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Dietary intake in relation to restrained eating, disinhibition, and hunger in obese and nonobese Swedish women

Artikel i vetenskaplig tidskrift
Författare Anna-Karin Lindroos
Lauren Lissner
ME Mathiassen
J. Karlsson
Marianne Sullivan
Calle Bengtsson
Lars Sjöström
Publicerad i Obesity Research
Volym 5
Sidor 175-182
Publiceringsår 1997
Publicerad vid Institutionen för samhällsmedicin, Avdelningen för allmänmedicin
Institutionen för invärtesmedicin, Avdelningen för kroppssammansättning och metabolism
Sidor 175-182
Språk en
Ämneskategorier Folkhälsomedicinska forskningsområden

Sammanfattning

Department of Internal Medicine, Göteborg University, Sweden. The aims of this study were to: describe dietary intakes of obese and nonobese middle-aged women using a validated food frequency questionnaire; to assess dietary restraint, disinhibition, and hunger by the three factor eating questionnaire (TFEQ) in obese and nonobese samples and determine which of the factors are independently associated with obesity; and to examine correlations between selected nutritional variables and the TFEQ factors. Subjects studied included 179 obese Swedish women (BMI > 32) and 147 nonobese population-based controls (BMI < 28). Age-adjusted mean energy intake was significantly higher in obese women (2730 +/- 78 vs. 2025 +/- 85 kcal, p < 0.0001). In absolute and relative terms, fat intake was higher and alcohol intake was lower in the obese subjects. Disinhibition was the strongest TFEQ factor independently differentiating the obese and nonobese states, i.e., after adjustment for restraint and hunger. Within the obese sample, strong associations were seen between energy intake and disinhibition (p = 0.0005) and hunger (p = 0.0004). The association between energy intake and restrained eating was negative and weaker (p = 0.04). No such associations were seen in nonobese women. Thus, using a dietary instrument that is valid and unbiased with respect to obesity, strong psychological correlates, possibly causal, of variability in energy intake were detected in middle-aged women with obesity. Disinhibition is associated with both obesity and high-energy intakes and is therefore an important factor to consider in the treatment of women with obesity. PMID: 9192390 [PubMed - indexed for MEDLINE]

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