Stewart Tiffany M, Williamson Donald A, White Marney A
Louisiana State University and Pennington Biomedical Research Center, Baton Rouge, LA 70808, USA.
Appetite. 2002 Feb;38(1):39-44. doi: 10.1006/appe.2001.0445.
The correlates of rigid and flexible dieting were examined in a sample of 188 nonobese women recruited from the community and from a university. The primary aim of the study was to test the hypothesis that women who utilize rigid versus flexible dieting strategies to prevent weight gain report more eating disorder symptoms and higher body mass index (BMI) in comparison to women who utilize flexible dieting strategies. The study sample included women who were underweight (29%), normal weight (52%), and overweight (19%). None of the women were obese, as defined by BMI>30. Participants were administered a questionnaire that measures Rigid Control and Flexible Control of eating. Body weight and height were measured and measures of eating disorder symptoms and mood disturbances were administered. Our results indicated that BMI was significantly correlated with rigid dieting and flexible dieting. BMI was controlled statistically in other analyses. The study found that individuals who engage in rigid dieting strategies reported symptoms of an eating disorder, mood disturbances, and excessive concern with body size/shape. In contrast, flexible dieting strategies were not highly associated with BMI, eating disorder symptoms, mood disturbances, or concerns with body size. Since this was a cross sectional study, causality of eating disorder symptoms could not be addressed. These findings replicate and extend the findings of earlier studies. These findings suggest that rigid dieting strategies, but not flexible dieting strategies, are associated with eating disorder symptoms and higher BMI in nonobese women.
在从社区和一所大学招募的188名非肥胖女性样本中,研究了严格节食和灵活节食的相关因素。该研究的主要目的是检验以下假设:与采用灵活节食策略的女性相比,采用严格节食策略来防止体重增加的女性报告更多的饮食失调症状和更高的体重指数(BMI)。研究样本包括体重过轻(29%)、体重正常(52%)和超重(19%)的女性。按照BMI>30的定义,这些女性均无肥胖情况。参与者接受了一份测量饮食的严格控制和灵活控制的问卷。测量了体重和身高,并进行了饮食失调症状和情绪障碍的测量。我们的结果表明,BMI与严格节食和灵活节食均显著相关。在其他分析中对BMI进行了统计学控制。该研究发现,采用严格节食策略的个体报告了饮食失调症状、情绪障碍以及对体型/身材的过度关注。相比之下,灵活节食策略与BMI、饮食失调症状、情绪障碍或对体型的关注并无高度关联。由于这是一项横断面研究,因此无法探讨饮食失调症状的因果关系。这些发现重复并扩展了早期研究的结果。这些发现表明,在非肥胖女性中,严格节食策略而非灵活节食策略与饮食失调症状和更高的BMI相关。