Food addiction and its impact on weight status in children and adolescents: The mediating role of responsive eating pattern

IF 2.7 3区医学 Q1 PEDIATRICS Pediatric Obesity Pub Date : 2023-12-26 DOI:10.1111/ijpo.13090

Dan Wang, Dan Wang, Xian Ye, Junqing Chen, Junfen Fu, Hongzhen Xu

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Abstract

Aims

This research explores the relationships between food addiction (FA), eating behaviours, and weight status in school-aged children and adolescents, aiming to understand how FA influences weight.

Methods

By using a cross-sectional design, 426 healthy children and their parents were enroled in Eastern China. FA was assessed using the Chinese version of the Dimensional Yale Food Addiction Scale for Children 2.0 (dYFAS-C 2.0), while eating patterns were identified using latent profile analysis (LPA) derived from the Children's Eating Behaviour Questionnaire (CEBQ). Weight status was indicated by Body Mass Index Z Score (BMIZ) and waist-to-height ratio (WHtR). The associations among FA, eating patterns, and weight status were explored using structural equation modelling (SEM).

Results

Two eating patterns, the Responsive and the Controlled Eating Patterns, were identified. The Responsive Eating Pattern was characterized by high food responsiveness, enjoyment of food, emotional eating, fast eating, low satiety responsiveness, and food fussiness and was associated with FA and weight status (p < 0.001). The SEM results showed the Responsive Eating Pattern partially mediated the relationship between FA and weight status, with a mediation effect of 1.183 (95% CI [0.784, 1.629]) for BMIZ and 0.043 (95% CI [0.025, 0.063]) for WHtR.

Conclusion

Increased FA is associated with a higher weight status through a specific eating behaviour pattern characterized by high responsiveness to food, emotional and rapid eating habits, and low satiety. The findings suggest that targeted interventions should take these eating behaviour patterns into account to reduce the impact of FA on weight status among children and adolescents.

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食物成瘾及其对儿童和青少年体重状况的影响：反应性饮食模式的中介作用。

目的：本研究探讨学龄儿童和青少年的食物成瘾（FA）、饮食行为和体重状况之间的关系，旨在了解食物成瘾如何影响体重：方法：采用横断面设计，在华东地区招募了426名健康儿童及其家长。采用中文版耶鲁儿童食物成瘾量表2.0（dYFAS-C 2.0）对儿童食物成瘾进行评估，并通过儿童饮食行为问卷（CEBQ）的潜在特征分析（LPA）确定饮食模式。体重状况以身体质量指数 Z 值（BMIZ）和腰围与身高比（WHtR）表示。采用结构方程模型（SEM）探讨了FA、饮食模式和体重状况之间的关联：结果：确定了两种饮食模式，即 "反应型饮食模式 "和 "控制型饮食模式"。反应型进食模式的特点是对食物反应快、喜欢吃食物、情绪化进食、进食快、饱腹感低和对食物大惊小怪，与 FA 和体重状况有关（P 结论：FA 增加与体重状况有关：通过以对食物的高反应性、情绪化和快速进食习惯以及低饱腹感为特征的特定进食行为模式，FA 的增加与较高的体重状况相关。研究结果表明，有针对性的干预措施应考虑到这些饮食行为模式，以减少 FA 对儿童和青少年体重状况的影响。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.