Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Einstein (Sao Paulo). 2021 Apr 9;19:eAO5599. doi: 10.31744/einstein_journal/2021AO5599. eCollection 2021.
To evaluate whether the carbohydrate-restricted diet leads to higher levels of food cravings in individuals with binge eating.
A total of 146 individuals with binge eating participated in the Low-Carb Diet Group (n=48) and Control Group (n=98). The Binge Eating Scale, Hay's questionnaire, Food Cravings Questionnaire - Trait and State, Cognitive restraint subscale and its adapted version for the cognitive restraint toward carbohydrates, were used as measures. Parametric tests were used for comparison between groups (Student's t test), and Pearson's correlation test to verify correlations between variables of interest.
No differences were found between groups with and without diet concerning the level of binge eating or food craving total score. The differences found were the higher levels of cognitive restraint (p=0.01), cognitive restraint for carbohydrates (p=0.01) and subscales of 'guilt about food craving' (p=0.04) in the Low-Carb Diet Group.
Individuals with binge eating and a history of low-carb diet have greater cognitive restraint toward carbohydrates and association with altered eating attitudes (guilt about food craving).
评估限制碳水化合物的饮食是否会导致暴食者更高水平的食物渴望。
共有 146 名暴食者参与了低碳水化合物饮食组（n=48）和对照组（n=98）。采用暴食量表、Hay 问卷、食物渴望问卷-特质和状态、认知约束分量表及其针对碳水化合物认知约束的改编版作为测量工具。组间比较采用参数检验（Student's t 检验），并采用 Pearson 相关检验验证感兴趣变量之间的相关性。
在有无饮食方面，暴食或食物渴望总分方面，两组之间没有差异。在低碳水化合物饮食组中，发现了更高的认知约束（p=0.01）、对碳水化合物的认知约束（p=0.01）和“对食物渴望的内疚感”子量表（p=0.04）。
有暴食史且有低碳水化合物饮食史的个体对碳水化合物的认知约束更大，并与改变的饮食态度（对食物渴望的内疚感）相关。
