Department of Psychological Medicine, University of Otago, Christchurch and Canterbury District Health Board, P.O. Box 4345, Christchurch, New Zealand.
Appetite. 2012 Jun;58(3):1063-9. doi: 10.1016/j.appet.2012.01.016. Epub 2012 Jan 25.
People who are obese and want to lose weight without surgery deserve the best treatment that we can offer. In the absence of robust and enduring treatment effects for psychological interventions for obesity, it is useful to return to first principles. From a behavioural perspective, the first task is to identify the full range of target eating behaviours involved in obesity. Surprisingly, a consensus on the key target eating behaviours typically involved in obesity does not seem to currently exist. In this opinion piece, we discuss which eating behaviours might be important to consider when treating obesity, and provide a self-report questionnaire that aims to identify these behaviours (see Supplementary material). We believe that it is important to be aware of the full range of eating behaviours that are potentially relevant to obesity, as different eating behaviours may be problematic for different people. Target eating behaviours associated with obesity may also be different from those of key relevance to eating disorders. Factors that should be taken into account when assessing target eating behaviours and developing effective treatments for obesity are also discussed. Particular attention is paid to 'grazing,' a relatively neglected high risk eating behaviour for weight gain.
肥胖且希望通过非手术方式减肥的人群，应得到我们所能提供的最佳治疗。鉴于针对肥胖的心理干预措施尚未产生稳定且持久的效果，我们有必要回归基本原则。从行为学角度来看，首要任务是确定涉及肥胖的所有目标饮食行为。令人惊讶的是，目前似乎尚未就肥胖症中常见的关键目标饮食行为达成共识。在这篇观点文章中，我们讨论了在治疗肥胖症时可能需要考虑的哪些饮食行为，并提供了一份旨在确定这些行为的自我报告问卷（见补充材料）。我们认为，了解与肥胖症相关的所有潜在饮食行为非常重要，因为不同的饮食行为可能对不同的人造成问题。与肥胖相关的目标饮食行为也可能与对饮食失调症具有关键意义的行为不同。在评估目标饮食行为和为肥胖症制定有效治疗方案时，还应考虑到各种因素。特别关注“零嘴”，即一种相对被忽视的与体重增加相关的高风险饮食行为。
