Appetitive traits as targets for weight loss: The role of food cue responsiveness and satiety responsiveness.

Appetitive traits as targets for weight loss: The role of food cue responsiveness and satiety responsiveness.
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DOI:
10.1016/j.physbeh.2020.113018
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发表时间:
2020-10-01
影响因子:
2.9
通讯作者:
Eichen DM
Eichen DM
中科院分区:
医学3区
文献类型:
--
作者:
Boutelle KN;Manzano MA;Eichen DM

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超重或肥胖(OW/OB)的个体发生显著的身体和心理共病的风险增加。目前治疗OW/OB的方法是行为减肥,提供营养和身体活动方面的心理教育,以及行为治疗技巧。然而,行为减肥对大多数参与者来说并不有效。研究表明,暴饮暴食,或吃过去的营养需求,是体重增加的主要原因之一。越来越多的证据表明,食欲特征,如食物提示反应和饱腹感反应,与青少年和成年人的暴饮暴食和体重有关。以下综述介绍了目前关于食物提示反应、饱腹感反应、暴饮暴食和OW/OB之间关系的文献。研究表明,较高的食物提示反应和较低的饱腹感反应与暴饮暴食和OW/OB横截面和纵向相关。新出现的数据表明,食物提示反应性和饱腹感反应性可能存在沿着相同的连续体,并且可以有针对性地管理暴饮暴食和减轻体重。我们已经开发了一种针对食物提示反应和饱腹感反应的治疗模型,以减少暴饮暴食和体重,并具有初步的可行性,可接受性和有效性数据,目前正在进行更大规模的试验。通过针对食欲特征的计划,我们希望开发一种替代的减肥模式,以帮助有暴饮暴食倾向的人。
Individuals with overweight or obesity (OW/OB) are at increased risk for significant physical and psychological comorbidities. The current treatment for OW/OB is behavioral weight loss, which provides psychoeducation on nutrition and physical activity, as well as behavior therapy skills. However, behavioral weight loss is not effective for the majority of the individuals who participate. Research suggests that overeating, or eating past nutritional needs, is one of the leading causes of weight gain. Accumulating evidence suggests that appetitive traits, such as food cue responsiveness and satiety responsiveness, are associated with overeating and weight in youth and adults. The following review presents the current literature on the relationship between food cue responsiveness, satiety responsiveness, overeating, and OW/OB. Research suggests that higher food cue responsiveness and lower satiety responsiveness are associated with overeating and OW/OB cross-sectionally and longitudinally. Emerging data suggest that food cue responsiveness and satiety responsiveness may exist along the same continuum, and can be targeted to manage overeating and reduce weight. We have developed a treatment model targeting food cue responsiveness and satiety responsiveness, to reduce overeating and weight and have preliminary feasibility, acceptability, and efficacy data, with testing currently being conducting in larger trials. Through programs targeting appetitive traits we hope to develop an alternative weight loss model to assist individuals with a propensity to overeat.
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