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Beyond the family's cooking frequency: The influence of cooking techniques on vegetable and fruit consumption among the U.S. population 超越家庭烹饪频率:烹饪技术对美国人口蔬菜和水果消费量的影响。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-11-03 DOI: 10.1016/j.appet.2024.107757
Larissa Galastri Baraldi , Mariana Fagundes Grilo , Marina Landert , Carla Adriano Martins

Background

Despite the well-established health benefits of fruits and vegetables, U.S. consumption remains far below the WHO's recommended 400 g per day. Understanding how culinary techniques influence intake could elucidate strategies for improving dietary habits.

Objective

To explore whether the use of cooking techniques for fruits and vegetables is associated with increased consumption of these foods and the corresponding variation in total fiber intake among the U.S. population.

Methods

Data from the National Health and Nutrition Examination Survey (NHANES) 2009–2010, participants (n = 9754) were categorized into groups based on their self-reported cooking frequency. Cooking techniques were classified into types. The mean consumption of fruits and vegetables was segmented into quartiles. Cooking frequency was evaluated, and differences between groups were assessed using chi-square tests and mean comparison tests. The study also assessed the prevalence of cooking techniques for different food groups. Additionally, linear regression analyses were conducted to adjust the mean daily per capita consumption of fruits, vegetables, and dietary fiber, considering cooking frequency and other socioeconomic variables as predictors.

Results

The studied population's mean consumption of fruits and vegetables was 302.9 g, with half of this amount consisting of fruits. Individuals from households with frequent cooking practices (≥5x a week) consumed, on average, 48.2 g more fruits and vegetables daily than those from households with less frequent cooking (<5x a week). The use of diverse cooking techniques significantly improved vegetable intake, showing a fivefold increase in consumption among those employing multiple techniques. Moreover, frequent home cooking was associated with a 1.0-g increase in daily fiber intake.

Conclusion

Public policies aimed at improving fruit and vegetable intake among the U.S. population should consider, in addition to cooking frequency, the role of cooking techniques in influencing the consumption of these food groups.
背景:尽管水果和蔬菜对健康的益处已得到证实,但美国的消费量仍远远低于世界卫生组织推荐的每天 400 克的标准。了解烹饪技术对摄入量的影响可以阐明改善饮食习惯的策略:目的:探讨水果和蔬菜烹饪技术的使用是否与这些食物消费量的增加以及美国人口总纤维摄入量的相应变化有关:方法:2009-2010年美国国家健康与营养调查(NHANES)的数据,根据参与者(人数=9754)自我报告的烹饪频率将其分为几组。烹饪技术分为不同类型。水果和蔬菜的平均消费量被分为四等分。对烹饪频率进行了评估,并使用卡方检验和均值比较检验对组间差异进行了评估。研究还评估了不同食物组的烹饪技术的普及率。此外,还进行了线性回归分析,以调整水果、蔬菜和膳食纤维的人均日消费量,并将烹饪频率和其他社会经济变量作为预测因素:研究人群的水果和蔬菜平均消费量为 302.9 克,其中一半为水果。经常烹饪(每周烹饪次数≥5 次)的家庭比不经常烹饪的家庭平均每天多摄入 48.2 克水果和蔬菜:旨在提高美国居民水果和蔬菜摄入量的公共政策,除了考虑烹饪频率外,还应考虑烹饪技术在影响这些食物种类的摄入量方面所起的作用。
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引用次数: 0
A novel appetite loss in older adults with and without cognitive impairment (ALOC) screening scale 新型认知障碍和非认知障碍老年人食欲减退(ALOC)筛查量表。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-11-03 DOI: 10.1016/j.appet.2024.107758
Anna Rudzińska , Agnieszka Pac , Barbara Gryglewska , Ian Perera , Jerzy Gąsowski , Karolina Piotrowicz
Appetite is a strong determinant of nutritional status. As cognitive impairment is usually linked to alterations in eating behaviour, people with dementia might experience changes in appetite with the loss of ability to express their needs, including dietary choices and preferences. The aim of the study was to develop an appetite loss screening tool for older adults, inclusive for those with mild to moderate cognitive impairment. The study questionnaire, consisting of 44 binary items related to appetite, was employed among 127 hospitalized older patients (55.9% women, mean age 79.4 ± 7.1 years) with and without cognitive impairment (31.5% categorized as suspected mild dementia, 26.0% as suspected moderate dementia). An exploratory factor analysis was performed to identify items that constitute the final scale, with a Cronbach's alpha coefficient of 0.81. The final tool consists of seven questions, with a sensitivity of 80% and specificity of 80.6%, using the Council on Nutrition Appetite Questionnaire score as reference. Acceptability post-test was performed in 20 patients (70% women, mean age 79.6 ± 5.3 years) to test the clinical feasibility of the scale. The customized design of the scale, according to the recommendation for written materials for individuals with dementia, empowers older adults, supports diagnosis and encourages their proactivity in the treatment process. The scale was found to perform similarly in older persons with and without cognitive impairment, which renders it a versatile assessment tool.
