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A behaviour analysis of nutrition behaviours and technology use in individuals with severe mental illness 严重精神疾病患者营养行为和技术使用的行为分析
IF 3.8 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-05-01 Epub Date: 2026-01-07 DOI: 10.1016/j.appet.2026.108454
Ciara O'Sullivan , Alison Merrotsy , Indika Dhanapala , Tara Coppinger
This study examined nutritional behaviours, barriers and facilitators to healthy eating and digital technology use among individuals with severe mental illness. A mixed-methods design was employed, utilising both quantitative (questionnaire) and qualitative (observations) approaches. The study was conducted across four high-support mental health hostels and included nineteen staff/clinicians (10 females, 9 males), aged 18–64 years (mean 44.8) and 33 service users (19 females, 14 males), aged 30–90 years. Participation was voluntary, with informed consent obtained. The questionnaire assessed staff/clinicians' perceptions of service users’ nutrition and digital technology capabilities, opportunities and motivations (COM-B model). Observations captured food choices, eating behaviours, and fluid intake. Descriptive statistics summarised questionnaire responses, which were categorised under COM-B, while inductive thematic analysis was used to identify key themes from the observational data, which were subsequently mapped to the COM-B and the Theoretical Domains Framework. Findings indicated that facilitators included psychological and physical capability to engage in nutrition-related activities, while barriers included limited food autonomy, lack of fruit and vegetables, and inconsistent access to water. Technology use was limited, with lack of access and low digital literacy identified as key barriers. Findings suggest that digital nutrition interventions could be effective if they first address barriers such as digital literacy and/or meal preparation skills, and are co-designed with service users to ensure digital tools are user-friendly and engaging.
这项研究调查了严重精神疾病患者的营养行为、健康饮食的障碍和促进因素以及数字技术的使用。采用混合方法设计,同时利用定量(问卷调查)和定性(观察)方法。该研究在四家高支持精神卫生旅馆进行,包括19名工作人员/临床医生(10名女性,9名男性),年龄18-64岁(平均44.8岁)和33名服务使用者(19名女性,14名男性),年龄30-90岁。参与是自愿的,并获得知情同意。问卷评估了工作人员/临床医生对服务用户的营养和数字技术能力、机会和动机的看法(COM-B模型)。观察记录了食物选择、饮食行为和液体摄入量。描述性统计总结了调查问卷的回答,并将其分类为COM-B,而归纳主题分析用于从观测数据中确定关键主题,随后将其映射到COM-B和理论领域框架。研究结果表明,促进因素包括参与营养相关活动的心理和身体能力,而障碍包括有限的食物自主权,缺乏水果和蔬菜,以及不稳定的水获取。技术使用有限,缺乏获取途径和数字素养低被认为是主要障碍。研究结果表明,如果数字营养干预措施首先解决数字素养和/或膳食准备技能等障碍,并与服务用户共同设计,以确保数字工具的用户友好性和吸引力,那么它们可能是有效的。
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引用次数: 0
Measurement properties of instruments assessing mindful eating in adults: A COSMIN systematic review 评估成人正念饮食的仪器测量特性:COSMIN系统综述。
IF 3.8 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-05-01 Epub Date: 2026-01-06 DOI: 10.1016/j.appet.2026.108443
Carolina Assis Silva , Taísa Alves Silva , Ana Flávia de Sousa Silva , Wanderson Roberto da Silva , João Henrique Fabiano Motarelli , Fernanda Rodrigues de Oliveira Penaforte , Camila Cremonezi Japur
Mindful eating is a promising approach to improving individuals’ relationships with food, with evidence of behavioral and health benefits. However, there is no consensus on the most suitable instrument to assess it. This study aimed to identify self-report measures of mindful eating in adults, appraise their measurement properties, and provide recommendations for their use. This systematic review, registered in PROSPERO (CRD42022337733), adhered to the COSMIN methodology and PRISMA-COSMIN guidelines. Seven databases were searched up to October 2025 for studies on self-reported mindful eating instruments in adults. Measurement properties were assessed with the COSMIN risk of bias checklist and criteria for good measurement properties. The quality of evidence was classified using a modified GRADE approach. Twenty-five studies were included, describing seven original instruments and 19 cross-cultural versions. None met the criteria for recommendation. For sixteen, conclusions could not be drawn due to insufficient “high” quality evidence, and ten were contraindicated because of “high” quality evidence for “insufficient” results, particularly for structural validity or internal consistency. The Mindful Eating Inventory (MEI) showed the most promising evidence. Overall, the instrument demonstrated sufficient results for all measurement properties assessed, although the quality of evidence varied: very low (relevance and measurement invariance), low (comprehensibility and reliability), moderate (construct validity), and high (structural validity and internal consistency). There is a need for methodologically rigorous research that adheres to COSMIN standards to strengthen the psychometric evidence and ensure the validity, reliability, and responsiveness of mindful eating assessment tools.
