Oh S Y, Kim B S, Choue R
Department of Food and Nutrition, Kyung Hee University, Seoul, Korea.
Eur J Clin Nutr. 2002 Jan;56(1):86-9. doi: 10.1038/sj.ejcn.1601285.
To investigate the response of appetite sensations and eating behaviors to fasting in obese and non-obese individuals.
Prospective study on inpatients enrolled in weight loss program including fasting at the obesity clinic, an oriental medical center in Seoul, Korea.
For seven obese (body mass index BMI> or =30) and 11 non-obese (BMI<30) patients, the modified visual analog scale (VAS) was administered three times per day throughout 9 days of complete fasting. Three-Factor Eating Questionnaire (TEEQ) was administered before and 18 days after the complete fasting period.
After treatment, average weight losses were 7.4 kg (3.0 BMI) for the obese group and 6.7 kg (2.6 BMI) for the non-obese. TFEQ scales did not differ by weight status at both before and after treatments. Eighteen days after the fasting, an increase of restraint of eating was found only for the non-obese. There was a decrease of disinhibition of eating regardless of weight status. During fasting, desire to eat, hunger and prospective consumption decreased for the non-obese, while these appetite sensations tended to increase slightly for the obese.
BMI, independent of dieting status, appeared to be related to appetite sensations except for satiety during fasting, but not before and 18 days after fasting.
研究肥胖和非肥胖个体的食欲感觉及饮食行为对禁食的反应。
对参加减肥项目的住院患者进行前瞻性研究，该项目包括在韩国首尔一家东方医学中心的肥胖诊所进行禁食。
对7名肥胖（体重指数BMI≥30）和11名非肥胖（BMI<30）患者，在整个9天的完全禁食期间，每天3次使用改良视觉模拟量表（VAS）。在完全禁食期之前和之后18天进行三因素饮食问卷（TEEQ）调查。
治疗后，肥胖组平均体重减轻7.4 kg（3.0 BMI），非肥胖组平均体重减轻6.7 kg（2.6 BMI）。治疗前后，TFEQ量表在不同体重状态下无差异。禁食18天后，仅在非肥胖者中发现饮食克制增加。无论体重状态如何，饮食去抑制均减少。在禁食期间，非肥胖者想吃的欲望、饥饿感和预期食量下降，而肥胖者这些食欲感觉则略有增加。
BMI与节食状态无关，在禁食期间似乎与除饱腹感之外的食欲感觉有关，但在禁食前和禁食后18天则无关。
