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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
Does food selectivity drive differences in dietary resemblance between children with intellectual disabilities and typical development? 食物选择性是否会导致智障儿童与发育正常儿童之间的饮食相似性差异?
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-30 DOI: 10.1016/j.appet.2024.107744
Katherine M. Rancaño , Carol Curtin , Aviva Must , Linda G. Bandini
Although children's dietary intake often resembles that of their parents', dietary resemblance has not been examined among children with intellectual disabilities (ID), where food selectivity is a common parental concern. We compared dietary resemblance in children with typical development (TD), ID, and ID and co-occurring autism (ID + A) in parent-child dyads, and examined whether child food selectivity mediated between-group differences. Dietary data from parents and their children (3–8 years, male = 61.8%, TD = 52.9%, ID = 18.6%, ID + A = 28.4%) were analyzed as mother-child (n = 100) and father-child (n = 70) dyads. Dietary resemblance was operationalized as the proportion of foods that were reported as eaten/not eaten by both parent and child in parent-completed Food Frequency Questionnaires. Food refusal rate was used to capture food selectivity (total foods children would not eat/total foods offered). Among mother-child dyads, dietary resemblance did not differ between children with ID compared to TD (P = 0.243). Among father-child dyads, dietary resemblance was 10% lower in children with ID than TD (66.4% vs. 74.1%, P = 0.032), and the difference was partially explained (mediated) by food refusal. Among mother-child dyads, dietary resemblance was 19% lower among children with ID + A than TD (61.5% vs. 75.6%, P = 0.001), and the difference was completely explained by food refusal. Among father-child dyads, dietary resemblance was 22% lower among children with ID + A than TD (57.9% vs. 74.1%, P < 0.001), and the difference was completely explained by food refusal. Subanalyses by food groups produced similar results. Compared to TD children, dietary resemblance was lower in children with ID + A, but not children with ID, and differences were explained by food selectivity. Our findings suggest parents of children with ID + A may have less influence over their child's dietary intake than parents of children with ID or TD.
虽然儿童的饮食摄入量通常与父母的相似,但尚未研究过智障(ID)儿童的饮食相似性,而对食物的选择性是父母普遍关心的问题。我们比较了典型发育(TD)儿童、智障儿童、智障儿童和同时患有自闭症(ID + A)的儿童在亲子关系中的饮食相似性,并研究了儿童的食物选择性是否是组间差异的中介。对父母及其子女(3-8 岁,男性 = 61.8%,TD = 52.9%,ID = 18.6%,ID + A = 28.4%)的饮食数据进行了母子(n = 100)和父子(n = 70)二元组分析。膳食相似度是指在父母填写的食物频率调查表中,父母和子女均表示吃过/没吃过的食物比例。拒食率用于反映食物的选择性(儿童不吃的食物总数/提供的食物总数)。在母子二人组中,智障儿童与智障儿童的饮食相似度没有差异(P = 0.243)。在父子二人组中,智障儿童的饮食相似度比智障儿童低 10%(66.4% 对 74.1%,P = 0.032),而拒食可以部分解释(调节)这种差异。在母子二人组中,ID + A 患儿的饮食相似度比 TD 患儿低 19%(61.5% 对 75.6%,P = 0.001),拒绝进食可完全解释这一差异。在父子组合中,智障+A 儿童的饮食相似度比智障儿童低 22%(57.9% 对 74.1%,P=0.001)。
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引用次数: 0
Contributions of subjective status to eating behaviors, obesity, and metabolic health across development 主观状态对整个发育过程中的饮食行为、肥胖和代谢健康的影响。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-30 DOI: 10.1016/j.appet.2024.107735
Bobby K. Cheon , Julia M.P. Bittner , Aimee E. Pink
