Keser Alev, Yüksel Ayşegül, Yeşiltepe-Mutlu Gül, Bayhan Asuman, Özsu Elif, Hatun Şükrü
Department of Nutrition and Dietetics, Faculty of Health Sciences, Ankara University, Ankara, Turkey.
Turk J Pediatr. 2015 May-Jun;57(3):219-24.
Uncontrolled eating behavior in obese subjects is very similar to behavior in food addiction, suggesting a relationship. This study was designed to evaluate the relationship between childhood obesity and food addiction and to determine the frequency of food addiction among obese children and adolescents. The study included 100 overweight and obese children. Food addiction was evaluated by the Yale Food Addiction Scale (YFAS). The cutoff value for food addiction was defined as the presence of 3 or more symptoms. Participants were between 10 and 18 years of age; 63% were girls. Of the participants, 71% had food addiction. The most addictive foods were chocolate, ice cream, carbonated beverages, French fries, white bread, rice, candy, chips and pasta, in decreasing order of frequency. Experiencing a frequent feeling of hunger was associated with a 2.2-fold increase in food addiction risk, while consumption of French fries ≥1-2 times per week was associated with a 2.3-fold increase in risk (p<0.05). The high YFAS scores in obese and overweight adolescents suggest that food addiction plays an important role in childhood obesity. Evaluation of food addiction in more detail may open a new perspective on the prevention and treatment of obesity.
肥胖受试者中不受控制的饮食行为与食物成瘾行为非常相似，这表明二者之间存在关联。本研究旨在评估儿童肥胖与食物成瘾之间的关系，并确定肥胖儿童和青少年中食物成瘾的发生率。该研究纳入了100名超重和肥胖儿童。采用耶鲁食物成瘾量表（YFAS）评估食物成瘾情况。食物成瘾的临界值定义为存在3种或更多症状。参与者年龄在10至18岁之间；63%为女孩。在参与者中，71%有食物成瘾问题。成瘾性最强的食物依次为巧克力、冰淇淋、碳酸饮料、薯条、白面包、米饭、糖果、薯片和意大利面。经常感到饥饿与食物成瘾风险增加2.2倍相关，而每周食用薯条≥1 - 2次与风险增加2.3倍相关（p<0.05）。肥胖和超重青少年的YFAS高分表明食物成瘾在儿童肥胖中起重要作用。更详细地评估食物成瘾可能为肥胖的预防和治疗开辟新的视角。