食欲是营养状况的重要决定因素。由于认知障碍通常与进食行为的改变有关,痴呆症患者可能会因为丧失表达自己需求(包括饮食选择和偏好)的能力而出现食欲变化。这项研究的目的是为老年人(包括轻度至中度认知障碍患者)开发一种食欲不振筛查工具。研究问卷由 44 个与食欲相关的二元项目组成,使用对象为 127 名住院的老年患者(55.9% 为女性,平均年龄为 79.4±7.1 岁),包括有认知障碍和无认知障碍的患者(31.5% 被归类为疑似轻度痴呆,26.0% 被归类为疑似中度痴呆)。通过探索性因子分析确定了构成最终量表的项目,Cronbach's alpha 系数为 0.81。最终工具由七个问题组成,以营养委员会食欲问卷评分为参考,灵敏度为 80%,特异性为 80.6%。对 20 名患者(70% 为女性,平均年龄为 79.6±5.3 岁)进行了可接受性后测,以检验量表的临床可行性。根据针对痴呆症患者的书面材料建议,量表采用了定制化设计,增强了老年人的能力,支持诊断并鼓励他们在治疗过程中积极主动。研究发现,该量表在有认知障碍和无认知障碍的老年人中表现相似,因此是一种通用的评估工具。
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引用次数: 0
The role of child nutrition counselling, gender dynamics, and intra-household feeding decision-making on child dietary diversity in semi-arid northern Ghana 加纳北部半干旱地区儿童营养咨询、性别动态和家庭内部喂养决策对儿童膳食多样性的作用。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-11-02 DOI: 10.1016/j.appet.2024.107755
Cornelius K.A. Pienaah, Mildred Naamwintome Molle, Isaac Luginaah
Every child has the right to proper nutrition. As such, child nutrition counselling is recommended to improve child dietary diversity and reduce malnutrition. However, there is limited empirical evidence on how child nutrition counselling, gender dynamics, and intra-household feeding decisions play a role and translate to child dietary diversity in rural contexts. Informed by theoretical conceptions from Health Belief Model (HBM) and Gender and Development (GAD) framework, we analyzed cross-sectional data from 517 smallholder households in Ghana's semi-arid Upper West Region to investigate the relationship between child nutrition counselling, gender dynamics, intra-household feeding decision-making, and their impact on child dietary diversity. Results from ordered logistic regression show that households that received child nutrition counselling reported higher child dietary diversity. Joint intra-household feeding decisions were associated with higher child dietary diversity. Households with good self-rated childcare, engaged in home gardening, and higher wealth, as well as those in the Waala ethnic group, were more likely to have high child dietary diversity. A decrease in household head age was linked to increased high child dietary diversity. On the other hand, female-headed households, Brifo ethnic groups, and those in the Wa East and Wa West districts were less likely to experience high child dietary diversity. Implementing interventions and policies prioritizing nutrition education in the Upper West Region and similar sub-Saharan African contexts is recommended. Strategies like scaling up child nutrition counselling, food demonstrations, mother-to-mother support nutrition outreach, and mobile nutrition clinics can empower women and improve children's well-being.
