Department of Nutrition and Dietetics, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
PLoS One. 2018 Apr 20;13(4):e0195541. doi: 10.1371/journal.pone.0195541. eCollection 2018.
This study aimed to investigate whether there was any difference in eating pattern, abnormal eating behaviour, obesity and the number of food addiction symptoms according to food addiction presence. A total sample of 851 healthy subjects living in Ankara (n = 360 male, n = 491 female) aged 19-65 years were included in this cross-sectional survey. Data on demographic information, 24-hour dietary recalls, Yale Food Addiction Scale (YFAS), Eating Attitudes Test-26 (EAT-26), and anthropometric measurements were collected through face-to-face interviews. Overall, 11.4% of participants were identified as "food addicted" (F: 13.0%; M: 9.2%). Subjects meeting criteria for 'food addiction' had higher body mass index (35.1% were obese and 3.1% were underweight), compared to subjects without food addiction (13.1% were obese and 10.2% were underweight) (p<0.05). Abnormal eating attitudes estimated with EAT-26 were determined as 45.5% in males, 37.5% in females and 40.2% in total, among subjects with food addiction. Daily energy, protein and fat intakes were significantly higher in food addicted females, compared to non-addicted females (p<0.05). Participants with food addiction reported significantly more problems with foods, which contain high amounts of fat and sugar, compared to the participants without food addiction. Food addiction behaviour should be considered as a part of efforts towards reducing food related problems involving obesity.
本研究旨在探究是否存在饮食模式、异常进食行为、肥胖和食物成瘾症状数量的差异，这些差异与食物成瘾的存在有关。本横断面调查共纳入 851 名居住在安卡拉的健康受试者（n=360 名男性，n=491 名女性），年龄在 19-65 岁之间。通过面对面访谈收集了人口统计学信息、24 小时膳食回忆、耶鲁食物成瘾量表（YFAS）、饮食态度测试-26（EAT-26）和人体测量学数据。总的来说，11.4%的参与者被确定为“食物成瘾”（女性：13.0%；男性：9.2%）。符合“食物成瘾”标准的受试者的体重指数（BMI）更高（35.1%肥胖，3.1%消瘦），而无食物成瘾的受试者的 BMI 更低（13.1%肥胖，10.2%消瘦）（p<0.05）。通过 EAT-26 评估的异常进食态度在男性中为 45.5%，在女性中为 37.5%，在总人群中为 40.2%，在有食物成瘾的受试者中更为常见。与无食物成瘾的女性相比，有食物成瘾的女性每日能量、蛋白质和脂肪的摄入量明显更高（p<0.05）。有食物成瘾行为的参与者报告了更多与高糖和高脂肪食物相关的问题，而无食物成瘾的参与者则较少报告此类问题。在减少与肥胖相关的食物相关问题的努力中，应将食物成瘾行为视为其中的一部分。
