Sự tương tác giữa sự không kiểm soát và sự kiềm chế: Những tác động đối với trọng lượng cơ thể và rối loạn ăn uống

E. J. Bryant1, K. Kiezerbrink2, N. A. King3, J. E. Blundell4
1Centre for Psychology Studies, University of Bradford, West Yorkshire, UK
2Section of Nutrition and Health, University of Abertay, Dundee, Scotland
3Institute of Health and Biomedical Innovation, Human Movement Studies, Queensland University of Technology, Brisbane, Australia
4Institute of Psychological Sciences, Faculty of Medicine and Health, University of Leeds, UK

Tóm tắt

Sự gia tăng béo phì thường đi kèm với sự gia tăng các rối loạn ăn uống. Sự nhạy cảm với những trạng thái này có thể phát sinh từ những kết hợp khác nhau của các đặc điểm cơ bản: Bảng hỏi ăn uống ba yếu tố (TFEQ) về sự kiềm chế và sự không kiểm soát. Hai nghiên cứu đã được thực hiện để xem xét sự tương tác giữa những đặc điểm này; một nghiên cứu trực tuyến (n=351) và một nghiên cứu trong phòng thí nghiệm (n=120). Người tham gia đã hoàn thành một loạt bảng hỏi và cung cấp các biện pháp tự báo cáo về trọng lượng cơ thể và hoạt động thể chất. Một sự kết hợp của sự không kiểm soát cao và sự kiềm chế cao liên quan đến một hồ sơ hành vi ăn uống có vấn đề (EAT-26), và tỷ lệ cao hơn về hút thuốc và tiêu thụ rượu. Một sự kết hợp của sự không kiểm soát cao và sự kiềm chế thấp liên quan đến sự nhạy cảm cao hơn đối với việc tăng cân và hành vi ít vận động nhiều hơn. Những dữ liệu này cho thấy rằng những sự kết hợp khác nhau của sự không kiểm soát và sự kiềm chế có liên quan đến các kết quả về trọng lượng và hành vi khác nhau.