Subjective status is the evaluation of one's social or socioeconomic status relative to others. Lower subjective status has been associated with risk of overweight/obesity, poorer metabolic health, and obesogenic food preferences and eating behaviors. However, these findings are predominantly based on studies of adolescents and young adults. This indicates major gaps in knowledge and application of this social determinant of obesity and metabolic health, given that perceived status develops throughout the life course along with food environments and eating habits. Here, we review the relationships that subjective status shares with the outcomes of eating behaviors, obesity, and metabolic health across milestones and periods of development: during the prenatal period, as caregivers who feed children, during childhood (prior to age 10) and from adolescence into emerging adulthood (until mid-20's). For each developmental period, we explore why the period critically contributes to these outcomes and how subjective status may affect eating behaviors and metabolic health. We propose that subjective status contributes to eating/feeding behaviors and metabolic health both within and across developmental periods, such that the effect of low subjective status at an earlier period may contribute to obesogenic eating behaviors and metabolic health in later developmental periods and intergenerationally. The influence of low subjective status on higher body weight may also threaten subjective status later in development through heightened vulnerability to social stressors, such as weight-based stigma. Overall, subjective status may be a broadly influential factor to consider when examining social determinants of obesity and metabolic health across development.
主观地位是一个人相对于其他人的社会或社会经济地位的评价。较低的主观地位与超重/肥胖风险、较差的代谢健康以及导致肥胖的食物偏好和饮食行为有关。然而,这些发现主要基于对青少年和年轻成年人的研究。这表明在肥胖和代谢健康的这一社会决定因素的知识和应用方面存在重大差距,因为在人的一生中,主观地位会随着饮食环境和饮食习惯的变化而变化。在此,我们回顾了主观地位与饮食行为、肥胖和代谢健康结果之间的关系,这些关系跨越了不同的发展阶段和时期:产前时期、作为喂养儿童的照顾者、童年时期(10 岁之前)以及从青春期到成年期(直到 20 多岁)。对于每个发展时期,我们都会探讨为什么该时期会对这些结果产生重要影响,以及主观状态会如何影响饮食行为和代谢健康。我们认为,主观状态对发育期内和发育期间的进食/喂养行为和代谢健康都有影响,因此,早期低主观状态的影响可能会导致发育后期和代际间的肥胖进食行为和代谢健康。低主观状态对较高体重的影响也可能在发育后期通过增加对社会压力(如基于体重的耻辱)的脆弱性来威胁主观状态。总之,在研究肥胖和代谢健康的社会决定因素时,主观地位可能是一个具有广泛影响的因素。
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引用次数: 0
Employment-related time poverty, time stress and food away from home behaviour: Panel evidence from Australia 与就业相关的时间贫困、时间压力和外出就餐行为:来自澳大利亚的小组证据。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-29 DOI: 10.1016/j.appet.2024.107734
Isaac Koomson , Edward Martey , Omphile Temoso
This study examines the link between employment-related time poverty and food away from home (FAFH) behaviour. We use a large representative sample of Australians drawn from five waves of panel data from the Household, Income and Labour Dynamics in Australia (HILDA) survey. Endogeneity biases stemming from reverse causality and omitted variable issues are resolved using fixed effect-instrumental variable approach while other quasi-experimental methods are applied to check for consistency in findings. Overall, we find that employment-related time poverty is associated with an increase in the likelihood of engaging in FAFH behaviour. In specific terms, it is associated with an increase in the likelihood of consuming breakfast, dinner, and supper away from home. Employment-related time poverty is associated with an increase in FAFH tendencies more among females and those located in rural/remote communities. Regarding mealtimes, employment-related time poverty is associated with an increase in the drive towards FAFH behaviour more for lunch, followed by breakfast and dinner respectively. Psychological feeling of time stress is discovered as an important pathway via which time poverty is associated with an increase in FAFH tendencies.
本研究探讨了与就业相关的时间贫困与外出就餐(FAFH)行为之间的联系。我们从澳大利亚家庭、收入和劳动力动态调查(HILDA)的五波面板数据中抽取了大量具有代表性的澳大利亚人样本。利用固定效应-工具变量法解决了反向因果关系和遗漏变量问题所产生的内生性偏差,同时还采用了其他准实验方法来检验研究结果的一致性。总体而言,我们发现与就业相关的时间贫困与从事家庭财务和保健行为的可能性增加有关。具体而言,与就业相关的时间贫困会增加外出消费早餐、晚餐和夜宵的可能性。与就业相关的时间贫困与女性和农村/偏远社区居民的 FAFH 倾向增加有关。在用餐时间方面,与就业相关的时间贫困与 FAFH 行为的增加有关,其中午餐较多,其次分别是早餐和晚餐。时间压力的心理感受被认为是时间贫困与 FAFH 倾向增加相关的一个重要途径。
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引用次数: 0
