Wiss David
Community Health Sciences Department, Fielding School of Public Health, University of California, Los Angeles, 650 Young Drive South, Los Angeles, CA 90095 USA.
Curr Addict Rep. 2022;9(4):255-267. doi: 10.1007/s40429-022-00411-0. Epub 2022 May 2.
To examine the prevalence rates of ultra-processed food addiction across different weight classes and offer guidelines for diagnosis and treatment. Clinicians are provided with practical considerations in the assessment of ultra-processed food addiction beyond the use of validated instruments.
The weighted mean prevalence of ultra-processed food addiction is approximately 20% worldwide and varies widely based on the sample. At first glance, there appears a linear relationship between ultra-processed food addiction and BMI class. Further investigation indicates a J-shaped curve with heightened prevalence among the underweight. These findings highlight the need to assess for additional factors that may increase objective or subjective food addiction symptoms including eating disorders, dietary restraint, and other mental health diagnoses.
While clinical considerations across different weight classes vary, overemphasis on weight status may detract from the clinical utility of the ultra-processed food addiction construct. Considering weight status in conjunction with other psychiatric symptoms helps to better understand the various biopsychosocial mechanisms that influence eating behavior and can inform individualized treatment strategies.
研究不同体重类别中超加工食品成瘾的患病率，并提供诊断和治疗指南。除了使用经过验证的工具外，还为临床医生在评估超加工食品成瘾时提供了实际考虑因素。
全球超加工食品成瘾的加权平均患病率约为20%，且因样本不同而有很大差异。乍一看，超加工食品成瘾与体重指数类别之间似乎存在线性关系。进一步调查表明呈J形曲线，体重过轻者患病率更高。这些发现凸显了评估可能增加客观或主观食品成瘾症状的其他因素的必要性，这些因素包括饮食失调、饮食限制和其他心理健康诊断。
虽然不同体重类别中的临床考虑因素各不相同，但过度强调体重状况可能会降低超加工食品成瘾这一概念的临床实用性。将体重状况与其他精神症状结合起来考虑，有助于更好地理解影响饮食行为的各种生物心理社会机制，并可为个性化治疗策略提供依据。
