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The role of nutrient sensing dysregulation in anorexia of ageing: The little we know and the much we don't 营养感应失调在老年厌食症中的作用:我们知道的不多,不知道的也不少。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-16 DOI: 10.1016/j.appet.2024.107718
Aygul Dagbasi , Amy Fuller , Aylin C. Hanyaloglu , Bernadette Carroll , John McLaughlin , Gary Frost , Adrian Holliday
The age-related decline in appetite and food intake – termed “anorexia of ageing” – is implicated in undernutrition in later life and hence provides a public health challenge for our ageing population. Eating behaviour is controlled, in part, by homeostatic mechanisms which sense nutrient status and provide feedback to appetite control regions of the brain. Such feedback signals, propagated by episodic gut hormones, are dysregulated in some older adults. The secretory responses of appetite-related gut hormones to feeding are amplified, inducing a more anorexigenic signal which is associated with reduced appetite and food intake. Such an augmented response would indicate an increase in gut sensitivity to nutrients. Consequently, this review explores the role of gastrointestinal tract nutrient sensing in age-related appetite dysregulation. We review and synthesise evidence for age-related alterations in nutrient sensing which may explain the observed hormonal dysregulation. Drawing on what is known regarding elements of nutrient sensing pathways in animal models, in other tissues of the body, and in certain models of disease, we identify potential causal mechanisms including alterations in enteroendocrine cell number and distribution, dysregulation of cell signalling pathways, and changes in the gut milieu. From identified gaps in evidence, we highlight interesting and important avenues for future research.
与年龄有关的食欲和食物摄入量下降--被称为 "老年厌食症"--与晚年生活中的营养不良有关,因此是我们老龄人口面临的一项公共卫生挑战。进食行为在一定程度上受同态机制的控制,这种机制能够感知营养状况并向大脑食欲控制区域提供反馈。这种反馈信号由偶发性肠道激素传播,在一些老年人中失调。与食欲相关的肠道激素对进食的分泌反应被放大,从而诱发更多的厌食信号,这与食欲和食物摄入量的减少有关。这种增强的反应表明肠道对营养物质的敏感性增加。因此,本综述探讨了胃肠道营养感应在与年龄相关的食欲失调中的作用。我们回顾并综合了与年龄有关的营养素感知改变的证据,这些证据可以解释所观察到的荷尔蒙失调。根据目前已知的动物模型、人体其他组织和某些疾病模型中的营养传感通路要素,我们确定了潜在的致病机制,包括肠内分泌细胞数量和分布的改变、细胞信号通路的失调以及肠道环境的变化。从已确定的证据差距中,我们强调了未来研究的有趣而重要的途径。
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引用次数: 0
Evaluating the role of binge planning and binge inevitability within affect regulation models of binge eating 评估暴饮暴食情感调节模型中暴饮暴食计划和暴饮暴食必然性的作用。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-16 DOI: 10.1016/j.appet.2024.107719
Glen Forester , Lauren M. Schaefer , Jeffrey S. Johnson , Brianne N. Richson , Robert D. Dvorak , Ross D. Crosby , Carol B. Peterson , Stephen A. Wonderlich
Affect regulation models posit that aversive affective states drive binge-eating behavior, which then regulates negative emotions. However, recent findings among individuals with binge-eating disorder (BED) suggest that food-related anticipatory processes may precede and potentially explain the negative affect thought to drive binge eating. Specifically, studies using ecological momentary assessment (EMA) demonstrate that the negative affective state of “Guilt” (from the Positive and Negative Affect Schedule) most strongly predicts later binge eating in the natural environment, and it has been hypothesized that planning a binge or feeling that a binge-eating episode is inventible may account for the increases in Guilt observed prior to binge episodes. In the present study, we tested the hypothesis that binge planning or inevitability may contribute to feelings of shame (a key facet of the broader Guilt construct), which then predict binge-eating episodes, using EMA in 43 individuals with BED. Consistent with hypotheses, feelings of binge inevitability and planning prospectively predicted binge-eating episodes. Further, binge planning predicted subsequent increases in shame. However, shame did not predict subsequent increases in binge planning. Finally, a mediation model revealed that binge planning (Time 1) predicted future binge eating (Time 3) directly and indirectly through increases in shame (Time 2). The results provide novel evidence that individuals with BED anticipate and actively plan for binge-eating episodes, and that binge planning may explain the increased shame/guilt typically observed before binge eating. Overall, accruing evidence suggests that negative affect, although predictive of binge eating, may be better conceptualized as a consequence of the anticipatory processes that lead to binge eating, rather than the starting point, at least among some individuals with BED. Future experimental research is needed to more conclusively test this hypothesis.
