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执行功能与儿童和青少年超重肥胖指标的关系:文献综述。

The association of the executive functions with overweight and obesity indicators in children and adolescents: A literature review.

机构信息

Department of Human Biological Development, Institute of Anthropology, Faculty of Biology, Adam Mickiewicz University, ul. Uniwersytetu Poznańskiego 6, 61-614, Poznan, Poland.

Department of Human Biological Development, Institute of Anthropology, Faculty of Biology, Adam Mickiewicz University, ul. Uniwersytetu Poznańskiego 6, 61-614, Poznan, Poland.

出版信息

Neurosci Biobehav Rev. 2019 Dec;107:59-68. doi: 10.1016/j.neubiorev.2019.08.021. Epub 2019 Aug 27.

Abstract

The prevalence of obesity in children and adolescents has become an increasing health problem all over the world. Prior studies suggest there is a relationship between excess body mass in adults and executive functions (EF). The paper analyzes recent studies on the association of obesity indicators and EF performance in children and adolescents. We analyzed four types of studies: comparison studies with obese and healthy children, cross-sectional studies describing dependencies between EF and BMI, follow up studies applying EF as a predictor of overweight/obesity and studies describing the effect of weight reduction on improving EF. We interpreted the results based on the categorization of EF into three main processes: inhibitory control, working memory, cognitive flexibility, and higher-level EF such as reasoning, problem-solving and planning. The strongest evidence supports the relationship between poor inhibitory control and higher BMI, overweight or obesity. However, the mechanism of the association is still unclear. A better understanding of the EF-obesity link may be relevant for the prevention of obesity or help in EF deficits improvement.

摘要

儿童和青少年肥胖的流行已成为全世界日益严重的健康问题。先前的研究表明,成年人的超重与执行功能(EF)之间存在关联。本文分析了最近关于儿童和青少年肥胖指标与 EF 表现之间关联的研究。我们分析了四种类型的研究:肥胖和健康儿童的比较研究、描述 EF 与 BMI 之间依存关系的横断面研究、将 EF 作为超重/肥胖预测因子的随访研究以及描述减肥对改善 EF 的影响的研究。我们根据 EF 分为三个主要过程进行结果解释:抑制控制、工作记忆、认知灵活性和更高层次的 EF,如推理、解决问题和计划。强有力的证据支持不良抑制控制与较高 BMI、超重或肥胖之间的关系。然而,关联的机制仍不清楚。更好地理解 EF-肥胖之间的联系可能与肥胖的预防有关,或有助于改善 EF 缺陷。

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