Waist Circumference and Its Association With Premenstrual Food Craving: The PHASE Longitudinal Study.

Waist Circumference and Its Association With Premenstrual Food Craving: The PHASE Longitudinal Study.
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DOI:
10.3389/fpsyt.2022.784316
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发表时间:
2022
影响因子:
4.7
通讯作者:
Hamidovic, Ajna
Hamidovic, Ajna
中科院分区:
医学3区
文献类型:
--
作者:
Dang, Nhan;Khalil, Dina;Sun, Jiehuan;Naveed, Aamina;Soumare, Fatimata;Hamidovic, Ajna

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内脏肥胖是全因死亡率的重要标志。育龄妇女有相当大的风险发展为内脏肥胖;然而,相关因素知之甚少。这项拟议中的研究评估了经前期经历的食物渴望是否与腰围有关。46名女性(平均BMI = 24.36)前瞻性地提供了两到三个月经周期(共122个周期)的每日食物渴望评级。她们的经前食物渴望等级与卵泡期的食物渴望进行对比,以得出经前食物渴望增加的校正汇总评分。研究组被分为正常(n = 26)和肥胖(n = 20)的基础上,80厘米的腰围截断表示风险增加。腰围类别与经前食物渴望显著相关[F(1,44)= 5.12,p = 0.028]。使用Tukey HSD检验(95%家庭置信水平)进行的事后比较显示,腹部肥胖研究组与正常研究组相比,食物渴望效应量的平均评分高0.35(95% CI:0.039至0.67)。即使将BMI纳入模型中,结果也具有统计学意义,这表明中央脂肪积累是一个特别危险的过程。本研究建立了对增加的食物相关行为的时间脆弱性与代谢异常风险的标志物(即,腰围),从而为将包皮作为这一高危性别和年龄组的可行干预目标提供了基础。
Visceral adiposity is a significant marker of all-cause mortality. Reproductive age women are at a considerable risk for developing visceral adiposity; however, the associated factors are poorly understood. The proposed study evaluated whether food craving experienced during the premenstrual period is associated with waist circumference. Forty-six women (mean BMI = 24.36) prospectively provided daily ratings of food craving across two-three menstrual cycles (122 cycles total). Their premenstrual rating of food craving was contrasted against food craving in the follicular phase to derive a corrected summary score of the premenstrual food craving increase. Study groups were divided into normal (n = 26) and obese (n = 20) based on the 80 cm waist circumference cutoff signifying an increase in risk. Waist circumference category was significantly associated with premenstrual food cravings [F(1,44) = 5.12, p = 0.028]. Post hoc comparisons using the Tukey HSD test (95% family-wise confidence level) showed that the mean score for the food craving effect size was 0.35 higher for the abdominally obese vs. normal study groups (95% CI: 0.039 to 0.67). The result was statistically significant even following inclusion of BMI in the model, pointing to a particularly dangerous process of central fat accumulation. The present study establishes an association between temporal vulnerability to an increased food-related behavior and a marker of metabolic abnormality risk (i.e., waist circumference), thereby forming a basis for integrating the premenstruum as a viable intervention target for this at-risk sex and age group.
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