情绪调节模型认为,厌恶情绪状态会驱动暴食行为,进而调节负面情绪。然而,最近在暴饮暴食症(BED)患者中的研究结果表明,与食物相关的预期过程可能先于并有可能解释被认为会驱动暴饮暴食的负面情绪。具体来说,使用生态瞬间评估(EMA)进行的研究表明,"内疚"(来自积极和消极情绪表)这种消极情绪状态最能预测日后在自然环境中的暴饮暴食行为,因此有人推测,计划暴饮暴食或感觉暴饮暴食是不可避免的,可能是暴饮暴食发作前 "内疚 "增加的原因。在本研究中,我们利用 43 名 BED 患者的 EMA 测试了狂欢计划或不可避免性可能会导致羞愧感(更广泛的内疚感结构的一个关键方面),进而预测狂欢饮食发作的假设。与假设一致的是,狂欢不可避免感和计划感会预测狂欢饮食发作。此外,狂欢计划还能预测随后羞耻感的增加。然而,羞耻感并不能预测随后狂欢计划的增加。最后,一个中介模型显示,狂欢计划(时间 1)直接预测了未来的狂欢进食(时间 3),并通过羞耻感的增加(时间 2)间接预测了未来的狂欢进食。这些结果提供了新的证据,表明患有 BED 的个体会预期并积极计划暴饮暴食发作,而暴饮暴食计划可以解释暴饮暴食前通常会出现的羞耻感/内疚感增加。总之,越来越多的证据表明,消极情绪虽然可以预测暴饮暴食,但至少在某些 BED 患者中,消极情绪最好被概念化为导致暴饮暴食的预期过程的结果,而不是暴饮暴食的起点。未来的实验研究需要对这一假设进行更确凿的验证。
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引用次数: 0
Retraction notice to "Effects of environmental impact and nutrition labelling on food purchasing: An experimental online supermarket study" [Appetite 180 (2023) 106312]. 环境影响和营养标签对食品购买的影响》的撤稿通知:网上超市实验研究" [Appetite 180 (2023) 106312]。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-16 DOI: 10.1016/j.appet.2024.107711
Christina Potter, Rachel Pechey, Brian Cook, Paul Bateman, Cristina Stewart, Kerstin Frie, Michael Clark, Carmen Piernas, Mike Rayner, Susan A Jebb
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引用次数: 0
How different goals drive attention: An interview study on how parental feeding goals influence the assessment of child-targeted food packaging cues 不同的目标如何驱动注意力:关于父母的喂养目标如何影响对儿童目标食品包装线索的评估的访谈研究。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-12 DOI: 10.1016/j.appet.2024.107707
Bram Uyttenhove , Liselot Hudders , Dieneke Van de Sompel , Ini Vanwesenbeeck
When making snack choices for children, parents are exposed to many child-targeted food packaging cues. This study aims to understand how different parental feeding goals (e.g. health versus fun versus taste) drive attention to these cues and how these cues help parents to make different snack choices. Qualitative interviews were conducted with 20 parents with at least one child between the ages of 3 and 12 years old. During the interviews, parents were primed with different feeding goals and asked to rank seven snack packages based on these goals. The interviews revealed three key takeaways regarding how parents consider snack packaging from a goal perspective. Firstly, packaging cues are interpreted (and thus used) differently when different feeding goals are salient. Secondly, cues are ignored when they do not offer valuable information for making goal-based assessments. Thirdly, when combining goals, parents either look for a combination of cues that fit their multiple goals, assess packaging based on a stepwise implementation of goals, or choose one dominant goal and rely on relevant packaging cues to rank snack packaging. This study widens the knowledge on how parental feeding goals can influence the food packaging choices parents make and the way in which they interpret packaging cues. The study can inspire policymakers by providing strategies to stimulate marketers to make the food environment healthier by steering consumers towards healthy food options and making these options more salient within environments where snacks are bought (e.g. supermarkets).
