Rabia Khalid, Natalie B Lister, Susan J Paxton, Sarah Maguire, Sol Libesman, Anna L Seidler, Kelly Cooper, Fiona Quigley, Jacqlyn Yourell, Louise A Baur, Hiba Jebeile
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引用次数: 0
摘要
目的描述对超重和肥胖症患者饮食失调(ED)发展途径的评估:对四个数据库进行了检索,以确定对超重和肥胖青少年(10-19 岁)或成年人(19 岁以上)饮食失调发展模式进行测试的研究。对解释性变量进行了主题分组,以描述每种 ED 结果的形成途径:在筛选出的 2226 项研究中,有 46 项(10 项青少年研究;36 项成人研究)被纳入其中。研究样本以女性为主,参与者人数从 22 人到 2236 人不等,平均年龄为 12.3 岁到 56.0 岁。共有 207 个解释性变量被归类为 18 个结构,总结出 107 条路径。最常见的 ED 结果是暴饮暴食(24 项研究),其次是整体 ED 精神病理学(10 项研究)。在所有导致 ED 的发展途径中,消极情绪是提出最多的结构,其次是对体重/体形的关注和体重耻辱感:结论:超重和肥胖症患者发生肥胖症的途径非常复杂,可能包括超过 18 种不同的解释因素,其中负性情绪、对体重/体形的关注和体重耻辱感是最常见的因素。需要对青少年、男性和不同人群的 ED 范围进行更多研究,以便及早识别和干预。
Potential pathways to the onset and development of eating disorders in people with overweight and obesity: A scoping review.
Objective: To describe pathways to eating disorder (ED) development that have been evaluated in people with overweight and obesity.
Methods: Four databases were searched to identify studies testing ED development models in adolescents (10-19 years) or adults (>19 years) with overweight and obesity. Explanatory variables were thematically grouped into constructs to describe pathways to each ED outcome.
Results: Of 2226 studies screened, 46 (10 adolescent; 36 adult) were included. Study samples were predominantly female, ranging from 22 to 2236 participants and mean age 12.3 to 56.0 years. In total, 207 explanatory variables were grouped into 18 constructs to summarize 107 pathways that were identified. The most common ED outcome was binge eating (n = 24 studies), followed by global ED psychopathology (n = 10 studies). Across pathways to ED development, negative affect was the most proposed construct, followed by preoccupation with weight/shape and weight stigma.
Conclusion: Pathways to ED development in people with overweight and obesity are complex and may include more than 18 different explanatory factors of which negative affect, preoccupation with weight/shape, and weight stigma are the most common. More research on adolescents, males, and the spectrum of ED in diverse populations is required for early identification and intervention.
期刊介绍:
Obesity Reviews is a monthly journal publishing reviews on all disciplines related to obesity and its comorbidities. This includes basic and behavioral sciences, clinical treatment and outcomes, epidemiology, prevention and public health. The journal should, therefore, appeal to all professionals with an interest in obesity and its comorbidities.
Review types may include systematic narrative reviews, quantitative meta-analyses and narrative reviews but all must offer new insights, critical or novel perspectives that will enhance the state of knowledge in the field.
The editorial policy is to publish high quality peer-reviewed manuscripts that provide needed new insight into all aspects of obesity and its related comorbidities while minimizing the period between submission and publication.