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Risk factors for eating disorder symptoms at 15 years of age: a 9-year longitudinal cohort study. 15岁时饮食失调症状的危险因素:一项为期9年的纵向队列研究
IF 4.6 2区 医学
Appetite Pub Date : 2025-05-26 DOI: 10.1016/j.appet.2025.108149
Louise N Hanson, Ashley J Adamson, Laura Basterfield, John J Reilly, Xanne Janssen, Mark S Pearce, Lynda G Boothroyd, Elizabeth H Evans
{"title":"Risk factors for eating disorder symptoms at 15 years of age: a 9-year longitudinal cohort study.","authors":"Louise N Hanson, Ashley J Adamson, Laura Basterfield, John J Reilly, Xanne Janssen, Mark S Pearce, Lynda G Boothroyd, Elizabeth H Evans","doi":"10.1016/j.appet.2025.108149","DOIUrl":"https://doi.org/10.1016/j.appet.2025.108149","url":null,"abstract":"<p><p>Eating disorders (EDs) are typically diagnosed in the later stages of puberty, but risk factors for EDs are present in pre-pubertal children. This longitudinal, population-based birth cohort study aimed to examine prospective predictors of eating disorder symptoms in 15-year-olds. Specifically, we sought to test an adapted dual pathway model of disordered eating aetiology in this group. Participants in the Gateshead Millennium Study birth cohort (n = 326; 187 girls and 175 boys) completed self-report questionnaires assessing eating disorder symptoms and risk factors at ages 7, 9, 12, and 15 years. Measures included body image, depressive symptoms, and pubertal development; we also measured BMI at each age. The data were fitted to a model of eating disorder symptom development to help us understand the role of puberty, adiposity, body dissatisfaction, depressive symptoms, and previous eating disorder symptoms. We found that previous eating disorder symptoms were the strongest predictor of eating disorder symptoms at 15, and that depressive symptoms prospectively predicted eating disorder symptoms in girls. We furthermore found that depressive symptoms at 12 partially mediated the relationship between body dissatisfaction at 12 and eating disorder symptoms at 15 in girls. Pubertal development predicted concurrent eating disorder symptoms at 12 in girls but not boys. Overall, our findings support the roles of pubertal development, body dissatisfaction, and depressive symptoms in the pathogenesis of eating disorder symptoms across puberty. They add to growing evidence that there are different pathways to eating disorder symptoms in girls and boys.</p>","PeriodicalId":242,"journal":{"name":"Appetite","volume":" ","pages":"108149"},"PeriodicalIF":4.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sensitization of the reinforcing value of food is associated with greater BMI percentile in lower income adolescents 在低收入青少年中,食物强化价值的敏化与较高的BMI百分位数有关
IF 4.6 2区 医学
Appetite Pub Date : 2025-05-23 DOI: 10.1016/j.appet.2025.108148
Jennifer L. Temple , Katelyn A. Carr , Kristiana Feeser , Ana Leticia Andrade , Leonard H. Epstein
{"title":"Sensitization of the reinforcing value of food is associated with greater BMI percentile in lower income adolescents","authors":"Jennifer L. Temple ,&nbsp;Katelyn A. Carr ,&nbsp;Kristiana Feeser ,&nbsp;Ana Leticia Andrade ,&nbsp;Leonard H. Epstein","doi":"10.1016/j.appet.2025.108148","DOIUrl":"10.1016/j.appet.2025.108148","url":null,"abstract":"<div><div>Sensitization, or the increase in the reinforcing value of high energy density snack food (RV<sub>FOOD</sub>) after repeated daily intake, is associated with weight and weight change in adolescents. The purpose of this study was to examine the relationships among reinforcer sensitization, delay discounting (DD), and BMI percentile in a lower income sample who experience higher rates of food insecurity (FI). We hypothesized that the relationship between sensitization and BMI percentile is moderated by FI and DD. We conducted an observational cohort study in 118, 11–14 year old adolescents from lower income households. The RV<sub>FOOD</sub> of a preferred HED food was assessed at baseline and after 2 weeks of daily intake. We also assessed DD and household and adolescent reported FI. Sensitization, but not baseline RV<sub>FOOD</sub>, was positively associated with BMI percentile, but this effect was not moderated by household or adolescent FI or by DD. Both adolescent and household FI were associated with higher baseline RV<sub>FOOD,</sub> creating a potential ceiling effect and suggesting that adolescents who are FI may enter the study “pre-sensitized” to the snack foods. This study replicates and extends our prior findings showing that sensitization is related to higher BMI percentile in lower income adolescents, but these effects were not moderated by FI. Food insecurity, in particular when reported by the adolescent, was related to DD and baseline RV<sub>FOOD</sub> which can impact food intake, diet, and weight status.