抑制控制训练对肥胖儿童抑制控制和体质量的作用
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摘要
目的:探索抑制控制训练对肥胖儿童抑制控制的提升及减重效用。方法:将27例9～16岁肥胖儿童随机分为普通行为干预组(n=9,接受有氧运动和饮食调节干预)、食物刺激抑制训练组(n=7,接受普通行为干预和食物刺激抑制训练)、中性刺激抑制训练组(n=11,接受普通行为干预和中性刺激抑制训练)。抑制训练前后,采用经典停止信号任务和经典Flanker任务对所有儿童进行反应抑制和干扰抑制测试,并测量儿童的身高和体质量。结果:食物刺激抑制训练组的训练前食物反应抑制反应时SSRT值高于训练后[(345±33) vs.(211±54),P<0.001],中性刺激抑制训练组和普通行为干预组训练前后的SSRT值及Flanker值差异均无统计学意义(P>0.05)。食物刺激抑制训练组的即时减重量多于中性刺激抑制训练组和普通行为干预组[(4.1±0.4) kg vs.(3.3±0.4) kg vs.(2.8±0.5) kg,P<0.05]。结论:食物抑制训练提高了肥胖儿童的食物刺激反应抑制控制表现;相比于普通行为干预和中性刺激抑制控制训练,食物刺激抑制控制训练对肥胖儿童有更好的减重效果。
Objective:To explore the effects of inhibition control training on improvement of inhibition control and weight loss in obese children.Methods:Twenty-seven obese children aged 9-16 were randomly divided into a food-stimulation inhibition training group(n=7),a neutral-stimulation inhibition training group(n=11),and a general behavior training group(n=9).Children in the general behavioral training group received behavioral training that attenuated body mass(aerobic exercise and diet regulation),and children in the food/neutral stimulation inhibition training group used the food/neutral stimulation Stop-signal task for inhibition training based on general behavioral trainings.Before and after the inhibition training,all children were tested for response inhibition and interference inhibition using the classic Stop-signal task and the classic Flanker task,and the height and mass of the child were measured.Results:In the food-stimulation inhibition training group,food response inhibition SSRT value before training was higher than after training [(345±33) vs.(211±54),P<0.001].There was no significant difference in SSRT and Flanker between the normal behavior training group before and after training(P>0.05).Those in food-stimulation inhibition training group had more immediate weight loss than neutral-stimulation inhibition training group and general behavior training group [(4.1±0.4) kg vs.(3.3±0.4) kg vs.(2.8±0.5) kg,P<0.05].Conclusion:Food inhibition training improves the performance of food stimulation response inhibition control in obese children.Compared with normal behavioral training and neutral-stimulation inhibition training,food-stimulation inhibition training has a better weight loss effect on obese children.
Objective:To explore the effects of inhibition control training on improvement of inhibition control and weight loss in obese children.Methods:Twenty-seven obese children aged 9-16 were randomly divided into a food-stimulation inhibition training group(n=7),a neutral-stimulation inhibition training group(n=11),and a general behavior training group(n=9).Children in the general behavioral training group received behavioral training that attenuated body mass(aerobic exercise and diet regulation),and children in the food/neutral stimulation inhibition training group used the food/neutral stimulation Stop-signal task for inhibition training based on general behavioral trainings.Before and after the inhibition training,all children were tested for response inhibition and interference inhibition using the classic Stop-signal task and the classic Flanker task,and the height and mass of the child were measured.Results:In the food-stimulation inhibition training group,food response inhibition SSRT value before training was higher than after training [(345±33) vs.(211±54),P<0.001].There was no significant difference in SSRT and Flanker between the normal behavior training group before and after training(P>0.05).Those in food-stimulation inhibition training group had more immediate weight loss than neutral-stimulation inhibition training group and general behavior training group [(4.1±0.4) kg vs.(3.3±0.4) kg vs.(2.8±0.5) kg,P<0.05].Conclusion:Food inhibition training improves the performance of food stimulation response inhibition control in obese children.Compared with normal behavioral training and neutral-stimulation inhibition training,food-stimulation inhibition training has a better weight loss effect on obese children.