正念饮食是一种很有希望改善个人与食物关系的方法,有证据表明它对行为和健康都有好处。但是,对于评估它的最合适的工具没有达成一致意见。本研究旨在确定成年人正念进食的自我报告测量方法,评估其测量特性,并为其使用提供建议。该系统综述已在PROSPERO注册(CRD42022337733),遵循COSMIN方法和PRISMA-COSMIN指南。截至2025年10月,研究人员在七个数据库中搜索了关于成年人自我报告的正念饮食工具的研究。测量特性采用COSMIN偏倚风险检查表和良好测量特性标准进行评估。使用改进的GRADE方法对证据质量进行分类。包括25项研究,描述了7种原始乐器和19种跨文化版本。没有人符合推荐标准。其中16项研究因“高”质量证据不足而无法得出结论,10项研究因“高”质量证据不足而被禁忌症,特别是在结构效度或内部一致性方面。正念饮食量表(MEI)显示了最有希望的证据。总体而言,该工具对所有评估的测量属性显示了足够的结果,尽管证据质量各不相同:非常低(相关性和测量不变性),低(可理解性和可靠性),中等(结构效度)和高(结构效度和内部一致性)。有必要在方法上严格研究,坚持COSMIN标准,以加强心理测量证据,确保正念进食评估工具的有效性、可靠性和响应性。
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引用次数: 0
Within and between-person associations of movement behaviours with food cravings: an ecological momentary assessment study in adult high-trait food cravers 运动行为与食物渴望的内部和人与人之间的联系:成人高特质食物渴望者的生态瞬间评估研究。
IF 3.8 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-05-01 Epub Date: 2026-01-09 DOI: 10.1016/j.appet.2026.108458
Flore De Vylder , Greet Cardon , Sofie Compernolle , Lien Goossens , Laura Maenhout , Delfien Van Dyck
The present study aimed (1) to investigate how food cravings, sedentary behaviour (SB), and physical activity (PA) vary within and between individuals over time in a sample of high-trait food cravers and (2) to investigate within- and between-person associations of SB and PA with food craving (i.e. intensity and type of craved food) in high trait food cravers, thereby exploring the effects in different time intervals preceding the craving. An observational study with a repeated measures design was conducted in 95 high-trait food cravers (19–64 years), consisting of (1) 6-daily smartphone-based Ecological Momentary Assessment (EMA) questionnaires on food craving and (2) accelerometer data collection for 7 days. Analysis through generalised linear mixed models revealed the importance of focusing on individual fluctuations rather than between-person differences. Higher SB was linked to a lower likelihood of experiencing a craving and lower intensity of the cravings when they did occur. However, the relationship between SB and food cravings may be better explained by emotional, social, or contextual factors linked to the sitting episodes. Higher light physical activity (LPA) was associated with a higher intensity of food cravings indicating a potentially triggering effect. More moderate-to-vigorous physical activity (MVPA) was associated with a decreased likelihood of craving energy-dense foods, suggesting a protective role in unhealthy food choices. These associations varied across different timeframes. Despite the statistical significance of the findings, caution should be exercised when interpreting their practical implications, as they may not translate into substantial changes in everyday behaviour. Given the observational and exploratory nature of the analyses, the findings are intended to be hypothesis-generating rather than confirmatory, with the aim of informing future research.
