Finistrella Viviana, Manco Melania, Corciulo Nicola, Sances Beatrice, Di Pietro Mario, Di Gregorio Raffaella, Di SanteMarsili Fosca, Fiumani Perla Maria, Presaghi Fabio, Ambruzzi Amalia Maria
a Research Unit for Multifactorial Diseases, Obesity and Diabetes, Ospedale Pediatrico 10 Bambino Gesù IRCCS , Rome , ITALY.
J Am Coll Nutr. 2015;34(2):142-9. doi: 10.1080/07315724.2014.938182. Epub 2015 Mar 9.
to investigate the presence of eating disorders (ED) and psychopathological traits in obese preadolescents and adolescents compared to normal-weight peers.
Overweight/obese patients aged 11 to 14 y and normal-weight peers' data collected by means of self-report questionnaires administered to parents and children.
Clinical Nutrition Units in the Municipalities of Rome, Naples, Gallipoli and Atri, Italy.
376 preadolescents and adolescents. Patients were 187 (93 boys, BMI=27.9±;4.1; 94 girls, BMI=28.1±4.5); normal-weight controls were 189 subjects (94 boys, BMI=19.4±1.4; 95 girls, BMI=19.5±1.5).
eating disorder behaviors, psychopathological traits and symptoms estimated by means of the eating disorders scales (EDI-2) and psychopathological scales (CBCL 4-18).
Patients reached higher scores than controls in most of the eating disorders scales and psychopathological scales. Twenty-one (11.2%) patients were considered at risk of developing an eating disorder and 75 (40%) presented social problems. With regard to weight status, age-group and gender, main significant interaction effects were seen in social problems (F= 6.50; p<0.05) and ineffectiveness (F= 4.15; p<0.05).
Findings from our study demonstrate that in preadolescence and adolescence, obesity is significantly associated to some traits typical of ED and to psychological problems in general. Although no inference can be made with regard to direction of causality, it is possible to conclude that overweight preadolescents and adolescents can be prone to display problematic traits more commonly associated to eating disorders and to present a high degree of mental distress.
调查肥胖的青春期前儿童和青少年与体重正常的同龄人相比，是否存在饮食失调（ED）及精神病理学特征。
通过向家长和孩子发放自填式问卷，收集11至14岁超重/肥胖患者及体重正常同龄人的数据。
意大利罗马、那不勒斯、加里波利和阿特里市的临床营养科。
376名青春期前儿童和青少年。患者187名（93名男孩，BMI = 27.9±4.1；94名女孩，BMI = 28.1±4.5）；体重正常对照组189名（94名男孩，BMI = 19.4±1.4；95名女孩，BMI = 19.5±1.5）。
通过饮食失调量表（EDI - 2）和精神病理量表（CBCL 4 - 18）评估饮食失调行为、精神病理学特征及症状。
在大多数饮食失调量表和精神病理量表中，患者得分高于对照组。21名（11.2%）患者被认为有发展为饮食失调的风险，75名（40%）存在社会问题。在体重状况、年龄组和性别方面，主要的显著交互作用见于社会问题（F = 6.50；p<0.05）和无效性（F = 4.15；p<0.05）。
我们的研究结果表明，在青春期前和青春期，肥胖与饮食失调的一些典型特征以及一般心理问题显著相关。尽管无法推断因果关系的方向，但可以得出结论，超重的青春期前儿童和青少年更容易表现出与饮食失调更常见相关的问题特征，并表现出高度的精神痛苦。