每个儿童都有获得适当营养的权利。因此,建议通过儿童营养咨询来改善儿童膳食多样性,减少营养不良。然而,关于儿童营养咨询、性别动态和家庭内部喂养决定如何发挥作用并转化为农村儿童膳食多样性的经验证据却很有限。根据健康信念模型(HBM)和性别与发展(GAD)框架的理论概念,我们分析了加纳半干旱地区上西部 517 个小农家庭的横截面数据,研究了儿童营养咨询、性别动态、家庭内部喂养决策之间的关系及其对儿童膳食多样性的影响。有序逻辑回归的结果显示,接受过儿童营养咨询的家庭报告的儿童膳食多样性更高。家庭内部的共同喂养决策与儿童膳食多样性较高有关。自我评价良好的儿童保育家庭、从事家庭园艺的家庭、较富裕的家庭以及瓦拉(Waala)族家庭更有可能拥有较高的儿童膳食多样性。户主年龄越小,儿童膳食多样性越高。另一方面,女户主家庭、布里佛(Brifo)族群以及瓦东区和瓦西区的家庭不太可能拥有较高的儿童膳食多样性。建议在上西部地区和类似的撒哈拉以南非洲地区实施优先考虑营养教育的干预措施和政策。扩大儿童营养咨询、食品示范、母亲对母亲支持营养推广和流动营养诊所等战略可以增强妇女的能力,改善儿童的福祉。
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引用次数: 0
Sizzling steaks and manly molds: Exploring the meanings of meat and masculinities in young men's lives. 热气腾腾的牛排和男子气概的模具:探索年轻男性生活中肉类和男子气概的含义。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-11-02 DOI: 10.1016/j.appet.2024.107754
Elina Vrijsen, Sofie Van Bauwel, Alexander Dhoest, Charlotte De Backer

Eating (red) meat and masculinity are historically and culturally associated, leading to the stereotype "real men eat meat" in western society. Existing literature primarily examines men' motivations, justifications, and attitudes toward meat consumption; however, there is limited understanding of the themes that emerging adult men associate with their meat consumption and how these themes relate to their masculine identity. This study employed semi-structured interviews with thirty men aged 18 to 29, living in Flanders, Belgium. Through inductive analysis, we identified five meat themes (i.e. the topics men talk about when discussing their meat-eating behavior): "traditional cuisine", "doing meat", "fitness", "taste", and "meat ethics". Subsequently, these themes were deductively connected to the frameworks of Wong and Wang's (2022) model of masculinities and Piazza et al.'s (2015) 4N scale of meat justification to gain insight into the link between masculine identities and meat consumption. Finally, we formulated five "masculine meat identities": "normative", "performative", "embodied", "hedonistic" and "ethical" meat masculinities. Each identity reflects how men utilize meat, particularly red meat, for communicating and reinforcing their masculine identity, while also serving as a medium for expressing personal and social identities. This research contributes to a deeper understanding of how food, especially meat, operates as a means of communicating gender, bridging the disciplines of food and masculinities studies. Moreover, insights obtained from these masculine meat identities provide implications for public health, marketing, and policy. By tailoring strategies that resonate with diverse masculine identities, stakeholders can better align their initiatives with global health and sustainable objectives.