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"214 ","pages":"Article 108148"},"PeriodicalIF":4.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Behavioral and neural alterations of the ventral tegmental area by exposure to junk food in rats 接触垃圾食品对大鼠腹侧被盖区行为和神经的影响。
IF 4.6 2区 医学
Appetite Pub Date : 2025-05-23 DOI: 10.1016/j.appet.2025.108146
Jaume F. Lalanza, John C. Oyem, Patty T. Huijgens, James E. McCutcheon, Roy Heijkoop , Eelke M.S. Snoeren
{"title":"Behavioral and neural alterations of the ventral tegmental area by exposure to junk food in rats","authors":"Jaume F. Lalanza,&nbsp;John C. Oyem,&nbsp;Patty T. Huijgens,&nbsp;James E. McCutcheon,&nbsp;Roy Heijkoop ,&nbsp;Eelke M.S. Snoeren","doi":"10.1016/j.appet.2025.108146","DOIUrl":"10.1016/j.appet.2025.108146","url":null,"abstract":"<div><div>The brain reward system is essential for regulating appetitive and consummatory behaviors in response to various incentive stimuli. Junk food, characterized by its high palatability, is particularly associated with the potential for excessive consumption. While prior studies indicate that excessive junk food intake can impact reward circuitry, the precise mechanisms underlying these effects remain elusive. Furthermore, it is unclear whether the functionality of this neural system is similarly altered in response to other natural rewards. In this study, we used fiber photometry combined with a behavioral reward test to investigate the effects of six weeks of excessive cafeteria (CAF) diet consumption on ventral tegmental area (VTA) neural activity and behavioral responses to food and sexual rewards in female rats. Our findings demonstrate that prolonged exposure to a CAF diet reduced the exploration and consumption of food rewards. These behavioral changes were accompanied by attenuated neural activity in the VTA. Similarly, reductions in VTA activity were observed in response to a sexual partner, although no significant behavioral differences were detected during sexual interactions. Moreover, a two-week reversal diet of standard chow proved insufficient to restore VTA neural activity in CAF-exposed animals, which continued to exhibit decreased VTA responses to both food rewards and sexual partners. Our results suggest that prolonged junk food exposure induces desensitization of the VTA, resulting in reduced responsiveness to natural rewards.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"214 ","pages":"Article 108146"},"PeriodicalIF":4.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144140986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does the Type of Stressor Moderate the Stress-Snacking Relationship? An Intensive-Longitudinal Study. 压力源的类型是否会调节压力与零食的关系?一项密集纵向研究。
IF 4.6 2区 医学
Appetite Pub Date : 2025-05-23 DOI: 10.1016/j.appet.2025.108145
Simone Lüthi, Melanie Bamert, Jennifer Inauen
{"title":"Does the Type of Stressor Moderate the Stress-Snacking Relationship? An Intensive-Longitudinal Study.","authors":"Simone Lüthi, Melanie Bamert, Jennifer Inauen","doi":"10.1016/j.appet.2025.108145","DOIUrl":"https://doi.org/10.1016/j.appet.2025.108145","url":null,"abstract":"<p><strong>Objective: </strong>Stress can influence health via changes in health behavior, such as unhealthy snacking. However, previous research on this relationship is inconsistent, indicating between- or within-person differences. We examined the type of stressor as a contextual moderator in the stress-unhealthy snacking relationship in everyday life. We further differentiated perceived stress and the physiological stress response.