本研究旨在(1)研究高特质食物渴求者对食物的渴望、久坐行为(SB)和身体活动(PA)在个体内部和个体之间随时间的变化;(2)研究高特质食物渴求者对食物的渴望(即渴望食物的强度和类型)与SB和PA在个体内部和个体之间的关系,从而探索在不同时间间隔前的影响。采用重复测量设计的观察性研究对95名高特质食物渴望者(19-64岁)进行了研究,包括(1)每天6次基于智能手机的食物渴望生态瞬间评估(EMA)问卷调查和(2)7天的加速度计数据收集。通过广义线性混合模型进行的分析揭示了关注个体波动而不是人与人之间差异的重要性。较高的SB值与较低的渴望可能性和较低的渴望强度有关。然而,SB和食物渴望之间的关系可能更好地解释为与坐着发作相关的情感、社会或环境因素。高强度的轻度身体活动(LPA)与高强度的食物渴望有关,这表明存在潜在的触发效应。更多的中高强度体育活动(MVPA)与渴望高能量食物的可能性降低有关,这表明在不健康食物的选择中起着保护作用。这些关联在不同的时间段有所不同。尽管这些发现具有统计意义,但在解释其实际含义时应谨慎,因为它们可能不会转化为日常行为的实质性变化。考虑到这些分析的观察性和探索性,这些发现旨在产生假设,而不是证实性,目的是为未来的研究提供信息。
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引用次数: 0
Dietary acculturation and eating habits of Ukrainian children in Finland: A socio-ecological framework analysis 芬兰乌克兰儿童的饮食文化适应和饮食习惯:社会生态框架分析
IF 3.8 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-05-01 Epub Date: 2026-01-16 DOI: 10.1016/j.appet.2026.108464
Dina Fedorova , Emmi Tilli , Carola Ray , Maijaliisa Erkkola
The Russian invasion of Ukraine displaced millions of children who face acute stress and require rapid adaptation to unfamiliar environments, potentially affecting lifelong health outcomes. This qualitative study explored factors influencing dietary acculturation and eating habits of Ukrainian children resettled in Finland. Five focus groups were conducted in August 2024 with 16 mothers and 12 children (aged 8–13 years) recruited through the Ukrainian Association in Finland. Interviews were conducted in Ukrainian, and transcripts were analysed in English using ATLAS.ti software, applying a socio-ecological framework to identify drivers and barriers across societal, school, family, and child levels.
Major barriers included financial constraints and unfamiliar mixed ingredients in school meals at societal and school levels; strict adherence to Ukrainian food practices, unstructured snacking, and stress eating at family level; and resistant food preferences and picky eating at child level. Key drivers were affordable fresh produce and fish availability, free school lunches, and immigrant support; mandatory meal attendance, repeated exposure, and early food education; transition to bicultural eating patterns and adopting Finnish parental practices; and gradual food tasting and increased vegetable and fish consumption. Age-dependent patterns emerged as both barriers and drivers, with younger children showing less entrenched preferences and stronger peer conformity, facilitating dietary change, while older children's established tastes hindered acculturation.
Dietary acculturation is shaped by multi-level factors, including children's age, family practices, food policy, and Finland's supportive context. Quantitative studies are needed to confirm findings across socio-ecological levels.
