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Comparison of In-Person and Virtual Implementations of an Obesity Prevention Culinary Nutrition Education Program for Family Care Providers. 家庭护理人员预防肥胖烹饪营养教育计划的面对面和虚拟实施的比较。
Pub Date : 2024-09-01 Epub Date: 2024-08-05 DOI: 10.3390/obesities4030022
Lenora P Goodman, Mary M Schroeder, Kelly Kunkel, Katherine R Hendel

Start Strong, a 4-week culinary nutrition education, obesity prevention program designed for rural family care providers in low-income areas of Minnesota, was initially an in-person training and recently adapted into a virtual version. Using a quasi-experimental design, this study examined within group and between group (in-person versus virtual) changes in culinary skill confidence and familiarity with food assistance programs after Start Strong participation. Additionally, we examined post-program participant experiences.. The in-person program (n=12, mean age 45 years, September 2019) took place at community locations. The virtual program (n=27, mean age 41 years, Fall 2021-Winter 2022) used online learning and videoconferencing. Following data collection pre- and post-program, we used t-tests to examine within-group changes after Start Strong participation, repeated measures analysis of variance tests to compare outcomes between the in-person and virtual implementations, and Fisher's exact test to compare post-survey outcomes. The in-person and virtual programs demonstrated similar improvements in cooking skill confidence and familiarity with food assistance programs. Compared to the virtual program, in-person participants reported significantly greater connection with other providers. This evaluation is relevant to addressing disparities in obesity prevention and provides an initial model for public health and community partnerships with ECE providers.

Start Strong是一个为期4周的烹饪营养教育、预防肥胖项目,专为明尼苏达州低收入地区的农村家庭护理提供者设计,最初是一种面对面的培训,最近被改编成虚拟版本。本研究采用准实验设计,考察了Start Strong参与后,组内和组间(面对面和虚拟)烹饪技能信心和对食品援助计划熟悉程度的变化。此外,我们调查了项目后参与者的经历。面对面项目(n=12,平均年龄45岁,2019年9月)在社区地点进行。该虚拟项目(n=27,平均年龄41岁,2021年秋季至2022年冬季)使用在线学习和视频会议。在计划前后收集数据后,我们使用t检验来检查Start Strong参与后的组内变化,使用重复测量分析的方差检验来比较面对面实施和虚拟实施之间的结果,使用Fisher精确检验来比较调查后的结果。面对面和虚拟课程在烹饪技能、信心和对食品援助项目的熟悉程度上都有类似的提高。与虚拟课程相比,面对面的参与者报告与其他提供者的联系明显更强。这一评价与解决肥胖预防方面的差异有关,并为公共卫生和社区与欧洲经委会提供者的伙伴关系提供了一个初步模式。
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引用次数: 0
Silymarin: A Natural Compound for Obesity Management 水飞蓟素:控制肥胖的天然化合物
Pub Date : 2024-08-09 DOI: 10.3390/obesities4030024
J. A. de Freitas, Aline Boveto Santamarina, J. Otoch, Ana Flávia Marçal Pessoa
Silybum marianum (L.) Gaertn, commonly known as milk thistle, is an herbal medicine rich in silymarin, a bioflavonoid complex. Historically, silymarin was used for treating liver diseases, but recent studies highlight silymarin’s potential for obesity management. This narrative review aims to provide an in-depth examination of the existing knowledge of Silybum marianum (L.) and its secondary compounds concerning obesity and associated comorbidities, summarizing data from in vitro, preclinical, and clinical studies. Obesity is a significant public health issue, exacerbated during the COVID-19 pandemic, as a major risk factor for mortality. It contributes to metabolic dysfunction, including oxidative stress, metainflammation, cardiovascular diseases, and type 2 diabetes development. Silymarin has demonstrated benefits on insulin signaling and lipid metabolism, as well as antioxidant and anti-inflammatory properties at the molecular level. Innovative studies also suggest silymarin’s potential as a prebiotic, positively influencing gut microbiota composition, a key factor affected by obesity. These promising findings support the potential anti-obesity action of silymarin in clinical practice. Looking forward, using silymarin as an innovative complementary therapy could offer substantial benefits for natural health promotion and obesity management. Nevertheless, further research into optimal doses and cellular mechanisms is still needed.
