The Eating Inventory and body adiposity from leanness to massive obesity:: a study of 2509 adults
The Eating Inventory and body adiposity from leanness to massive obesity:: a study of 2509 adults
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DOI：
10.1038/oby.2004.253
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发表时间：
2004-12-01
期刊：
影响因子：
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通讯作者：
Basdevant, A
中科院分区：
文献类型：
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作者：
Bellisle, F;Clément, K;Basdevant, A
目的：研究在家族性肥胖受试者中，慢性饮食限制、去抑制和饥饿是如何在从瘦到重度肥胖的广泛BMI值范围内变化的。饮食清单因素也作为个人体重历史的函数进行了研究。研究方法和程序：研究对象为2509名肥胖症基因研究参与者。体重指数为15~87 kg/m(2)。共形成了6个BMI组(27、27~30、30~35、35~40、40~45、45)。结果：多因素分析显示，男性的约束和去抑制与BMI显著相关，而女性只有去抑制与BMI显著相关。在所有BMI类别中，不同性别的去抑制分数与饥饿分数有很强的相关性；饮食限制倾向于与其他两个因素正相关，在较瘦的受试者中，与其他两个因素呈负相关，在BMI最高的类别中。高度克制的正常体重受试者可能表现出去抑制和饥饿，而去抑制分数非常高的大规模肥胖者表现出高度的饥饿感，但几乎没有约束。儿童和/或青春期肥胖的非肥胖成年女性的约束得分最高。讨论：在这个庞大的人群中，与BMI最相关的因素是去抑制，这表明肥胖治疗应该针对与去抑制相关的行为，特别是在饮食约束水平较低的个体。以前肥胖的正常体重女性的高约束分数表明，在值得进一步研究的情况下，饮食约束可能对体重控制起到有益的影响。
Objective: To examine how chronic dietary restraint, disinhibition, and hunger, as assessed by the Eating Inventory, vary over a broad range of BMI values from leanness to massive obesity, in subjects with family obesity. Eating Inventory factors were also studied as a function of personal weight history.Research Methods and Procedures: Subjects were 2509 participants in a genetic study of obesity. BMIs ranged from 15 to 87 kg/m(2). Six BMI groups were formed (< 27, 27 to 30, 30 to 35, 35 to 40, 40 to 45, and >45).Results: Multivariate analyses showed that restraint and disinhibition were significantly associated with BMI in men, whereas only disinhibition was in women. Disinhibition scores correlated strongly with hunger scores in both genders in all BMI categories; dietary restraint tended to correlate with the other two factors positively in, leaner subjects and negatively in the highest BMI categories. Highly restrained normal-weight subjects were likely to exhibit disinhibition and hunger, whereas massively obese persons with very high disinhibition scores showed high hunger but little restraint. The highest restraint scores were observed in nonobese adult women with previous obesity in childhood and/or adolescence.Discussion: The factor most strongly associated with BMI in this large population was disinhibition, suggesting that obesity treatment should target behaviors associated with disinhibition, especially in individuals showing a low level of dietary restraint. High restraint scores in formerly obese normal-weight women suggest that dietary restraint may exert a beneficial influence on body weight control under conditions that deserve further investigation.