俄罗斯入侵乌克兰使数百万儿童流离失所,他们面临严重压力,需要迅速适应不熟悉的环境,可能影响终身健康结果。本定性研究探讨了影响芬兰乌克兰儿童饮食文化适应和饮食习惯的因素。2024年8月,通过芬兰乌克兰协会招募了16名母亲和12名儿童(8-13岁),开展了5个焦点小组。访谈以乌克兰语进行,并使用ATLAS用英语分析笔录。Ti软件,应用社会生态框架来识别跨社会、学校、家庭和儿童层面的驱动因素和障碍。主要障碍包括财政限制和不熟悉社会和学校层面的校餐混合成分;严格遵守乌克兰的饮食习惯,无结构的零食,以及家庭层面的压力饮食;以及儿童对食物的偏好和挑食。主要驱动因素是可负担得起的新鲜农产品和鱼类供应、免费学校午餐和移民支持;强制用餐、反复暴露和早期饮食教育;向双文化饮食模式过渡,采用芬兰父母的做法;逐渐品尝食物,增加蔬菜和鱼类的摄入量。年龄相关的模式既是障碍,也是驱动因素,年龄较小的孩子表现出不那么根深蒂固的偏好,更强的同伴一致性,促进了饮食变化,而年龄较大的孩子的既定口味阻碍了文化适应。饮食文化适应是由多层因素形成的,包括儿童的年龄、家庭习惯、食品政策和芬兰的支持环境。需要进行定量研究来确认跨社会生态层面的发现。
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引用次数: 0
A qualitative exploration of parental decision-making regarding ultra-processed products for children aged 2 to 5 years 父母对2 - 5岁儿童超加工产品决策的定性探讨
IF 3.8 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-05-01 Epub Date: 2026-01-02 DOI: 10.1016/j.appet.2026.108440
Alejandra Girona , Leandro Machín , Agustina Vitola , Gastón Ares , Raquel Rodríguez , Camila Vinçon , Mónica Lozano , Lucía Antúnez , Leticia Vidal
The early and frequent consumption of ultra-processed products has emerged as a growing public health concern, driven by a growing body of evidence linking these products to a range of adverse health outcomes. This study explored parental perceptions of their children's consumption of ultra-processed products and examined the barriers and facilitators influencing their inclusion in the diets of children aged 2–5 years. Using a generic qualitative design, semi-structured interviews were conducted with 24 parents residing in Montevideo, Uruguay, a South American country with one of the highest childhood overweight and obesity rates in the region (14.1 % of children under 5 years). The analysis was guided by qualitative content analysis, employing both inductive and deductive coding strategies. Although all participants recognized ultra-processed products as unhealthy, they acknowledged their children regularly consumed items such as yogurt, cookies, and sausages. While awareness of health risks served as a barrier, many parents expressed compensatory health beliefs that justified occasional consumption. Key facilitators included prevailing social norms, influence from family and peers, and the widespread availability and marketing of ultra-processed products. These findings highlight the complex interplay of individual beliefs and broader environmental influences in shaping parental decision-making. Results underscore the need for a comprehensive set of strategies to discourage the consumption of ultra-processed products. These could include nutrition education programs to raise awareness of their negative health effects beyond the age of two, alongside the implementation of robust public policies to address the widespread availability and promotion of these products.
