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宠物肥胖与儿童肥胖的相似之处:成瘾模型。

Similarities between obesity in pets and children: the addiction model.

作者信息

Pretlow Robert A, Corbee Ronald J

机构信息

1eHealth International,2800 Elliott Avenue #1430, Seattle, WA 98121,USA.

2Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine,Utrecht University,Yalelaan 108,3584 CM Utrecht,The Netherlands.

出版信息

Br J Nutr. 2016 Sep;116(5):944-9. doi: 10.1017/S0007114516002774. Epub 2016 Jul 29.

Abstract

Obesity in pets is a frustrating, major health problem. Obesity in human children is similar. Prevailing theories accounting for the rising obesity rates - for example, poor nutrition and sedentary activity - are being challenged. Obesity interventions in both pets and children have produced modest short-term but poor long-term results. New strategies are needed. A novel theory posits that obesity in pets and children is due to 'treats' and excessive meal amounts given by the 'pet-parent' and child-parent to obtain affection from the pet/child, which enables 'eating addiction' in the pet/child and results in parental 'co-dependence'. Pet-parents and child-parents may even become hostage to the treats/food to avoid the ire of the pet/child. Eating addiction in the pet/child also may be brought about by emotional factors such as stress, independent of parental co-dependence. An applicable treatment for child obesity has been trialled using classic addiction withdrawal/abstinence techniques, as well as behavioural addiction methods, with significant results. Both the child and the parent progress through withdrawal from specific 'problem foods', next from snacking (non-specific foods) and finally from excessive portions at meals (gradual reductions). This approach should adapt well for pets and pet-parents. Pet obesity is more 'pure' than child obesity, in that contributing factors and treatment points are essentially under the control of the pet-parent. Pet obesity might thus serve as an ideal test bed for the treatment and prevention of child obesity, with focus primarily on parental behaviours. Sharing information between the fields of pet and child obesity would be mutually beneficial.

摘要

宠物肥胖是一个令人沮丧的主要健康问题。人类儿童肥胖情况与之相似。关于肥胖率上升的主流理论——例如,营养不良和久坐不动——正受到挑战。针对宠物和儿童的肥胖干预措施在短期内取得了一定成效,但长期效果不佳。需要新的策略。一种新理论认为,宠物和儿童肥胖是由于“宠物主人”和孩子的父母为了从宠物/孩子那里获得喜爱而给予“零食”和过量食物,这导致宠物/孩子“饮食成瘾”,并造成父母的“相互依赖”。宠物主人和孩子的父母甚至可能受制于这些零食/食物,以避免宠物/孩子发怒。宠物/孩子的饮食成瘾也可能由压力等情感因素引发,与父母的相互依赖无关。一种适用于儿童肥胖的治疗方法已通过使用经典的成瘾戒断/节制技术以及行为成瘾方法进行了试验,取得了显著效果。孩子和父母先从戒除特定的“问题食物”开始,接着是减少吃零食(非特定食物),最后是减少每餐的过量食物摄入(逐步减量)。这种方法应该很适合宠物和宠物主人。宠物肥胖比儿童肥胖更“纯粹”,因为促成因素和治疗要点基本上都在宠物主人的控制之下。因此,宠物肥胖可能成为治疗和预防儿童肥胖的理想试验平台,主要关注父母的行为。宠物肥胖和儿童肥胖领域之间共享信息将是互利的。

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