Discordance between assessments of food cue responsiveness: Implications for assessment in youth with overweight/obesity.
Discordance between assessments of food cue responsiveness: Implications for assessment in youth with overweight/obesity.
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DOI：
10.1016/j.appet.2023.106575
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发表时间：
2023-07-01
期刊：
影响因子：
5.4
通讯作者：
Boutelle, Kerri N.
中科院分区：
文献类型：
--
作者：
Manzano, Michael A.;Strong, David R.;Rhee, Kyung E.;Liang, June;Boutelle, Kerri N.
食物线索反应性（FCR）是指对生理需求以外的外部食欲线索的行为、认知、情绪和/或生理反应，是导致青少年和成年人暴饮暴食和肥胖的重要原因。各种各样的措施据称评估这一结构，从青年或家长报告的调查，以客观的饮食任务。然而，很少有研究评估它们的趋同性。在超重/肥胖（OW/OB）儿童中评估这一点尤为重要，因为可靠和有效的FCR评估对于更好地了解这一关键机制在行为干预中的作用至关重要。本研究调查了111例OW/OB儿童（平均年龄= 10.6岁，平均BMI百分位数= 96.4; 70%为女性; 68%为白色; 23%为拉丁裔）的五项FCR指标之间的关系。评估包括：客观地测量在没有饥饿的情况下进食（EAH）、暴露于食物时的副交感神经活动、来自儿童进食行为问卷（CEBQ-FR）的父母报告的食物反应子量表、儿童自我报告的食物力量总分（C-PFS）和儿童自我报告的食物渴望问卷总分（FCQ-T）。EAH和CEBQ-FR（ρ = 0.19，p < 0.05）之间以及副交感神经对食物线索的反应与C-PFS（ρ =-0.32，p = 0.002）和FCQ-T（ρ =-0.34，p < 0.001）之间存在统计学显著的斯皮尔曼相关性。其他相关性无统计学显著性。这些关系在随后的控制儿童年龄和性别的线性回归模型中仍然显着。评估概念上高度相关的结构的措施之间缺乏一致性是令人关切的。未来的研究应试图阐明一个明确的操作FCR，检查FCR评估之间的关联，在儿童和青少年与一系列的体重状态，并评估如何最好地修改这些措施，以准确地反映潜在的结构进行评估。
Food cue responsiveness (FCR), broadly defined as behavioral, cognitive, emotional and/or physiological responses to external appetitive cues outside of physiological need, contributes to overeating and obesity among youth and adults. A variety of measures purportedly assess this construct, ranging from youth- or parent-report surveys to objective eating tasks. However, little research has assessed their convergence. It is especially important to evaluate this in children with overweight/obesity (OW/OB), as reliable and valid assessments of FCR are essential to better understand the role of this critical mechanism in behavioral interventions. The present study examined the relationship between five measures of FCR in a sample of 111 children with OW/OB (mean age = 10.6, mean BMI percentile = 96.4; 70% female; 68% white; 23% Latinx). Assessments included: objectively measured eating in the absence of hunger (EAH), parasympathetic activity when exposed to food, parent reported food responsiveness subscale from the Child Eating Behavior Questionnaire (CEBQ-FR), child self-reported Power of Food total score (C-PFS), and child self-reported Food Cravings Questionnaire total score (FCQ-T). Statistically significant spearman correlations were found between EAH and CEBQ-FR (ρ = 0.19, p < 0.05) and parasympathetic reactivity to food cues with both C-PFS (ρ = −0.32, p = 0.002) and FCQ-T (ρ = −0.34, p < 0.001). No other associations were statistically significant. These relationships remained significant in subsequent linear regression models controlling for child age and gender. The lack of concordance between measures assessing highly conceptually related constructs is of concern. Future studies should seek to elucidate a clear operationalization of FCR, examine the associations between FCR assessments in children and adolescents with a range of weight statuses, and evaluate how to best revise these measures to accurately reflect the latent construct being assessed.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
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作者：
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影响因子：
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