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节食:是未来体重增加的原因还是表现?

Dieting: proxy or cause of future weight gain?

机构信息

Department of Psychology, Drexel University, Philadelphia, PA, USA.

出版信息

Obes Rev. 2015 Feb;16 Suppl 1:19-24. doi: 10.1111/obr.12252.

Abstract

The relationship between dieting and body mass has a long and controversial history. This paper aims to help resolve this issue by making two key distinctions. The first is between dieting as a cause of weight gain/regain and as a proxy risk factor for identifying non-obese individuals prone to weight gain for reasons other than dieting. The second is between the body mass that is attained following one or more weight loss/regain cycles and the body mass that might have been reached had dieting never been undertaken. Evidence is reviewed on the relation between recent diet-induced weight loss and sustained weight loss (weight suppression), on the one hand, and weight regain, on the other hand. Furthermore, the reason that a history of dieting in non-obese individuals reflects a susceptibility to future weight gain is explained. It is concluded that (i) diet-induced weight loss hastens weight regain but a history of weight loss diets does not cause weight gain beyond that which would occur in the absence of dieting, and (ii) weight loss dieting in non-obese individuals does not cause future weight gain but is simply a proxy risk factor reflecting a personal vulnerability to weight gain and living in an obesogenic environment.

摘要

节食与体重之间的关系由来已久,颇具争议。本文旨在通过两个关键区别来解决这个问题。第一个区别是,节食作为体重增加/恢复的原因,以及作为识别非肥胖个体的代理风险因素,这些个体由于其他原因而不是节食导致体重增加。第二个区别是,在经历一次或多次减肥/反弹周期后达到的体重,与如果从未节食过可能达到的体重之间的区别。本文回顾了近期节食引起的体重减轻与持续的体重减轻(体重抑制)与体重反弹之间的关系。此外,还解释了为什么非肥胖个体的节食史反映了对未来体重增加的易感性。结论是:(i)节食引起的体重减轻会加速体重反弹,但节食史并不会导致除了不节食就会发生的体重增加之外的体重增加;(ii)非肥胖个体的减肥节食不会导致未来的体重增加,而是体重增加和生活在肥胖环境中的个人易感性的代理风险因素。

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