Naghashpour Mahshid, Rouhandeh Rouhollah, Karbalaipour Marzieh, Miryan Mahsa
Abadan School of Medical Sciences, Abadan, Iran.
Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Med J Islam Repub Iran. 2018 Feb 8;32:8. doi: 10.14196/mjiri.32.8. eCollection 2018.
Food addiction has been defined as consuming palatable foods leading to addictive-like behaviors. Little studies have assayed food addiction in children and adolescents. Thus, we aimed at identifying the prevalence of food addiction and the relationship between food addiction, sociodemographic and anthropometric indicators among children and adolescents in southwestern Iran. This cross-sectional study was conducted on 222 elementary school students aged 7 to 13 years in Ahvaz, Iran, using a random sampling method. Sociodemographic and anthropometric indicators were obtained. The 25-item child version of the Yale Food Addiction Scale (YFAS-C) was applied to provide food addiction diagnosis and symptoms. A nonparametric analysis was used for data analysis. The prevalence of food addiction was 17.3%. Also, the most common symptoms associated with food addiction were (1) inability to cut down, (2) withdrawal, and (3) tolerance. The students with food addiction diagnosis were older than the undiagnosed (p=0.04). The males and students older than 8 years showed a higher food addiction score than females and students under 8 years (p<0.05). In females, significant positive correlations were found between anthropometric indicators, including body mass index and body mass index z-score, with food addiction score (p<0.01). Food addiction diagnosis was more prevalent in males and students over 8 years. Females with higher YFAS-C scores had elevated body mass index z-scores, suggesting that food addiction may be a remarkable problem in childhood and early adolescence and may also be related to a risk of overweight/obesity in Iranian students.
食物成瘾被定义为食用美味食物导致类似成瘾的行为。很少有研究对儿童和青少年的食物成瘾情况进行分析。因此，我们旨在确定伊朗西南部儿童和青少年中食物成瘾的患病率以及食物成瘾、社会人口统计学和人体测量学指标之间的关系。这项横断面研究采用随机抽样方法，对伊朗阿瓦士222名7至13岁的小学生进行。获取了社会人口统计学和人体测量学指标。应用耶鲁食物成瘾量表儿童版（YFAS-C）的25个项目来进行食物成瘾诊断和症状评估。数据分析采用非参数分析。食物成瘾的患病率为17.3%。此外，与食物成瘾相关的最常见症状是：（1）无法减少食用量，（2）戒断反应，（3）耐受性。被诊断为食物成瘾的学生比未被诊断的学生年龄更大（p = 0.04）。8岁以上的男性和学生的食物成瘾得分高于8岁以下的女性和学生（p < 0.05）。在女性中，包括体重指数和体重指数z评分在内的人体测量学指标与食物成瘾得分之间存在显著正相关（p < 0.01）。食物成瘾诊断在男性和8岁以上学生中更为普遍。YFAS-C得分较高的女性体重指数z评分升高，这表明食物成瘾在儿童期和青春期早期可能是一个显著问题，并且可能也与伊朗学生超重/肥胖的风险有关。