Silybum marianum (L.) Gaertn,俗称奶蓟草,是一种富含水飞蓟素(一种生物类黄酮复合物)的草药。水飞蓟素历来被用于治疗肝脏疾病,但最近的研究强调了水飞蓟素在肥胖控制方面的潜力。这篇叙述性综述旨在深入探讨水飞蓟及其次生化合物在肥胖症和相关合并症方面的现有知识,总结体外、临床前和临床研究的数据。肥胖症是一个重大的公共卫生问题,在 COVID-19 大流行期间,肥胖症更加严重,成为导致死亡的一个主要风险因素。肥胖会导致代谢功能障碍,包括氧化应激、变态反应、心血管疾病和 2 型糖尿病。水飞蓟素已证明对胰岛素信号传导和脂质代谢有益,并具有分子水平的抗氧化和抗炎特性。创新性研究还表明,水飞蓟素具有作为益生元的潜力,可对肠道微生物群的组成产生积极影响,而肠道微生物群是受肥胖影响的一个关键因素。这些充满希望的研究结果支持水飞蓟素在临床实践中发挥潜在的抗肥胖作用。展望未来,将水飞蓟素作为一种创新的辅助疗法,可为促进自然健康和控制肥胖带来巨大益处。尽管如此,仍需对最佳剂量和细胞机制进行进一步研究。
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引用次数: 0
Childhood and Adolescent Obesity in a School in Interior Portugal—A Teen without Risk Study 葡萄牙内陆一所学校的儿童和青少年肥胖症--无风险青少年研究
Pub Date : 2024-08-08 DOI: 10.3390/obesities4030023
Patrícia Coelho, M. Duarte, E. Cabral, Sónia Mateus, Francisco Rodrigues
Introduction: Over the past 40 years, there has been a significant increase in the global prevalence of childhood obesity, which is associated with an increased risk of heart problems and the earlier onset of heart diseases. Objective: The aim of this research is to assess the prevalence of obesity and its risk factors in children and adolescents among students from the second and third cycle and secondary education of a school grouping in the interior of Portugal. Materials and Methods: The sample was collected from a school grouping in Alcains, among attending students from the fifth to the twelfth grade. The sample consisted of a total of 156 students aged between 10 and 18 years. A questionnaire was proposed, and blood pressure measurement and lipid profile evaluation were performed for each individual. The collection and statistical treatment of data for this study required a submission and authorization request to the Ethics Committee of the Polytechnic Institute of Castelo Branco, followed by authorization from the school group’s administration. Results: The percentage of elevated BMI was 30.8%, and was higher in males. A higher prevalence of hypertension (37.8%), elevated triglyceride levels in students who did not exercise outside of school, and in individuals who consumed larger amounts of meat, who also showed a higher prevalence of lower-than-expected high-density lipoprotein (HDL) cholesterol levels, were observed. Discussion: A high percentage of elevated BMI, high blood pressure levels, and changes in lipid profile were observed among high school students in this school in the interior of Portugal, as has been observed in other studies. Conclusions: It is essential to conduct more studies, screenings, and investigations that can identify these cases early, in order to mitigate risk factors.
导言:在过去的 40 年中,全球儿童肥胖症的发病率显著增加,而肥胖症与心脏问题风险增加和心脏病发病时间提前有关。研究目的本研究旨在评估葡萄牙内陆地区一所学校第二、第三阶段和中等教育阶段学生中儿童和青少年肥胖症的发病率及其风险因素。材料和方法:样本从阿尔坎斯一所学校的五年级至十二年级学生中收集。样本包括 156 名 10 至 18 岁的学生。问卷调查、血压测量和血脂评估均针对每个人进行。这项研究的数据收集和统计处理需要向卡斯特略布朗库理工学院伦理委员会提交申请并获得授权,然后再获得学校集团管理部门的授权。研究结果体重指数升高的比例为 30.8%,男性更高。高血压发病率较高(37.8%),不进行校外锻炼的学生甘油三酯水平较高,肉类摄入量较大的学生甘油三酯水平较高,高密度脂蛋白(HDL)胆固醇水平也低于预期。讨论与其他研究一样,在葡萄牙内陆地区这所学校的高中生中也发现了较高比例的体重指数升高、高血压水平和血脂变化。结论:必须开展更多的研究、筛查和调查,以便及早发现这些病例,从而减少风险因素。
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引用次数: 0
Effectiveness of an Email-Based, Semaglutide-Supported Weight-Loss Service for People with Overweight and Obesity in Germany: A Real-World Retrospective Cohort Analysis 德国为超重和肥胖症患者提供的基于电子邮件的塞马鲁肽减重服务的效果:真实世界回顾性队列分析
Pub Date : 2024-07-24 DOI: 10.3390/obesities4030021