吃(红)肉和男子气概在历史上和文化上是相关联的,这导致了西方社会 "真正的男人吃肉 "的刻板印象。现有文献主要研究男性食用肉类的动机、理由和态度;然而,人们对新兴成年男性食用肉类的相关主题以及这些主题与其男性身份之间的关系了解有限。本研究采用半结构式访谈法,采访了三十名居住在比利时佛兰德斯的 18 至 29 岁男性。通过归纳分析,我们确定了五个肉食主题(即男性在讨论其肉食行为时谈论的话题):"传统美食"、"吃肉"、"健身"、"口味 "和 "肉食伦理"。随后,我们将这些主题与 Wong 和 Wang(2022 年)的男子气概模型和 Piazza 等人(2015 年)的 4N 肉类正当性量表框架进行演绎连接,以深入了解男性身份与肉类消费之间的联系。最后,我们提出了五种 "男性肉食身份":"规范"、"表演"、"体现"、"享乐 "和 "道德 "五种男性肉食身份。每种身份都反映了男性如何利用肉类(尤其是红肉)来传达和强化其男性身份,同时也是表达个人和社会身份的媒介。这项研究有助于人们更深入地了解食物(尤其是肉类)是如何作为一种性别交流的手段来运作的,从而在食物研究和男性研究这两个学科之间架起一座桥梁。此外,从这些男性肉类身份中获得的启示对公共卫生、市场营销和政策都有借鉴意义。通过量身定制能与不同男性身份产生共鸣的策略,利益相关者可以更好地将他们的行动与全球健康和可持续发展的目标结合起来。
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引用次数: 0
A qualitative exploration of mothers' perspectives on infant formula use in Uruguay 乌拉圭母亲对婴儿配方奶粉使用情况的定性研究。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-11-01 DOI: 10.1016/j.appet.2024.107753
Alejandra Girona , Agustina Vitola , Gerónimo Brunet , Gastón Ares , Carolina de León , Raquel Rodríguez , Mónica Lozano , Leticia Vidal
The transformation of the first-food systems and the widespread availability and marketing of breastmilk substitutes undermine efforts to promote adequate breastfeeding practices. The objective of the present research was to explore mothers' perspectives on infant formula use in Montevideo, the capital of Uruguay. A generic qualitative design was used to explore mothers' perspectives on the factors that act as enablers or barriers for infant formula use. Semi-structured interviews with thirty-four mothers of 0–23 months old children, aged between 25- and 40-years old, were conducted. The interview transcripts were analyzed using content analysis based on inductive-deductive coding considering the framework of the Capability, Opportunity, Motivation, and Behavior (COM-B) model. The discourse of the interviewees enabled the identification of a wide range of barriers and enablers for the use of infant formula, which were related to the three components of the model: capabilities, opportunity, and motivation. The health system emerged as the key determinant of infant formula use. Most of the participants who used infant formula referred to medical indication when explaining the reasons underlying their infant feeding decisions. The working status of the mother and emotional aspects of the child feeding experience were also identified as key enablers of infant formula use, whereas knowledge about health benefits and breastfeeding techniques, support from families and health-professionals, and motivation to breastfeed were key barriers. Taken together, these results suggest that strategies to reduce the use of infant formula in Uruguay should mainly focus on providing opportunities to breastfeed by improving the quality of the support and guidance provided to families in the health system and facilitating greater balance between breastfeeding and work.
第一食品体系的转变以及母乳替代品的广泛供应和营销破坏了促进适当母乳喂养做法的努力。本研究旨在探讨乌拉圭首都蒙得维的亚的母亲对婴儿配方奶粉使用的看法。研究采用了通用定性设计,以探讨母亲们对婴儿配方奶粉使用的促进因素或障碍因素的看法。对 34 位 0-23 个月婴儿的母亲进行了半结构化访谈,她们的年龄在 25-40 岁之间。根据能力、机会、动机和行为(COM-B)模型框架,采用归纳-演绎编码法对访谈记录进行了内容分析。从受访者的谈话中,我们发现了使用婴儿配方奶粉的各种障碍和促进因素,这些障碍和因素与该模型的三个组成部分:能力、机会和动机有关。卫生系统是决定婴儿配方奶粉使用的关键因素。大多数使用婴儿配方奶粉的受试者在解释其做出婴儿喂养决定的原因时都提到了医学指征。母亲的工作状况和儿童喂养经历中的情感因素也被认为是婴儿配方奶粉使用的主要促进因素,而有关健康益处和母乳喂养技巧的知识、来自家庭和卫生专业人员的支持以及母乳喂养的动机则是主要障碍。综上所述,这些结果表明,乌拉圭减少婴儿配方奶粉使用量的策略应主要侧重于提供母乳喂养的机会,提高卫生系统为家庭提供的支持和指导的质量,促进母乳喂养与工作之间的平衡。
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引用次数: 0
“It just made sense to me!” A Qualitative Exploration of Individual Motivation for Time-Restricted Eating "我觉得有道理!"对个人限时进食动机的定性探索。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-11-01 DOI: 10.1016/j.appet.2024.107751
Hilmi S. Rathomi , Nahal Mavaddat , Judith M. Katzenellenbogen , Sandra C. Thompson
