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迈向:一种改善食物成瘾和暴饮暴食症状的代谢健康干预措施。

TOWARD: a metabolic health intervention that improves food addiction and binge eating symptoms.

作者信息

Saner Erin, Kalayjian Tro, Buchanan Laura, Calkins Matthew, Soto-Mota Adrian, Jun Daekwang, Sethi Shebani

机构信息

Department of Family and Community Medicine, School of Medicine, Wake Forest University, Winston Salem, NC, United States.

Private Practitioner, Tappan, NY, United States.

出版信息

Front Psychiatry. 2025 Jul 24;16:1612551. doi: 10.3389/fpsyt.2025.1612551. eCollection 2025.

Abstract

Food Addiction is an increasingly relevant clinical and public health issue given its impact on metabolic health, mental health, and quality of life. Therapeutic carbohydrate reduction (TCR) has been shown to improve the symptoms of food addiction as measured by the modified Yale Food Addiction Scale (mYFAS) 2.0. We discuss a novel telemedicine intervention, in an employee wellness setting, utilizing TOWARD principles: Text-based communications, Online interactions, Wellness coaching, Asynchronous education and community support, Real-time biofeedback and remote monitoring, and Dietary modification with an emphasis on TCR to treat symptoms of food addiction and binge eating. Food addiction symptoms decreased by 40.7% and binge eating symptoms decreased by 34.7%. In an employee wellness setting, we observe a metabolic health intervention can improve weight, lower financial cost through medication deprescription, and improve mental health symptoms related to food.

摘要

鉴于食物成瘾对代谢健康、心理健康和生活质量的影响,它已成为一个日益重要的临床和公共卫生问题。治疗性碳水化合物减少(TCR)已被证明可改善食物成瘾症状,这是通过改良耶鲁食物成瘾量表(mYFAS)2.0来衡量的。我们讨论了一种新型远程医疗干预措施,在员工健康环境中,利用“TOWARD”原则:基于文本的沟通、在线互动、健康指导、异步教育和社区支持、实时生物反馈和远程监测,以及强调TCR的饮食调整,以治疗食物成瘾和暴饮暴食症状。食物成瘾症状下降了40.7%,暴饮暴食症状下降了34.7%。在员工健康环境中,我们观察到一种代谢健康干预措施可以改善体重,通过减少药物处方降低财务成本,并改善与食物相关的心理健康症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/287b/12329587/ac9ba43f9695/fpsyt-16-1612551-g001.jpg

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