在为孩子选择零食时,父母会接触到许多以儿童为目标的食品包装提示。本研究旨在了解父母的不同喂养目标(如健康、趣味和口味)如何促使他们关注这些提示,以及这些提示如何帮助父母做出不同的零食选择。本研究对 20 位父母进行了定性访谈,他们至少有一个 3 至 12 岁的孩子。在访谈过程中,我们向家长提出了不同的喂养目标,并要求他们根据这些目标对七种零食包装进行排序。访谈揭示了家长如何从目标角度考虑零食包装的三个重要启示。首先,当不同的喂养目标突出时,对包装提示的理解(和使用)也不同。其次,当包装提示不能为基于目标的评估提供有价值的信息时,这些提示就会被忽略。第三,在结合目标时,家长要么寻找符合其多重目标的线索组合,要么根据目标的逐步实施来评估包装,要么选择一个主要目标并依靠相关包装线索来对零食包装进行排序。这项研究拓宽了人们对父母的喂养目标如何影响他们对食品包装的选择以及他们解读包装线索的方式的认识。这项研究可以为政策制定者提供策略启发,激励营销人员通过引导消费者选择健康食品,并在购买零食的环境(如超市)中使这些选择更加突出,从而使食品环境更加健康。
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引用次数: 0
Effects of increased availability and economic incentives on preadolescents’ healthier beverages choices: An experimental study 增加供应量和经济激励对青少年选择更健康饮料的影响:一项实验研究。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-12 DOI: 10.1016/j.appet.2024.107714
Roselinde L. van Nee, Femke Mulder, Ellen van Kleef, Hans C.M. van Trijp
This field experimental study examined how increased availability and economic incentives for healthier beverages affect preadolescents' actual healthier beverage choices in a real-world setting. In addition, the impact of preadolescents’ descriptive norm towards healthier beverages, price awareness and parental restrictive rules regarding beverage consumption were explored. During the experiment, preadolescents could independently buy two beverages from an assortment with a total of eight beverages. A 2x2 between-subjects design was used, manipulating the presence of increased availability of healthier beverages and economic incentives (taxes for unhealthier beverages and subsidies for healthier beverages). A total of 305 preadolescents between 8 and 14 years old (M = 10.18, SD = 1.74) participated, each accompanied by one of their respective parents. Results showed that preadolescents were more likely to choose healthier beverages and perceived a higher descriptive norm towards healthier beverages when the assortment included increased relative availability of healthier beverages. Economic incentives and price awareness did not impact healthier beverage choices. Preadolescents were less likely to choose healthier beverages when parents reported higher levels of restrictive rules regarding beverage consumption. Results of the study suggest that increasing relative availability of healthier options could be a promising intervention strategy to support preadolescents in making healthier choices.
