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暴食样进食是否是被忽视的卒中危险因素?一个病例研究。

Is addictive-like eating an overlooked stroke risk factor? A study case.

机构信息

Univ. Bordeaux, CNRS, EPHE, INCIA, UMR 5287, 33000, Bordeaux, France.

Department of Psychiatry for Adolescents and Young Adults, Institut Mutualiste Montsouris, Paris, France.

出版信息

Eat Weight Disord. 2021 Dec;26(8):2801-2806. doi: 10.1007/s40519-021-01115-6. Epub 2021 Feb 9.

DOI:10.1007/s40519-021-01115-6
PMID:33559834
Abstract

PURPOSE

While stroke is already considered a nutrition-related disease, the prevalence of the broad array of disordered eating behaviors is under-reported in this disease. We describe the case of a stroke in a young woman following a recent food addiction to fatty-sweet food.

METHODS

She was diagnosed with a Night-Eating-Syndrome, with a loss-of-control exclusively towards sugary carbohydrates used to manage her insomnia and distress, and her consummatory behaviors were investigated.

RESULTS

This case report illustrates a self-medication of a significant psychological distress by shifting from a healthy diet to an overconsumption of hyper-palatable foods, triggering an addiction disorder. The related hypertriglyceridemia, on top of chronic smoking, contributed to the development of an atherosclerotic plaque and thrombus formation.

CONCLUSION

Food addiction might be considered as an emerging stroke risk factor. We suggest it fosters the need to take into consideration addictive-like eating behaviors and associated mental disorders in the primary and secondary prevention of stroke. This may be particularly relevant for the prevention of stroke in women as they are more prone to comfort their emotions with food.

LEVEL OF EVIDENCE

V, descriptive study.

摘要

目的

尽管中风已被认为是一种与营养相关的疾病,但在这种疾病中,广泛存在的饮食失调行为的患病率却被低估了。我们描述了一例年轻女性中风的病例,该女性近期对高脂肪甜食有食物成瘾。

方法

她被诊断为夜间进食综合征,仅对用于治疗失眠和痛苦的含糖碳水化合物失去控制,并且对其进食行为进行了调查。

结果

该病例报告说明了一种通过从健康饮食转变为过度食用高能量食物来自我治疗严重心理困扰的情况,从而引发了成瘾障碍。相关的高甘油三酯血症,加上慢性吸烟,导致动脉粥样硬化斑块和血栓形成。

结论

食物成瘾可能被视为一种新兴的中风危险因素。我们建议在中风的一级和二级预防中考虑类似成瘾的进食行为和相关的精神障碍。对于女性来说,这可能尤其重要,因为她们更倾向于用食物来安慰自己的情绪。

证据水平

V,描述性研究。

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本文引用的文献

1
Conceptualizing addictive-like eating: A qualitative analysis.概念化类似成瘾的进食:一项定性分析。
Appetite. 2019 Oct 1;141:104326. doi: 10.1016/j.appet.2019.104326. Epub 2019 Jun 19.
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Stroke.中风。
Lancet. 2017 Feb 11;389(10069):641-654. doi: 10.1016/S0140-6736(16)30962-X. Epub 2016 Sep 13.
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Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries (INTERSTROKE): a case-control study.32 个国家与急性脑卒中相关的可改变潜在风险因素的全球和区域效应(INTERSTROKE):病例对照研究。
Lancet. 2016 Aug 20;388(10046):761-75. doi: 10.1016/S0140-6736(16)30506-2. Epub 2016 Jul 16.
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Intuitive eating is inversely associated with body weight status in the general population-based NutriNet-Santé study.在基于一般人群的NutriNet-Santé研究中,直觉性饮食与体重状况呈负相关。
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Neurobiologic Advances from the Brain Disease Model of Addiction.成瘾性脑疾病模型的神经生物学进展
N Engl J Med. 2016 Jan 28;374(4):363-71. doi: 10.1056/NEJMra1511480.
6
"Eating addiction", rather than "food addiction", better captures addictive-like eating behavior.“进食成瘾”而非“食物成瘾”,能更好地描述类似成瘾的进食行为。
Neurosci Biobehav Rev. 2014 Nov;47:295-306. doi: 10.1016/j.neubiorev.2014.08.016. Epub 2014 Sep 6.
7
Stress as a common risk factor for obesity and addiction.压力作为肥胖和成瘾的常见风险因素。
Biol Psychiatry. 2013 May 1;73(9):827-35. doi: 10.1016/j.biopsych.2013.01.032. Epub 2013 Mar 26.