引文
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[22]李辉,宗心南,季成叶,等.中国2～18岁儿童青少年超重和肥胖筛查体重指数界值点的研究[J].中华流行病学杂志,2010,31(6):616-620.
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[24]Aitken RC.Measurement of feelings using visual analogue scales.[J].Proc Royal Soc Med,1969,62(10):989-993.
[25]岳玲,陈珏,亢清,等.神经性厌食症患者抑制控制功能研究[J].中华行为医学与脑科学杂志,2014,23(5):423-426.
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[28]Wang Y,Wang L,Cui X,et al.Eating on impulse:implicit attitudes,self-regulatory resources,and trait self-control as determinants of food consumption[J].Eat Behav,2015,19:144-149.doi:10.1016/j.eatbeh.2015.09.011.
[29]Kemps E,Tiggemann M,Elford J.Sustained effects of attentional re-training on chocolate consumption [J].J Behav Ther Exp Psychiatry,2015,49(Pt A):94-100.
[30]Beard C,Sawyer AT,Hofmann SG.Efficacy of attention bias modification using threat and appetitive stimuli:a meta-analytic review[J].Behav Ther,2012,43(4):724-740.
[31]Berridge KC."Liking" and "wanting" food rewards:brain substrates and roles in eating disorders [J].Physiol Behav,2009,97(5):537-550.
[32]Werthmann J,Roefs A,Nederkoorn C,et al.Can(not) take my eyes off it:attention bias for food in overweight participants [J].J Division Health Psychol,2011,30(5):561-569.
[33]Boutelle KN,Monreal T,Strong DR,et al.An open trial evaluating an attention bias modification program for overweight adults who binge eat [J].J Behav Ther Exp Psychiatry,2016,52:138-146.doi:10.1016/j.jbtep.2016.04.005.
[34]Strack F,Deutsch R.Reflective and impulsive determinants of social behavior[J].J Consum Psychol,2004,16(3):205-216.
[2] 王烁,董彦会,王政和,等.1985-2014年中国7～18岁学生超重与肥胖流行趋势[J].中华预防医学杂志,2017,51(4):300-305.
[3] 赫才茜,王警可,郭桂平,等.青少年抑郁情绪在体形不满与进食障碍倾向关系中的中介作用[J].中国心理卫生杂志,2016,30(11):835-839.
[4] Sanderson K,Patton GC,Mckercher C,et al.Overweight and obesity in childhood and risk of mental disorder:a 20-year cohort study [J].Aust N Z J Psychiatry,2011,45(5):384-392.
[5] Hayes JF,Eichen DM,Barch DM,et al.Executive function in childhood obesity:promising intervention strategies to optimize treatment outcomes[J].Appetite,2018,124:doi:10.1016/j.appet.2017.05.040.):10-23.
[6] Riggs NR,Huh J,Chou CP,et al.Executive function and latent classes of childhood obesity risk [J].J Behav Med,2012,35(6):642-650.
[7] Werthmann J,Jansen A,Vreugdenhil ACE,et al.Food through the child' s eye:an eye-tracking study on attentional bias for food in healthy-weight children and children with obesity [J].Health Psychol,2015,34(12):1123-1132.doi:10.1037/hea0000225.
[8] Loeber S,Grosshans M,Korucuoglu O,et al.Impairment of inhibitory control in response to food-associated cues and attentional bias of obese participants and normal-weight controls[J].Int J Obes,2012,36(10):1334-9.
[9] Stroebe W,van Koningsbruggen GM,Papies EK,et al.Why most dieters fail but some succeed:a goal conflict model of eating behavior[J].Psychol Rev,2013,120(1):110-138.
[10]Veling H,van Koningsbruggen GM,Aarts H,et al.Targeting impulsive processes of eating behavior via the internet.Effects on body weight[J].Appetite,2014,78:102-109.doi:10.1016/j.appet.2014.03.014.
[11]Lawrence NS,O' Sullivan J,Parslow D,et al.Training response inhibition to food is associated with weight loss and reduced energy intake[J].Appetite,2015,95:17-28.doi:10.1016/j.appet.2015.06.009.
[12]Boutelle KN,Monreal T,Strong DR,et al.An open trial evaluating an attention bias modification program for overweight adults who binge eat[J].J Behav Ther Exp Psychiatry,2016,52:138-146.doi:10.1016/j.jbtep.2016.04.005.
