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首页> 外文期刊>Journal of obesity >Binge Eating Disorder Mediates Links between Symptoms of Depression, Anxiety, and Caloric Intake in Overweight and Obese Women
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Binge Eating Disorder Mediates Links between Symptoms of Depression, Anxiety, and Caloric Intake in Overweight and Obese Women

机译：暴饮暴食会介导超重和肥胖妇女的抑郁，焦虑和热量摄入症状之间的联系

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Despite considerable comorbidity between mood disorders, binge eating disorder (BED), and obesity, the underlying mechanisms remain unresolved. Therefore, the purpose of this study was to examine models by which internalizing behaviors of depression and anxiety influence food intake in overweight/obese women. Thirty-two women (15 BED, 17 controls) participated in a laboratory eating-episode and completed questionnaires assessing symptoms of anxiety and depression. Path analysis was used to test mediation and moderation models to determine the mechanisms by which internalizing symptoms influenced kilocalorie (kcal) intake. The BED group endorsed significantly more symptoms of depression (10.1 versus 4.8,P=0.005) and anxiety (8.5 versus 2.7,P=0.003). Linear regression indicated that BED diagnosis and internalizing symptoms accounted for 30% of the variance in kcal intake. Results from path analysis suggested that BED mediates the influence of internalizing symptoms on total kcal intake (empiricalP<0.001). The associations between internalizing symptoms and food intake are best described as operating indirectly through a BED diagnosis. This suggests that symptoms of depression and anxiety influence whether one engages in binge eating, which influences kcal intake. Greater understanding of the mechanisms underlying the associations between mood, binge eating, and food intake will facilitate the development of more effective prevention and treatment strategies for both BED and obesity.
机译：尽管情绪障碍，暴饮暴食症（BED）和肥胖症之间存在相当多的合并症，但其潜在机制仍未解决。因此，本研究的目的是检验超重/肥胖妇女抑郁和焦虑的内在行为影响食物摄入的模型。 32名妇女（15名BED，17名对照）参加了实验室的进餐片段，并完成了评估焦虑和抑郁症状的问卷。路径分析用于测试中介和调节模型，以确定内在症状影响千卡摄入量的机制。 BED组认可的抑郁症状（10.1比4.8，P = 0.005）和焦虑症（8.5比2.7，P = 0.003）明显更多。线性回归表明，BED诊断和内在症状占大卡摄入量差异的30％。路径分析的结果表明，BED介导了内在症状对大卡摄入总量的影响（经验值P <0.001）。内在症状与食物摄入之间的关联最好描述为通过BED诊断间接操作。这表明抑郁和焦虑症状会影响人们是否进行暴饮暴食，从而影响大卡的摄入量。对情绪，暴饮暴食和食物摄入之间的关联的潜在机制的更多了解将促进针对BED和肥胖症制定更有效的预防和治疗策略。

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