Contribution of Hedonic Hunger and Binge Eating to Childhood Obesity.
Contribution of Hedonic Hunger and Binge Eating to Childhood Obesity.
复制标题
享乐饥饿和暴饮暴食对儿童肥胖的影响。
DOI：
10.1089/chi.2020.0177
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Gross,AmyC
中科院分区：
文献类型：
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作者：
Fox,ClaudiaK;Northrop,EliseF;Rudser,KyleD;Ryder,JustinR;Kelly,AaronS;Bensignor,MeganO;Bomberg,EricM;Bramante,CarolynT;Gross,AmyC
背景：研究了享乐性饥饿(即在没有能量缺乏的情况下经常想着食物)与年轻人肥胖之间的联系，结果喜忧参半。这可能是由于暴饮暴食的混杂效应，这与享乐主义的饥饿和肥胖都有关。这项研究的目的是确定享乐性饥饿与青少年肥胖之间的关联程度，而不是暴饮暴食。方法：这项横断面研究的数据来自参加一项更大规模的心血管疾病和肥胖研究的年轻人。结果：269名受试者(平均年龄12.8岁)中，16.4%的人赞成暴饮暴食。PFS与BMIp95呈正相关，BMIp95的百分比差值为5.9%[95%可信区间(1.5-10.3)，p= 0.009]。然而，当暴饮暴食被添加到模型中时，PFS和BMIp95之间的关系不再显著。结论：在暴饮暴食之外的享乐性饥饿可能与BMI无关。未来的研究应该检查在体重管理护理中筛查和瞄准暴饮暴食而不是享乐性饥饿是否会对肥胖结果产生更大影响。临床试验注册编号：NCT01508598。
Background:Studies examining the association between hedonic hunger, that is, having frequent thoughts about food in the absence of an energy deficit, and obesity in youth show mixed results. This may be due to the confounding effect of binge eating, which has been associated with both hedonic hunger and obesity. The purpose of this study was to determine the extent to which hedonic hunger is associated with obesity independent of binge eating in youth.Methods:Data for this cross-sectional study were collected from youth enrolled in a larger study of cardiovascular disease and obesity. Linear regression models were used to assess the association between hedonic hunger measured by Power of Food Scale (PFS) and binge eating measured by Eating Disorder Examination-Questionnaire, on percent of the 95th BMI percentile (BMIp95).Results:Among 269 participants (mean age 12.8 years), 16.4% endorsed binge eating. PFS was positively associated with BMIp95 with a difference in percent of BMIp95 of 5.9% [95% confidence interval (1.5–10.3),p= 0.009]. However, when binge eating was added to the model, the relationship between PFS and BMIp95 was no longer significant.Conclusion:Hedonic hunger, above and beyond binge eating, may not be associated with BMI. Future research should examine whether screening for and targeting binge eating rather than hedonic hunger in weight management care may have more impact on obesity outcomes.Clinical Trial Registration number: NCT01508598.