Center for Innovation to Implementation, VA Palo Alto Health Care System, 795 Willow Road (MPD-152), Menlo Park, CA 94205, USA; Department of Psychiatry and Behavioral Sciences, Stanford University, 401 Quarry Road, Stanford, CA 94304, USA.
San Francisco VA Medical Center, 4150 Clement Street, San Francisco, CA 94121, USA.
Appetite. 2017 Nov 1;118:161-167. doi: 10.1016/j.appet.2017.08.009. Epub 2017 Aug 9.
Disordered eating, ranging from occasional binge eating or restriction to behaviors associated with eating disorder diagnoses, is common among military personnel and veterans. However, there is little information on how military service affects eating habits.
To describe possible pathways between military service and disordered eating among women veterans, a high risk group.
Twenty women veterans who reported changing eating habits in response to stress participated in audio-recorded focus groups or dyadic interviews between April 2013 and October 2014. We used thematic analysis of transcripts to identify and understand women's self-reported eating habits before, during, and after military service.
Participants reported entering the military with varied eating habits, but little disordered eating. Participants described several ways military environments affected eating habits, for example, by promoting fast, irregular, binge-like eating and disrupting the reward value of food. Participants believed military-related stressors, which were often related to gender, also affected eating habits. Such stressors included military sexual trauma and the need to meet military weight requirements in general and after giving birth. Participants also reported that poor eating habits continued after military service, often because they remained under stress.
For some women, military service can result in socialization to poor eating habits, which when combined with exposure to stressors can lead to disordered eating. Additional research is needed, including work to understand possible benefits associated with providing support in relation to military weight requirements and the transition out of military service. Given the unique experiences of women in the military, future work could also focus on health services surrounding pregnancy-related weight change and the stress associated with being a woman in predominantly male military environments.
在军人和退役军人中,饮食失调较为常见,包括偶尔暴食或节食,以及与饮食障碍诊断相关的行为。然而,关于兵役如何影响饮食习惯的信息却很少。
描述女兵这一高风险群体中兵役与饮食失调之间可能存在的联系。
2013 年 4 月至 2014 年 10 月期间,20 名报告因压力而改变饮食习惯的女性退役军人参加了录音焦点小组或二人小组访谈。我们对转录本进行主题分析,以识别和理解女性在兵役前后的自我报告饮食习惯。
参与者报告入伍时饮食习惯各异,但饮食失调很少见。参与者描述了几种兵役环境影响饮食习惯的方式,例如促进快速、不规律、暴食样饮食和破坏食物的奖励价值。参与者认为与军事相关的压力源也会影响饮食习惯,这些压力源通常与性别有关,包括军事性创伤和普遍以及生育后满足军事体重要求的需要。参与者还报告说,兵役后不良的饮食习惯仍在继续,通常是因为他们仍处于压力之下。
对于一些女性来说,兵役可能导致不良饮食习惯的社会化,如果再加上暴露于压力源,可能会导致饮食失调。需要进一步研究,包括了解与军事体重要求和兵役退伍相关的支持提供相关的可能益处,以及针对与怀孕相关的体重变化和在男性主导的军事环境中作为女性相关的压力的健康服务。鉴于女性在军队中的独特经历,未来的工作也可以专注于与怀孕相关的体重变化和与男性主导的军事环境中作为女性相关的压力相关的健康服务。