioid subjects. Out of 17 subjects, only three received Buprenorphine/Naloxone (Bup/nx) along with KB220Z. In this pilot, we first used a dose of KB220Z of 2 oz twice daily before meals along with clonidine and benzodiazepines and other anti-nausea and sleep aids including Gabapentin. The dose of KB220Z was maintained for 6 days in five individuals. In a second scenario, we utilized a higher dose of 4 oz every 6 hours, over a 6-day period. The higher dose was employed in another 12 patients. It is noteworthy that only 3 people have relapsed utilizing these two protocols during the first two weeks of the study, allowing for the remaining 82% to be maintained on KB220Z. The patients have been maintained without any additional Bup/nx for a minimum of 120 days and in one subject, 214 days. We are in the process of testing this hypothesis in multiple treatment centers across the United Sates utilizing data from the Clinical opiate Withdrawal Scale (COWS) pre and post KB220Z. We are in the process of testing this hypothesis in multiple treatment centers across the United Sates. While this does not constitute an acceptable controlled experiment, it does provide some preliminary evidence that agrees with an earlier study. Moreover, because of the utilization of standard detoxifying agents in this detoxification protocol, we cannot make any inference to KB220Z’s effects. However, out of 17 subjects, only three required Bup/nx suggesting an interesting finding. If further confirmed in larger studies, the utilization for opiate/opioid detoxification may provide a novel way to eliminate the need for addictive opioids during withdrawal and detoxification. This paradigm shift may translate to a reduction in utilizing powerful and addictive opioids like buprenorphine and methadone (especially in these patients at high genetic risk for addiction) as not only detoxifying agents, but also maintenance drugs. While extensive research is required, this pilot paves the way for future investigations that could assist in the reduction of addictive opiate/opioid use and mortalities amongst both the young and old in America

Effects of a single aerobic exercise session on body image

Background and Objectives Most research on the effects of exercise on body image has concentrated on the benefits of regular exercise. However, some research has indicated that exercise has an immediate impact on body image. The aims of this study were to investigate the immediate effects of aerobic exercise in a fitness class and the at-home environment on body image, and to examine the impact of nutritional status (i.e., normal weight vs. overweight/obesity) and exercise addiction on these changes. Method 322 Hungarian women participated in the study with two different environmental conditions, fitness class condition (N = 155) and at-home video condition (N = 167). They completed the Body Appreciation Scale and Exercise Addiction Inventory before and after a one-hour aerobic exercise session. Self-report data on weight, height and exercise frequency were also collected. Results There were no significant differences between the fitness class and video groups in terms of age, educational level, BMI, body appreciation, exercise frequency and exercise addiction. We found that 7.5% (N = 24) of the participants were at risk for exercise addiction. Aerobic exercise had a significant positive effect on body appreciation (t(321) = 7.564, p < .001) independently from environment and nutritional status. Exercise addiction moderated the relationship between exercise and body image, the at risk for exercise addiction group showed the greatest improvement (F(1) = 3.252, p = .040). Conclusion The results indicate that even a one-hour aerobic exercise session has a positive effect on body image; this has important practical implications for intervention strategies and weight-loss treatments. | Elméleti háttér és célkitűzés Bár a legtöbb kutatás a rendszeres testedzés testképre gyakorolt pozitív hatására fókuszál, néhány vizsgálat eredménye a testedzés testképre tett azonnali hatására hívja fel a figyelmet. Jelen tanulmány célja az aerobik edzés testképre gyakorolt azonnali hatásának vizsgálata fitnesztermi és otthoni edzési körülmények között, továbbá a tápláltsági állapot (normális testsúly vs. túlsúly/elhízás) és a testedzésfüggőség potenciális moderátor szerepének vizsgálata az edzés és a testkép alakulása közötti kapcsolatban. Módszer A vizsgálatba aerobikedzést folytató nőket vontunk be (n = 322). A résztvevők egyik része edzőteremben folytatta a testgyakorlást (n = 155), másik része otthon végzett aerobik testedzést, video vagy DVD segítségével (n = 167). Mérőeszközök önbeszámolóval nyert testtömeg és testmagasság, a testedzés gyakoriságára vonatkozó kérdés, Testértékelési Skála, Testedzés Addikció Kérdőív. Az adatfelvétel az egyórás testgyakorlást megelőzően és azt követően történt. Eredmények Nem találtunk szignifikáns különbséget az edzőteremben és az otthonukban aerobik edzést folytató nők között az életkor, az iskolai végzettség, a BMI, a testértékelés, a testedzés gyakorisága és a testedzésfüggőség tekintetében. A válaszadók 7,5%-a (n = 24) esetében jelenik meg a testedzésfüggőség kockázata. Az egyórás testedzés szignifikáns, kedvező hatást gyakorolt a testképre (t(321) = 7,564; p < 0,001), amely hatás a testgyakorlás helyszínétől (edzőterem vs. otthon) és a tápláltsági állapottól függetlennek bizonyult. A testedzésfüggőség azonban moderálta a testgyakorlás és a testkép változásának kapcsolatát: a testedzést követően a testedzésfüggőség szempontjából veszélyeztetett csoportban mutatkozott meg a legnagyobb mértékű, pozitív irányú változás a testkép tekintetében (F(1) = 3,252; p = 0,040). Következtetés Eredményeink arra utalnak, hogy akár egy egyórás testgyakorlásnak is pozitív hatása lehet a testképre, amelynek jelentős gyakorlati implikációi vannak a testsúlycsökkentő kezelések szempontjából