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饮食习惯、抑郁症与肥胖:儿科预防策略中有待探索的复杂关系。

Dietary habits, depression and obesity: an intricate relationship to explore in pediatric preventive strategies.

作者信息

Calcaterra Valeria, Rossi Virginia, Magenes Vittoria Carlotta, Baldassarre Paola, Grazi Roberta, Loiodice Martina, Fabiano Valentina, Zuccotti Gianvincenzo

机构信息

Pediatric and Adolescent Unit, Department of Internal Medicine, University of Pavia, Pavia, Italy.

Pediatric Department, "Vittore Buzzi" Children's Hospital, Milan, Italy.

出版信息

Front Pediatr. 2024 Mar 8;12:1368283. doi: 10.3389/fped.2024.1368283. eCollection 2024.

Abstract

Obesity and depression represent major health problems due to their high prevalence and morbidity rates. Numerous evidences elucidated the connections between dietary habits and the incidence or severity of depression. This overview aims to investigate the intricate relationship between dietary patterns and depression with the objective of elaborating preventive strategies for childhood obesity. Literature data recognized that there is a link between mood and food choices, with certain foods selected for their impact on the brain's reward centers. This behavior parallels the one observed in substance addiction, suggesting a specific neural mechanism for food addiction that contributes to overeating and obesity. It is important to note the significant correlation between obesity and depression, indicating a shared biological pathway influencing these conditions. Stress substantially affects also eating behaviors, often leading to increased consumption of pleasurable and rewarding foods. This can trigger a cycle of overeating, weight gain, and psychological distress, exacerbating mood disorders and obesity. In addition, consumption of certain types of foods, especially "comfort foods" high in fat and calories, may provide temporary relief from symptoms of depression, but can lead to long-term obesity and further mental health problems. Understanding these complex interactions is critical to developing preventive strategies focusing on dietary, emotional, and environmental factors, thereby reducing the risk of obesity and mood disorders.

摘要

肥胖和抑郁症因其高患病率和发病率而成为主要的健康问题。大量证据阐明了饮食习惯与抑郁症发病率或严重程度之间的联系。本综述旨在研究饮食模式与抑郁症之间的复杂关系,以期阐述儿童肥胖症的预防策略。文献数据表明,情绪与食物选择之间存在联系,某些食物因其对大脑奖赏中枢的影响而被选择。这种行为与物质成瘾中观察到的行为相似,表明食物成瘾存在一种特定的神经机制,这种机制会导致暴饮暴食和肥胖。需要注意的是,肥胖与抑郁症之间存在显著相关性,这表明存在一条共同的生物学途径影响这些状况。压力也会极大地影响饮食行为,常常导致对愉悦和有奖赏感的食物的摄入量增加。这可能引发暴饮暴食、体重增加和心理困扰的循环,加剧情绪障碍和肥胖。此外,食用某些类型的食物,尤其是高脂肪和高热量的“安慰食品”,可能会暂时缓解抑郁症状,但会导致长期肥胖和进一步的心理健康问题。了解这些复杂的相互作用对于制定侧重于饮食、情绪和环境因素的预防策略至关重要,从而降低肥胖和情绪障碍的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b66b/10957686/3720092f3b0b/fped-12-1368283-g001.jpg

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