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儿童和青少年超重的治疗:节食会增加饮食失调的风险吗?

Treatment of overweight in children and adolescents: does dieting increase the risk of eating disorders?

作者信息

Butryn Meghan L, Wadden Thomas A

机构信息

Department of Psychology, Drexel University, Philadelphia, Pennsylvania, USA.

出版信息

Int J Eat Disord. 2005 May;37(4):285-93. doi: 10.1002/eat.20098.

DOI:10.1002/eat.20098
PMID:15856498
Abstract

OBJECTIVE

Overweight is a serious health problem in children and adolescents. Some investigators fear that dieting, the principal method of reducing body weight, may precipitate eating disorders and related complications. This review examined the literature on the effects of dieting on eating behavior and psychological status in youth.

METHOD

Electronic databases were searched for articles containing combinations of the following keywords: weight loss, dieting, treatment, overweight, obesity, anorexia, bulimia, binge eating, eating disorder, children, and adolescents. A manual search of reference lists also was conducted.

RESULTS

Five relevant studies were found. Their findings suggest that a professionally administered weight loss poses minimal risks of precipitating eating disorders in overweight children and adolescents. Significant improvements in psychological status also were observed in several studies.

DISCUSSION

Concerns about potential ill effects of dieting should not dissuade overweight youth from pursuing sensible methods of weight loss.

摘要

目的

超重是儿童和青少年中一个严重的健康问题。一些研究人员担心,节食作为减轻体重的主要方法,可能会引发饮食失调及相关并发症。本综述研究了有关节食对青少年饮食行为和心理状态影响的文献。

方法

在电子数据库中搜索包含以下关键词组合的文章:体重减轻、节食、治疗、超重、肥胖、厌食症、贪食症、暴饮暴食、饮食失调、儿童和青少年。还对手动检索参考文献列表进行了检索。

结果

共找到五项相关研究。他们的研究结果表明,专业管理的体重减轻对超重儿童和青少年引发饮食失调的风险极小。在几项研究中还观察到心理状态有显著改善。

讨论

对节食潜在不良影响的担忧不应阻止超重青少年寻求合理的减肥方法。

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