Time-Restricted Eating (TRE), a form of intermittent fasting, has gained popularity for weight control and metabolic health. It is not incorporated into dietary and clinical guidelines, and hence is generally not being recommended to the public. This qualitative study explores how individuals have discovered TRE as a form of dietary practice and their motivations for practising it. Using purposive and snowball sampling, we recruited 21 participants who had engaged in TRE for at least 3 months (range 3 months to over 5 years). In-depth interviews were conducted with an interview guide developed based on the Health Belief Model. We utilised an inductive coding process and thematic analysis to identify the factors motivating TRE adoption. Seven main themes emerged: (1) dissatisfaction and resistance to prior or traditional approaches, (2) perceived broader health benefits, (3) principles of TRE deemed logical, (4) low to no cost of adoption, (5) manageable psychosocial barriers, (6) being non-restrictive and easy to use, and (7) compatibility with personal lifestyle. This study provided insights into early phase of TRE adoption among individuals in real world settings. Future research should explore health practitioners' perspectives on TRE to better understand the acceptability and potential use of TRE as a weight management approach.
限时进食(TRE)是间歇性禁食的一种形式,在控制体重和新陈代谢健康方面颇受欢迎。它没有被纳入饮食和临床指南,因此一般不向公众推荐。本定性研究探讨了个人是如何发现 TRE 这种饮食实践方式的,以及他们实践这种方式的动机。我们采用目的性抽样和滚雪球抽样的方法,招募了 21 名参与 TRE 至少 3 个月(从 3 个月到 5 年以上不等)的参与者。我们根据健康信念模型制定的访谈指南进行了深入访谈。我们利用归纳编码过程和主题分析来确定促使采用 TRE 的因素。我们发现了七大主题:(1) 对先前或传统方法的不满和抵触;(2) 感知到的更广泛的健康益处;(3) TRE 的原则被认为是合理的;(4) 采用成本低或无成本;(5) 可控的社会心理障碍;(6) 无限制且易于使用;(7) 与个人生活方式的兼容性。本研究提供了在现实环境中个人采用 TRE 早期阶段的见解。今后的研究应探讨医疗从业人员对 TRE 的看法,以更好地了解 TRE 作为体重管理方法的可接受性和潜在用途。
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引用次数: 0
The bioSocial Cognitive Theory of Eating (bSCT-e): Applying and Elaborating on a Biopsychosocial Substance Use Theory for Food Addiction. 饮食的生物社会认知理论(bSCT-e):生物社会认知进食理论(bSCT-e):应用和阐述生物社会心理物质使用理论来治疗食物成瘾。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-11-01 DOI: 10.1016/j.appet.2024.107750
Jasmine S Zaphir, Natalie J Loxton, Matthew J Gullo

Obesity rates are increasing globally, and food addiction (FA1) may be an important contributing factor but there is a lack of understanding of the key psychological mechanisms that contribute to FA. The bioSocial Cognitive Theory (bSCT) proposes that substance use is predicted by biologically based personality traits and their influence on social cognitive mechanisms. While validated in substance use, bSCT has not been applied to a behavioural or non-substance addiction. However, the bSCT does not include a negative affective personality component, of which there is clear theoretical and empirical support as risk factors for FA. Thus, this study sought to test both the original bSCT model and an elaborated version related to eating (bSCT-e) that included direct and indirect punishment sensitivity pathways to identify the individual risk factors of FA. Data were collected from 204 university students (75.5% female; Mage = 24.82, SD = 9.17) via an online survey. Both original bSCT and bSCT-e models provided a good fit to the data, with the latter providing slightly better fit and accounting for more variance in FA. The findings suggest that individuals who are more reward driven and punishment sensitive hold exaggerated beliefs about the reinforcing and emotion regulation effects of eating, which may undermine eating control and increase risk of FA. This study provides potential new insights into the complex biopsychosocial mechanisms of FA, and points to potential intervention targets.

