Two Novel Treatments to Reduce Overeating in Overweight Children: A Randomized Controlled Trial
Two Novel Treatments to Reduce Overeating in Overweight Children: A Randomized Controlled Trial
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DOI：
10.1037/a0025713
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发表时间：
2011-12-01
影响因子：
5.9
通讯作者：
Harnack, Lisa
中科院分区：
文献类型：
--
作者：
Boutelle, Kerri N.;Zucker, Nancy L.;Harnack, Lisa
目的：我们在这项研究中的目的是检查两种针对超重和肥胖儿童在没有饥饿的情况下减少进食的治疗方法。方法：对36名8~12岁超重肥胖儿童(女性占58%，平均年龄=10.3岁，SD=1.3)在非饥饿状态下进食得分较高的儿童及其父母进行为期8周的食欲意识训练或线索暴露治疗--食物。儿童完成了无饥饿进食(EAH)范式、儿童进食障碍检查访谈和三次24小时饮食回忆，并测量了他们的身高和体重。父母填写EAH问卷和暴食量表，测量身高和体重。在基线、治疗后、治疗后6个月和12个月进行评估。结果：结果表明，随着时间的推移，两种治疗方法都显著减少了儿童的暴饮暴食。此外，儿童在食物线索暴露治疗后和治疗后6个月的EAH均有明显下降，但在食欲意识训练中EAH无明显变化。这两种治疗都没有对儿童的卡路里摄入量或父母的任何结果产生显著影响。结论：本研究表明，食物线索反应和食欲意识训练有可能有效地减少儿童EAH和暴饮暴食。由于这些数据是初步的，需要进一步的治疗开发和随机对照研究。
Objective: Our purpose in this study was to examine 2 treatments targeted at reducing eating in the absence of hunger in overweight and obese children. Method: Thirty-six overweight and obese 8- to 12-year-old children (58% female; mean age = 10.3 years, SD = 1.3), with high scores on eating in the absence of hunger, and their parents were randomly assigned to an 8-week children's appetite awareness training or cue exposure treatment-food. Children completed an eating in the absence of hunger (EAH) paradigm, an Eating Disorder Examination interview for children, and three 24-hr dietary recalls, and their height and weight were measured. Parents completed the EAH Questionnaire and the Binge Eating Scale, and their height and weight were measured. Assessments were conducted at baseline, posttreatment, and 6 and 12 months posttreatment. Results: Results showed that both treatments resulted in significant decreases in binge eating in children over time. Additionally, children in the food cue exposure treatment showed significant decreases in EAH posttreatment and 6 months posttreatment, but children in the appetite awareness training showed no change in EAH. Neither treatment produced significant effects on caloric intake in children or on any of the parent outcomes. Conclusions: This study demonstrates that training in food cue responsitivity and appetite awareness has the potential to be efficacious for reducing EAH and binge eating in children. Because these data are preliminary, further treatment development and randomized controlled studies are needed.