Kurz Susanne, Schoebi Dominik, Dremmel Daniela, Kiess Wieland, Munsch Simone, Hilbert Anja
Department of Psychology, University of Fribourg, Fribourg, Switzerland; Integrated Research and Treatment Center AdiposityDiseases, University of Leipzig Medical Center, Leipzig, Germany; Department of Medical Psychology and Medical Sociology, University of Leipzig Medical Center, Leipzig, Germany.
Department of Psychology, University of Fribourg, Fribourg, Switzerland.
Appetite. 2017 Sep 1;116:90-98. doi: 10.1016/j.appet.2017.04.013. Epub 2017 Apr 18.
Children with loss of control (LOC) eating and attention-deficit/hyperactivity disorder (ADHD) are at risk for excessive weight gain. However, it is unclear whether or not these children show disturbances in hunger and satiety regulation. The goal was to examine the food intake and sense of LOC over eating as well as LOC eating-related characteristics during test meal in children with LOC eating and ADHD. Children aged 8-13 y with LOC eating (n = 33), ADHD (n = 32), and matched healthy controls (n = 33), consumed a test meal consisting of their chosen lunch food, with the instruction to eat until feeling full. Sense of LOC over eating, desire to eat, feelings of hunger, and liking of food were repeatedly assessed during test meal. Children with LOC eating and ADHD did not show a higher food intake at maximum satiety compared to control children. Sense of LOC over eating was significantly higher in children with LOC eating compared to children with ADHD and matched controls. Secondary analyses revealed that children with LOC eating ate marginally faster than control children. Both children with LOC eating and ADHD reported greater desire to eat, feelings of hunger, and liking of food during test meal than control children. Even though the results did not reveal statistical evidence to support the assumption of a disturbed food intake in children with LOC eating and ADHD, LOC eating related characteristics were significantly higher in these children compared to the control children. Sense of LOC over eating was confirmed as a specific characteristic of LOC eating. The examination of behavioral indicators of hunger and satiety dysregulation should be complemented with physiological indicators in future research.
患有失控性进食（LOC）和注意力缺陷多动障碍（ADHD）的儿童存在体重过度增加的风险。然而，尚不清楚这些儿童在饥饿和饱腹感调节方面是否存在紊乱。目的是研究患有LOC进食和ADHD的儿童在试餐期间的食物摄入量、对进食的失控感以及与LOC进食相关的特征。8至13岁患有LOC进食的儿童（n = 33）、患有ADHD的儿童（n = 32）以及匹配的健康对照组儿童（n = 33）食用了一顿由他们选择的午餐食物组成的试餐，并被要求吃到感觉饱为止。在试餐期间反复评估对进食的失控感、进食欲望、饥饿感和对食物的喜好。与对照组儿童相比，患有LOC进食和ADHD的儿童在最大饱腹感时的食物摄入量并未更高。与患有ADHD的儿童和匹配的对照组相比，患有LOC进食的儿童对进食的失控感明显更高。二次分析显示，患有LOC进食的儿童进食速度略快于对照组儿童。患有LOC进食和ADHD的儿童在试餐期间报告的进食欲望、饥饿感和对食物的喜好均高于对照组儿童。尽管结果没有揭示统计证据来支持患有LOC进食和ADHD的儿童存在食物摄入紊乱的假设，但与对照组儿童相比，这些儿童与LOC进食相关的特征明显更高。对进食的失控感被确认为LOC进食的一个特定特征。在未来的研究中，对饥饿和饱腹感调节失调的行为指标的检查应辅以生理指标。
