Lowe Michael R, Levine Allen S
Department of Psychology, Drexel University, Mail Stop 626, 245 North Fifteenth Street, Philadelphia, PA 19102, USA.
Obes Res. 2005 May;13(5):797-806. doi: 10.1038/oby.2005.90.
Anti-dieting sentiment has grown in recent years. Critics of restrained eating suggest that it evokes counter-regulatory responses that render it ineffective or even iatrogenic. However, restrained eaters are not in negative energy balance and overweight individuals show reduced eating problems when losing weight by dieting. A distinction is often drawn between physiological and psychological hunger, and neuroscience research has shown that there is a neurophysiological reality underlying this distinction. The brain has a homeostatic system (activated by energy deficits) and a hedonic system (activated by the presence of palatable food). The omnipresence of highly palatable food in the environment may chronically activate the hedonic appetite system, producing a need to actively restrain eating not just to lose weight but to avoid gaining it. Just as restricting energy intake below homeostatic needs produces physiological deprivation, restricting intake of palatable foods may produce "perceived deprivation" despite a state of energy balance. In summary, the motivation to eat more than one needs appears to be every bit as real, and perhaps every bit as powerful, as the motivation to eat when energy deprived.
近年来,反节食情绪有所增长。对节制饮食的批评者认为,这会引发反调节反应,使其无效甚至产生医源性问题。然而,节制饮食者并非处于负能量平衡状态,超重个体在通过节食减肥时饮食问题会减少。人们常常区分生理饥饿和心理饥饿,神经科学研究表明这种区分有神经生理学基础。大脑有一个稳态系统(由能量不足激活)和一个享乐系统(由美味食物的存在激活)。环境中高度美味食物的普遍存在可能会长期激活享乐性食欲系统,产生不仅为了减肥而且为了避免体重增加而积极节制饮食的需求。正如将能量摄入限制在低于稳态需求会产生生理剥夺一样,尽管处于能量平衡状态,但限制美味食物的摄入可能会产生“感知剥夺”。总之,想吃得比身体所需更多的动机似乎和能量匮乏时想吃东西的动机一样真实,也许一样强烈。