OBJECTIVE:Although restrained eating is believed to increase overeating and weight in the long term, the opposite has also been found: Heavy individuals are more likely to diet. The objective of the current study was to test both pathways for adolescents. DESIGN:A longitudinal model was used to explore the bidirectional associations between restrained eating and body mass index (BMI). MAIN OUTCOME MEASURES:At 3 annual waves, restrained eating and BMI were obtained from both older (M age 15.2 years old) and younger (M age 13.4 years old) adolescent boys and girls who were sibling pairs in 404 Dutch families. RESULTS:Structural equation modeling showed that BMI predicted restrained eating more consistently than the other way round. The results remained the same when analyzed by sex, age, socioeconomic status, and overeating tendency. Thus, in our general survey of adolescents restrained eating did not seem to be a successful weight loss strategy, nor did it consistently predict weight increase. CONCLUSION:Positive associations between restrained eating and BMI should mainly be interpreted in the sense that higher BMI predicted more restrained eating.

译文

目的:虽然长期以来限制饮食会增加暴饮暴食和体重,但也发现了相反的情况:体重过重的人更可能节食。当前研究的目的是测试青少年的两种途径。
设计:采用纵向模型探讨约束饮食与体重指数(BMI)之间的双向关联。
主要观察指标:在3个年度波动中,从404个荷兰家庭中的同胞对中的年龄较大(男15.2岁)和年龄较小(男13.4岁)(年龄较小)中进食和BMI降低。
结果:结构方程模型表明,BMI预测的克制饮食比反之亦然。当按性别,年龄,社会经济地位和暴饮暴食趋势进行分析时,结果保持不变。因此,在我们对青少年的一般性调查中,节制饮食似乎不是成功的减肥策略,也不是始终如一地预测体重增加。
结论:节制饮食与BMI之间的正相关关系应主要从较高的BMI预测更多节制饮食的意义上进行解释。

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