Từ khóa

#béo phì #rối loạn ăn uống #sự kiềm chế #sự không kiểm soát #hành vi ăn uống

Tài liệu tham khảo

World Health Organisation. Obesity: Preventing and Managing the Global Epidemic. 2000, p 894. Hsu L. Edipemiology of the eating disorders. Psychol Clin North Am 1996; 19: 681–700. Kohn M, Golden N. Eating disorders in children and adolescents. Paediatric Drugs 2001; 3: 91–9. Eating Disorders Association. Understanding Eating Disorders. 2009. http://www.b-eat.co.uk/Home/Press MediaInformation/Somestatistics, March 2009. Stunkard AJ, Messick S. The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res 1985; 29: 71–83. Bryant E, King N, Blundell J. Disinhibition: its effects on appetite and weight regulation. Obes Rev 2008; 9: 409–19. Williamson D, Martin C, York-Crowe E, et al. Measurement of dietary restraint: Validity tests of four questionnaires. Appetite 2007; 48: 183–92 Dykes J, Brunner EJ, Martikainen PT, et al. Socioeconomic gradient in body size and obesity among women: the role of dietary restraint, disinhibition and hunger in the Whitehall II study. Int J Obes 2004; 28: 262–8. Hays NP, Bathalon GP, McCrory MA, et al. Eating behavior correlates of adult weight gain and obesity in healthy women aged 55–65 y. Am J Clin Nutr 2002; 75: 476–83. Williamson DA, Lawson OJ, Brooks ER, et al. Association of body mass with dietary restraint and disinhibition. Appetite 1995; 25: 31–41. Westenhoefer J, Broeckmann P, Munch A, et al. Cognitive control of eating behavior and the disinhibition effect. Appetite 1994; 23: 27–41. van Strien T, Cleven A, Schippers G. Restraint, tendency toward overeating and ice cream consumption. Int J Eating Disord 2000; 28: 333–8. Ouwens MA, van Strien T, van der Staak CP. Tendency toward overeating and restraint as predictors of food consumption. Appetite 2003; 40: 291–8. Haynes C, Lee MD, Yeomans MR. Interactive effects of stress, dietary restraint, and disinhibition on appetite. Eat Behav 2003; 4: 369–83. Yeomans M, Coughlan E. Mood-induced eating: Interactive effects of restraint and tendency to overeat. Appetite 2009; 52: 290–8. Yeomans MR, Tovey HM, Tinley EM, et al. Effects of manipulated palatability on appetite depend on restraint and disinhibition scores from the Three-Factor Eating Questionnaire. Int J Obes 2004; 28: 144–51. Brown K, Bryant E, Naslund E, et al. Traits that promote weight gain in obesity, bulimia nervosa and EDNOS. Obes Rev 2006; 7: 330. Boerner LM, Spillane NS, Anderson KG, et al. Similarities and differences between women and men on eating disorder risk factors and symptom measures. Eat Behav 2004; 5: 209–22. Ghiz L, Chrisler JC. Compulsive eating, obsessive thoughts of food, and their relation to assertiveness and depression in women. J Clin Psychol 1995; 51: 491–9. Lawson OJ, Williamson DA, Champagne CM, et al. The association of body weight, dietary intake, and energy expenditure with dietary restraint and disinhibition. Obes Res 1995; 3: 153–61. Rizvi SL, Stice E, Stewart A. Natural history of disordered eating attitudes and behaviour over a 6-year period. Int J Eat Disord 1999; 26: 406–13. Drapeau V, Provencher V, Lemieux S, et al. Do 6-y changes in eating behaviors predict changes in body weight? Results from the Quebec Family Study. Int J Obes RelatMetab Disord 2003; 27: 808–14. Provencher V, Drapeau V, Tremblay A, et al. Eating behaviors and indexes of body composition in men and women from the Quebec family study. Obes Res 2003; 11: 783–92. Provencher V, Drapeau V, Tremblay A, et al. Quebec Family Eating behaviours, dietary profile and body composition according to dieting history in men and women of the Quebec Family Study. Br J Nutr 2004; 91: 997–1004. Lewinsohn P, Seeley J, Moerk K, et al. Gender differences in eating disorder symptoms in young adults. Int J Eat Disord 2002; 32: 426–40. The Sports Council and the Health Education Authority. Allied Dunbar National Fitness Survey. Summary, 1992. Craig CL, Marshall AL, Sjostrom M, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003; 35: 1381–95. Tepper BJ, Ullrich NV. Influence of genetic taste sensitivity to 6-n-propylthiouracil (PROP), dietary restraint and disinhibition on body mass index in middle-aged women. Physiol Behav 2002; 75: 305–12. Goldstein GL, Daun H, Tepper BJ. Adiposity in middleaged women is associated with genetic taste blindness to 6-n-propylthiouracil. Obes Res 2005; 13: 1017–23. Eysenck H. The scientific study of personality. London, Routledge & Kegan Paul, 1952. Rosenberg M. In: Society and the adolescent self image. Princeton NJ, Princeton University Press, 1965. Garner D, Garfinkel P. The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Psychol Med 1979; 12: 871–8. Garner D, Olmsted M, Polivy H. Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. Int J Eat Disord 1983; 2: 15–34. Miller JL, Schmidt LA, Vaillancourt T, et al. Neuroticism and introversion: A risky combination for disordered eating among a non-clinical sample of undergraduate women. Eat Behav 2006; 7: 69–78. Button E, Sonuga-Barke E, Davies J, et al. A prospective study of self-esteem in the prediction of eating problems in adolescent schoolgirls: questionnaire findings. Br J Clin Psychol 1996; 35: 193–203. Bellisle F, Clement K, Le Barzic M, et al. The Eating Inventory and Body Adiposity from leanness to massive obesity: a study of 2509 adults. Obes Res 2004; 12: 2023–30. Haynes C, Lee MD, Yeomans MR. Interactive effects of stress, dietary restraint, and disinhibition on appetite. Eat Behav 2003; 4: 369–83. Ouwens MA, van Strien T, van der Staak CP. Tendency toward overeating and restraint as predictors of food consumption. Appetite 2003; 40: 291–8. Copeland AL, Carney CE. Smoking expectancies as mediators between dietary restraint and disinhibition and smoking in college women. Exp Clin Psychopharmacol 2003; 11: 247–51. Pomerleau CS, Ehrlich E, Tate J, et al. The female weight-control smoker: A profile. J Subst Abuse 1993; 5: 391–400. Borg P, Fogelholm M, Kukkonen-Harjula K. Food selection and eating behaviour during weight maintenance intervention and 2-y follow-up in obese men. Int J Obes 2004; 28: 1548–54. Contento IR, Zybert P, Williams SS. Relationship of cognitive restraint of eating and disinhibition to the quality of food choices of Latina women and their young children. Prev Med 2005; 40: 326–36. Higgs S, Eskenazi T. Dietary restraint and disinhibition are associated with increased alcohol use behaviours and thoughts in young women social drinkers. Eat Behav 2007; 8: 236–43. Krahn D, Kurth C, Gomberg E, et al. Pathological eating and alcohol use in college women — A continuum of behaviors. Eat Behav 2005; 6: 43–52. Krahn D, Piper D, King M, et al. Dieting in sixth grade predicts alcohol use in ninth grade. Subst Abuse 1996; 8: 293–301. van Strien T, Frijters J, Bergers G, et al. The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional and external eating behavior. Int J Eat Disord 1986; 5: 295–315. Ardovini C, Caputo G, Todisco P, et al. Binge eating and restraint model: Psychometric analysis in binge eating disorder and normal weight bulimia. Eur Eat Disord Rev 1999; 7: 293–9. Bryant E. Understanding Disinhibition and its influences on eating behaviour and appetite. 2006, University of Leeds. Ref Type: Thesis/Dissertation Orbitello B, Ciano R, Corsaro M, et al. The EAT-26 as screening instrument for clinical nutrition unit attenders. Int J Obes 2006; 30: 977–81. Provencher V, Begin C, Gagnon-Girouard M, et al. Personality traits in overweight and obese women: Associations with BMI and eating behaviors. Eat Behav 2008; 9: 294–302. Tylka T. The relation between body dissatisfaction and the eating disorder symptomatology: an analysis of moderating variables. J Couns Psychol 2004; 51: 178–91. Hays NP, Bathalon GP, McCrory MA, et al. Eating behavior correlates of adult weight gain and obesity in healthy women aged 55–65 y. Am J Clin Nutr 2002; 75: 476–83. King N, Tremblay A, Blundell J. Effects of exercise on appetite control: implications for energy balance. Med Sci Sport Exerc 1997; 29: 1076–89. Blundell J, Stubbs R, Hughes S, et al. Cross talk between physical activity and appetite control: does physical activity stimulate appetite? Proc Nutr Soc 2003; 62: 651–61. Mayer J, Roy P, Mitra K. Relation between caloric intake, body weight, and physical work. Am J Clin Nutr 1956; 4: 169–75.