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青少年暴饮暴食以及饮用含糖饮料和食用零食中的抑制控制效应。

Inhibitory control effects in adolescent binge eating and consumption of sugar-sweetened beverages and snacks.

作者信息

Ames Susan L, Kisbu-Sakarya Yasemin, Reynolds Kim D, Boyle Sarah, Cappelli Christopher, Cox Matthew G, Dust Mark, Grenard Jerry L, Mackinnon David P, Stacy Alan W

机构信息

School of Community and Global Health, Claremont Graduate University, 675 West foothill Blvd. Suite 310, Claremont, CA 91711-3475, USA.

Department of Psychology, Arizona State University, PO Box 871104, 950 S. McAllister, Room 237, Tempe, AZ 85287-1104, USA.

出版信息

Appetite. 2014 Oct;81:180-92. doi: 10.1016/j.appet.2014.06.013. Epub 2014 Jun 17.

Abstract

Inhibitory control and sensitivity to reward are relevant to the food choices individuals make frequently. An imbalance of these systems can lead to deficits in decision-making that are relevant to food ingestion. This study evaluated the relationship between dietary behaviors - binge eating and consumption of sweetened beverages and snacks - and behavioral control processes among 198 adolescents, ages 14 to 17. Neurocognitive control processes were assessed with the Iowa Gambling Task (IGT), a generic Go/No-Go task, and a food-specific Go/No-Go task. The food-specific version directly ties the task to food cues that trigger responses, addressing an integral link between cue-habit processes. Diet was assessed with self-administered food frequency and binge eating questionnaires. Latent variable models revealed marked gender differences. Inhibitory problems on the food-specific and generic Go/No-Go tasks were significantly correlated with binge eating only in females, whereas inhibitory problems measured with these tasks were the strongest correlates of sweet snack consumption in males. Higher BMI percentile and sedentary behavior also predicted binge eating in females and sweet snack consumption in males. Inhibitory problems on the generic Go/No-Go, poorer affective decision-making on the IGT, and sedentary behavior were associated with sweetened beverage consumption in males, but not females. The food-specific Go/No-Go was not predictive in models evaluating sweetened beverage consumption, providing some initial discriminant validity for the task, which consisted of sweet/fatty snacks as no-go signals and no sugar-sweetened beverage signals. This work extends research findings, revealing gender differences in inhibitory function relevant to behavioral control. Further, the findings contribute to research implicating the relevance of cues in habitual behaviors and their relationship to snack food consumption in an understudied population of diverse adolescents not receiving treatment for eating disorders.

摘要

抑制控制和对奖励的敏感度与个体频繁做出的食物选择相关。这些系统的失衡会导致与食物摄入相关的决策缺陷。本研究评估了198名14至17岁青少年的饮食行为(暴饮暴食以及含糖饮料和零食的消费)与行为控制过程之间的关系。通过爱荷华赌博任务(IGT)、一项通用的“是/否”任务以及一项特定食物的“是/否”任务来评估神经认知控制过程。特定食物版本将任务直接与触发反应的食物线索联系起来,解决了线索 - 习惯过程之间的一个重要联系。通过自我管理的食物频率问卷和暴饮暴食问卷来评估饮食情况。潜在变量模型显示出明显的性别差异。仅在女性中,特定食物和通用“是/否”任务上的抑制问题与暴饮暴食显著相关,而用这些任务测量的抑制问题是男性食用甜零食的最强相关因素。较高的BMI百分位数和久坐行为也分别预测了女性的暴饮暴食和男性的甜零食消费。通用“是/否”任务上的抑制问题、IGT上较差的情感决策以及久坐行为与男性的含糖饮料消费相关,但与女性无关。在评估含糖饮料消费的模型中,特定食物的“是/否”任务没有预测性,这为该任务提供了一些初步的区分效度,该任务由甜/油腻零食作为否信号且无糖含糖饮料信号组成。这项工作扩展了研究结果,揭示了与行为控制相关的抑制功能中的性别差异。此外,这些发现有助于研究表明线索在习惯行为中的相关性以及它们与未接受饮食失调治疗的多样化青少年这一研究较少群体中的零食消费之间的关系。

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