Louis Talay, Matt Vickers, Laura Ruiz
Quality glucose-like peptide-1 receptor agonist (GLP-1 RA)-supported digital weight-loss services (DWLSs) have the potential to play a significant role in shifting the alarming global obesity rate. Previous studies have demonstrated various aspects of their utility in Australian and British populations, but nothing has hitherto been investigated in real-world European settings, where GLP-1 RA weight therapy and digital healthcare are widely used. This study retrospectively analysed the 5-month (Mean = 160.14 days) weight-loss outcomes in a cohort of patients who received email-based health coaching and Semaglutide therapy via the Juniper Germany DWLS (n = 833). Mean weight loss was 9.52 (±5.46) percent, with 81.51% of the cohort losing a ‘meaningful’ (5% or more) amount of weight. Females (Mean = 9.75) tended to lose more weight than males (Mean = 8.41) and patients from the lowest two BMI categories (27.5–29.99 kg/m2 Mean = 10.1; 30–34.99 kg/m2 Mean = 9.74) lost significantly more weight than those in the highest BMI category (≥40 kg/m2 Mean = 8.11). These findings indicate that GLP-1 RA-supported DWLSs can contribute to meaningful weight loss in Germany. Future research should seek to conduct a dedicated adherence analysis of the Juniper Germany DWLS and measure the effect of subsidisation and baseline body mass index on general DWLS effectiveness.
由优质葡萄糖样肽-1 受体激动剂(GLP-1 RA)支持的数字减肥服务(DWLSs)有可能在改变令人担忧的全球肥胖率方面发挥重要作用。之前的研究已经证明了其在澳大利亚和英国人口中的各方面效用,但迄今为止,还没有任何研究是在现实世界的欧洲环境中进行的,而在欧洲,GLP-1 RA 减肥疗法和数字医疗保健已得到广泛应用。本研究回顾性分析了通过德国瞻博网络DWLS接受电子邮件健康指导和赛马鲁肽治疗的患者群组(n = 833)5个月(平均 = 160.14 天)的体重减轻结果。平均体重减轻了 9.52 (±5.46)% ,其中 81.51% 的患者体重减轻了 "有意义的"(5% 或更多)。女性(平均值 = 9.75)的减重幅度往往大于男性(平均值 = 8.41),体重指数最低的两个类别(27.5-29.99 kg/m2 平均值 = 10.1;30-34.99 kg/m2 平均值 = 9.74)患者的减重幅度明显大于体重指数最高类别(≥40 kg/m2 平均值 = 8.11)的患者。这些研究结果表明,在德国,GLP-1 RA 支持的 DWLS 可促进有意义的体重减轻。未来的研究应寻求对德国瞻博网络 DWLS 进行专门的依从性分析,并衡量补贴和基线体重指数对 DWLS 一般效果的影响。
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引用次数: 0
The Metabolic Syndrome: An Overview and Proposed Mechanisms 代谢综合征:概述和拟议机制
Pub Date : 2024-07-22 DOI: 10.3390/obesities4030020
F. Thomaz, Oliver Dean John, Payel Sinha, Siti Raihanah Shafie, Simon Worrall
Obesity has emerged as a major public health challenge in the 21st century, contributing to the rising prevalence of metabolic syndrome (MetS), a cluster of interrelated health risk factors. These factors include obesity or abdominal obesity, type 2 diabetes mellitus (T2DM), hypertension (HTN), and dyslipidaemia. In this review, we will explore important aspects of metabolic regulation and the dynamics of lipoprotein metabolism to see how they underlie each of these major health risks. Additionally, we will highlight the role of ferroptosis, an iron-dependent regulated cell death process, in relation to inflammatory responses and its critical contribution to the pathophysiology of MetS. These inflammatory responses include inflammasome activation, lipotoxicity, the influence of adipocytokines, and the role of adipose tissue macrophages. By exploring these interconnections, this review aims to provide insights into metabolic crosstalk, outline the pathological mechanisms occurring, and identify potential therapeutic targets for managing and preventing the progression of these health risk factors.
