Ecological momentary assessment of maladaptive eating in children and adolescents with overweight or obesity.
Ecological momentary assessment of maladaptive eating in children and adolescents with overweight or obesity.
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DOI：
10.1002/eat.22864
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发表时间：
2018-06
期刊：
影响因子：
--
通讯作者：
Haedt-Matt A
中科院分区：
文献类型：
--
作者：
Goldschmidt AB;Smith KE;Crosby RD;Boyd HK;Dougherty E;Engel SG;Haedt-Matt A
与超重/肥胖青少年适应不良饮食行为相关的背景因素知之甚少。这项试点研究旨在阐明直接的内部和外部线索有关的看法，暴饮暴食和失控（ESTA）在饮食中的超重/肥胖的儿童和青少年在其自然环境中评估的异质样本。基于社区的青少年[N=40; 55%女性（n=22）]，年龄8- 14岁（M年龄=11.2± 1.9岁），超重/肥胖（M z-BMI=2.07±0.49），通过2周内的生态瞬时评估报告了所有进食事件及其生理、环境、情感和人际关系前因和相关因素。广义估计方程被用来评估上下文变量和程度的暴饮暴食和暴食之间的关系。涉及更大食物享乐的饮食场合（即，所食用食物的感知可口性）与更严重的厌食症相关（受试者内效应：B= 0.01，p= 0.015），尽管总体食物享乐水平较低的年轻人平均报告了更高的厌食症严重性等级（受试者间效应：B=-0.04，p= 0.005）。报告总体渴望程度较高的青年报告了较高的成瘾严重程度平均评分（受试者间效应：B= 0.20，p= 0.001）。最后，报告他人对饮食行为的总体影响较大的年轻人证明了暴饮暴食严重程度的平均水平较高（受试者间效应：B= 0.17，p<0.001）。进食相关的因素似乎与肥胖的严重程度最密切相关，而环境因素与暴饮暴食的严重程度最密切相关。针对超重/肥胖青少年适应不良饮食的干预措施可能会受益于帮助青少年纳入可口的食物，并以有计划和有控制的方式满足渴望，并提高对饮食的社会背景影响的认识。
Contextual factors related to maladaptive eating behavior in youth with overweight/obesity are poorly understood. This pilot study sought to elucidate immediate internal and external cues related to perceptions of overeating and loss of control (LOC) over eating in a heterogeneous sample of children and adolescents with overweight/obesity assessed in their natural environments. Community-based youth [N=40; 55% female (n=22)], aged 8–14y (M age=11.2±1.9y), with overweight/obesity (M z-BMI=2.07±0.49) reported on all eating episodes and their physiological, environmental, affective, and interpersonal antecedents and correlates via ecological momentary assessment over a 2-week period. Generalized estimating equations were used to assess the relationship between contextual variables and degree of overeating and LOC. Eating occasions involving greater food hedonics (i.e., perceived palatability of food being consumed) were associated with greater LOC severity (within-subjects effect: B=.01, p=.015), although youth with lower overall levels of food hedonics reported higher LOC severity ratings on average (between-subjects effect: B=−.04, p=.005). Youth reporting higher overall cravings reported higher average ratings of LOC severity (between-subjects effect: B=.20, p=.001). Finally, youth reporting greater overall influence of others on eating behavior evidenced greater average levels of overeating severity (between-subjects effect: B=.17, p<.001). Eating-related factors appear to be most strongly associated with LOC severity, while environmental factors were most associated with overeating severity. Interventions targeting maladaptive eating in youth with overweight/obesity may benefit from helping youth incorporate palatable foods and satisfy cravings in a planned and controlled manner, and enhancing awareness of social-contextual effects on eating.
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影响因子：
5.4
作者：
Mekhmoukh, Amira;Chapelot, Didier;Bellisle, France
通讯作者：
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影响因子：
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作者：
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影响因子：
5.4
作者：
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影响因子：
5.4
作者：
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影响因子：
5.3
作者：
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