Robots in the kitchen: The automation of food preparation in restaurants and the compounding effects of perceived love and disgust on consumer evaluations 厨房里的机器人:餐厅食品制作的自动化以及消费者的喜爱和厌恶感对消费者评价的复合效应。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-28 DOI: 10.1016/j.appet.2024.107723
Ethan Pancer , Theodore J. Noseworthy , Lindsay McShane , Nükhet Taylor , Matthew Philp
Restaurants are swiftly embracing automation to prepare food, experimenting with innovations from robotic arms for frying foods to pizza-making robots. While these advances promise to enhance efficiency and productivity, their impact on consumer psychology remains largely unexplored. We present four experiments that demonstrate how food service automation leads to negative downstream effects (i.e., diminished taste perceptions, decreased willingness to pay, less favorable attitudes towards food items) across multiple food categories. This stems in part from two distinct contagion effects, whereby automation appears to undermine the food's ability to contain symbolic love (positive contagion from human contact) while simultaneously increasing feelings of disgust (negative contagion from machine contact). Moreover, we highlight how communicating the consumer-oriented benefits of automation can suppress the disgust associated with automation and subsequently mitigate the deleterious effects on consumer evaluations. Our findings suggest that service retailers should consider the psychological impact on consumers when shifting away from human involvement in a category as intimate and consequential as the production of our food.
餐厅正在迅速采用自动化方式准备食物,尝试从机械臂煎炸食物到披萨制作机器人等各种创新。虽然这些进步有望提高效率和生产率,但它们对消费者心理的影响在很大程度上仍未得到探讨。我们通过四项实验展示了餐饮自动化如何在多个食品类别中导致负面的下游效应(即味觉感知减弱、支付意愿下降、对食品的好感度降低)。这部分源于两种截然不同的传染效应,即自动化似乎削弱了食品包含象征性爱的能力(来自人类接触的积极传染),同时增加了厌恶感(来自机器接触的消极传染)。此外,我们还强调了如何通过宣传自动化给消费者带来的好处来抑制与自动化相关的厌恶感,从而减轻对消费者评价的有害影响。我们的研究结果表明,服务零售商在像食品生产这样关系密切、影响深远的类别中放弃人工参与时,应考虑到对消费者的心理影响。
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引用次数: 0
Investigating the mediating role of physical activity within the association between food insecurity and BMI 调查体育活动在粮食不安全与体重指数之间的关联中的中介作用。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-25 DOI: 10.1016/j.appet.2024.107724
Thomas Gough , Olivia Brown , Paul Christiansen , Charlotte A. Hardman , Gregory S. Keenan
Food insecurity is linked with obesity and while the mechanisms behind this association are complex, lower levels of leisure-time physical activity in those with food insecurity may contribute to this. Individual-level factors (such as concerns of performing physical activity) may partly determine levels of physical activity within individuals with food insecurity, as such individuals may seek to minimise their levels of physical activity in order to preserve energy. Using the Food Insecurity Physical Activity Concerns Scale (FIPACS) (used to measure concerns of performing leisure-time physical activity, focusing on factors specific to food insecurity), the current study investigated whether the association between household food insecurity and body mass index (BMI) is explained by a mediation pathway of FIPACS scores and leisure-time physical activity. We also investigated whether the association between food insecurity and FIPACS scores is moderated by nutrition knowledge. Participants (N = 329, food insecure = 55) completed an online survey consisting of the FIPACS, the International Physical Activity Questionnaire long-form (IPAQ), the Diet, Disease, and Weight management sub-section of the General Nutrition Knowledge Questionnaire, a measure of diet quality, and self-reported BMI. Findings revealed that FIPACS scores and leisure-time physical activity did not mediate the association between food insecurity and BMI (b < 0.01, SE = 0.01). Additionally, nutrition knowledge did not moderate the association between food insecurity and FIPACS scores (b = −0.09, SE = 0.08). Findings suggest that concerns of performing physical activity in the context of food insecurity are unrelated to leisure-time physical activity, and that these two factors do not explain the association between food insecurity and BMI. Future research should investigate other factors in the link between food insecurity, physical activity, and BMI.
