Boutelle Kerri N, Manzano Michael A, Eichen Dawn M
Department of Pediatrics, University of California, San Diego, California, USA; Department of Family Medicine and Public Health, University of California, San Diego, California, USA; Department of Psychiatry, University of California, San Diego, California, USA.
Department of Pediatrics, University of California, San Diego, California, USA; San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, California, USA.
Physiol Behav. 2020 Oct 1;224:113018. doi: 10.1016/j.physbeh.2020.113018. Epub 2020 Jun 18.
Individuals with overweight or obesity (OW/OB) are at increased risk for significant physical and psychological comorbidities. The current treatment for OW/OB is behavioral weight loss, which provides psychoeducation on nutrition and physical activity, as well as behavior therapy skills. However, behavioral weight loss is not effective for the majority of the individuals who participate. Research suggests that overeating, or eating past nutritional needs, is one of the leading causes of weight gain. Accumulating evidence suggests that appetitive traits, such as food cue responsiveness and satiety responsiveness, are associated with overeating and weight in youth and adults. The following review presents the current literature on the relationship between food cue responsiveness, satiety responsiveness, overeating, and OW/OB. Research suggests that higher food cue responsiveness and lower satiety responsiveness are associated with overeating and OW/OB cross-sectionally and longitudinally. Emerging data suggest that food cue responsiveness and satiety responsiveness may exist along the same continuum and can be targeted to manage overeating and reduce weight. We have developed a treatment model targeting food cue responsiveness and satiety responsiveness to reduce overeating and weight and have preliminary feasibility, acceptability, and efficacy data, with testing currently being conducted in larger trials. Through programs targeting appetitive traits we hope to develop an alternative weight loss model to assist individuals with a propensity to overeat.
超重或肥胖个体患严重身体和心理合并症的风险增加。目前针对超重/肥胖的治疗方法是行为减肥,包括提供关于营养和体育活动的心理教育以及行为治疗技巧。然而,行为减肥对大多数参与的个体并不有效。研究表明,暴饮暴食,即进食超过营养需求,是体重增加的主要原因之一。越来越多的证据表明,诸如食物线索反应性和饱腹感反应性等食欲特征与青少年和成年人的暴饮暴食及体重有关。以下综述介绍了关于食物线索反应性、饱腹感反应性、暴饮暴食和超重/肥胖之间关系的当前文献。研究表明,较高的食物线索反应性和较低的饱腹感反应性在横断面和纵向研究中都与暴饮暴食和超重/肥胖有关。新出现的数据表明,食物线索反应性和饱腹感反应性可能存在于同一连续体上,并且可以针对它们来控制暴饮暴食和减轻体重。我们已经开发了一种针对食物线索反应性和饱腹感反应性的治疗模型,以减少暴饮暴食和体重,并拥有初步的可行性、可接受性和疗效数据,目前正在更大规模的试验中进行测试。通过针对食欲特征开展项目,我们希望开发一种替代的减肥模型,以帮助有暴饮暴食倾向的个体。