Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), 4301 Jones Bridge Road, Bethesda, MD, 20814, USA.
Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Division of Intramural Research, National Institutes of Health (NIH), 10 Center Drive, Bethesda, MD, 20892, USA.
Curr Diab Rep. 2022 Jun;22(6):257-266. doi: 10.1007/s11892-022-01466-z. Epub 2022 Apr 11.
Loss-of-control (LOC) eating, the subjective feeling of being unable to control what or how much is being consumed, is common. The purpose of this review was to examine the relationships among LOC eating, cardiometabolic health, and weight management intervention outcomes.
In youth and adults, LOC eating is associated with and predictive of psychological symptoms, high weight, and worsened cardiometabolic health. While LOC eating pre-intervention does not appear to impact outcomes, LOC eating during or following is associated with worsened outcomes from behavioral and surgical weight management interventions. When individuals are undergoing weight management interventions, it may be important to regularly assess for LOC eating. There is limited research on the examined relationships in diverse populations (e.g., males, individuals of a lower socio-economic status, racial/ethnic minority groups). Future research should examine these relationships across the lifespan in diverse populations, with a focus on how these relationships can be impacted through targeted interventions.
失控进食（LOC），即主观感觉无法控制所摄入的食物或食量，较为常见。本综述旨在探讨 LOC 进食与心脏代谢健康和体重管理干预结果之间的关系。
在青少年和成年人中，LOC 进食与心理症状、体重增加和心脏代谢健康恶化相关，并可预测这些情况。虽然干预前的 LOC 进食似乎不会影响结果，但在干预期间或之后出现 LOC 进食与行为和手术体重管理干预的结果恶化相关。当个体接受体重管理干预时，定期评估 LOC 进食可能很重要。在不同人群（例如男性、社会经济地位较低的个体、少数族裔群体）中，针对这些关系的研究有限。未来的研究应在不同人群中跨越整个生命周期来检验这些关系，并重点关注通过有针对性的干预如何影响这些关系。
