Provencher Véronique, Drapeau Vicky, Tremblay Angelo, Després Jean-Pierre, Bouchard Claude, Lemieux Simone
Department of Food Science and Nutrition, Laval University, Ste-Foy, Québec, Canada, G1K 7P4.
Br J Nutr. 2004 Jun;91(6):997-1004. doi: 10.1079/BJN20041115.
The purpose of the present cross-sectional study was to compare eating behaviours (cognitive dietary restraint, disinhibition and susceptibility to hunger), dietary profile and physiological variables according to the practice of dieting: current dieting; history of dieting in the 10-year period that preceded the study; no dieting during the same period. Dieting history, anthropometric markers of adiposity, RMR, dietary profile (3 d food record) and eating behaviours (three-factor eating questionnaire) were determined in a sample of 244 men and 352 women. A greater proportion of women (31.8 %) than men (16.8 %) reported that they had been on a diet over the past 10 years (P=0.0001). In both genders, current and past dieters had a higher BMI (P<0.05) than non-dieters and current dieters had lower reported energy intakes than past dieters and non-dieters (only in women) (P<0.05). Current and past dieters also had higher scores for all eating behaviours and their subscales (P<0.05; except for susceptibility to hunger in men) compared with non-dieters (adjusted for age, reported energy intake, percentage of dietary fat, BMI and RMR). Moreover, for each dieting-history category, women had significantly higher scores for cognitive dietary restraint than men (P<0.05). In conclusion, the present study showed that current and past dieters had higher scores for cognitive dietary restraint and disinhibition compared with non-dieters. As disinhibition has previously been associated with a greater risk of subsequent weight gain, interventions aimed at preventing an increase in disinhibition may be promising for long-term weight maintenance.
本横断面研究的目的是根据节食情况比较饮食行为(认知性饮食限制、去抑制和饥饿易感性)、饮食结构和生理变量:当前节食者;研究前10年的节食史;同期未节食者。在244名男性和352名女性样本中确定了节食史、肥胖的人体测量指标、静息代谢率、饮食结构(3天食物记录)和饮食行为(三因素饮食问卷)。报告称在过去10年里节食的女性比例(31.8%)高于男性(16.8%)(P = 0.0001)。在男女两性中,当前和过去的节食者的体重指数均高于非节食者(P<0.05),且当前节食者报告的能量摄入量低于过去节食者和非节食者(仅在女性中)(P<0.05)。与非节食者相比(根据年龄、报告的能量摄入量、膳食脂肪百分比、体重指数和静息代谢率进行调整),当前和过去的节食者在所有饮食行为及其子量表上的得分也更高(P<0.05;男性的饥饿易感性除外)。此外,对于每个节食史类别,女性在认知性饮食限制方面的得分显著高于男性(P<0.05)。总之,本研究表明,与非节食者相比,当前和过去的节食者在认知性饮食限制和去抑制方面得分更高。由于去抑制先前已被证明与随后体重增加的风险更大相关,旨在防止去抑制增加的干预措施可能对长期体重维持有帮助。