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肥胖中年女性的心理社会和行为特征以及自我报告的能量摄入不足的预测因素。

Psychosocial and behavioral profile and predictors of self-reported energy underreporting in obese middle-aged women.

作者信息

Abbot Jaclyn Maurer, Thomson Cynthia A, Ranger-Moore James, Teixeira Pedro J, Lohman Timothy G, Taren Douglas L, Cussler Ellen, Going Scott B, Houtkooper Linda B

机构信息

Nutritional Sciences, Cook College at Rutgers University, The State University of New Jersey, New Brunswick, NJ 08901, USA.

出版信息

J Am Diet Assoc. 2008 Jan;108(1):114-9. doi: 10.1016/j.jada.2007.10.007.

Abstract

Energy underreporting is a concern with dietary intake data; therefore, subject characteristics associated with underreporting energy intake should be elucidated. Baseline self-reported dietary intake and measures of diet and weight history, life status, weight-loss readiness, psychology, eating behavior, physical activity, and self-image of obese middle-aged women (mean body mass index [calculated as kg/m(2)]=31.0) enrolled in a lifestyle weight-loss program were evaluated. Of the 155 participating, 71 women were identified as underreporting energy intake using the Goldberg cutoff values. Comparison of means between psychosocial and behavioral measures from energy underreporters and energy accurate reporters were used to help develop logistic regression models that could predict likelihood to underreport energy intake based on baseline measures. Characteristics most predictive of energy underreporting included fewer years of education (P=0.01), less-realistic weight-loss goals (P=0.02), higher perceived exercise competence (P=0.07), more social support to exercise (P=0.04), more body-shape concern (P=0.01), and higher perception of physical condition (P=0.03). These results highlight distinct psychosocial and behavioral characteristics that, at baseline, can help identify the likelihood an overweight middle-aged woman entering a weight-loss intervention will underreport energy intake. These results can help provide a framework for screening study participants for probability of energy underreporting, based on baseline psychosocial and behavioral measures. This knowledge can help researchers target at-risk subjects and, through education and training, improve the accuracy of self-reported energy intake and, ultimately, the accuracy of energy and nutrient intake relationships with health and disease.

摘要

能量摄入报告不足是膳食摄入数据存在的一个问题;因此,应阐明与能量摄入报告不足相关的受试者特征。对参加一项生活方式减肥计划的肥胖中年女性(平均体重指数[以kg/m²计算]=31.0)的基线自我报告膳食摄入量以及饮食和体重史、生活状况、减肥意愿、心理、饮食行为、身体活动和自我形象的测量指标进行了评估。在155名参与者中,根据戈德堡临界值,有71名女性被确定为能量摄入报告不足。通过比较能量摄入报告不足者和能量摄入报告准确者的心理社会和行为测量指标的均值,来帮助建立逻辑回归模型,该模型可以根据基线测量指标预测能量摄入报告不足的可能性。最能预测能量摄入报告不足的特征包括受教育年限较少(P=0.01)、减肥目标不太现实(P=0.02)、较高的运动能力感知(P=0.07)、更多的运动社会支持(P=0.04)、更多的体型关注(P=0.01)以及较高的身体状况感知(P=0.03)。这些结果突出了不同的心理社会和行为特征,这些特征在基线时可以帮助识别进入减肥干预的超重中年女性能量摄入报告不足的可能性。这些结果可以帮助提供一个框架,用于根据基线心理社会和行为测量指标筛选研究参与者能量摄入报告不足的可能性。这些知识可以帮助研究人员针对有风险的受试者,并通过教育和培训,提高自我报告能量摄入的准确性,并最终提高能量和营养素摄入与健康和疾病关系的准确性。

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