Provencher Véronique, Bégin Catherine, Tremblay Angelo, Mongeau Lyne, Boivin Sonia, Lemieux Simone
Institute of Nutraceuticals and Functional Foods, 2440, Hochelaga Blvd., Laval University, Québec, Québec, Canada, G1K 7P4.
Obesity (Silver Spring). 2007 Apr;15(4):957-66. doi: 10.1038/oby.2007.638.
To assess the effects of a "Health-At-Every-Size" (HAES) intervention on eating behaviors and appetite ratings in 144 premenopausal overweight women.
Women were randomly assigned to one of the 3 groups: HAES group, social support (SS) group, and control group (N = 48 in each group). Interventions were conducted over a 4-month period, and measurements were taken before and after this period. Eating behaviors (cognitive dietary restraint, disinhibition, and susceptibility to hunger) were evaluated by the Three-Factor Eating Questionnaire. Appetite ratings (desire to eat, hunger, fullness, and prospective food consumption) were assessed by visual analogue scales before and after a standardized breakfast.
More important decreases in susceptibility to hunger and external hunger were observed in the HAES group when compared with the SS group (p=0.05, for susceptibility to hunger) and the control group (p=0.02 and p=0.005, for susceptibility to hunger and external hunger, respectively). In addition, women from the HAES group had more important decreases in postprandial area under the curve for desire to eat (p=0.02) and hunger (p=0.04) when compared with the control group. The change in the desire to eat noted in the HAES group was also different from the one observed in SS group (p=0.02). Women from the HAES group experienced significant weight loss at 4 months (-1.6+/-2.5 kg, p<0.0001), which did not differ significantly from the SS and control groups (p=0.09). An increase in flexible restraint was significantly related to a greater weight loss in both HAES and SS groups (r=-0.39, p<0.01; and r=-0.37, p<0.05, respectively). A decrease in habitual susceptibility to disinhibition was also associated with a greater weight loss in HAES and control groups (r=0.31, p<0.05; and r=0.44, p<0.05, respectively).
These results suggest that a HAES intervention could have significant effects on eating behaviors and appetite ratings in premenopausal overweight women, when compared with an SS intervention or a control group.
评估“健康体重，不限尺寸”（HAES）干预措施对144名绝经前超重女性饮食行为和食欲评分的影响。
将女性随机分为3组之一：HAES组、社会支持（SS）组和对照组（每组N = 48）。干预为期4个月，在此期间前后进行测量。饮食行为（认知性饮食节制、去抑制和饥饿易感性）通过三因素饮食问卷进行评估。食欲评分（进食欲望、饥饿感、饱腹感和预期食物摄入量）在标准早餐前后通过视觉模拟量表进行评估。
与SS组（饥饿易感性p = 0.05）和对照组（饥饿易感性p = 0.02，外部饥饿感p = 0.005）相比，HAES组饥饿易感性和外部饥饿感的下降更为显著。此外，与对照组相比，HAES组女性餐后进食欲望曲线下面积（p = 0.02）和饥饿感曲线下面积（p = 0.04）的下降更为显著。HAES组进食欲望的变化也与SS组观察到的不同（p = 0.02）。HAES组女性在4个月时体重显著减轻（-1.6±2.5 kg，p < 0.0001），与SS组和对照组无显著差异（p = 0.09）。在HAES组和SS组中，灵活性节制的增加均与更大程度的体重减轻显著相关（分别为r = -0.39，p < 0.01；r = -0.37，p < 0.05）。习惯性去抑制易感性的降低也与HAES组和对照组更大程度的体重减轻相关（分别为r = 0.31，p < 0.05；r = 0.44，p < 0.05）。
这些结果表明，与SS干预或对照组相比，HAES干预可能对绝经前超重女性的饮食行为和食欲评分有显著影响。
