Eating behaviors最新文献

{"title":"Examining adverse life experiences, disordered eating behaviors and cognitions and weight loss treatment in Peru","authors":"Genna Hymowitz ,&nbsp;Yvette Karvay ,&nbsp;Jessica Salwen-Deremer ,&nbsp;Lucero Molina ,&nbsp;Adam Gonzalez ,&nbsp;Carlos J. Toro-Huamanchumo","doi":"10.1016/j.eatbeh.2024.101939","DOIUrl":"10.1016/j.eatbeh.2024.101939","url":null,"abstract":"<div><h3>Objective</h3><div>Studies conducted in the US indicate that exposure to trauma, and stigma related to weight are environmental factors associated with the development of disordered eating. Few studies have explored psychosocial and contextual factors surrounding disordered eating in Latin American populations. This study examined everyday discrimination, verbal weight-related abuse, adverse childhood experiences, and disordered eating across individuals seeking versus not seeking weight loss treatment in Peru.</div></div><div><h3>Method</h3><div>Participants (<em>N</em> = 420) were recruited via social media and a weight management clinic in Peru. Participants completed disordered eating, everyday discrimination, verbal weight-related abuse, and adverse childhood experiences measures.</div></div><div><h3>Results</h3><div>The weight loss treatment seeking group showed greater disordered eating behaviors (dietary restraint) and cognitions (body dissatisfaction, overvaluation of shape/weight) compared to the non-weight loss treatment seeking group. Increased experiences of everyday discrimination, adverse childhood experiences, and verbal weight-related abuse were associated with greater levels of disordered eating behaviors and cognitions in both samples. Weight loss treatment seeking status was not a moderator of the relationships among disordered eating behaviors and cognitions, and everyday discrimination.</div></div><div><h3>Discussion</h3><div>Results suggest discrimination, adverse childhood experiences, and verbal weight-related abuse are associated with eating pathology, and more disordered eating and behaviors are seen in individuals seeking or engaged in weight loss treatment. Findings highlight the importance of evaluating eating pathology for individuals reporting, or at high risk for discrimination, childhood trauma or weight-related abuse.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"56 ","pages":"Article 101939"},"PeriodicalIF":2.4,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142747217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High shape and weight importance in adolescence relates to worse body image in the first perinatal period","authors":"Lyza Norton ,&nbsp;Rebecca L. Emery Tavernier ,&nbsp;Katie Loth ,&nbsp;Susan Mason","doi":"10.1016/j.eatbeh.2024.101931","DOIUrl":"10.1016/j.eatbeh.2024.101931","url":null,"abstract":"<div><div>Understanding whether shape and weight importance in adolescence relates to body image during the perinatal period is essential to inform eating disorder prevention and intervention research. We longitudinally examined the relationship between weight and shape importance during adolescence and body image during (1) pregnancy and (2) the first postpartum year. Participants included 554 women from the Life-course Experiences and Pregnancy (LEAP) study, a longitudinal cohort of women participating since adolescence in Project EAT (Eating and Activity in Teens and Young Adults). Participants reported shape and weight importance during adolescence (11–18 years old) for Project EAT and retrospectively recalled body image during and after their first pregnancy for the LEAP study 20 years later. Separate linear regression models estimated the longitudinal associations between adolescent shape and weight importance and pregnancy and postpartum body image. After covariate adjustment, results showed small, positive associations between adolescent shape and weight importance and pregnancy (<em>B</em> = 0.07 <em>95</em> <em>% CI: 0</em>.02, 0.11) and postpartum (<em>B</em> = 0.10, <em>95</em> <em>% CI: 0</em>.06, 0.14) body image. These findings indicate that high shape and weight importance in adolescence relates to worse body image across the perinatal period. Results highlight the importance of (1) targeting the years prior to adolescence for eating disorder prevention interventions and (2) providing support and interventions for people in the perinatal period, specifically targeting body image.