Impact of food craving and calorie intake on body mass index (BMI) changes during an 18-month behavioral weight loss trial.

Impact of food craving and calorie intake on body mass index (BMI) changes during an 18-month behavioral weight loss trial.
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DOI:
10.1007/s10865-017-9824-4
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发表时间:
2017-08
影响因子:
3.1
通讯作者:
Raynor HA
Raynor HA
中科院分区:
心理学3区
文献类型:
--
作者:
Buscemi J;Rybak TM;Berlin KS;Murphy JG;Raynor HA

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这项研究的目的是探索在18个月的减肥试验过程中,食物渴望、热量摄入和体重指数(BMI)变化之间的关系。参与行为减肥试验的222名肥胖成年人(平均BMI = 34.9 kg/m2,平均年龄= 51.30岁,白人占92.2%,女性占57.8%)在基线、6个月和18个月时完成了对食物渴望、热量摄入和BMI的测量。从基线到6个月,最初对食物的渴望越高,体重指数的下降就越缓慢、越平缓。此外,食物渴望的变化与BMI变化之间的关系因热量摄入的变化水平而异,例如,在低热量摄入变化水平下,BMI变化与食物渴望的变化呈正相关,但在平均和高热量摄入变化水平下则不相关。同样,从基线到6个月,从6个月到18个月,食物渴望的变化和体重指数的变化之间的关系也随着初始热量摄入水平的变化而变化。明确的临床目标的食物渴望管理可能有利于个人开始减肥计划,特别是对那些报告较高水平的食物渴望在基线。基线卡路里摄入量和卡路里摄入量随时间的变化可能是食物渴望和体重指数之间关系的调节因子。
The purpose of this study was to explore relations between food craving, caloric intake, and body mass index (BMI) changes over the course of an 18-month weight loss trial. Two-hundred two obese adults (mean BMI = 34.9 kg/m2; mean age = 51.30 years, 92.2% White; 57.8% female) who participated in a behavioral weight loss trial completed measures of food craving, caloric intake, and BMI at baseline, 6 and 18 months. From baseline to 6 months, higher initial food cravings were associated with more gradual and less steep reductions in BMI. Additionally, the relation between changes in food craving and BMI changes varied by levels of change in caloric intake, such that BMI change and change in food cravings were positively associated at low levels of change in caloric intake, but were unrelated at average and high levels of change in caloric intake. Similarly, from baseline to 6 months and from 6 to 18 months, the relation between changes in food craving and BMI changes also varied by initial levels of caloric intake. Explicit clinical targeting of food craving management may be beneficial for individuals beginning weight loss programs, especially for those who report higher levels of food craving at baseline. Baseline caloric intake and change in calorie intake over time may serve as moderators of the relation between food cravings and BMI.
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