Kelly Nichole R, Cotter Elizabeth, Guidinger Claire
Counseling Psychology and Human Services, University of Oregon, United States of America; The Prevention Science Institute, University of Oregon, United States of America.
Department of Health Studies, American University, United States of America.
Eat Behav. 2018 Aug;30:115-119. doi: 10.1016/j.eatbeh.2018.07.003. Epub 2018 Jul 3.
Data suggest that assessing for the presence of loss of control (LOC) while eating is more useful in identifying risk for excess weight gain and psychosocial comorbidities than focusing on the amount of food consumed during episodes of perceived overeating. Yet, most of this research has included children and women. The current study examined whether perceived overeating patterns with and without LOC were uniquely associated with eating- and weight-related comorbidities in a community sample of young men. Participants (N = 1114; 18-30 y) completed a brief online survey assessing body mass index (BMI); perceived overeating habits, including overeating without LOC (OEs), and subjective (SBEs) and objective binge eating episodes (OBEs); weight-related medical comorbidities; and disordered eating pathology. After adjusting for BMI and race/ethnicity, men who reported engaging in both OBE(s) and SBE(s) were the most likely to have a weight-related medical comorbidity, and reported the highest levels of dietary restraint, concerns about body fat, and excessive exercise pathology. Group differences remained even after adjusting for frequency of disordered eating episodes, a common indicator of severity of comorbid pathology. The current study's findings suggest that young men who engage in both OBE(s) and SBE(s) may be at the highest risk for chronic disease and psychological concerns, although additional studies with prospective data are necessary to confirm this hypothesis.
数据表明，评估进食时是否存在失控感（LOC），相较于关注在感觉暴饮暴食期间摄入的食物量，在识别体重过度增加风险和心理社会共病方面更有用。然而，这项研究大多纳入的是儿童和女性。当前研究调查了在有或没有失控感的情况下，感知到的暴饮暴食模式是否与年轻男性社区样本中与饮食和体重相关的共病存在独特关联。参与者（N = 1114；18 - 30岁）完成了一项简短的在线调查，评估体重指数（BMI）；感知到的暴饮暴食习惯，包括无失控感的暴饮暴食（OEs）、主观暴饮暴食（SBEs）和客观暴饮暴食发作（OBEs）；与体重相关的医学共病；以及饮食失调病理学。在对BMI和种族/族裔进行调整后，报告同时存在客观暴饮暴食发作和主观暴饮暴食发作的男性最有可能患有与体重相关的医学共病，并且报告的饮食节制水平、对体脂的担忧以及过度运动病理学水平最高。即使在对饮食失调发作频率（共病病理学严重程度的常见指标）进行调整后，组间差异仍然存在。当前研究结果表明，同时存在客观暴饮暴食发作和主观暴饮暴食发作的年轻男性可能面临慢性病和心理问题的最高风险，不过需要更多具有前瞻性数据的研究来证实这一假设。