肥胖症已成为 21 世纪一项重大的公共卫生挑战,导致代谢综合征(MetS)发病率不断上升,代谢综合征是一组相互关联的健康风险因素。这些因素包括肥胖或腹部肥胖、2 型糖尿病(T2DM)、高血压(HTN)和血脂异常。在这篇综述中,我们将探讨新陈代谢调节的重要方面和脂蛋白代谢的动态变化,以了解它们如何成为这些主要健康风险的基础。此外,我们还将强调铁变态反应(一种依赖铁调节的细胞死亡过程)在炎症反应中的作用及其对 MetS 病理生理学的重要贡献。这些炎症反应包括炎性体激活、脂肪毒性、脂肪细胞因子的影响以及脂肪组织巨噬细胞的作用。通过探讨这些相互联系,本综述旨在提供有关代谢串扰的见解,概述发生的病理机制,并确定管理和预防这些健康风险因素恶化的潜在治疗目标。
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引用次数: 0
The Consumption of Ultra-Processed Foods Is Associated with Abdominal Obesity in Individuals on Hemodialysis in Brazil 巴西血液透析患者食用超加工食品与腹部肥胖有关
Pub Date : 2024-07-20 DOI: 10.3390/obesities4030019
Sara Jarske Gering, C. Martins, Nina Mara Paterlini Marques, M. Cattafesta, Alexandre Cardoso da Cunha, Fabíola Lacerda Pires Soares, Edson Theodoro dos Santos Neto, L. Salaroli
The consumption of ultra-processed foods is associated with abdominal obesity, but this association has not yet been investigated in individuals on hemodialysis. This cross-sectional study, developed with 1014 individuals, aimed to analyze the prevalence of abdominal obesity and its association with the consumption of ultra-processed foods in individuals on hemodialysis in Brazil. The consumption of ultra-processed foods was measured using a questionnaire, whose list of foods was based on the Surveillance System of Risk and Protective Factors for Chronic Non-Communicable Diseases through Telephone Enquiry. Waist circumference was used to determine the presence of abdominal obesity. The difference in proportions between the independent variables and the outcome was verified using Pearson’s chi-square test. Hierarchical logistic regression was used to determine the association between the outcome and the independent variables. The prevalence of abdominal obesity was 77.22%. In the final model, higher levels of consumption of ultra-processed foods, being male and an adult, having between 8 and 11 years of schooling, and practicing physical activity below the recommended level increased the chances of having abdominal obesity. This research provides a basis for the creation and improvement of public policies that promote improvements in these health determinants.
食用超加工食品与腹部肥胖有关,但这一关联尚未在血液透析患者中进行调查。这项横断面研究有 1014 人参加,旨在分析巴西血液透析患者腹部肥胖的发生率及其与食用超加工食品的关系。超加工食品的食用量是通过问卷调查来测量的,问卷中的食品清单是根据 "慢性非传染性疾病风险和保护因素监测系统 "的电话调查编制的。腰围用于确定是否存在腹部肥胖。自变量与结果之间的比例差异采用皮尔逊卡方检验进行验证。分层逻辑回归用于确定结果与自变量之间的关联。腹型肥胖的发病率为 77.22%。在最终模型中,超加工食品的消费量越高、男性和成年人、受教育年限在 8 至 11 年之间以及体育锻炼低于建议水平都会增加腹部肥胖的几率。这项研究为制定和完善促进改善这些健康决定因素的公共政策提供了依据。
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引用次数: 0
Predictors of the Attempt and Failure to Lose Weight among the South African Population 南非人尝试减肥和减肥失败的预测因素
Pub Date : 2024-07-18 DOI: 10.3390/obesities4030018
M. Manafe
Background: The increase in the prevalence of obesity in South Africa is a problem, and weight management plays an important role in the treatment of the high prevalence. For this purpose, a quantitative study was carried out using a structured questionnaire to assess the predictors of attempts and failures to lose weight. Methods: One thousand and fifty adults were enrolled in the study, and 54% (n = 562) were overweight and obese (BMI ≥ 25 kg/m2). Descriptive statistics were analysed. Inferential statistical tests (chi-square tests, logistic regression, and Pearson’s correlation coefficients) were used to determine the relationship between variables. Results: The results revealed that age, sex, marital status, educational level, employment status, income level, area of residence, ethnic groups, and self-perceived BMI (normal weight, overweight, and obese) were predictors of the attempt and failure to lose weight (p < 0.05). There was a positive correlation between self-perceived BMI and the attempt and failure to lose weight, r = 0.2015 (p < 0.0001). Conclusion: Weight management is important in the realm of public health and can be regarded as an investment in the population, as it leads people toward weight control strategies grounded in empirical evidence. In addition, the findings can inform public health policies and interventions to improve weight management strategies at the population level.