全球肥胖率不断上升,食物成瘾(FA1)可能是一个重要的诱因,但人们对导致食物成瘾的关键心理机制缺乏了解。生物社会认知理论(bSCT)提出,药物使用是由基于生物的人格特质及其对社会认知机制的影响所预测的。生物社会认知理论虽然在药物使用方面得到了验证,但尚未应用于行为成瘾或非药物成瘾。然而,bSCT 并不包括消极情绪人格成分,而理论和经验都明确支持消极情绪人格成分是导致 FA 的风险因素。因此,本研究试图测试原始的 bSCT 模型和与饮食相关的详细版本(bSCT-e),其中包括直接和间接的惩罚敏感性途径,以确定 FA 的个体风险因素。研究通过在线调查收集了204名大学生(75.5%为女性;年龄=24.82,标准差=9.17)的数据。原始的 bSCT 模型和 bSCT-e 模型都能很好地拟合数据,而后者的拟合效果稍好,能解释更多的 FA 变异。研究结果表明,奖励驱动和惩罚敏感度较高的人对进食的强化作用和情绪调节作用持有夸大的信念,这可能会破坏进食控制并增加罹患 FA 的风险。这项研究为了解 FA 复杂的生物-心理-社会机制提供了新的视角,并指出了潜在的干预目标。
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引用次数: 0
A naturalistic assessment of the relationship between negative affect and loss of control eating over time following metabolic and bariatric surgery 对代谢和减肥手术后一段时间内消极情绪与饮食失控之间关系的自然评估。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-31 DOI: 10.1016/j.appet.2024.107748
Gail A. Kerver , Joseph A. Wonderlich , Leslie A. Laam , Theresa Amponsah , Katherine Nameth , Kristine J. Steffen , Leslie J. Heinberg , Debra L. Safer , Stephen A. Wonderlich , Scott G. Engel
Disordered eating behavior has been linked to suboptimal weight outcomes following metabolic and bariatric surgery (MBS), thereby threatening the most efficacious treatment for severe obesity. While up to 40% of patients may experience loss of control (LOC) eating following MBS, mechanisms driving this behavior are not fully understood. Preliminary evidence suggests that high levels of negative affect (NA) in the moment prompt LOC eating post-MBS; however, it remains unclear whether this momentary relationship is stable or changes over the first several years following surgery. Consequently, this study examined differences in the prospective relationship between NA and LOC eating severity over time post-MBS using three waves of ecological momentary assessment data collection. Participants (n = 143, 87% female), were asked to rate momentary levels of NA and LOC eating severity on their smartphone ≥5 times/day for 7 days at 1-, 2-, and 3-years post-MBS. Both NA and LOC eating were rated on a 1–5 Likert scale, with higher scores indicating more severe symptoms. NA was within- and between-person centered and used as a prospective predictor of LOC eating severity. Analyses evaluated if time post-MBS moderated the relationship. A generalized linear mixed model demonstrated that higher NA predicted more severe LOC eating at the next signal when centered within- and between-subjects. Time post-MBS moderated the within-NA to LOC eating severity effect, such that the relationship remained unchanged between years 1 and 2, but strengthened between years 2 and 3. Findings suggest that momentary NA becomes a more powerful predictor of LOC eating severity as time passes post-MBS, which has important implications for interventions aimed at reducing LOC eating and promoting optimal weight outcomes in the post-surgical period.
