Nutrition and Dietetics, School of Health Sciences, College of Health, Medicine, and Wellbeing, University of Newcastle, Callaghan, NSW, Australia; Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW, Australia.
Children's Hospital Westmead Clinical School, The University of Sydney, Westmead, NSW, Australia; Institute of Endocrinology and Diabetes, The Children's Hospital Westmead, Westmead, NSW, Australia.
Lancet Child Adolesc Health. 2021 Oct;5(10):751-766. doi: 10.1016/S2352-4642(21)00126-7. Epub 2021 Jun 24.
The intersection between eating behaviours and mental health has garnered substantial attention in recent years. For this Review, we systematically reviewed the available research to find out the prevalence of food addiction as measured by the Yale Food Addiction Scale, and to investigate its association with mental health-related outcomes in adolescents. Eight databases were searched using keywords from Jan 1, 2009, to Aug 5, 2020, to identify studies reporting a Yale Food Addiction Scale diagnosis or symptom score, or both. In total, 27 studies were included. The prevalence of a food addiction diagnosis ranged from 2·6% to 49·9% in non-clinical and clinical populations, and prevalence was higher in women and adolescents with a higher weight status. Food addiction was associated with disordered eating, depressive and anxiety symptoms, and a poorer quality of life and self-esteem. These associations have important implications for the assessment and management of eating behaviours and mental health in adolescents. Transdiagnostic prevention and management intervention strategies could be explored.
近年来，饮食行为与心理健康之间的关系受到了广泛关注。在本次综述中，我们系统地回顾了现有研究，以了解耶鲁食物成瘾量表（Yale Food Addiction Scale）测量的食物成瘾的流行程度，并探讨其与青少年心理健康相关结果之间的关系。我们使用 2009 年 1 月 1 日至 2020 年 8 月 5 日的关键词在 8 个数据库中进行了检索，以确定报告耶鲁食物成瘾量表诊断或症状评分或两者的研究。共纳入 27 项研究。非临床和临床人群中，食物成瘾的诊断患病率为 2.6%至 49.9%，女性和体重较高的青少年中患病率更高。食物成瘾与饮食失调、抑郁和焦虑症状以及生活质量和自尊心较差有关。这些关联对青少年饮食行为和心理健康的评估和管理具有重要意义。可以探索跨诊断预防和管理干预策略。
