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探索儿科患者的食物成瘾:初步研究。

Exploration of food addiction in pediatric patients: A preliminary investigation.

机构信息

Department of Psychiatry, University of Florida.

出版信息

J Addict Med. 2009 Mar;3(1):26-32. doi: 10.1097/ADM.0b013e31819638b0.

Abstract

OBJECTIVES

The goals of the present study were to explore the possibility that symptoms of food addiction may exist for some children and to identify factors that may be associated with pediatric food addiction.

METHODS

Participants were 50 children (aged 8-19), recruited from the Pediatric Lipid Clinic at a large southeastern teaching hospital, and their parent/guardian. Participants completed questionnaires to assess food- and eating-related attitudes and behaviors, as well as symptoms of food addiction.

RESULTS

Parent- and child-reported behaviors and attitudes demonstrated similar patterns. Child BMI ratings were significantly correlated with overeating (r = .42, p = .02) and emotional eating (r = .33, p = .04). Of note, 15.2% of children indicated that they "Often," "Usually," or "Always" think that they are addicted to food, and an additional 17.4% reported that they "Sometimes" feel that way. Food addiction symptoms were significantly correlated with child overeating (r = .64, p < .001), uncontrolled eating (r = .60, p < .001), emotionol eating (r = .62, p < .001), food preoccupation (r = .58, p < .001), overconcern with body size (r = .54, p < .001), and caloric awareness and control (r = -.31, p = .04).

CONCLUSIONS

Results of the present study suggest that "food addiction" may be a real problem for a subset of children who suffer from overweight/obesity. Identification of food addiction may improve obesity treatment efforts for this subset of patients.

摘要

目的

本研究旨在探讨儿童是否存在食物成瘾症状的可能性,并确定可能与小儿食物成瘾相关的因素。

方法

参与者为 50 名(年龄 8-19 岁)来自一家大型东南教学医院儿科脂科诊所的儿童及其家长/监护人。参与者完成了评估食物和饮食相关态度和行为以及食物成瘾症状的问卷。

结果

父母和孩子报告的行为和态度表现出相似的模式。儿童 BMI 评分与暴饮暴食(r =.42,p =.02)和情绪性进食(r =.33,p =.04)显著相关。值得注意的是,15.2%的儿童表示他们“经常”、“通常”或“总是”认为自己对食物上瘾,另有 17.4%的儿童表示他们“有时”有这种感觉。食物成瘾症状与儿童暴饮暴食(r =.64,p <.001)、失控进食(r =.60,p <.001)、情绪化进食(r =.62,p <.001)、对食物的过分关注(r =.58,p <.001)、过度关注体型(r =.54,p <.001)和热量意识与控制(r = -.31,p =.04)显著相关。

结论

本研究结果表明,“食物成瘾”可能是一部分超重/肥胖儿童的真正问题。识别食物成瘾可能会改善这部分患者的肥胖治疗效果。

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