背景:南非肥胖症发病率的上升是一个问题,体重管理在治疗高发病率方面发挥着重要作用。为此,我们使用结构化问卷开展了一项定量研究,以评估尝试减肥和减肥失败的预测因素。研究方法研究招募了 150 名成年人,其中 54% (n = 562)为超重和肥胖(体重指数≥ 25 kg/m2)。对描述性统计进行了分析。推理统计检验(卡方检验、逻辑回归和皮尔逊相关系数)用于确定变量之间的关系。结果显示结果显示,年龄、性别、婚姻状况、教育程度、就业状况、收入水平、居住地区、种族群体和自我感觉的体重指数(正常体重、超重和肥胖)是减肥尝试和失败的预测因素(P < 0.05)。自我感觉的体重指数与尝试减肥和减肥失败之间存在正相关,r = 0.2015(p < 0.0001)。结论体重管理在公共卫生领域非常重要,可被视为对人口的一种投资,因为它能引导人们采取以实证为基础的体重控制策略。此外,研究结果还能为公共卫生政策和干预措施提供参考,从而在人群层面改进体重管理策略。
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引用次数: 0
Negative Self-Rated Health and Non-Utilization of University Restaurants Are Associated with Overweight and Obesity among College Students in Brazil 消极的自我健康评价和不使用大学餐厅与巴西大学生超重和肥胖有关
Pub Date : 2024-07-04 DOI: 10.3390/obesities4030017
Flávia Santos Batista Dias, Mônica da Silva-Nunes, A. A. Ramalho
The aim of this study was to analyze the factors associated with overweight and obesity in a sample of university students. This was a quantitative, cross-sectional analytical observational study conducted with undergraduate students at the main campus of the Federal University of Acre. The study included a total of 655 students, 58.3% being female and 41.7% male. The overweight was 48.9%, with higher rates among males (53.8%), those aged 30 years and older (76.6%), and those from families with incomes above three minimum wages (57.2%). Obesity was present in 18.2% of students, with higher rates among females (18.8%), those aged 30 years and older (34.2%), and 19.1% among those from families with incomes above three minimum wages. The age group of 30 years and older; non-utilization of the university restaurant; being female; and self-rated health as regular, poor, or very poor emerged as associated factors with overweight in university students in the adjusted final model. The same association pattern for obesity was observed, except for the variable of gender. The findings of this study point to a higher prevalence of overweight and obesity among older university students, those who reported unfavorable self-rated health, and those who reported not consuming meals offered at the UR.
本研究旨在分析大学生超重和肥胖的相关因素。这是一项针对阿克里联邦大学主校区本科生进行的定量、横断面分析观察研究。研究共涉及 655 名学生,其中女生占 58.3%,男生占 41.7%。超重率为 48.9%,其中男性(53.8%)、30 岁及以上人群(76.6%)和来自收入高于三份最低工资家庭的人群(57.2%)的超重率较高。18.2%的学生患有肥胖症,其中女性(18.8%)、30 岁及以上年龄组(34.2%)和来自收入高于三份最低工资家庭的学生(19.1%)的肥胖率较高。在调整后的最终模型中,30 岁及以上年龄组、未使用大学餐厅、女性、自评健康状况为正常、较差或很差成为大学生超重的相关因素。除性别变量外,肥胖的相关模式与此相同。这项研究结果表明,年龄较大、自评健康状况较差和不食用餐厅提供的餐食的大学生超重和肥胖的发生率较高。
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引用次数: 0
A Comparison of the Efficacy of Online HAPIFED versus Online Cognitive Behavioural Therapy for Binge Eating Disorder: A Randomized Controlled Trial 在线 HAPIFED 与在线认知行为疗法对暴食症的疗效比较:随机对照试验
Pub Date : 2024-06-13 DOI: 10.3390/obesities4020014
F. D. da Luz, Mohammed Mohsin, P. C. Teixeira, Edilaine dos Santos, Tamiris Gaeta, Silvia Ferrari, Kayo Martin, Andréia Dias, T. A. Jana, Leticia S. Marinho, Isabella Lobo, Luisa Pascoareli, Táki Cordás, Phillipa J Hay
The efficacy of two different online treatment programs for people with binge eating disorder (BED) was compared. One hundred and nineteen adults with BED were randomized to treatments based on the Healthy Approach to Weight Management and Food in Eating Disorders (HAPIFED) or cognitive behavioural therapy (CBT). The treatments were delivered via videoconferencing in 10 groups with approximately 12 participants in each group. Each group included 13 treatment sessions and two follow-up sessions. Participants’ self-reported eating disorder behaviours/psychopathology, general mental health, and weight were assessed at pre-treatment, the end of treatment, a 3-month follow-up, and a 6-month follow-up. The participants in both treatments similarly reduced objective and subjective binge eating episodes from pre-treatment to the end of treatment. There were no significant differences in weight loss for the participants in either treatment. The participants in both treatments had reduced levels of loss of control over eating, eating disorder psychopathology, depression, psychological stress, and difficulties in emotion regulation from pre-treatment to the end of treatment. Treatments based on the HAPIFED or CBT delivered via videoconferencing can reduce binge eating and improve mental health in people with BED.