这项现场实验研究考察了在现实环境中,健康饮料供应量的增加和经济激励措施如何影响学龄前儿童对健康饮料的实际选择。此外,还探讨了学龄前儿童对健康饮料的描述性规范、价格意识和父母对饮料消费的限制性规定的影响。在实验过程中,青少年可以从总共八种饮料中独立购买两种饮料。实验采用了 2x2 受试者间设计,操纵了健康饮料供应量的增加和经济激励(对不健康饮料征税和对健康饮料提供补贴)的存在。共有 305 名 8 至 14 岁的学龄前儿童(中位数 = 10.18,标准差 = 1.74)参加了这项研究,每个人都有一名家长陪同。结果表明,当饮料种类中健康饮料的相对供应量增加时,学龄前儿童更有可能选择更健康的饮料,并对健康饮料有更高的描述性标准。经济激励和价格意识并不影响健康饮料的选择。如果父母对饮料消费的限制性规定较多,青少年就不太可能选择更健康的饮料。研究结果表明,增加更健康选择的相对可得性可能是支持青少年做出更健康选择的一种有前途的干预策略。
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引用次数: 0
Intergenerational transfer of binge eating-like behavior: The additive impact of juvenile stress 类似暴饮暴食行为的代际传递:青少年压力的叠加影响
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-11 DOI: 10.1016/j.appet.2024.107713
Elin Kachuki Dory , Avi Gueta , Yoni Loterstein , Lital Moshe , Devorah Matas , Lee Koren , Aron Weller
Binge eating (BE) is consuming large amounts of food in a short time, while experiencing loss of control over eating behavior. BE can be hereditary, and juvenile stress (JS) may contribute to its onset. We examined the impact of JS on BE-like behavior, in an animal model of intergenerational BE. Twenty-four female Wistar rats received 2-h access to palatable food (PF) three or five times a week (3 TW or 5 TW) for 4 weeks, followed by the open field test (OFT). At postnatal day (PND)27–29, female offspring either underwent JS (O-JSC) or not (O-CC). At PND51-53, offspring's stress levels were assessed behaviorally. At PND70-85, offspring received 2-h access to PF three times a week to assess their BE-like tendency. Hair samples were collected afterwards. Compared to 5 TW, 3 TW had a greater binge size. In the elevated plus maze and darklight box, in O-JSC, offspring of 3 TW (O-3TW) spent less time in the open arms and lit area compared to O-5TW. O-3TW consumed more PF than O-5TW. O-JSC consumed more than O-CC. O-3TW-JSC had higher hair CORT levels than O-3TW-CC and O-5TW-JSC. This study highlights the interplay between maternal and offspring experiences, allowing for the study of underlying mechanisms.
暴饮暴食(BE)是指在短时间内摄入大量食物,同时对进食行为失去控制。暴食可能是遗传性的,而幼年时期的压力(JS)可能会导致暴食的发生。我们在代际BE动物模型中研究了JS对BE样行为的影响。24只雌性Wistar大鼠每周接受3次或5次(3 TW或5 TW)、每次2小时的适口食物(PF)喂养,为期4周,然后进行野外开放试验(OFT)。在出生后第 27-29 天,雌性后代要么接受 JS(O-JSC),要么不接受 JS(O-CC)。在PND51-53,对后代的应激水平进行行为评估。在PND70-85,后代每周三次接触PF,每次2小时,以评估其BE样倾向。之后收集毛发样本。与5龄幼鼠相比,3龄幼鼠的嗜食量更大。在高架加迷宫和暗光箱中,与O-5TW相比,3TW(O-3TW)的后代在开放臂和照明区花费的时间更少。O-3TW比O-5TW消耗更多的PF。O-JSC比O-CC消耗更多。与 O-3TW-CC 和 O-5TW-JSC 相比,O-3TW-JSC 的头发 CORT 水平更高。这项研究强调了母体和后代经历之间的相互作用,有助于研究其潜在机制。
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引用次数: 0
Development of the Baby Behaviors when Satiated (BABES) behavioral coding scheme 开发婴儿吃饱后的行为(BABES)行为编码方案。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-11 DOI: 10.1016/j.appet.2024.107704
Alison K. Ventura , Kevin J. Ross , Alison L. Miller , Jasmine M. DeJesus , Cin Cin Tan , Julie C. Lumeng
Current infant feeding recommendations promote responsive feeding, wherein caregivers respond to infants' cues to determine feeding pace and duration, to support infant self-regulation and healthy weight outcomes. A central tenet of responsive feeding is that infants will effectively signal hunger, receptiveness to feeding, needs to disengage from feeding, and satiation, yet there is a lack of research available to support this assumption. Rather, previous research illustrates substantial variability exists for the extent to which infants exhibit behavioral cues during feeding and that many mothers feel their infants do not clearly communicate satiation, suggesting certain caregivers need tailored support to understand their infants' needs during feeding interactions. As a first step toward addressing this research gap, we developed the Baby Behaviors when Satiated (BABES) coding scheme, a comprehensive tool that assesses infants' disengagement/satiation behaviors and mothers' responses to infant behaviors and feeding practices during mother-infant feeding interactions. The BABES was applied to 876 videos of bottle-feeding interactions from a prospective, longitudinal study of dyads observed when infants were 1, 2, 4, 6, 9, and 12 months old. Coders achieved moderate to strong inter-rater reliability. Descriptive analyses illustrated that the percentages of infants and mothers exhibiting different behaviors at each age were consistent with developmental trends noted in previous research. Application of this tool within future research holds the potential to create rich datasets allowing for description of intra- and inter-individual variability in infant and mother behaviors and how infants' and mothers' behaviors co-develop across the first year.
