Eating behavior features and preferred diets in underweight and obese young men

N. Mikhaylova, B. Pinkhasov, M. Sorokin, V. Selyatitskaya
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Abstract

BACKGROUND: Actual nutrition and eating behavior features affect the formation of excess or underweight which in turn are risk factors for the development of chronic non-infectious diseases.AIM: To assess eating behavior features and consumption of basic nutrients in relation to metabolic disorders in underweight and obese young men of military age.MATERIALS AND METHODS: The study enrolled 86 young men aged 18 to 23 years that were referred by military enlistment office due to violations in body weight and examined in the hospital. Participants were divided into 2 groups depending on the value of the body mass index (BMI): group 1 (n=41) — underweight (Uw) young men; group 2 (n=45) — obese (Ob) young men. Anthropometric, hormonal and biochemical parameters of the body were measured; the type of eating disorder (ED) was evaluated using the Dutch DEBQ questionnaire, the presence and severity of anxiety and depressive disorders were assessed using the Hospital Anxiety and Depression Scale; assessment of the actual diet was performed using «Somatonic» computer soft.RESULTS: Absolute intake of all essential nutrients was higher in Ob young men; the relative consumption of protein and cholesterol was higher in Uw young men, whereas relative fats intake was higher in Ob group. EDs were statistically significantly more common in Ob young men. The values of all anthropometric indicators were higher in Ob group, while Uw young men predominantly demonstrated deficiency of the body fat component which did not affect key hormonal and metabolic indicators values. In Ob young men carbohydrate metabolism hormonal regulation disorders along with increased blood pressure were revealed.CONCLUSION: The ratio of proteins and fats intake should be taken into account in dietary regimens composition; Uw young men need to increase the proportion of fat and reduce protein intake, whereas Ob young men on the contrary need to reduce the proportion of fat and increase amount of proteins enhancing energy expenditure due to the specific dynamic food action.
体重过轻和肥胖青年男性的饮食行为特征及偏好饮食
背景:实际的营养和饮食行为特征会影响超重或体重不足的形成,而超重或体重过低又是发展为慢性非传染性疾病的危险因素。目的:评估军龄体重不足和肥胖青年男性的饮食行为特征和基本营养素消耗与代谢紊乱的关系。材料和方法:该研究招募了86名18至23岁的年轻男性,他们因体重超标而被征兵办公室转介到医院接受检查。根据体重指数(BMI)的值,参与者被分为两组:第一组(n=41)——体重不足(Uw)的年轻男性;第2组(n=45)——肥胖(Ob)青年男性。测量了人体测量、激素和生物化学参数;使用荷兰DEIQ问卷评估饮食障碍(ED)的类型,使用医院焦虑和抑郁量表评估焦虑和抑郁障碍的存在和严重程度;使用«Somatonic»计算机软件对实际饮食进行评估。结果:Ob青年男性所有必需营养素的绝对摄入量较高;Uw青年男性蛋白质和胆固醇的相对摄入量较高,而Ob组的相对脂肪摄入量较高。ED在Ob年轻男性中更为常见。Ob组的所有人体测量指标值都较高,而Uw年轻男性主要表现出身体脂肪成分缺乏,这不会影响关键的激素和代谢指标值。在Ob年轻男性中,碳水化合物代谢、激素调节障碍以及血压升高被发现。结论:饮食方案的组成应考虑蛋白质和脂肪的摄入量比例;Uw年轻男性需要增加脂肪比例并减少蛋白质摄入,而Ob年轻男性则相反,由于特定的动态食物作用,需要减少脂肪比例并增加蛋白质量,从而提高能量消耗。
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来源期刊
Obesity and Metabolism-Milan
Obesity and Metabolism-Milan 医学-内分泌学与代谢
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