青少年肥胖患者的冲动行为与不良饮食摄入和心脏代谢相关。

IF 2.6 Q3 NUTRITION & DIETETICS

Clinical nutrition ESPEN Pub Date : 2025-06-11 DOI:10.1016/j.clnesp.2025.06.012

Flavio T. Vieira , Camila E. Orsso , Jenneffer R.B. Tibaes , Nandini Basuray , Reena L. Duke , Bradley M. Appelhans , Graham Finlayson , Mohammadreza Pakseresht , Daniela A. Rubin , Faria Ajamian , Geoff D.C. Ball , Catherine J. Field , Andrea M. Haqq , Carla M. Prado

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引用次数: 0

摘要

背景：不健康的生活方式行为是儿童肥胖患者心脏代谢健康的重要决定因素。心理因素影响决策，并可能影响生活方式行为。决策可以使用延迟折扣（DD）方法进行评估，该方法评估了即时奖励对延迟奖励的偏好。我们的目的是研究肥胖青少年中DD与生活方式行为和心脏代谢危险因素的关系。方法：这是一项横断面研究的二次分析。体重指数为bbb95百分位（n=39）的青少年（10-18岁）完成了5项调整延迟任务来评估DD。从3天的食物记录中评估饮食摄入和饮食质量（健康饮食指数-加拿大适应）。客观测量心脏代谢指标（身体成分[空气置换体积脉搏图]、人体测量、血压、血脂、血糖、炎症指标）和基于加速度计的7天体力活动。结果：具有更大选择冲动的个体显示出更低的蛋白质和全谷物摄入量，更高的碳水化合物摄入量，尽管脂肪摄入量较低，但血脂状况较差。较低的选择冲动与较低的总胆固醇（R2=0.104, β=-0.003, p=0.048, 95%CI -0.007, -0.001）、低密度脂蛋白（R2=0.161, β=-0.003, p=0.011, 95%CI -0.005, -0.001）、甘油三酯浓度（R2=0.159, β=-0.005, p=0.012, 95%CI -0.010, -0.001）、较高的蛋白质摄入（R2=0.146, β= -0.001, p=0.018, 95%CI 0.001, 0.001）和饮食质量（R2=0.110, β=-5.233, p=0.042, 95%CI -10.260, -0.207）相关。DD与PA无相关性。结论：较高的选择冲动与肥胖青少年不良的饮食摄入和心脏代谢谱有关。在行为干预管理青少年肥胖的背景下，结合心理评估，如DD，可能是对传统评估的有益补充，特别是在营养方面。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Impulsive behavior is associated with less favorable dietary intake and cardiometabolic profile in adolescents with obesity

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Impulsive behavior is associated with less favorable dietary intake and cardiometabolic profile in adolescents with obesity

Background

Unhealthy lifestyle behaviors are important determinants of cardiometabolic health in pediatric obesity. Psychological factors influence decision-making and may influence lifestyle behaviors. Decision-making can be assessed using the delay discounting (DD) method, which assesses the preference for immediate over delayed rewards. We aimed to examine associations of DD with lifestyle behaviors and cardiometabolic risk factors in adolescents with obesity.

Methods

This is a secondary analysis of a cross-sectional study. Adolescents (10–18 years) with a body mass index>95^th percentile (n = 39) completed a 5-item adjusting delay task to assess DD. Dietary intake and diet quality (Healthy Eating Index–Canadian Adaptation) were assessed from 3-day food records. Cardiometabolic markers (body composition [air displacement plethysmography], anthropometry, blood pressure, lipids, glucose, and inflammatory markers) and 7-day accelerometer-based physical activity were objectively measured.

Results

Individuals with greater choice impulsivity showed lower estimated intake of protein and whole grains, higher carbohydrate intake, and poorer lipid profile despite lower fat intake. Lower choice impulsivity was associated with lower total cholesterol (R² = 0.104, β = −0.003, p = 0.048, 95%CI −0.007, −0.001), low-density lipoprotein (R² = 0.161, β = −0.003, p = 0.011, 95%CI −0.005, −0.001), and triglyceride concentrations (R² = 0.159, β = −0.005, p = 0.012, 95%CI −0.010, −0.001), and higher protein intake (R² = 0.146, β = 0.001, p = 0.018, 95%CI 0.001, 0.001) and diet quality (R² = 0.110, β = −5.233, p = 0.042, 95%CI −10.260, −0.207). DD was not associated with PA.

Conclusion

Higher choice impulsivity was associated with less favorable dietary intake and cardiometabolic profile in adolescents with obesity. Incorporating psychological assessments, such as DD, may be a useful addition to conventional assessments in the context of behavioral interventions for managing adolescent obesity, especially in nutrition.

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来源期刊

Clinical nutrition ESPEN NUTRITION & DIETETICS-

CiteScore

4.90

自引率

3.30%

发文量

512

期刊介绍： Clinical Nutrition ESPEN is an electronic-only journal and is an official publication of the European Society for Clinical Nutrition and Metabolism (ESPEN). Nutrition and nutritional care have gained wide clinical and scientific interest during the past decades. The increasing knowledge of metabolic disturbances and nutritional assessment in chronic and acute diseases has stimulated rapid advances in design, development and clinical application of nutritional support. The aims of ESPEN are to encourage the rapid diffusion of knowledge and its application in the field of clinical nutrition and metabolism. Published bimonthly, Clinical Nutrition ESPEN focuses on publishing articles on the relationship between nutrition and disease in the setting of basic science and clinical practice. Clinical Nutrition ESPEN is available to all members of ESPEN and to all subscribers of Clinical Nutrition.