目前的婴儿喂养建议提倡顺应性喂养,即护理人员根据婴儿的提示来决定喂养的速度和持续时间,以支持婴儿的自我调节和健康体重结果。顺应性喂养的核心原则是婴儿会有效地发出饥饿、接受喂食、需要停止喂食和饱食的信号,但目前缺乏支持这一假设的研究。相反,以往的研究表明,婴儿在喂养过程中表现出的行为暗示程度存在很大差异,而且许多母亲认为她们的婴儿没有清楚地表达饱腹感,这表明某些照顾者需要有针对性的支持,以了解婴儿在喂养互动过程中的需求。作为填补这一研究空白的第一步,我们开发了婴儿饱食时行为(BABES)编码方案,这是一种综合工具,用于评估婴儿在母婴喂养互动过程中的脱离/饱食行为以及母亲对婴儿行为和喂养方式的反应。BABES 适用于一项前瞻性纵向研究中的 876 个奶瓶喂养互动视频,该研究观察了婴儿 1、2、4、6、9 和 12 个月大时的二人组。编码者之间的可靠性达到了中等到较高的水平。描述性分析表明,婴儿和母亲在每个年龄段表现出不同行为的百分比与以往研究中指出的发育趋势一致。在未来的研究中应用该工具有可能创建丰富的数据集,从而描述婴儿和母亲行为的个体内和个体间差异,以及婴儿和母亲的行为如何在一岁内共同发展。
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引用次数: 0
Gradual behaviour change towards meat reduction revisited: Applying the decisional balance scale in a Dutch study 重新审视减少肉类的渐进行为变化:在一项荷兰研究中应用决策平衡量表
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-10 DOI: 10.1016/j.appet.2024.107712
Muriel C.D. Verain , Machiel J. Reinders , Emily P. Bouwman , Hans Dagevos
Meat moderation is needed to mitigate climate change and to address issues related to animal welfare and public health. Yet little is known on the process that consumers go through towards meat-reduced diets. Strässner and Hartmann (2023) recently developed the decisional balance scale (DB scale) for meat reduction, in order to get a better understanding of the trade-offs that consumers encounter in this dietary shift. The current study sets out to replicate their German study in the Dutch context. A survey has been conducted among a representative sample of Dutch adults (N = 1982). Overall, the present study corroborated Strässner and Hartmann's findings. Similar to the German situation, Legitimation is the most important barrier, and the Downsides of factory farming is the most important motivator for meat reduction in the Netherlands. The present study extends the German study by comparing the DB scale with other established scales in research on meat reduction. Although several motivational elements related to the legitimacy of eating meat, health impact and production of meat appear in different instruments, the DB scale sets itself apart in adding practical elements (feasibility). Finally, the insights in the decision balance of population subgroups at different stages of behaviour change (no intention, intention, performing) showed that the further in the meat reduction process, the more the pros outweigh the cons. With this, the current study provides valuable insights in bolstering consumers in meat moderation. Our findings support the idea of a gradual shift and reveal that there is potential for acceleration in behaviour change towards meat reduction to be found in adjusting the self-evidence of high-intensity livestock farming systems and the meat-centric food consumption culture.
