Eating disorder or disordered eating? Non-normative eating patterns in obese individuals.
Eating disorder or disordered eating? Non-normative eating patterns in obese individuals.
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饮食失调还是饮食失调？
DOI：
10.1038/oby.2004.171
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Yanovski,SusanZ
中科院分区：
文献类型：
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作者：
Tanofsky-Kraff,Marian;Yanovski,SusanZ
暴饮暴食症（BED）和夜食综合征（NES）是肥胖人群中常见的推定饮食失调。数据显示BED符合精神障碍的标准。NES的诊断标准正在不断发展，但目前并不要求出现窘迫或功能损伤。目前尚不清楚BED和NES是否像它们目前定义的那样，对不同患者亚组的特征最有效。我们建议区分“饮食失调”和“不规范”的饮食模式，而不伴有痛苦或损害。虽然不规范的饮食模式可能不会被认为是精神障碍，但就其对体重和健康的影响而言，它们可能非常重要。更精确的饮食失调和不规范饮食行为亚群的行为和代谢特征对理解肥胖的病因、病理生理学和治疗具有重要意义。最终，更好地了解增加能量摄入的许多途径可能会导致有针对性的策略，以预防高危个人和人群的超重和肥胖。
Binge eating disorder (BED) and night eating syndrome (NES) are putative eating disorders frequently seen in obese individuals. Data suggest that BED fulfills criteria for a mental disorder. Criteria for NES are evolving but at present do not require distress or functional impairment. It remains unclear whether BED and NES, as they are currently defined, are optimally useful for characterizing distinct patient subgroups. We propose that a distinction be made between “eating disorders” and “non‐normative” eating patterns without associated distress or impairment. Although non‐normative eating patterns may not be considered mental disorders, they may be very important in terms of their impact on body weight and health. More precise behavioral and metabolic characterization of subgroups with eating disorders and non‐normative eating behaviors has important implications for understanding the etiology, pathophysiology, and treatment of obesity. Ultimately, better understanding of the many pathways to increased energy intake may lead to targeted strategies for prevention of overweight and obesity in at‐risk individuals and populations.