Eating behavior and familial interactions of children with loss of control eating: a laboratory test meal study

Eating behavior and familial interactions of children with loss of control eating: a laboratory test meal study
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DOI:
10.3945/ajcn.2009.28843
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发表时间:
2010-03-01
影响因子:
7.1
通讯作者:
Czaja, Julia
Czaja, Julia
中科院分区:
医学1区
文献类型:
--
作者:
Hilbert, Anja;Tuschen-Caffier, Brunna;Czaja, Julia

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背景:儿童饮食失控导致体重过度增加。然而,很少有研究调查的饮食行为的儿童和心理和家庭因素,维持饮食behavior.Objective:本研究旨在衡量食物摄入量的儿童与饮食的儿童和检查维护通过负面情绪和亲子进餐时间的互动。设计:有或没有暴饮暴食的儿童(n = 120,年龄8-13岁)消耗了亲子测试餐和儿童专用餐,包括零食,诱导后的负面情绪。食物摄入量,情绪,感觉的饥饿,饥饿,饱腹感,和进餐时间的相互作用进行了assessed.Results:无论情绪诱导,儿童与非正常饮食表现出更大的能量,脂肪和蛋白质的摄入量和更大的意义上的非正常比那些没有非正常的儿童只有零食组,这是占了更大的基线饥饿和饱腹感。独立地,高复发性厌食症的儿童在两种测试餐中都比低复发性厌食症的儿童摄入更多的食物。总体而言,进餐时间的相互作用并没有组之间的差异,但父母的孩子与暴食表达了更多的体重相关的批评比父母的孩子没有暴食以外的负面情绪诱导。食物摄入量的预测更大的先行饥饿或饱腹感少,更强的先行意识的饥饿感,和更多的体重相关critics.Conclusions:结果表明,客观异常的饮食行为的儿童与饮食的不良情绪或功能失调的进餐时间的相互作用大多无关。需要进一步的研究来确定维持节食的因素。美国临床营养杂志2010;91:510-8.
Background: Loss of control (LOC) eating in children leads to excessive weight gain. However, few studies have investigated the eating behavior of children with LOC eating and psychological and familial factors that maintain the eating behavior.Objective: This study sought to measure food intake in children with LOC eating and to examine maintenance through negative mood and parent-child mealtime interactions.Design: Children with or without LOC eating (n = 120, aged 8-13 y) consumed a parent-child test meal and a child-only meal, consisting of snack food, after the induction of negative mood. Food intake, mood, sense of LOC, hunger, satiety, and mealtime interactions were assessed.Results: Regardless of mood induction, children with LOC eating showed a greater intake of energy, fat, and protein and a greater sense of LOC than did those without LOC in the child-only snack group, which was accounted for by greater baseline hunger and satiety. Independently, children with high recurrent LOC eating had a greater food intake at both test meals than did those with low recurrent LOC eating. Overall, mealtime interactions did not differ between groups, but parents of children with LOC eating expressed more weight-related critique than did parents of children without LOC eating outside negative mood induction. Predictors of food intake were greater antecedent hunger or less satiety, stronger antecedent sense of LOC, and more weight-related critique.Conclusions: The results showed objective abnormalities in the eating behavior of children with LOC eating that were mostly unrelated to negative mood or dysfunctional mealtime interactions. Further research is required to specify factors maintaining LOC eating. Am J Clin Nutr 2010;91:510-8.