[13]Houben K,Jansen A.Chocolate equals stop:chocolate-specific inhibition training reduces chocolate intake and go associations with chocolate[J].Appetite,2015,87:318-323.doi:10.1016/j.appet.2015.01.005.
[14]Allom V,Mullan B.Two inhibitory control training interventions designed to improve eating behaviour and determine mechanisms of change [J].Appetite,2015,89:282-290.doi:10.1016/j.appet.2015.02.022.
[15]Veling H,Aarts H,Papies EK.Using stop signals to inhibit chronic dieters' responses toward palatable foods[J].Behav Res Ther,2011,49(11):771-780.
[16]Verbeken S,Braet C,Goossens L,et al.Executive function training with game elements for obese children:a novel treatment to enhance self-regulatory abilities for weight-control[J].Behav Res Ther,2013,51(6):290-299.
[17]Tobias T,Ferrera VP.A new paradigm and computational framework to estimate stop-signal reaction time distributions from the inhibition of complex motor sequences[J].Front Comput Neurosci,2015,9(9):25-27.
[18]Verbruggen F,Logan GD.Response inhibition in the stop-signal paradigm[J].Trends Cogn Sci,2008,12(11):418-424.
[19]F V,Gd L.Response inhibition in the stop-signal paradigm[J].Trends Cogn Sci,2008,12(11):418.
[20]黄悦勤.医学科研中随机误差控制和样本量确定[J].中国心理卫生杂志,2015,29(11):874-880.
[21]刘豫,陈红,李书慧,等.在线抑制控制训练对失败的限制性饮食者不健康食物选择的改善[J].心理学报,2017,49(2):219-227.
[22]李辉,宗心南,季成叶,等.中国2～18岁儿童青少年超重和肥胖筛查体重指数界值点的研究[J].中华流行病学杂志,2010,31(6):616-620.
[23]White CN,Ratcliff R,Starns JS.Diffusion models of the flanker task:discrete versus gradual attentional selection[J].Cogn Psychol,2011,63(4):210-238.
[24]Aitken RC.Measurement of feelings using visual analogue scales.[J].Proc Royal Soc Med,1969,62(10):989-993.
[25]岳玲,陈珏,亢清,等.神经性厌食症患者抑制控制功能研究[J].中华行为医学与脑科学杂志,2014,23(5):423-426.
[26]Peat CM,Berkman ND,Lohr KN,et al.Comparative effectiveness of treatments for binge-eating disorder:systematic review and network meta-analysis[J].Eur Eat Disord Rev,2017,25 (5):317-328.doi:10.1002/erv.2517.
[27]Muraven M,Baumeister RF.Self-regulation and depletion of limited resources:does self-control resemble a muscle?[J].Psychol Bull,2000,126(2):247-259.
[28]Wang Y,Wang L,Cui X,et al.Eating on impulse:implicit attitudes,self-regulatory resources,and trait self-control as determinants of food consumption[J].Eat Behav,2015,19:144-149.doi:10.1016/j.eatbeh.2015.09.011.
[29]Kemps E,Tiggemann M,Elford J.Sustained effects of attentional re-training on chocolate consumption [J].J Behav Ther Exp Psychiatry,2015,49(Pt A):94-100.
[30]Beard C,Sawyer AT,Hofmann SG.Efficacy of attention bias modification using threat and appetitive stimuli:a meta-analytic review[J].Behav Ther,2012,43(4):724-740.
[31]Berridge KC."Liking" and "wanting" food rewards:brain substrates and roles in eating disorders [J].Physiol Behav,2009,97(5):537-550.
[32]Werthmann J,Roefs A,Nederkoorn C,et al.Can(not) take my eyes off it:attention bias for food in overweight participants [J].J Division Health Psychol,2011,30(5):561-569.
[33]Boutelle KN,Monreal T,Strong DR,et al.An open trial evaluating an attention bias modification program for overweight adults who binge eat [J].J Behav Ther Exp Psychiatry,2016,52:138-146.doi:10.1016/j.jbtep.2016.04.005.
[34]Strack F,Deutsch R.Reflective and impulsive determinants of social behavior[J].J Consum Psychol,2004,16(3):205-216.