饮食失调行为与代谢和减肥手术(MBS)后的不理想体重结果有关,从而威胁到治疗严重肥胖症的最有效方法。虽然多达 40% 的患者在接受代谢和减重手术后可能会出现饮食失控(LOC),但这种行为的驱动机制尚未完全明了。初步证据表明,当下高水平的负性情绪(NA)会促使 MBS 术后出现 LOC 进食;然而,这种当下的关系是稳定的,还是会在术后最初几年内发生变化,目前仍不清楚。因此,本研究利用三波生态学瞬间评估数据收集,考察了NA与MBS术后LOC进食严重程度之间的前瞻性关系差异。参与者(n=143,87% 为女性)被要求在 MBS 术后 1、2 和 3 年的 7 天内,每天用智能手机对 NA 和 LOC 饮食严重程度进行≥5 次的瞬间评分。NA和LOC饮食均采用1-5分的李克特量表进行评分,分数越高表示症状越严重。NA以人内和人际为中心,并作为LOC进食严重程度的前瞻性预测指标。分析评估了MBS后的时间是否会调节两者之间的关系。一个广义线性混合模型表明,当以受试者内部和受试者之间为中心时,NA 越高,则下一次信号发出时 LOC 进食越严重。MBS后的时间调节了NA内对LOC进食严重程度的影响,因此这种关系在第1年和第2年之间保持不变,但在第2年和第3年之间得到加强。研究结果表明,随着MBS术后时间的推移,瞬间NA对LOC进食严重程度的预测作用越来越强,这对旨在减少LOC进食和促进术后最佳体重结果的干预措施具有重要意义。
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引用次数: 0
Restrictive, but not instrumental feeding, is associated with Eating in the Absence of Hunger in toddlers: A cross-sectional lab-based study 限制性喂养(而非工具性喂养)与幼儿无饥饿感进食有关:一项基于实验室的横断面研究。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-30 DOI: 10.1016/j.appet.2024.107746
Camille Riera-Navarro, Sophie Nicklaus
Understanding the early origins of Eating in the Absence of Hunger (EAH) is crucial, as maladaptive appetite regulation contributes to excessive weight gain in childhood. This cross-sectional study primarily investigated in toddlers the associations between EAH and parental feeding practices (PFP), focusing on instrumental feeding. It also explored the associations with children's temperament or food accessibility, and their potential moderating effects on the relationship between EAH and PFP. Sixty-six parents and toddlers aged 24–36 months participated. EAH (kcal) was assessed using Fisher and Birch's (1999) lab-based paradigm. PFP, children's general temperament and appetitive traits, and food accessibility were parent-reported. Children's weight and height were measured to calculate their BMI z-score. Linear regressions analyzed associations between EAH and PFP, adjusted or not for children's or parents' characteristics. Interactions assessed the moderating effects of temperament or food accessibility. Toddlers' EAH (43 ± 41 kcal) was unrelated to instrumental feeding, namely using food as a reward (r = −0.08, p = 0.76) and to regulate emotions (r = 0.04, p = 0.76), which were rarely applied by parents. EAH was not associated with children's temperament or food accessibility, but exploratory analyses revealed a positive association with parental restriction for health reasons (RFH, r = 0.30, p = 0.01), especially at high and moderate levels of Ease of access to food (RFH x Ease of access interaction: β = 12.2, p = 0.01). Soothability did not moderate the relationship between EAH and PFP. In conclusion, toddler's EAH was not associated with instrumental feeding but correlated positively with health-related restriction. This was moderated by food accessibility, suggesting that limiting food accessibility in early childhood may mitigate this adverse relationship. This study was preregistered (https://osf.io/6r5m8) and received ethical approbation (CEEI, registration number 23–1001).