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"55 ","pages":"Article 101931"},"PeriodicalIF":2.4,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using stereotype violation to shift causal understanding and attitudes about weight","authors":"Susan Persky ,&nbsp;Junhan Chen ,&nbsp;Kaylee Foor ,&nbsp;Crystal Peterson ,&nbsp;Christopher Fortney","doi":"10.1016/j.eatbeh.2024.101930","DOIUrl":"10.1016/j.eatbeh.2024.101930","url":null,"abstract":"<div><h3>Objective</h3><div>We evaluated an approach to weight stigma reduction involving the provision of an exemplar inconsistent with belief systems underlying weight bias. Specifically, that people with higher weight eat unhealthy, high-calorie diets, and people with lower weight eat healthy, low-calorie diets. Providing exemplars that violate the stereotype's assumptions may lead to a change in beliefs, stereotypes, and ultimately, stigma.</div></div><div><h3>Methods</h3><div>In an experimental, web-based study, 682 US-based participants were randomized to read narrative vignettes about a fictional middle-aged woman portrayed as either having stable, high body weight, or stable, low body weight, and as eating a long-term diet that was either high- or low- in calorie-dense foods. Two stereotype violation conditions involved a woman with higher weight who maintains a low-calorie diet (HWLC) and a woman with lower weight who maintains a high-calorie diet (LWHC).</div></div><div><h3>Results</h3><div>For the HWLC exemplar, results were consistent with stereotype change processes including heightened genetic causal attributions, reduced lifestyle attributions, and more positive attitudes toward the exemplar and “women with obesity” in general. Response to the LWHC exemplar was more uneven.</div></div><div><h3>Conclusions</h3><div>Findings have implications in the understanding of judgments that people make about individuals based on their body size and dietary habits and suggests a new route for interventions that address weight stigma reduction.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"55 ","pages":"Article 101930"},"PeriodicalIF":2.4,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of adverse childhood events with disordered eating behaviors among US adolescents","authors":"Affan Ghaffari,&nbsp;Katelyn Y. Graves,&nbsp;Shermeeka Hogans-Mathews,&nbsp;Kerwyn Flowers,&nbsp;Jeffrey S. Harman","doi":"10.1016/j.eatbeh.2024.101929","DOIUrl":"10.1016/j.eatbeh.2024.101929","url":null,"abstract":"<div><div>The purpose of our study was to use recent nationally-representative data to 1) determine whether reported adverse childhood experiences (ACEs) were associated with individual disordered eating behaviors (DEBs) for the US- based early and middle adolescent population; and 2) the extent to which individual ACE categories were associated with DEBs for this population. The study used cross-sectional data from the 2022 National Survey of Children's Health, which used parent-reported data. Inclusion criteria included all early (10–13 years of age) and middle-aged adolescents (14–17 years of age) (<em>n</em> = 24,173). Multiple logistic regressions were used to test the association between ACEs and DEBs while controlling for covariates. Both categories for ACEs (i.e. 1–2 ACEs and 3+ ACEs) exhibited a statistically significant association with three specific DEBs: skipping meals or fasting, low interest in food, and binge eating. Additionally, six of the seven ACE categories exhibited a statistically significant association with DEBs which included parent or guardian divorced, parent or guardian time in jail, adults slap, hit, kick, punch others, victim of violence, lived with mentally ill, and lived with person with alcohol/drug problem. Further studies are needed to examine mechanisms contributing to the increased risk of DEBs among those with ACE exposure.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"55 ","pages":"Article 101929"},"PeriodicalIF":2.4,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do premorbid weight parameters predict BMI 30 years after adolescent-onset anorexia nervosa?","authors":"Peter Goldberg ,&nbsp;Sandra Rydberg Dobrescu ,&nbsp;Carina Gillberg ,&nbsp;Christopher Gillberg ,&nbsp;Maria Råstam ,&nbsp;Michael Lowe ,&nbsp;Elisabet Wentz","doi":"10.1016/j.eatbeh.2024.101928","DOIUrl":"10.1016/j.eatbeh.2024.101928","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine anthropometric predictors of BMI 30 years after the onset of adolescent AN.