</p><p><strong>Methods: </strong>Students, a population at risk of stress and unhealthy snacking (N=66, 1'989 observations), participated in a 4-day intensive longitudinal study. Perceived stress and unhealthy snacks consumed were recorded eight times daily. Heart rate variability (HRV), an indicator of the physiological stress response, was measured continuously using a validated ambulatory electrocardiogram sensor (ecgMove 4). Lower HRV indicates greater physiological stress. Data were analyzed using generalized estimating equations.</p><p><strong>Results: </strong>No relationship was found between general stress and unhealthy snacking, but the type of stressor moderated this association. When reporting a work-related stressor as opposed to other stressors, individuals subsequently (i.e., during the next two hours) consumed fewer unhealthy snacks as momentary perceived stress increased. When reporting an interpersonal stressor, individuals consumed more unhealthy snacks as momentary HRV increased. Individuals who typically perceived more stress ate more and those with typically higher HRV ate fewer unhealthy snacks when experiencing an interpersonal stressor.</p><p><strong>Conclusion: </strong>The results shed light on the complex relationship between stress and eating. Considering the type of stressor, distinguishing perceived stress and the physiological stress response, and within- and between-person differences is important for understanding the relationship between stress and unhealthy snacking in everyday life.</p>","PeriodicalId":242,"journal":{"name":"Appetite","volume":" ","pages":"108145"},"PeriodicalIF":4.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144140988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring gender differences in the mediating effect of emotional eating on anxiety and body image 探讨情绪性饮食对焦虑和身体形象中介效应的性别差异。
IF 4.6 2区 医学
Appetite Pub Date : 2025-05-22 DOI: 10.1016/j.appet.2025.108143
Shani Pitcho , Maya Kagan
{"title":"Exploring gender differences in the mediating effect of emotional eating on anxiety and body image","authors":"Shani Pitcho ,&nbsp;Maya Kagan","doi":"10.1016/j.appet.2025.108143","DOIUrl":"10.1016/j.appet.2025.108143","url":null,"abstract":"<div><div>Armed conflicts, profoundly traumatic for affected civilians, have a significant impact on both the body and mind, with these effects intensifying over prolonged exposure. This study aimed to explore the interaction between psychological and behavioral factors during extended armed conflicts by examining the relationship between anxiety symptoms, emotional eating, and body image among Israeli civilians, while also considering the mediating role of gender. A total of 445 Israeli adults completed an online survey that comprised a self-report questionnaire during the Israel-Hamas war. A moderated mediation analysis revealed that anxiety symptoms were positively associated with emotional eating, which, in turn, negatively affected body image. Moreover, emotional eating fully mediated the relationship between anxiety symptoms and body image, with gender moderating the effect of emotional eating on body image more strongly among women than among men. Grounded in the Folkman and Lazarus Model of Stress and Coping, these findings, consistent with research on conflict-affected populations, suggest that emotional eating serves as an avoidance coping strategy, contributing to poor body image. This effect is particularly pronounced among women, who are more vulnerable to internalizing socio-cultural beauty standards. The study underscores the need for gender-sensitive interventions that promote healthy coping strategies during crises and highlights the importance of addressing the psychological and physical challenges associated with prolonged stress exposure in conflict zones.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"214 ","pages":"Article 108143"},"PeriodicalIF":4.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144140994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Age and body mass index are associated with dorsolateral prefrontal cortex activation in response to unhealthy food cues 年龄和体重指数与背外侧前额叶皮层对不健康食物的激活有关
IF 4.6 2区 医学
Appetite Pub Date : 2025-05-21 DOI: 10.1016/j.appet.2025.108138
