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肥胖成年人暴饮暴食障碍患者执行功能的营养与神经心理学特征

Nutritional and neuropsychological profile of the executive functions on binge eating disorder in obese adults.

作者信息

Córdova Mariana Ermel, Schiavon Cecilia Cesa, Busnello Fernanda Michielin, Reppold Caroline Tozzi

机构信息

Universidade Federal de Ciências da Saúde de Porto Alegre.

出版信息

Nutr Hosp. 2017 Nov 17;34(5):1448-1454. doi: 10.20960/nh.1151.

Abstract

OBJECTIVE

To examine the relationships between obese patients with and without binge eating disorder (BED) and the neuropsychological profiles of their executive functions.

METHODS

Data from 36 obese individuals (BMI ≥ 30 kg/m2) were divided into two groups, where one group was found to be positive for signs of BED according to the Binge Eating Scale. Two neuropsychological tests of executive function were carried out: the Go/No-go Task and the Iowa Gambling Task (IGT). Nutritional status was evaluated by measures of body weight, height and abdominal circumference, and from these, body mass indexes (BMI) were calculated.

RESULTS

Both groups presented similar nutritional characteristics; there were no differences when it came to the health status of individuals with or without BED. Participants found positive for signs of BED had the lowest IGT scores (p = 0.004), and Go/No-go omission scores (p = 0.015) and commission scores (p = 0.04). Further statistically significant differences were also observed here between the two groups. Statistical differences in the IGT results correlated with BED, and were associated categorically (p = 0.005).

CONCLUSION

Obese individuals frequently present deficits in selective attention, inhibitory control, decision-making and planning that can be directly related to binge eating and which is linked to BED. Nutritional status did not differ between the two groups studied, and did not show any connection with the disorder.

摘要

目的

研究伴有和不伴有暴饮暴食症(BED)的肥胖患者与其执行功能的神经心理学特征之间的关系。

方法

将36名肥胖个体(体重指数≥30kg/m²)的数据分为两组,其中一组根据暴饮暴食量表被发现有暴饮暴食症迹象呈阳性。进行了两项执行功能的神经心理学测试:停止信号任务和爱荷华赌博任务(IGT)。通过体重、身高和腹围测量评估营养状况,并据此计算体重指数(BMI)。

结果

两组呈现出相似的营养特征;有或没有暴饮暴食症的个体在健康状况方面没有差异。被发现有暴饮暴食症迹象呈阳性的参与者的IGT分数最低(p = 0.004),停止信号任务的漏报分数(p = 0.015)和虚报分数(p = 0.04)也是如此。两组之间在此处还观察到进一步的统计学显著差异。IGT结果的统计差异与暴饮暴食症相关,并且在类别上具有关联性(p = 0.005)。

结论

肥胖个体经常在选择性注意、抑制控制、决策和计划方面存在缺陷,这些缺陷可能与暴饮暴食直接相关,并且与暴饮暴食症有关。所研究的两组之间营养状况没有差异,并且与该病症没有任何关联。

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