Pain, eating behavior, and weight outcomes in adolescent girls.

Pain, eating behavior, and weight outcomes in adolescent girls.
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DOI:
10.1002/eat.23484
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发表时间:
2021-05
影响因子:
5.5
通讯作者:
Keenan, Kate
Keenan, Kate
中科院分区:
医学2区
文献类型:
--
作者:
Goldschmidt, Andrea B.;Smith, Kathryn E.;Bond, Dale S.;Hipwell, Alison E.;Stepp, Stephanie D.;Keenan, Kate

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在成人中,疼痛与超重/肥胖前瞻性相关,同时与饮食失调相关,有证据表明女性比男性更强。这项研究旨在评估疼痛反应、BMI和饮食失控之间的类似关联是否在青春期女孩中也很明显。女孩(n=202)在10岁时完成冷加压试验(CPT),并从10-16岁每年评估BMI和摄食量。广义线性模型用于测试疼痛耐受性(总浸泡时间)和阈值(最高疼痛等级的潜伏期)之间的关联,以及BMI和进食量的变化。10岁时较低的疼痛耐受性和阈值与10至16岁的进食增加有关(耐受性:B<-0.01,SE<0.01,p= 0.005;阈值:B=-0.03,SE= 0.01,p= 0.0118)。在疼痛耐受性/阈值和BMI增加之间没有观察到显著相关性。儿童期的疼痛反应与从儿童期到青春期饮食失调的增加有关。这些发现为疼痛和进食行为之间的界面的早期发展提供了支持。
In adults, pain is prospectively associated with overweight/obesity and concurrently associated with dysregulated eating, with evidence for stronger associations in women than men. This study aimed to evaluate whether similar associations among pain response, BMI, and loss of control (LOC) eating are also evident in adolescent girls. Girls (n=202) completed the cold pressor test (CPT) at age 10, and BMI and LOC eating were assessed annually from ages 10–16 years. Generalized linear models were used to test associations between pain tolerance (total immersion time) and threshold (latency to highest pain rating), and changes in BMI and LOC eating. Lower pain tolerance and threshold at age 10 were associated with increases in LOC eating from age 10 to 16 (tolerance: B<−.01, SE<.01, p=.005; threshold: B=−.03, SE=.01, p=.0118). No significant associations were observed between pain tolerance/threshold and increasing BMI. Pain responsivity in childhood is associated with increases in dysregulated eating from childhood to adolescence. These findings provide support for the early development of an interface between pain and eating behaviors.
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