要减缓气候变化,解决与动物福利和公共健康有关的问题,就必须节制肉类。然而,人们对消费者减少肉类饮食的过程知之甚少。Strässner 和 Hartmann(2023 年)最近开发了减肉决策平衡量表(DB 量表),以更好地了解消费者在这种饮食转变中遇到的权衡问题。本研究旨在将德国的研究成果复制到荷兰。我们对具有代表性的荷兰成年人样本(1982 人)进行了调查。总体而言,本研究证实了 Strässner 和 Hartmann 的发现。与德国的情况类似,在荷兰,"合法性 "是最重要的障碍,而 "工厂化养殖的弊端 "则是减少肉类消费的最重要动机。本研究对德国的研究进行了扩展,将 DB 量表与肉类减量研究中的其他既定量表进行了比较。尽管与吃肉的合法性、对健康的影响和肉类生产相关的几个动机要素出现在不同的工具中,但 DB 量表在增加了实际要素(可行性)后显得与众不同。最后,对处于行为改变不同阶段(无意、有意、正在进行)的人群决策平衡的深入研究表明,越是在减少肉类的过程中,利大于弊。因此,本研究为支持消费者节制肉食提供了有价值的见解。我们的研究结果支持 "渐进转变 "的观点,并揭示了在调整高强度畜牧业系统的自我认知和以肉类为中心的食品消费文化的过程中,加速减少肉类消费行为转变的潜力。
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引用次数: 0
Parent-reported offering of allergen foods to infants during complementary feeding: An observational study of New Zealand infants 在辅食喂养过程中向婴儿提供过敏原食物的家长报告:对新西兰婴儿的观察研究。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-09 DOI: 10.1016/j.appet.2024.107709
Jade M. Medemblik , Cathryn A. Conlon , Jillian J. Haszard , Anne-Louise M. Heath , Rachael W. Taylor , Pamela von Hurst , Kathryn L. Beck , Lisa Te Morenga , Lisa Daniels
The prevalence of food allergies in New Zealand infants is uncertain but is believed to be similar to Australia, exceeding 10%. Current recommendations for reducing food allergy risk are to offer all major food allergens to infants from as early as six months of age (start of complementary feeding), and before 12 months of age. However, little is known regarding parental practices around introducing major food allergens. This study aimed to explore parental offering of major food allergens to infants during complementary feeding, and parent-reported food allergies. The cross-sectional study is a secondary analysis of the multi-centre (Auckland and Dunedin) First Foods New Zealand study of 625 parent-infant dyads. Participants were recruited in 2020–2022 when infants were 7–10 months of age. Questionnaires assessed sociodemographic characteristics, complementary feeding approach, infant pouch use and parental responses to five food allergy questions. All major food allergens had been offered to only 17% of infants by 9–10 months of age. Having offered egg, peanut, tree nuts, sesame, soy and seafood was more commonly associated with using a baby-led complementary feeding approach than a parent-led approach (p < 0.001). Frequent baby food pouch use was associated with a lower likelihood of offering egg and peanut (both p < 0.001). Overall, 12.6% of infants had a reported food allergy, with symptomatic response after exposure being the most common diagnostic tool. Most infants are not offered all major food allergens during early complementary feeding, with some parents actively avoiding major food allergens in the first year of life. These results provide up-to-date knowledge of parental practices, highlighting the need for more targeted advice and strategies to improve parental engagement with allergy prevention and diagnosis.
