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青少年超重和肥胖与饮食障碍态度和行为:治疗的启示。

Disordered Eating Attitudes and Behaviors in Youth with Overweight and Obesity: Implications for Treatment.

机构信息

Psychiatry Department, Washington University School of Medicine, 660 S. Euclid Ave, St. Louis, MO, 63110, USA.

出版信息

Curr Obes Rep. 2018 Sep;7(3):235-246. doi: 10.1007/s13679-018-0316-9.

Abstract

PURPOSE OF THE REVIEW

Children with obesity experience disordered eating attitudes and behaviors at high rates, which increases their risk for adult obesity and eating disorder development. As such, it is imperative to screen for disordered eating symptoms and identify appropriate treatments.

RECENT FINDINGS

Family-based multicomponent behavioral weight loss treatment (FBT) is effective at treating childhood obesity and demonstrates positive outcomes on psychosocial outcomes, including disordered eating. FBT utilizes a socio-ecological treatment approach that focuses on the development of individual and family healthy energy-balance behaviors as well as positive self- and body esteem, supportive family relationships, richer social networks, and the creation of a broader environment and community that facilitates overall physical and mental health. Existing literature suggests FBT is an effective treatment option for disordered eating and obesity in children. Future work is needed to confirm this conclusion and to examine the progression and interaction of obesity and disordered eating across development to identify the optimal time for intervention.

摘要

审查目的

肥胖儿童出现饮食失调的态度和行为的比率很高,这增加了他们成年后肥胖和饮食失调发展的风险。因此,必须对饮食失调症状进行筛查,并确定适当的治疗方法。

最近的发现

基于家庭的多成分行为体重管理治疗(FBT)对治疗儿童肥胖症是有效的,并且在心理社会结果方面表现出积极的结果,包括饮食失调。FBT 采用一种社会生态治疗方法,侧重于发展个人和家庭的健康能量平衡行为,以及积极的自我和身体自尊、支持性的家庭关系、更丰富的社交网络,以及创造一个更广泛的环境和社区,促进整体身心健康。现有文献表明,FBT 是治疗儿童饮食失调和肥胖的有效治疗选择。需要进一步的研究来证实这一结论,并研究肥胖和饮食失调在整个发展过程中的进展和相互作用,以确定干预的最佳时间。

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