由于越来越多的证据表明超加工产品与一系列不良健康后果有关,过早和频繁食用超加工产品已成为一个日益严重的公共卫生问题。本研究探讨了父母对孩子食用超加工产品的看法,并研究了影响2-5岁儿童饮食中超加工产品的障碍和促进因素。采用一般定性设计,对居住在乌拉圭蒙得维的亚的24名父母进行了半结构化访谈。乌拉圭是南美洲儿童超重和肥胖率最高的国家之一(占5岁以下儿童的14.1%)。分析以定性内容分析为指导,采用归纳和演绎编码策略。尽管所有参与者都认为超加工产品不健康,但他们也承认自己的孩子经常食用酸奶、饼干和香肠等食品。虽然对健康风险的认识是一个障碍,但许多父母表达了补偿性的健康信念,认为偶尔消费是合理的。主要的促进因素包括普遍的社会规范、家庭和同伴的影响以及超加工产品的广泛供应和销售。这些发现强调了个人信念和更广泛的环境影响在形成父母决策方面的复杂相互作用。结果强调需要一套全面的战略来阻止超加工产品的消费。这些措施可以包括开展营养教育项目,提高两岁以上儿童对其负面健康影响的认识,同时实施强有力的公共政策,解决这些产品的广泛供应和推广问题。
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引用次数: 0
Exploring moral disengagement in meat consumption among Malaysian youth – A cross-sectional study 探索道德脱离肉类消费在马来西亚青年-横断面研究
IF 3.8 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-05-01 Epub Date: 2025-12-30 DOI: 10.1016/j.appet.2025.108439
Chin Wei Chong , Fadi Abdelfattah , Wendy Ming Yen Teoh , Adedapo O. Ojo
This study explores the moral disengagement with its five sub-dimensions and investigate the influence of animal ethics and environmental concern on moral disengagement in the context of adoption of plant-based diet among Malaysian youth. A cross-sectional survey involving 341 students from ten Malaysian universities was conducted using a structured questionnaire based on established scales for animal ethics, environmental awareness, intention to adopt plant-based diet and the five dimensions of moral disengagement, i.e. means-ends justifications, desensitization, denial of negative consequences, diffused responsibility, and reduced perceived choice. The findings indicate relatively low ethical concern regarding animal ethics and low-to-moderate environmental awareness concerning meat consumption as well as intention to adopt a plant-based diet. Moral disengagement was indicated as moderate-to-high with means-ends justification reported as the highest dimension, followed by diffused responsibility and desensitization. Animal ethics and environmental concerns are negatively related with moral disengagement and there is a significant negative relationship between moral disengagement with the intention to adopt plant-based diet. By identifying the psychological barriers to dietary change, this study helps design more effective strategies to promote plant-based diets and sustainability, thereby contributing to ethical food consumption and environmental protection.
本研究探讨了道德脱离的五个子维度,并在马来西亚青年采用植物性饮食的背景下调查动物伦理和环境问题对道德脱离的影响。对来自马来西亚10所大学的341名学生进行了横断调查,使用结构化问卷进行了调查,问卷基于动物伦理、环境意识、采用植物性饮食的意向和道德脱离的五个维度,即手段-目的辩护、脱敏、否认负面后果、分散责任和减少感知选择。研究结果表明,人们对动物伦理的道德关注相对较低,对肉类消费的环保意识也较低,并倾向于采用植物性饮食。道德脱离被认为是中等到高度的,手段目的辩护被认为是最高的维度,其次是责任分散和脱敏。动物伦理和环境问题与道德脱离呈负相关,道德脱离与采用植物性饮食的意图呈显著负相关。通过确定饮食改变的心理障碍,本研究有助于设计更有效的策略来促进植物性饮食和可持续性,从而促进道德食品消费和环境保护。
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引用次数: 0
Two forks, one meal: Health implications of shared food systems in couples 两叉一餐:夫妻共享食物系统对健康的影响。
IF 3.8 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-05-01 Epub Date: 2025-12-17 DOI: 10.1016/j.appet.2025.108433
Ira Elisa Herwig , Vanessa Knobl , Jutta Mata
Eating together is central to daily life in romantic couples, and food choices are often shared rather than individual. We examined the interdependence in shared food systems of romantic couples with a focus on shared meal frequency and meat consumption similarity. We investigate how shared food systems affect health and how these effects are moderated by gender and couple gender composition (different-vs. same-gender couples). This preregistered study used data from Wave 3B (autumn 2023) of the German FReDA panel (representative of 18- to 49-year-olds). Participants (N = 12,686) and their romantic partners (N = 5276) were surveyed. Measures included frequency of shared meals with the partner, meat consumption, several health outcomes, gender, and cohabitation status. Couples frequently shared meals (on average 10.23 times/week) and had similar meat consumption (r = 0.48, p < .001), particularly if they cohabited. More shared meals were associated with higher similarity and relationship satisfaction, higher life satisfaction, fewer depressive symptoms, and better subjective health, but also with higher meat consumption. No significant association with BMI was found. In heterosexual couples, gender moderated the effect on meat—shared meals associate to higher meat consumption for women but not men—but not the effects on subjective health or BMI. No gender moderations were found in homosexual couples. Findings highlight the importance of including romantic partners in models and interventions targeting eating behavior. Shared meals affect food choices (with gendered patterns) and can promote social and mental health, underlining the broad relevance of social eating.
