The association of "food addiction" with disordered eating and body mass index.
The association of "food addiction" with disordered eating and body mass index.
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DOI：
10.1016/j.eatbeh.2014.05.001
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发表时间：
2014-08
期刊：
影响因子：
2.8
通讯作者：
White, Marney A.
中科院分区：
文献类型：
--
作者：
Gearhardt, Ashley N.;Boswell, Rebecca G.;White, Marney A.
上瘾过程对身体质量指数(BMI)升高和饮食紊乱的影响是一个越来越受关注的领域。然而，人们对“食物成瘾”与饮食紊乱和肥胖之间的关系知之甚少。成瘾性进食是否能够解释传统进食障碍没有捕捉到的进食病理，目前尚不清楚。之前还没有研究过“食物成瘾”与神经性暴食症(BN)之间的联系。最后，人们对“食物成瘾”与节食和体重增加之间的联系知之甚少。目前的研究就是为了解决这些文献中的空白。参与者(N=815)从全国范围内的在线广告中招募，并完成了与“食物成瘾”、BMI、体重历史和饮食紊乱有关的测量。令人上瘾的饮食与当前和终身最高BMI、体重循环和饮食病理有关。患有BN的参与者的“食物成瘾”的患病率高于那些暴饮暴食障碍(Bed)的参与者。“食物成瘾”继续与临床相关变量有关，特别是BMI升高，即使参与者不符合BED或BN的标准。“食物成瘾”与进食障碍的并存似乎与一种更严重的进食病理变量有关。对美味食物的上瘾型反应可能是导致与饮食有关的问题的原因之一，包括肥胖和饮食失调。与床有关的BN似乎与“食物成瘾”有更强的联系。此外，“食物成瘾”的概念似乎捕捉到了那些既不符合BN标准也不符合BED标准的参与者的临床相关信息。对“食物成瘾”的进一步研究对于理解某些类型的问题饮食行为背后的机制可能很重要。
The contribution of an addictive process to elevated body mass index (BMI) and disordered eating is an area of growing interest. Yet, little is known about how “food addiction” may be related to disordered eating and obesity. The ability of addictive-like eating to account for eating pathology not captured by traditional eating disorders is unknown. No prior research has examined the association of “food addiction” with bulimia nervosa (BN). Finally, little is understood about the association of “food addiction” with patterns of dieting and weight gain. The current study was conducted to address these gaps in the literature. Participants (N = 815) were recruited from online advertisements nationwide and completed measures related to “food addiction”, BMI, weight history, and disordered eating. Addictive-like eating was associated with elevated current and lifetime highest BMI, weight cycling, and eating pathology. The prevalence of “food addiction” was higher in participants with BN than in those with binge eating disorder (BED). “Food addiction” continued to be related to clinically relevant variables, especially elevated BMI, even when participants did not meet criteria for BED or BN. The co-occurrence of “food addiction” with eating disorders appears to be associated with a more severe variant of eating pathology. An addictive-type response to highly palatable food may be contributing to eating-related problems, including obesity and eating disorders. BN relative to BED appears to be more strongly associated with “food addiction.” Additionally, the concept of “food addiction” appears to capture clinically relevant information in participants who do not meet criteria for either BN or BED. Further examination of “food addiction” may be important in understanding the mechanisms underlying certain types of problematic eating behavior.
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