Cachelin Fary M, Thomas Colleen, Vela Alyssa, Gil-Rivas Virginia
Health Psychology Program and Department of Psychology, University of North Carolina at Charlotte.
Int J Eat Disord. 2017 Jan;50(1):32-39. doi: 10.1002/eat.22580. Epub 2016 Jul 20.
Establishing a regular pattern of eating is a core element of treatment for binge eating, yet no research to date has examined meal patterns of Latina women.
Compare eating patterns of Latinas who binge eat and those who do not, and examine associations between meal patterns and binge episodes, associated distress and concerns, and body mass index (BMI).
One-hundred fifty-five Latinas [65 Binge Eating Disorder (BED), 22 Bulimia Nervosa (BN), 68 with no eating disorder] were assessed with the Eating Disorder Examination.
There were no significant differences in eating patterns between groups. Breakfast was the least and dinner the most consumed meal. For the BED group: greater frequency of lunch consumption was associated with higher BMI while more frequent evening snacking was associated with lower BMI and with less weight importance; more frequent breakfast consumption, mid-morning snack consumption and total meals were associated with greater distress regarding binge eating. For the BN group, evening snack frequency was associated with less dietary restriction and more weight and shape concern; total snack frequency was associated with more weight concern. Regular meal eaters reported more episodes of binge eating than those who did not eat meals regularly.
Associations with meal patterns differed by eating disorder diagnosis. Study findings mostly are not consistent with results from prior research on primarily White women. CBT treatments may need to be tailored to address the association between binge eating and regular meal consumption for Latinas. Culturally, appropriate modifications that address traditional eating patterns should be considered. © 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2017; 50:32-39).
建立规律的饮食模式是暴饮暴食治疗的核心要素,但迄今为止尚无研究调查拉丁裔女性的饮食模式。
比较暴饮暴食的拉丁裔女性和未暴饮暴食的拉丁裔女性的饮食模式,并研究饮食模式与暴饮暴食发作、相关困扰和担忧以及体重指数(BMI)之间的关联。
对155名拉丁裔女性[65名患有暴饮暴食症(BED),22名患有神经性贪食症(BN),68名无饮食失调]进行饮食失调检查评估。
各组之间的饮食模式无显著差异。早餐摄入量最少,晚餐摄入量最多。对于患有暴饮暴食症的组:午餐摄入频率较高与较高的BMI相关,而晚餐零食摄入频率较高与较低的BMI以及对体重重要性的较低关注度相关;早餐摄入频率较高、上午中间时段零食摄入频率较高以及总餐数较多与对暴饮暴食的更大困扰相关。对于患有神经性贪食症的组,晚餐零食频率与较少的饮食限制以及更多的体重和体型关注相关;总零食频率与更多的体重关注相关。规律用餐者报告的暴饮暴食发作次数比不规律用餐者更多。
饮食模式的关联因饮食失调诊断而异。研究结果大多与之前主要针对白人女性的研究结果不一致。认知行为疗法(CBT)治疗可能需要进行调整,以解决拉丁裔女性暴饮暴食与规律用餐之间的关联。在文化方面,应考虑针对传统饮食模式进行适当调整。©2016威利期刊公司(《国际进食障碍杂志》2017年;50:32 - 39)。