在浪漫的情侣中,一起吃饭是日常生活的核心,食物的选择通常是共同的,而不是个人的。我们研究了浪漫情侣共享食物系统中的相互依赖性,重点关注共享用餐频率和肉类消费相似性。我们调查了共享食物系统如何影响健康,以及这些影响如何被性别和夫妻性别构成(异性伴侣与同性伴侣)所缓和。这项预注册的研究使用了来自德国FReDA小组(18至49岁的代表)的Wave 3B(2023年秋季)的数据。参与者(N = 12686)和他们的恋人(N = 5276)接受了调查。测量包括与伴侣共餐的频率、肉类消费、几种健康结果、性别和同居状况。夫妻经常一起吃饭(平均每周10.23次),肉类消费量相似(r = .48, p < .001),尤其是同居的夫妻。更多的共同进餐与更高的相似性和关系满意度、更高的生活满意度、更少的抑郁症状和更好的主观健康有关,但也与更多的肉类消费有关。未发现与BMI有显著关联。在异性恋夫妇中,性别缓和了对肉类的影响——共享晚餐与女性更高的肉类消费量有关,但对男性没有影响——但对主观健康或体重指数没有影响。在同性伴侣中没有发现性别缓和。研究结果强调了将浪漫伴侣纳入模型和针对饮食行为的干预措施的重要性。共同用餐影响食物选择(以性别模式),并能促进社会和心理健康,强调了社交饮食的广泛相关性。
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引用次数: 0
Eye candy & eye tunes: Effects of liked vs. disliked music on desire to eat and food choice in an eye-tracking buffet paradigm 视觉糖果和视觉旋律:在眼球追踪自助餐范式中,喜欢与不喜欢的音乐对食欲和食物选择的影响。
IF 3.8 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-05-01 Epub Date: 2025-12-24 DOI: 10.1016/j.appet.2025.108438
Jonas Potthoff, Anne Schienle
Music can evoke both positive and negative moods, which may, in turn, differently affect the processing of food cues. This preregistered eye-tracking study investigated whether self-selected liked versus disliked music affects desire to eat, visual attention to foods of varying sugar content, and subsequent food choice in a buffet-like context. A total of 106 participants (mean age = 25 years; mean body mass index = 22 kg/m2) viewed a buffet with high-sugar foods, low-sugar alternatives, and non-foods while eye movements were recorded. Participants were randomly assigned to a liked music, disliked music, or no music condition. Self-reported desire to eat and food choice were assessed. Disliked music decreased general desire to eat but increased the specific desire to eat high-sugar food. Furthermore, it increased the likelihood of selecting high-sugar foods from the buffet. Liked music and no music were associated with a preference for low-sugar foods. Music did not significantly influence visual attention. Participants consistently looked longer at food than non-food items regardless of their music condition. These findings suggest that music can bias food-related decision-making independently of attentional processes: liked music may encourage healthier choices, whereas disliked music increases susceptibility to high-sugar comfort foods despite reduced general appetite. The results highlight the potential of music as a subtle, non-caloric intervention for promoting low-sugar eating behaviour. They also point towards risks of being exposed to disliked music in contexts in which food decisions are being made like in restaurants or supermarkets.