</div></div><div><h3>Methods</h3><div>A group of 51 individuals with adolescent-onset AN were identified in Sweden in 1985. Anthropometric data have been collected from birth records and school nurse charts. A group matched for gender, school and age constituted a healthy control group. Possible predictors of BMI 30 years after AN onset including ponderal index (a variable that estimates body proportionality and composition during the infancy period) and highest BMI Z score (highest BMI in childhood, adjusted for age and sex) were analyzed with linear regression and multivariate analysis.</div></div><div><h3>Results</h3><div>None of the five possible predictors were significantly correlated to BMI outcome 30 years after AN onset. In the control group, BMI at the 18- and 30-year follow-ups were statistically significantly predicted by ponderal index at birth (18-year follow-up: r = 0.36, p = .015; 30-year follow-up: r = 0.32, p = .034).</div></div><div><h3>Conclusions</h3><div>We found no statistically significant premorbid anthropometric predictors of BMI 30 years after the onset of AN. Ponderal index at birth appears to normally predict BMI outcomes in the general adult population. Having had AN during adolescence may have caused a disruption of the expected long-term BMI trajectory, resulting in a lower weight status than expected. These findings may be implemented in clinical practice to address patients' fear of exponential weight gain after recovery.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"55 ","pages":"Article 101928"},"PeriodicalIF":2.4,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142437917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do impulse control difficulties moderate the relationship between intermittent fasting and disordered eating?","authors":"Kaoon Francois Ban ,&nbsp;Shannon M. O'Connor","doi":"10.1016/j.eatbeh.2024.101926","DOIUrl":"10.1016/j.eatbeh.2024.101926","url":null,"abstract":"<div><h3>Background</h3><div>Recent findings suggest positive associations between intermittent fasting (IF, i.e., an eating pattern that consists of alternating between consuming and abstaining calories over specified periods of time) and disordered eating (DE), including binge eating, laxative use, and self-induced vomiting. However, as not all individuals who engage in IF present with DE, the current study aimed to investigate whether 1) IF was associated with elevated DE, and 2) impulse control difficulties differentially predict DE in intermittent fasters compared to non-intermittent fasters.</div></div><div><h3>Methods</h3><div>Participants included 929 undergraduates (M = 19.8, SD = 2.97) from a university in the United States. IF was assessed with a single item question, “Do you intentionally engage in intermittent fasting in order to lose/maintain your weight or due to health-related motivations?” The Eating Disorder Examination Questionnaire was used to measure DE (i.e., global score, restraint, eating, shape, and weight concerns). One subscale from the Difficulties in Emotional Regulation Scale was used to measure impulse control difficulties. Hierarchal regressions examined whether impulse control difficulties moderated the relationship between IF and DE while controlling for age, gender, race, and ethnicity.</div></div><div><h3>Results</h3><div>IF was significantly associated with all DE outcomes. Adjusted analyses indicated that impulse control difficulties moderated the relationship between IF and two DE outcomes (i.e., global score (b = 0.038, se = 0.017, <em>t</em> = 2.17, <em>p</em> &lt; 0.05) and restraint (b = 0.042, se = 0.019, <em>t</em> = 2.22, p &lt; 0.05)).</div></div><div><h3>Discussion</h3><div>These results support previous literature that suggests an association between IF and elevated DE. Further, individuals engaging in IF with impulse control difficulties may experience more feelings of restraint towards eating and increased overall DE though effects were small. Future research delineating who is at highest risk for DE when engaging in IF is needed.