Pursey Kirrilly M, Collins Clare E, Stanwell Peter, Burrows Tracy L
School of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia.
Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW, Australia.
Addict Behav Rep. 2015 Jun 5;2:41-48. doi: 10.1016/j.abrep.2015.05.007. eCollection 2015 Dec.
It has been suggested that addictive behaviors related to consumption of specific foods could contribute to overeating and obesity. Although energy-dense, hyper-palatable foods are hypothesized to be associated with addictive-like eating behaviors, few studies have assessed this in humans.
To evaluate in young adults whether intakes of specific foods are associated with 'food addiction', as assessed by the Yale Food Addiction Scale (YFAS), and to describe the associated nutrient intake profiles.
Australian adults aged 18-35 years were invited to complete an online cross-sectional survey including demographics, the YFAS and usual dietary intake. Participants were classified as food addicted (FAD) or non-addicted (NFA) according to the YFAS predefined scoring criteria.
A total 462 participants (86% female, 73% normal weight) completed the survey, with 14.7% ( = 68) classified as FAD. The FAD group had a higher proportion of females ( = .01) and higher body mass index ( < .001) compared to NFA. Higher YFAS symptom scores were associated with higher percentage energy intake (%E) from energy-dense, nutrient-poor foods including candy, take out and baked sweet products, as well as lower %E from nutrient-dense core foods including whole-grain products and breakfast cereals. These remained statistically significant when adjusted for age, sex and BMI category ( = .001).
Statistically significant associations were identified between YFAS assessed food addiction and dietary intake, specifically intakes of energy-dense, nutrient-poor foods. However, the effect sizes were small limiting clinical applications. Further examination of the relationship between addictive-like eating and intake of specific foods in a nationally representative sample is warranted.
有人提出，与特定食物消费相关的成瘾行为可能导致暴饮暴食和肥胖。尽管能量密集、味道极佳的食物被认为与成瘾性饮食行为有关，但很少有研究在人类身上对此进行评估。
通过耶鲁食物成瘾量表（YFAS）评估，在年轻人中评估特定食物的摄入量是否与“食物成瘾”有关，并描述相关的营养摄入情况。
邀请18 - 35岁的澳大利亚成年人完成一项在线横断面调查，包括人口统计学信息、YFAS和日常饮食摄入量。根据YFAS预先定义的评分标准，将参与者分为食物成瘾组（FAD）或非成瘾组（NFA）。
共有462名参与者（86%为女性，73%体重正常）完成了调查，其中14.7%（n = 68）被归类为FAD。与NFA相比，FAD组女性比例更高（P = 0.01），体重指数更高（P < 0.001）。较高的YFAS症状评分与来自能量密集、营养匮乏食物（包括糖果、外卖和烘焙甜食）的较高能量摄入百分比（%E）相关，同时与来自营养密集的核心食物（包括全谷物产品和早餐谷物）的较低%E相关。在对年龄、性别和BMI类别进行调整后，这些结果仍具有统计学意义（P = 0.001）。
在YFAS评估的食物成瘾与饮食摄入量之间发现了具有统计学意义的关联，特别是能量密集、营养匮乏食物的摄入量。然而，效应量较小，限制了临床应用。有必要在全国代表性样本中进一步研究成瘾性饮食与特定食物摄入量之间的关系。