新西兰婴儿的食物过敏发病率尚不确定,但据信与澳大利亚相似,超过10%。目前降低食物过敏风险的建议是,最早从婴儿六个月大(开始添加辅食)开始,在 12 个月大之前为其提供所有主要的食物过敏原。然而,人们对家长引入主要食物过敏原的做法知之甚少。本研究旨在探讨家长在辅食喂养期间向婴儿提供主要食物过敏原的情况,以及家长报告的食物过敏情况。这项横断面研究是对新西兰第一食品公司的多中心(奥克兰和达尼丁)研究进行的二次分析。参与者于 2020-2022 年婴儿 7-10 个月大时被招募。调查问卷评估了社会人口特征、辅食喂养方式、婴儿袋使用情况以及父母对五个食物过敏问题的回答。只有 17% 的婴儿在 9-10 个月大时食用过所有主要的食物过敏原。使用婴儿主导型辅食喂养法比使用父母主导型辅食喂养法更常见(P<0.05)。
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引用次数: 0
Peer influence on eating behaviour in early childhood: A scoping review 同伴对幼儿期饮食行为的影响:范围审查。
IF 4.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-10-09 DOI: 10.1016/j.appet.2024.107708
Sarah Street , Kym Simoncini , Rebecca Byrne

Objective

Peers can significantly influence eating behaviours in school-aged children and adolescents. Studies vary in methodology and terminology and report inconsistent age and sex differences. No review has collated evidence within early childhood. This review aims to explore what is currently known about peer influence and eating behaviours in young children and identify knowledge gaps regarding commonly assessed eating behaviours, peer definitions, peer influence assessment methods, and theoretical frameworks.

Methods

A search of electronic databases (Embase, ERIC, Medline, APA PsycInfo, Scopus) was conducted. The review included peer-reviewed, primary research that explored peer influence on eating behaviour in any group context, published between 1980 and 2023, available in English full-text. Participants were aged between two and seven years. Primary and secondary screening were conducted by two authors. Data extraction was conducted by one author with a second author duplicating 25%.

Results

Twenty-six of the 3961 unique identified studies met inclusion criteria. Most studies (76%) report peers to influence eating behaviours. Peer influence was a primary aim in 18 studies, of which 17 were experimental, and peer influence emerged as a finding in seven studies. All phenomena of interest varied widely. Eating behaviour concept definitions were inconsistent, with four studies assessing hypothetical eating behaviours. Peers varied by age, familiarity, and in-person versus remote exposures. Six theoretical frameworks were referenced, and eleven studies lacked theoretical underpinning. No studies measured peer influence directly or obtained children's perspectives.

Conclusions

Peers may influence eating behaviours within early childhood. Peer familiarity and age potentially impact peer influence magnitude. Variations in study design and peer definitions make comparisons challenging. Future research should utilise observational designs to explore peer influence on child eating behaviours within naturalistic settings.
目的同伴会对学龄儿童和青少年的饮食行为产生重大影响。研究方法和术语各不相同,报告的年龄和性别差异也不一致。目前还没有综述对幼儿期的证据进行整理。本综述旨在探索目前有关同伴影响和幼儿饮食行为的知识,并找出在通常评估的饮食行为、同伴定义、同伴影响评估方法和理论框架方面的知识差距:方法:对电子数据库(Embase、ERIC、Medline、APA PsycInfo、Scopus)进行了检索。综述包括1980年至2023年间发表的、经同行评审的、探讨同伴在任何群体背景下对饮食行为的影响的主要研究,并提供英文全文。参与者的年龄在两岁到七岁之间。初选和复选由两位作者进行。数据提取由一位作者完成,第二位作者重复25%:在 3961 项已确定的研究中,有 26 项符合纳入标准。大多数研究(76%)报告了同伴对饮食行为的影响。同伴影响是 18 项研究的主要目的,其中 17 项是实验性的,同伴影响是 7 项研究的发现。所有感兴趣的现象都大相径庭。进食行为概念的定义不一致,有四项研究对假设的进食行为进行了评估。同伴因年龄、熟悉程度、亲身接触与远程接触而有所不同。参考了六个理论框架,有十一项研究缺乏理论支持。没有研究直接测量同伴的影响或获得儿童的观点:结论:同伴可能会影响幼儿期的饮食行为。同伴的熟悉程度和年龄可能会影响同伴影响的程度。研究设计和同伴定义的差异使得比较具有挑战性。未来的研究应利用观察设计来探讨同伴在自然环境中对儿童饮食行为的影响。
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Appetite
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