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超重女性的特定体重期望:人体测量学、心理学及饮食行为方面的相关因素

Defined weight expectations in overweight women: anthropometrical, psychological and eating behavioral correlates.

作者信息

Provencher V, Bégin C, Gagnon-Girouard M-P, Gagnon H C, Tremblay A, Boivin S, Lemieux S

机构信息

Department of Food Science and Nutrition, Institute of Nutraceuticals and Functional Foods, Laval University, Québec, Canada.

出版信息

Int J Obes (Lond). 2007 Nov;31(11):1731-8. doi: 10.1038/sj.ijo.0803656. Epub 2007 Jun 5.

Abstract

OBJECTIVE

To examine associations between defined weight expectations and anthropometric profile and to identify psychological and eating behavioral factors that characterize women having more realistic weight expectations.

METHODS

A nonrandom sample of 154 overweight/obese women completed the 'Goals and Relative Weight Questionnaire', which assessed four weight expectations: (1) dream weight (whatever wanted to weight); (2) happy weight (would be happy to achieve); (3) acceptable weight (could accept even if not happy with it); and (4) disappointed weight (would not view as a successful achievement). Psychological assessments evaluated dysphoria, self-esteem, satisfaction with one's body (i.e., body esteem) and weight-related quality of life. The 'Three-Factor Eating Questionnaire' assessed eating behaviors: (1) cognitive dietary restraint (control of food intake), (2) disinhibition (overconsumption of food with a loss of control), and (3) susceptibility to hunger (food intake in response to feelings and perceptions of hunger).

RESULTS

Women's expectations for their dream (60.6+/-6.0 kg), happy (65.2+/-6.4 kg) and acceptable (67.9+/-6.8 kg) weights corresponded to higher percentages of weight loss (24.2+/-6.6% or 19.8+/-7.1 kg, 18.6+/-5.8% or 15.2+/-6.0 kg and 15.2+/-5.7% or 12.6+/-5.8 kg, respectively) than goals recommended for overweight individuals. Defined weight expectations were positively associated with current weight and body mass index (BMI; 0.37 < or = r < or = 0.85; P<0.0001). When women were matched one by one for their current BMI, but showing different happy BMI, women with a more realistic happy BMI were older (P=0.03) and were characterized by a greater satisfaction towards body weight (P=0.04), a higher score for flexible restraint (P=0.003) and a lower score for susceptibility to hunger (P=0.02) than women with a less realistic happy BMI.

CONCLUSION

These findings suggest that having more realistic weight expectations is related to healthier psychological and eating behavioral characteristics.

摘要

目的

研究设定的体重期望与人体测量学特征之间的关联,并确定具有更现实体重期望的女性所具有的心理和饮食行为因素。

方法

对154名超重/肥胖女性的非随机样本进行了“目标与相对体重问卷”的调查,该问卷评估了四种体重期望:(1)理想体重(任何想要的体重);(2)满意体重(达到后会感到满意);(3)可接受体重(即使不满意也能接受);(4)失望体重(不会视为成功达成的体重)。心理评估包括烦躁不安、自尊、对自己身体的满意度(即身体自尊)以及与体重相关的生活质量。“三因素饮食问卷”评估了饮食行为:(1)认知性饮食限制(对食物摄入的控制);(2)去抑制作用(在失去控制的情况下过度进食);(3)饥饿易感性(因饥饿感和饥饿认知而进食)。

结果

女性对其理想体重(60.6±6.0千克)、满意体重(65.2±6.4千克)和可接受体重(67.9±6.8千克)的期望对应的体重减轻百分比(分别为24.2±6.6%或19.8±7.1千克、18.6±5.8%或15.2±6.0千克、15.2±5.7%或12.6±5.8千克)高于超重个体推荐的目标。设定的体重期望与当前体重和体重指数(BMI;0.37≤r≤0.85;P<0.0001)呈正相关。当根据当前BMI对女性进行一对一匹配,但她们的满意BMI不同时,与满意BMI不太现实的女性相比,满意BMI更现实的女性年龄更大(P=0.03),对体重的满意度更高(P=0.04),灵活限制得分更高(P=0.003),饥饿易感性得分更低(P=0.02)。

结论

这些发现表明,拥有更现实的体重期望与更健康的心理和饮食行为特征相关。

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