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高频暴饮暴食预示着接受行为减肥治疗的退伍军人的体重增加。

High-frequency binge eating predicts weight gain among veterans receiving behavioral weight loss treatments.

作者信息

Masheb Robin M, Lutes Lesley D, Kim Hyungjin Myra, Holleman Robert G, Goodrich David E, Janney Carol A, Kirsh Susan, Richardson Caroline R, Damschroder Laura J

机构信息

Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA; VA Connecticut Healthcare System, West Haven, Connecticut, USA.

出版信息

Obesity (Silver Spring). 2015 Jan;23(1):54-61. doi: 10.1002/oby.20931. Epub 2014 Nov 11.

DOI:10.1002/oby.20931
PMID:25385705
Abstract

OBJECTIVE

To assess for the frequency of binge eating behavior and its association with weight loss in an overweight/obese sample of veterans.

METHODS

This study is a secondary analysis of data from the ASPIRE study, a randomized effectiveness trial of weight loss among veterans. Of the 481 enrolled veterans with overweight/obesity, binge eating frequency was obtained by survey for 392 (82%).

RESULTS

The majority (77.6%) reported binge eating, and 6.1% reported high-frequency binge eating. Those reporting any binge eating lost 1.4% of body weight, decreased waist circumference by 2.0 cm, and had significantly worse outcomes than those reporting never binge eating who lost about double the weight (2.7%) and reduced waist circumference by twice as much (4.2 cm). The high-frequency binge group gained 1.4% of body weight and increased waist circumference by 0.3 cm.

CONCLUSIONS

High rates of binge eating were observed in an overweight/obese sample of veterans enrolled in weight loss treatment. The presence of binge eating predicted poorer weight loss outcomes. Furthermore, high-frequency binge eating was associated with weight gain. These findings have operational and policy implications for developing effective strategies to address binge eating in the context of behavioral weight loss programs for veterans.

摘要

目的

评估超重/肥胖退伍军人样本中暴饮暴食行为的频率及其与体重减轻的关联。

方法

本研究是对ASPIRE研究数据的二次分析，ASPIRE研究是一项退伍军人减肥的随机有效性试验。在481名登记的超重/肥胖退伍军人中，通过调查获得了392名（82%）的暴饮暴食频率。

结果

大多数（77.6%）报告有暴饮暴食行为，6.1%报告有高频暴饮暴食行为。报告有任何暴饮暴食行为的人减重1.4%，腰围减少2.0厘米，其结果明显比那些报告从未暴饮暴食的人差，后者减重约两倍（2.7%），腰围减少两倍（4.2厘米）。高频暴饮暴食组体重增加1.4%，腰围增加0.3厘米。

结论

在参加减肥治疗的超重/肥胖退伍军人样本中观察到高比例的暴饮暴食行为。暴饮暴食行为的存在预示着较差的减肥效果。此外，高频暴饮暴食与体重增加有关。这些发现对于制定有效的策略以解决退伍军人行为减肥计划中的暴饮暴食问题具有操作和政策意义。

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