音乐可以唤起积极和消极的情绪,反过来,这可能会不同地影响食物线索的处理。这项预先注册的眼球追踪研究调查了自我选择喜欢和不喜欢的音乐是否会影响食欲,对不同糖含量食物的视觉注意力,以及随后在自助餐环境下的食物选择。共有106名参与者(平均年龄为25岁,平均体重指数为22公斤/平方米)观看了有高糖食物、低糖替代品和非食物的自助餐,同时记录了眼球运动。参与者被随机分配到喜欢的音乐,不喜欢的音乐,或者没有音乐的情况下。对自我报告的食欲和食物选择进行评估。不喜欢的音乐降低了总体的食欲,但增加了吃高糖食物的特定欲望。此外,它增加了从自助餐中选择高糖食物的可能性。喜欢音乐和不喜欢音乐与对低糖食物的偏好有关。音乐对视觉注意力没有显著影响。不管他们的音乐条件如何,参与者看食物的时间总是比看非食物的时间长。这些发现表明,音乐可以独立于注意力过程,影响与食物相关的决策:喜欢的音乐可能会鼓励更健康的选择,而不喜欢的音乐会增加对高糖舒适食物的敏感性,尽管总体食欲会下降。研究结果强调了音乐作为促进低糖饮食行为的一种微妙的、无热量的干预手段的潜力。他们还指出,在餐馆或超市等做出食物决定的环境中,人们可能会听到不喜欢的音乐。
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引用次数: 0
Strategies young adults use to reduce sodium consumption in a family-led intervention: A photo elicitation study to inform contributors to acceptability and adoption 年轻人在家庭主导的干预中减少钠摄入量的策略:一项照片启发研究,告知贡献者可接受性和采用性。
IF 3.8 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-05-01 Epub Date: 2026-01-16 DOI: 10.1016/j.appet.2026.108465
Kimberly Mei Yi Low, Felicia Jia Hui Chan, Mary Foong-Fong Chong, Cindy Mei Jun Chan, Shahmir H. Ali

Background

Family-based approaches are increasingly emphasized for non-communicable disease prevention, yet how family dynamics shape the uptake of sodium-reduction practices remains underexplored in Southeast Asian households.

Purpose

To examine how Singaporean young adults initiated sodium-reduction strategies within their families and how relational and contextual factors influenced adoption and acceptability of these strategies.

Method

Following a family-led sodium-reduction intervention, young adults and family members completed a photoelicitation study of post-intervention practices. Participants submitted 1 to 2 photographs of shared meals or sodium-reduction efforts, followed by online semi-structured interviews or family group discussions. Data were recorded, transcribed, and thematically analyzed, with the Theory of Planned Behavior informing interpretation.

Findings

The study included 22 participants from 11 families (11 young adults; 11 family members including parents, spouses, and siblings). Young adults described practical, relationship-sensitive strategies, including substituting lower-sodium products, using natural flavour enhancers, and providing real-time feedback during cooking. Approach and communication varied by relationship and household role, with more deferential messaging with elders, more direct exchanges with siblings, and more collaborative efforts with partners. Adoption and acceptability were supported by shared meals, emotional closeness, and supportive family climates, and challenged by entrenched habits, familiar taste preferences, and concerns about conflict.

Conclusions

Participants described tangible post-intervention changes in household food practices and highlighted how these changes were achieved through strategic, relationship-sensitive negotiation within everyday family life. Interventions may be strengthened by tailoring support to household roles and communication patterns to enhance adoption and acceptability.
