Bas Murat, Bozan Nuray, Cigerim Nevin
Baskent University, Health Sciences Faculty, Department of Nutrition and Dietetics, Eskisehir Yolu 20.km, Baglica Kampusu, 06530, Ankara, Turkey.
Adolescence. 2008 Fall;43(171):635-48.
The purpose of this study was to determine the relationship among dieting, dietary restraint, disinhibition, hunger, and binge eating among overweight adolescent girls. Participants were 743 overweight adolescent girls between 16 and 19 years of age. The mean BMI was 24.9 +/- 0.8 kg/m2 in the low-restraint group and 25.1 +/- 0.8 kg/m2 in the high-restraint group (p < 0.05).Twenty percent of participants in the low-restraint group and 72% of those in the high-restraint group followed weight management practices for losing weight. The mean total TFEQ score was 21.5 +/- 7.8 for chronic dieters and 25.5 +/- 8.7 for non-chronic dieters. Chronic dieter participants had significantly lower scores than non-chronic dieters (p < 0.05). Findings indicate that overweight adolescents (dieting 5-10 times or more than 10 times in the past year) reported higher disinhibition and hunger scores than others (no dieting in the past year). Also, adolescents with BED reported significantly higher scores of disinhibition and hunger than did adolescents with non-BED. Conversely, overweight adolescents with BED showed significantly higher cognitive restraint scores than did adolescents with non-BED. In sum, high scores on restraint, hunger, and disinhibition of overweight adolescent girls as measured by the TFEQ, are associated with low self-esteem, high social physique anxiety, and high trait anxiety.
本研究的目的是确定超重少女在节食、饮食抑制、去抑制、饥饿和暴饮暴食之间的关系。研究对象为743名年龄在16至19岁之间的超重少女。低抑制组的平均体重指数为24.9±0.8kg/m²，高抑制组为25.1±0.8kg/m²（p<0.05）。低抑制组20%的参与者和高抑制组72%的参与者采取了体重管理措施来减肥。慢性节食者的平均总TFEQ评分为21.5±7.8，非慢性节食者为25.5±8.7。慢性节食者的得分显著低于非慢性节食者（p<0.05）。研究结果表明，超重青少年（过去一年节食5至10次或10次以上）的去抑制和饥饿得分高于其他人（过去一年未节食）。此外，患有暴饮暴食症的青少年的去抑制和饥饿得分显著高于未患暴饮暴食症的青少年。相反，患有暴饮暴食症的超重青少年的认知抑制得分显著高于未患暴饮暴食症的青少年。总之，通过TFEQ测量，超重少女在抑制、饥饿和去抑制方面的高分与低自尊、高社交体型焦虑和高特质焦虑有关。