了解无饥饿感进食(EAH)的早期起源至关重要,因为不适应性食欲调节会导致儿童期体重增加过多。这项横断面研究主要调查了幼儿无饥饿感进食(EAH)与父母喂养方式(PFP)之间的关系,重点是工具性喂养。研究还探讨了与儿童气质或食物可获得性之间的关系,以及它们对 EAH 和 PFP 之间关系的潜在调节作用。66 名父母和 24-36 个月大的幼儿参加了研究。EAH(千卡)采用费舍尔和伯奇(1999 年)的实验室范式进行评估。PFP、儿童的一般气质和食欲特征以及食物的可获得性由家长报告。对儿童的体重和身高进行测量,以计算他们的体重指数 z 分数。线性回归分析了EAH与PFP之间的关系,并对儿童或家长的特征进行了调整或未进行调整。交互作用评估了气质或食物可获得性的调节作用。幼儿的EAH(43±41千卡)与工具性喂养(即用食物作为奖励(r=-0.08,P=0.76)和调节情绪(r=0.04,P=0.76))无关,家长很少使用工具性喂养。EAH与儿童的性情或食物的可获得性无关,但探索性分析表明,EAH与父母出于健康原因的限制(RFH,r=0.30,p=0.01)呈正相关,尤其是在高水平和中等水平的食物易获得性时(RFH x 食物易获得性交互作用:β=12.2,p=0.01)。安抚性并不能调节 EAH 和 PFP 之间的关系。总之,幼儿 EAH 与工具性喂养无关,但与健康相关限制呈正相关。这与食物的可获得性有调节作用,表明在幼儿期限制食物的可获得性可能会缓解这种不利关系。本研究已预先注册(https://osf.io/6r5m8)并获得伦理批准(CEEI,注册号 23-1001)。
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引用次数: 0
Evaluating text, icon, and graphic nutrition labels: An eye tracking experiment with Latino adults in the US 评估文字、图标和图形营养标签:针对美国拉丁裔成年人的眼动实验。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-30 DOI: 10.1016/j.appet.2024.107745
Marissa G. Hall , Anna H. Grummon , Callie Whitesell , Cristina J.Y. Lee , Quinn Errico , Tiffiany Portacio , Mirian I. Avendaño-Galdamez , M. Justin Byron , Adam O. Goldstein
The US Food and Drug Administration (FDA) is developing front-of-package nutrition labels for packaged foods. Identifying the most promising type of label among Latino adults could inform federal regulation, given high rates of diet-related disease in Latino populations. Additionally, exploring English-language label effects among populations with limited English proficiency could inform equitable label design. We examined whether text, icon, or graphic nutrition labels attract attention among Latino populations and whether label effects differed by English proficiency. In 2023, we recruited 63 adults in North Carolina identifying as Latino/a/é (hereinafter “Latino”); 48% had limited English proficiency. Participants viewed four labels on a can of soup in random order: a barcode label (control) and text, icon, and graphic labels reading, “WARNING: High in sodium.” Eye trackers measured time spent viewing the label (dwell time), number of times viewing the label (fixation count), and time to first fixation on the label. A survey assessed secondary outcomes. Dwell time was highest for the graphic label (mean = 2.58 s (s)), followed by icon (mean = 2.34s), text (mean = 1.94s), and control labels (mean = .96s; p for each label vs. control <.001). The impact of label type on dwell time did not differ by English proficiency (p = .669). Fixation count was highest for the graphic label, followed by the icon, text, and control labels (p for each label vs. control <.001). Participants viewed the graphic and text labels more quickly than control (ps = .01). Self-reported attention, perceived message effectiveness, and understandability were higher for graphic, icon, and text labels than control (all p < .001 vs. control). This study suggests that front-of-package labels signaling that foods are high in nutrients of concern can attract consumers’ attention, especially when the labels include images or icons.
美国食品和药物管理局(FDA)正在开发包装食品的包装前营养标签。鉴于拉丁裔人群中与饮食相关的疾病发病率较高,在拉丁裔成年人中确定最有前景的标签类型可为联邦法规提供参考。此外,在英语水平有限的人群中探索英语标签的效果也能为公平的标签设计提供参考。我们研究了文字、图标或图形营养标签是否能吸引拉丁裔人群的注意,以及标签效果是否因英语水平而异。2023 年,我们在北卡罗来纳州招募了 63 名拉美裔成人(以下简称 "拉美裔"),其中 48% 的人英语水平有限。参与者按随机顺序观看了一罐汤上的四种标签:条形码标签(对照组)以及文字、图标和图形标签,标签上写着 "警告:钠含量高"。眼动仪测量了观察标签的时间(停留时间)、观察标签的次数(固定次数)以及首次固定在标签上的时间。一项调查评估了次要结果。图形标签的停留时间最长(平均=2.58 秒),其次是图标标签(平均=2.34 秒)、文本标签(平均=1.94 秒)和对照标签(平均=0.96 秒;每个标签与对照标签的比较结果为 P。
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引用次数: 0
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Appetite
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