Section on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland, USA.
Obesity (Silver Spring). 2013 Jun;21(6):1243-50. doi: 10.1002/oby.20218.
Eating in the absence of hunger (EAH) typically was assessed by measuring snack intake after consumption of a meal. There were no validated self-report measures of EAH. The relationship of adolescent self-report and parent-reported EAH to adolescents' measured intake in the absence of hunger was examined.
Ninety adolescents completed the Eating in the Absence of Hunger Questionnaire for Children and Adolescents (EAH-C) to describe eating when not hungry. Parents described children's EAH on a parallel version designed for parents (EAH-P). In a randomized crossover study, adolescent EAH in response to external cues was measured as snack intake after a lunch meal standardized to provide 50% of daily energy requirements and after a large array (>10,000 kcal).
Parents' reports of children's EAH in response to external cues were associated with greater EAH after both meals, adjusting for body composition, sex, age, race, puberty, and meal intake. Adolescent-reported EAH was unrelated or showed an inverse association with observed EAH.
Parent-reported EAH showed a positive association with adolescents' observed EAH and may be a useful research and clinical tool for assessing EAH in response to external cues in conditions when laboratory assessments are not feasible.
通常通过测量进食后吃零食的摄入量来评估非饥饿进食（EAH）。目前还没有经过验证的 EAH 自我报告测量方法。本研究旨在探讨青少年自我报告和父母报告的 EAH 与青少年在非饥饿状态下的实际摄入量之间的关系。
90 名青少年完成了儿童和青少年非饥饿进食问卷（EAH-C），以描述在不饥饿时进食的情况。父母则使用专为父母设计的 EAH-P 问卷来描述孩子的 EAH。在一项随机交叉研究中，在标准化的午餐（提供 50%的日能量需求）和大餐（>10000 卡路里）后，通过测量青少年对外界线索的 EAH 反应，即吃零食的量来评估青少年 EAH。
调整了身体成分、性别、年龄、种族、青春期和膳食摄入量等因素后，父母报告的孩子对外界线索的 EAH 与两餐之后的 EAH 增加有关。青少年自我报告的 EAH 与观察到的 EAH 无关或呈负相关。
父母报告的 EAH 与青少年观察到的 EAH 呈正相关，在实验室评估不可行的情况下，可能是评估对外界线索的 EAH 的一种有用的研究和临床工具。