我们比较了两种不同的在线治疗方案对暴饮暴食症(BED)患者的疗效。119名患有暴食症的成年人被随机分配接受基于饮食失调症患者体重管理和食物健康方法(HAPIFED)或认知行为疗法(CBT)的治疗。治疗通过视频会议进行,分 10 组进行,每组约 12 人。每组包括 13 次治疗和两次随访。在治疗前、治疗结束、3 个月随访和 6 个月随访时,对参与者自我报告的饮食失调行为/心理病理学、一般心理健康和体重进行评估。从治疗前到治疗结束,两种疗法的参与者都同样减少了客观和主观的暴食发作。两种疗法的参与者在体重减轻方面没有明显差异。从治疗前到治疗结束,两种疗法的参与者在饮食失控、饮食失调心理病理学、抑郁、心理压力和情绪调节困难方面的水平都有所下降。基于 HAPIFED 或通过视频会议进行的 CBT 治疗可以减少暴饮暴食并改善 BED 患者的心理健康。
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引用次数: 0
A Systematic Review of Moderators of the Association between Dietary Restraint and Binge Eating 饮食限制与暴饮暴食之间关系的调节因素系统回顾
Pub Date : 2024-06-07 DOI: 10.3390/obesities4020013
Tyler B. Mason, Anna Dolgon-Krutolow, Kathryn E. Smith
Obesity interventions typically involve some form of dietary restraint (i.e., intentional limiting of food intake), yet the restraint model of binge eating proposes that engaging in dietary restraint is a causal factor for binge eating symptoms. Evidence for this model has been mixed and differs by measures, study design, and sample. Further, there also may be moderators of the association between dietary restraint and binge eating. The purpose of this systematic review was to compile the current evidence on moderators of the association between dietary restraint and binge eating. A literature search was conducted across electronic databases, resulting in the inclusion of 16 papers (with 15 different samples). The reviewed studies were primarily heterosexual White college student females and were primarily cross-sectional studies with self-report measures. There were no consistent moderators across the studies. However, there was some evidence for interactions between affective constructs and dietary restraint in relation to binge eating, as well as three-way interactions between affect, cognitive constructs, and dietary restraint. Although there were few studies, there was little current evidence for social, biological, and demographic factors as moderators. Overall, our systematic review shows a need for further research to clarify and validate the moderators, and to understand the complex interactions as well as the potential causal relationships between restraint and binge eating behaviors.
肥胖症干预措施通常涉及某种形式的饮食限制(即有意限制食物摄入量),然而,暴食限制模型提出,饮食限制是导致暴食症状的一个因果因素。该模式的证据不一,且因测量方法、研究设计和样本的不同而各异。此外,饮食节制与暴食之间的关系也可能存在调节因素。本系统性综述的目的是汇编饮食节制与暴食之间关联的调节因素的现有证据。我们在电子数据库中进行了文献检索,最终纳入了 16 篇论文(涉及 15 个不同样本)。所审查的研究对象主要是异性恋的白人女大学生,并且主要是采用自我报告测量方法的横断面研究。这些研究没有一致的调节因素。不过,有一些证据表明,在暴饮暴食方面,情感建构和饮食节制之间存在相互作用,情感、认知建构和饮食节制之间也存在三方相互作用。虽然研究很少,但目前几乎没有证据表明社会、生物和人口因素是调节因素。总之,我们的系统性综述表明,有必要开展进一步的研究,以澄清和验证调节因素,并了解克制与暴食行为之间复杂的相互作用和潜在的因果关系。
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引用次数: 0
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