背景:以家庭为基础的方法越来越多地被强调用于非传染性疾病预防,但家庭动态如何影响东南亚家庭减少钠摄入量的做法仍未得到充分探讨。目的:研究新加坡年轻人如何在家庭中发起减钠策略,以及关系和背景因素如何影响这些策略的采用和可接受性。方法:在以家庭为主导的减钠干预后,年轻人和家庭成员完成了干预后实践的照片激发研究。参与者提交了1到2张共同用餐或减少钠摄入量的照片,随后是在线半结构化访谈或家庭小组讨论。数据被记录、转录并进行主题分析,计划行为理论为解释提供信息。研究结果:该研究包括来自11个家庭的22名参与者(11名年轻人;11名家庭成员,包括父母、配偶和兄弟姐妹)。年轻人描述了实用的、关系敏感的策略,包括替代低钠产品,使用天然增味剂,以及在烹饪过程中提供实时反馈。方法和沟通因关系和家庭角色而异,与长辈的交流更恭敬,与兄弟姐妹的交流更直接,与伴侣的合作更努力。共同进餐、情感亲密和支持性的家庭氛围支持了收养和接受,而根深蒂固的习惯、熟悉的口味偏好和对冲突的担忧则对收养和接受提出了挑战。结论:参与者描述了干预后家庭饮食习惯的切实变化,并强调了这些变化是如何通过日常家庭生活中的战略性、关系敏感的谈判实现的。可以根据家庭的作用和交流方式提供支助,加强干预措施,以提高采用和接受程度。
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引用次数: 0
A taste of the past. Investigating memory bias for self-selected disliked foods in children 调查儿童对自己选择的不喜欢的食物的记忆偏差。
IF 3.8 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-05-01 Epub Date: 2025-12-22 DOI: 10.1016/j.appet.2025.108436
Rosalie Mourmans, Britt Fleischeuer, Pauline Dibbets, Katrijn Houben, AnoukE.M. Hendriks-Hartensveld, AnoukJ.P. van den Brand, Chantal Nederkoorn
Food rejection is common in early childhood and can reduce children's intake of healthy foods, limiting the variety and overall quality of their diet. Despite its prevalence, the cognitive mechanisms that may contribute to food rejection are not yet well understood. Memory may be particularly important, as children rely on stored evaluations of foods (whether they previously liked or disliked them) to guide later acceptance or refusal. A relevant framework here is the negativity bias, the tendency to process negative information more strongly than positive information. If this extends to food, children might remember disliked foods better than liked ones, which could in turn reinforce avoidance. The present study tested whether children show enhanced memory for self-selected disliked foods compared to liked foods and neutral control items, and whether this effect is stronger in picky eaters. The study included 105 children (aged 4–6), who selected their five most liked and five most disliked foods from a set of 26 images. Children then completed a three-alternative forced-choice discrimination task, in which they identified the target picture previously shown among visually similar options. Results revealed no evidence of a negative memory bias: recall accuracy did not differ between liked, disliked, and control items. Food rejection behaviors were also unrelated to memory performance across all categories. However, age significantly predicted accuracy, with older children performing better overall. These findings suggest that a negative memory bias may not explain children's food rejection behaviors. Future studies may explore other cognitive mechanisms that influence how children perceive, evaluate, and respond to foods as well as additional factors such as familiarity and social influence.
食物排斥在儿童早期很常见,可以减少儿童对健康食品的摄入,限制其饮食的多样性和整体质量。尽管它很普遍,但可能导致食物排斥的认知机制尚未得到很好的理解。记忆可能尤其重要,因为孩子们依赖于储存的对食物的评价(无论他们之前是喜欢还是不喜欢)来指导以后的接受或拒绝。一个相关的框架是消极偏见,即处理消极信息比处理积极信息更强烈的倾向。如果这延伸到食物上,孩子们可能会更容易记住不喜欢的食物,而不是喜欢的食物,这反过来会加强对食物的回避。目前的研究测试了儿童对自己选择的不喜欢的食物是否比喜欢的食物和中性的对照食物表现出更强的记忆力,以及这种影响是否在挑食者身上更强。这项研究包括105名4-6岁的儿童,他们从一组26张图片中选出他们最喜欢和最不喜欢的5种食物。然后,孩子们完成了一个三种选择的强迫选择区分任务,在这个任务中,他们在视觉上相似的选项中识别出之前显示的目标图片。结果显示没有负面记忆偏差的证据:喜欢、不喜欢和控制项目之间的回忆准确性没有差异。在所有类别中,拒绝食物的行为也与记忆表现无关。然而,年龄对准确率有显著的预测作用,年龄越大的孩子总体表现越好。这些发现表明,负面记忆偏差可能无法解释儿童的食物排斥行为。未来的研究可能会探索影响儿童对食物的感知、评价和反应的其他认知机制,以及熟悉度和社会影响等其他因素。
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Appetite
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