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"55 ","pages":"Article 101926"},"PeriodicalIF":2.4,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of the modified Yale Food Addiction Scale for Children 2.0","authors":"Christina Horsager ,&nbsp;Ashley N. Gearhardt","doi":"10.1016/j.eatbeh.2024.101927","DOIUrl":"10.1016/j.eatbeh.2024.101927","url":null,"abstract":"<div><h3>Objective</h3><div>Scientific interest in the concept of food addiction is growing, but more studies are needed in youth samples. Brief, psychometrically valid, and developmentally appropriate measures are needed to support the assessment of food addiction in large-scale studies of youth that need to minimize participant burden. While a brief version of the Yale Food Addiction Scale 2.0 (YFAS 2.0) exists for adults, no comparable scale exists for youth. Thus, the current study aimed to develop a brief and valid measure of food addiction for use in youth populations (the modified YFAS for children 2.0).</div></div><div><h3>Method</h3><div>Data stem from the Food Addiction Denmark (FADK) Project, where random samples of 559 adolescents from the general population and 413 adolescents from a population with mental disorder completed the 35-item original YFAS for children 2.0 (YFAS-C 2.0). An abbreviated 13-item version was developed, and the psychometric properties of the modified YFAS-C 2.0 (mYFAS-C 2.0) were then evaluated.</div></div><div><h3>Results</h3><div>The mYFAS-C 2.0 exhibited a one-factor structure and was found to have sound psychometric properties regarding internal consistency and convergent, discriminant, and incremental validity. This was evident in both the general adolescent population sample and the sample of adolescents with mental disorders.</div></div><div><h3>Conclusions</h3><div>The mYFAS-C 2.0 provides a brief and psychometrically valid measure of food addiction for youth, which may be beneficial for study designs (e.g., epidemiological samples) that aim to minimize participant burden. Future research on the test-retest reliability of the mYFAS-C 2.0 and its psychometric properties in younger children are important next steps.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"55 ","pages":"Article 101927"},"PeriodicalIF":2.4,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the longitudinal association between stress and unhealthy eating behaviors: The role of physical activity, BMI, and loneliness","authors":"Calorta Y.Z. Tan,&nbsp;Sandra Thijssen,&nbsp;Junilla K. Larsen,&nbsp;Kirsten J.M. van Hooijdonk,&nbsp;Sterre S.H. Simons,&nbsp;Jacqueline M. Vink","doi":"10.1016/j.eatbeh.2024.101924","DOIUrl":"10.1016/j.eatbeh.2024.101924","url":null,"abstract":"<div><div>Previous cross-sectional research indicates a link between stress and unhealthy eating, but the longitudinal association remains unknown. This study examined the longitudinal association between perceived stress over a longer time period and unhealthy eating (i.e., sweet and savory snack intake, uncontrolled eating) in a student population. Moreover, we examined whether physical activity buffers such association, and examined whether this buffering effect is stronger for individuals with higher Body Mass Index (BMI) or greater loneliness. Two timepoints of online survey data (Time 1 Oct–Nov 2021, Time 2 May–July 2022) of Dutch university students (<em>n</em> = 1325, 74.7 % female, mean age 22.45 (SD = 2.31)) were used. Results revealed no longitudinal link between stress and snack intake in the total sample, but this association was found in a subgroup of individuals with a higher BMI. Stress at Time 1 was associated with later uncontrolled eating. Physical activity did not moderate the link between stress and unhealthy eating. However, we found a negative longitudinal link between physical activity and uncontrolled eating among individuals with a higher BMI. Our findings suggest that stress does not play an important role in explaining snack intake in university students, but may be associated with uncontrolled eating. Physical activity seems to be linked with a reduction in uncontrolled eating among individuals with a higher BMI specifically. Replication and extension of current findings in a more diverse (e.g., eating disordered) sample would increase insights into the (combined) effects of stress, BMI and physical activity on uncontrolled eating.