粮食不安全与肥胖有关,虽然这种联系背后的机制很复杂,但粮食不安全人群闲暇时间体育活动水平较低可能是造成这种情况的原因之一。个人层面的因素(如对进行体育活动的担忧)可能在一定程度上决定了粮食不安全人群的体育活动水平,因为这些人可能会尽量减少体育活动,以保存能量。本研究使用 "食物不安全体力活动关注量表"(FIPACS)(用于测量对进行闲暇体力活动的关注,侧重于食物不安全的特定因素),调查了家庭食物不安全与体重指数(BMI)之间的关联是否可以通过 FIPACS 分数和闲暇体力活动的中介途径来解释。我们还调查了食物不安全与 FIPACS 分数之间的关联是否受营养知识的调节。参与者(N = 329,食物不安全 = 55)完成了一项在线调查,调查内容包括 FIPACS、国际体力活动问卷长式(IPAQ)、营养常识问卷的饮食、疾病和体重管理子部分、饮食质量测量以及自我报告的体重指数。研究结果显示,FIPACS 分数和闲暇时间体育活动并不能调节食物不安全与体重指数之间的关系(b < 0.01,SE = 0.01)。此外,营养知识也不能调节食物不安全与 FIPACS 分数之间的关系(b = -0.09,SE = 0.08)。研究结果表明,在食物不安全的情况下进行体育锻炼的顾虑与闲暇时间的体育锻炼无关,这两个因素不能解释食物不安全与体重指数之间的关系。未来的研究应调查食物不安全、体育活动和体重指数之间关系的其他因素。
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引用次数: 0
Attachment, feeling, and feeding: Associations between caregivers' attachment, emotional and feeding responsiveness, and Children's food consumption 依恋、情感和喂养:照顾者的依恋、情感和喂养反应能力与儿童食物摄入量之间的关系。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-24 DOI: 10.1016/j.appet.2024.107729
Ana F. Santos , Carla Fernandes , Marília Fernandes , Kelly K. Bost , Manuela Veríssimo
A substantial body of literature links attachment to childhood obesity. However, research on the mechanisms underlying this association is scarce. The present study aimed to test four serial indirect path models to examine whether caregivers' insecure attachment is related to children's food consumption, through its influence on emotional and feeding responsiveness. A total of 352 caregivers of preschool children reported on their attachment orientation, emotional responses to their children's distress, feeding practices, and their children's food consumption. Results showed that caregivers with higher levels of attachment avoidance and anxiety were more likely to use unsupportive emotional responses to children's distress, which predicted the increased use of unresponsive feeding practices, and consequently children's higher sugary and fatty/salty food consumption. Higher levels of attachment avoidance were also associated with children's lower fruit and vegetable consumption through lower use of supportive emotional responses and responsive feeding practices, while higher levels of attachment anxiety were associated with children's lower fruit and vegetable consumption only by lower use of responsive feeding practices. These findings suggest that the influence of insecure attachment on caregivers' emotion regulation may contribute to the use of specific feeding practices that, in turn, affect children's food intake and may have implications for obesity risk.
大量文献将依恋与儿童肥胖联系在一起。然而,有关这种关联的内在机制的研究却很少。本研究旨在检验四个串行间接路径模型,以研究照顾者的不安全依恋是否通过影响情绪和喂养反应与儿童的食物消费有关。共有 352 名学龄前儿童的照护者报告了他们的依恋取向、对孩子的困扰所做出的情绪反应、喂养方式以及孩子的饭量。结果表明,依恋回避和焦虑程度较高的照顾者更有可能对儿童的苦恼做出不支持性的情绪反应,这预示着他们会更多地使用无反应的喂养方式,从而导致儿童摄入更多的含糖和含脂肪/含盐食物。依恋回避程度越高,支持性情绪反应和回应性喂养方式的使用率越低,儿童的水果和蔬菜消费量就越低,而依恋焦虑程度越高,只有回应性喂养方式的使用率越低,儿童的水果和蔬菜消费量就越低。这些研究结果表明,不安全依恋对照料者情绪调节的影响可能会导致特定喂养方式的使用,进而影响儿童的食物摄入量,并可能对肥胖风险产生影响。
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引用次数: 0
Influence of multigenerational and living-alone households on high fat, sugar or sodium (HFSS) food consumption pattern in aging population 多代同堂和独居家庭对老龄人口高脂肪、高糖或高钠(HFSS)食物消费模式的影响。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-24 DOI: 10.1016/j.appet.2024.107731
Nutnicha Loyfah, Aphichat Chamratrithirong, Rossarin Soottipong Gray, Umaporn Pattaravanich, Nongnuch Jindarattanaporn, Sasinee Thapsuwan, Natjera Thongcharoenchupong, Sirinya Phulkerd

