Kudlek Laura, Eustachio Colombo Patricia, Ahern Amy, Tait Struan, Reid Natasha, Wickramarachchi Milindu, Lakshmi Aiswarya, Sharp Stephen J, Spreckley Marie, Mueller Julia, Jones Rebecca A
MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, Cambridge, UK.
School of Clinical Medicine, University of Cambridge, Cambridge, UK.
Obes Rev. 2025 Apr;26(4):e13871. doi: 10.1111/obr.13871. Epub 2024 Nov 21.
Eating behavior traits (EBTs), defined as personal tendencies determining food intake, can be useful targets for behavioral weight management interventions. Previous reviews have examined the impact of specific intervention types on EBTs, not reflecting the breadth of interventions used in practice. This systematic review and meta-analysis synthesized evidence on the impact of all types of behavioral weight management interventions on EBTs. We searched seven databases and included randomized controlled trials reporting EBT outcomes following behavioral weight management interventions delivered to adults with overweight or obesity. Using random-effects meta-analyses, we synthesized findings from 27 trials at the end of intervention and 12 months (±3 months) post intervention. We found evidence to suggest that interventions improved uncontrolled eating, external eating, susceptibility to hunger, restraint and intuitive eating at intervention end when compared with waitlist, minimal or usual care control. We found no evidence of effects on emotional eating, disinhibition, and hedonic hunger. At follow-up, effects on restraint remained, but we found no evidence of an effect on emotional eating, hedonic hunger and uncontrolled eating. Findings were limited by low numbers of contributing trials. More high-quality trials reporting EBTs are needed to better understand the impact of adult behavioral weight management interventions on EBTs. PROSPERO registration number: CRD42022367505.
饮食行为特征（EBTs）被定义为决定食物摄入量的个人倾向，可作为行为体重管理干预措施的有效目标。以往的综述研究了特定干预类型对EBTs的影响，未反映实际应用中干预措施的广度。本系统综述和荟萃分析综合了各类行为体重管理干预措施对EBTs影响的证据。我们检索了七个数据库，并纳入了报告对超重或肥胖成年人实施行为体重管理干预后EBTs结果的随机对照试验。通过随机效应荟萃分析，我们综合了干预结束时和干预后12个月（±3个月）来自27项试验的结果。我们发现有证据表明，与等待名单、最小干预或常规护理对照相比，干预措施在干预结束时改善了无节制饮食、外在饮食、饥饿易感性、克制和直觉性饮食。我们没有发现对情绪性进食、去抑制和享乐性饥饿有影响的证据。在随访中，对克制的影响依然存在，但我们没有发现对情绪性进食、享乐性饥饿和无节制饮食有影响的证据。研究结果因纳入试验数量较少而受到限制。需要更多报告EBTs的高质量试验，以更好地了解成人行为体重管理干预措施对EBTs的影响。国际前瞻性系统评价注册编号：CRD42022367505。
