The perceived onset of dieting and loss of control eating behaviors in overweight children.
The perceived onset of dieting and loss of control eating behaviors in overweight children.
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超重儿童节食的感知开始和饮食行为失控。
DOI：
10.1002/eat.20158
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Yanovski,JackA
中科院分区：
文献类型：
--
作者：
Tanofsky-Kraff,Marian;Faden,Dara;Yanovski,SusanZ;Wilfley,DeniseE;Yanovski,JackA
目前的研究调查自我报告的时间关系的节食，暴饮暴食，超重在childhood. Method 105非寻求治疗的超重儿童年龄6-13岁的儿童饮食失调检查（ChEDE）进行了采访，询问有关节食，失控（暴食）饮食，超重的历史。抑郁症状，特质焦虑，和家长报告的问题的调查表完成。ResultsSixty %的儿童报告说，尝试过至少一种饮食。与从未节食的儿童相比，这些儿童有更高的ChEDE评分（全球，p<.001），更大的体重指数（BMI）和体脂量（p≤ .001），以及更早报告的超重发病年龄（p= .06）的趋势。与从未经历过暴食的儿童相比，29.5%报告暴食的儿童具有显著更高的ChEDE评分（全球，p< .001），无效性，负自尊和外化评分（allps < .05）。大多数儿童报告在节食（79.4%）或经历暴食（63.6%）之前超重。在25.7%同时报告节食和暴食的人中，三分之二的人在节食前报告暴食。报告在超重之前节食的参与者有更高的负面情绪评分（p<0.01）。报告在节食前节食的儿童有较高的ChEDE体重关注（p<0.01）和总体（p<0.05）scores. Discussion对于超重、非寻求治疗的儿童，节食和节食都很常见。节食只在三分之一的时间里先于进食障碍的发展，但与更严重的进食障碍认知有关。儿童期开始的节食和超重儿童的暴食之间的关系需要进一步研究，以确定随后发生饮食失调的因果关系。© 2005年由Wiley Periodicals，Inc.
ObjectiveThe current study investigated the self‐reported temporal relationships of dieting, binge eating, and overweight in childhood.MethodOne hundred five non–treatment‐seeking overweight children ages 6–13 years were interviewed with the children's Eating Disorder Examination (ChEDE) and queried regarding dieting, loss of control (LOC) eating, and overweight history. Questionnaires of depressive symptoms, trait anxiety, and parent‐reported problems were completed.ResultsSixty percent of the children reported having attempted at least one diet. These children had higher ChEDE scores (global,p< .001), greater body mass index (BMI) and body fat mass (p≤ .001), and a trend towards an earlier reported age of overweight onset (p= .06) compared with children who had never dieted. The 29.5% of children who reported LOC eating had significantly higher ChEDE scores (global,p< .001), ineffectiveness, negative self‐esteem, and externalizing scores (allps < .05) compared with those who had never experienced LOC eating. Most children reported becoming overweight before either dieting (79.4%) or experiencing LOC eating (63.6%). Among the 25.7% reporting both dieting and LOC eating, two thirds reported LOC eating before dieting. Participants who reported dieting before overweight had higher negative mood scores (p< .01). Children reporting dieting before LOC eating had higher ChEDE Weight Concern (p< .01) and global (p< .05) scores.DiscussionFor overweight, non–treatment‐seeking children, both dieting and LOC eating are common. Dieting precedes the development of LOC eating only one third of the time, but is associated with greater disordered eating cognitions. The relationship between childhood‐onset dieting and LOC eating in overweight children requires further investigation to determine the causal pathways for the subsequent development of eating disorders. © 2005 by Wiley Periodicals, Inc.
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发表时间：
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期刊：
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