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"55 ","pages":"Article 101924"},"PeriodicalIF":2.4,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142379208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cross-sectional study on the prevalence of eating disorders in liver transplanted patients with type 2 diabetes and/or overweight/obesity","authors":"Lucia Brodosi ,&nbsp;Michele Stecchi ,&nbsp;Giovanni Vitale ,&nbsp;Beatrice Selvatici ,&nbsp;Michela Genovese ,&nbsp;Matteo Ravaioli ,&nbsp;Matteo Cescon ,&nbsp;Maria Cristina Morelli ,&nbsp;Loris Pironi","doi":"10.1016/j.eatbeh.2024.101925","DOIUrl":"10.1016/j.eatbeh.2024.101925","url":null,"abstract":"<div><div>Liver transplantation (LT) associates with weight gain and metabolic complications. However, risk of eating disorders post-transplantation and factors influencing their onset remain poorly understood. This study aimed to fill this knowledge gap by characterizing the risk of having eating disorders or Orthorexia Nervosa (ON) according to the EAT-26, BES and Bratman screening questionnaires in 104 liver transplant recipients (mean age 62.5 years; median time from LT 6 years) with type 2 diabetes and/or overweight/obesity. Eighty-two patients (78.9 %) had diabetes; mean BMI was 30.1 ± 5.9 kg/m². Risk of eating disorders was observed in 6.9 %–10.8 % and the risk of orthorexia (Bratman test score &gt; 4) was observed in 60.5 % of patients. A significant association was found between BMI and the likelihood of having eating disorders considering EAT-26 (OR = 0.17, <em>p</em> = .009). The absence of a direct link between diabetes and the risk of having eating disorders suggest multifactorial influences on post-transplant eating behaviors. The study highlights the importance of proactive screening to evaluate eating behaviors in liver transplant recipients to define tailored interventions and optimize post-transplant outcomes. Limitations refer to the observational nature of the study and the absence of pre-transplant data. Further research is warranted to validate these findings, elucidate temporal relationship between transplantation and the onset of eating disorders, and explore potential mechanisms underlying these associations. Such insights are crucial for developing effective strategies to mitigate the impact of eating disorders on post-transplant health and well-being.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"55 ","pages":"Article 101925"},"PeriodicalIF":2.4,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of an education intervention focusing on comprehensive mindful eating and chewing habits on daily eating practices: A mobile tool-based randomized controlled trial","authors":"Ayano Chiba ,&nbsp;Nobuo Yoshiike","doi":"10.1016/j.eatbeh.2024.101923","DOIUrl":"10.1016/j.eatbeh.2024.101923","url":null,"abstract":"<div><h3>Background</h3><div>Mindful eating (ME) emphasizes full awareness of food consumption, incorporating the practice of eating slowly. Traditional interventions targeting slower eating rates often concentrate on chewing behavior, leaving the impact of ME largely unexplored. The objective of this study was to evaluate the effectiveness of the ME program in improving eating rates and mindful eating compared to conventional education centered solely on chewing.</div></div><div><h3>Methods</h3><div>A total of 66 women university students were randomly assigned to either the ME (<em>n</em> = 33) or chewing intervention groups (n = 33). Education programs were delivered via smartphones over 8 weeks, with bi-weekly sessions where participants watched videos individually. The primary outcome was the eating rate, while the secondary outcome were eating style and the Mindful Eating Questionnaire (MEQ) assessed through web-based questionnaires. Measurements were taken pre-intervention, post-intervention, and at 1 and 3 months follow-up. Statistical analysis was conducted using intention-to-treat analysis.</div></div><div><h3>Results</h3><div>Both the ME and chewing groups showed slower eating rates compared to baseline, indicating the effect's temporal persistence, with no significant differences found between them at the end of the intervention and at 1 and 3 months post-intervention. In addition, the ME group significantly increased the MEQ scores compared to the chewing group.</div></div><div><h3>Conclusion</h3><div>The educational program using ME reduced the rate of eating and achieved results similar to those of programs focused solely on chewing. Furthermore, it was effective in increasing MEQ scores. Based on these findings, a comprehensive education program that focuses on ME is recommended.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"55 ","pages":"Article 101923"},"PeriodicalIF":2.4,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1471015324000825/pdfft?md5=3355fc05c748028502c38d9162b91c05&pid=1-s2.0-S1471015324000825-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142310232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}