Objectives

To investigate the correlation between household composition and consumption of different groups of high fat, sugar or sodium (HFSS) among older persons in Thailand.

Study design

This study used cross-sectional data from the 2021 population-based survey called the Health Behavior of Population Survey.

Methods

Data from this study were drawn from 39,384 sampled Thai older persons age 60 years or over. A food frequency questionnaire was used to collect information about frequency of HFSS food consumption, household composition, and socio-demographic characteristics. Binary logistic regression was performed to investigate correlations between household composition and food consumption.

Results

More than three in five older Thais lived in a multigenerational home. The probabilities of consuming high-fat food, fast food, and snacks among older persons who lived with working-age person(s) and child(ren)/adolescents were much higher than for those living alone. Older persons who lived alone had the highest probability of consuming instant food, compared with other types of household composition. Participants who lived with child(ren)/adolescents only or with working-age person(s) only (p ≤ 0.01) and child(ren)/adolescents only (p ≤ 0.001) were more likely to consume sugar-sweetened beverages (SSB).

Conclusions

The findings point to life course interventions to discourage HFSS consumption across generations. Social interventions and public policy aiming at increasing intergenerational interactions could be beneficial for healthier diets for not only older persons but also across generations.
目的:调查泰国老年人的家庭组成与不同组别高脂肪、高糖或高钠(HFSS)消费量之间的相关性:研究设计:研究设计:本研究使用了 2021 年人口健康行为调查中的横断面数据:研究数据来自 39384 名 60 岁或以上的泰国老年人。采用食物频率问卷调查法收集有关高频食物消费频率、家庭组成和社会人口特征的信息。对家庭组成和食物消费之间的相关性进行了二元逻辑回归研究:结果:五分之三以上的泰国老年人生活在多代同堂的家庭中。与劳动适龄人口和子女/青少年共同生活的老年人食用高脂食品、快餐和零食的概率远高于独居老年人。与其他类型的家庭组成相比,独居老年人食用速食食品的概率最高。只与儿童/青少年一起生活或只与工作年龄的人一起生活的参与者(p≤0.01)和只与儿童/青少年一起生活的参与者(p≤0.001)更有可能饮用含糖饮料(SSB):结论:研究结果表明,应采取生活过程干预措施,阻止几代人消费高氟高含糖饮料。旨在增加代际互动的社会干预措施和公共政策不仅有利于老年人的健康饮食,也有利于各代人的健康饮食。
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引用次数: 0
The daily experience of hunger in UK females with and without food insecurity 有和没有粮食不安全问题的英国女性的日常饥饿体验。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-24 DOI: 10.1016/j.appet.2024.107732
Courtney Neal , Gillian V. Pepper , Oliver M. Shannon , Caroline Allen , Melissa Bateson , Daniel Nettle
Food insecurity (FI) is associated with increased mortality risk, depression, and obesity in females in high-income countries, but causal mechanisms remain unclear. FI is often assumed to lead to increased levels of hunger. However, quantitative evidence describing daily experiences of hunger in FI is lacking. Our pre-registered study used ecological momentary assessment to capture experiences of hunger in two groups of UK-based females: those experiencing FI (N = 143) and those experiencing food security (FS; N = 149). Participants self-reported hunger hourly (0900–2100) for one week (Monday-Sunday). There was no difference between groups in mean hunger (t(290) = 0.17, p = .866, d = 0.02) nor within-day standard deviation in hunger (t(290) = 1.31, p = .193, d = 0.15). However, both quantities fluctuated more from day to day in the FI group. Compared to the FS group, participants in the FI group had a larger day-to-day variation in mean hunger (t(284) = 2.43, p = .016, d = 0.29) and a larger day-to-day variation in the within-day standard deviation of hunger (t(284) = 2.90, p = .004, d = 0.34). In exploratory analyses, we found that the hunger of the two groups patterned differently across the day. Our findings suggest that experiences of hunger are less stable in those experiencing FI, which may reflect associations between FI and greater uncertainty in food access, higher variability in meal timings or the increased likelihood of chaotic home and work lives.
粮食不安全(FI)与高收入国家女性死亡风险增加、抑郁和肥胖有关,但其因果机制仍不清楚。人们通常认为,粮食不安全会导致饥饿程度增加。然而,描述 FI 中饥饿的日常体验的定量证据还很缺乏。我们的预先登记研究采用生态学瞬间评估来捕捉两组英国女性的饥饿体验:经历过食物中毒的女性(143 人)和经历过食物安全的女性(149 人)。参与者在一周内(周一至周日)每小时(9:00-21:00)自我报告一次饥饿感。组间饥饿感平均值(t(290) = 0.17,p = .866,d = 0.02)和饥饿感日内标准差(t(290) = 1.31,p = .193,d = 0.15)均无差异。然而,在 FI 组中,这两个量在不同天之间的波动更大。与FS组相比,FI组参与者的平均饥饿感的日变化较大(t(284) = 2.43,p = .016,d = 0.29),饥饿感日内标准差的日变化也较大(t(284) = 2.90,p = .004,d = 0.34)。在探索性分析中,我们发现两组人在一天中的饥饿感模式不同。我们的研究结果表明,经历 FI 的人的饥饿感不太稳定,这可能反映了 FI 与食物获取的不确定性更高、进餐时间的变化性更大或家庭和工作生活更加混乱之间的关联。
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