Floor van Meer , Laura N. van der Laan , Gabriele Eiben , Lauren Lissner , Maike Wolters , Stefan Rach , Manfred Herrmann , Peter Erhard , Denes Molnar , Gergely Orsi , Roger A.H. Adan , Paul A.M. Smeets , the I.Family Consortium
{"title":"Age and body mass index are associated with dorsolateral prefrontal cortex activation in response to unhealthy food cues","authors":"Floor van Meer ,&nbsp;Laura N. van der Laan ,&nbsp;Gabriele Eiben ,&nbsp;Lauren Lissner ,&nbsp;Maike Wolters ,&nbsp;Stefan Rach ,&nbsp;Manfred Herrmann ,&nbsp;Peter Erhard ,&nbsp;Denes Molnar ,&nbsp;Gergely Orsi ,&nbsp;Roger A.H. Adan ,&nbsp;Paul A.M. Smeets ,&nbsp;the I.Family Consortium","doi":"10.1016/j.appet.2025.108138","DOIUrl":"10.1016/j.appet.2025.108138","url":null,"abstract":"<div><div>Unhealthy food cues are omnipresent and promote overconsumption. Although childhood obesity rates are increasing, there is no strict regulation of the marketing of unhealthy foods towards children. This is problematic since the human brain, especially areas important for cognitive control, continues to develop into the 30s. It is not known in how far the brain response to unhealthy food cues varies with body mass index (BMI) and age. To investigate this, 168 children (10–17 y) and 182 adults (30–67 y) from the European IDEFICS cohort were scanned with the use of fMRI while viewing pictures of healthy and unhealthy foods. Children exhibited lower activation in the right dorsolateral prefrontal cortex (dlPFC) compared to adults when exposed to unhealthy food cues. Across all age groups, individuals with higher BMI demonstrated reduced activation in the middle cingulum in response to unhealthy food stimuli. Lastly, the relation between BMI and brain activation in response to unhealthy compared with healthy food stimuli varied with development: in children, higher BMI was correlated with decreased activation in right anterior insula and right dlPFC, whereas no such relationship was observed in adults. These findings suggest that children with higher BMI may be particularly vulnerable to unhealthy food cues. In this light, the lack of regulation regarding unhealthy food marketing targeted at children is concerning, especially considering the global increase in obesity rates.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"213 ","pages":"Article 108138"},"PeriodicalIF":4.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144099623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chinese consumers’ perceptions, attitude, and purchase intention of organic products 中国消费者对有机产品的认知、态度和购买意愿
IF 4.6 2区 医学
Appetite Pub Date : 2025-05-21 DOI: 10.1016/j.appet.2025.108142
Ji Lu , Yining Liu , Qinlei Jing , Wenguang Zhang
{"title":"Chinese consumers’ perceptions, attitude, and purchase intention of organic products","authors":"Ji Lu ,&nbsp;Yining Liu ,&nbsp;Qinlei Jing ,&nbsp;Wenguang Zhang","doi":"10.1016/j.appet.2025.108142","DOIUrl":"10.1016/j.appet.2025.108142","url":null,"abstract":"<div><div>Organic agricultural production addresses environmental sustainability and food safety concerns that arise from contemporary industrial farming practices. This study focuses on urban China and aims to explore a behavioural model through which consumers' beliefs and attitudes toward organic food influence their consumption. The proposed model integrates the theory of planned behaviour (TPB) with the stimulus-organism-response (SOR) model. Over 1500 participants from Beijing, Shanghai, and Chongqing participated in an online survey, reporting their organic food consumption behaviours and preferences. The data were analyzed using a structural equation model. The results generally support the TPB model, suggesting that attitudes toward organic food, social norms, and the availability of products and information related to organic food predicted consumers' purchase intentions and consumption of organic products. The results are also consistent with the SOR model, revealing that participants’ positive perceptions of organic food attributes, such as sensory properties, nutritional value, and ecological welfare, were positively associated with their attitudes toward hedonic, utilitarian, and ethical benefits. Moreover, attitudes regarding hedonic and utilitarian benefits correlated positively with purchase intention and consumption behaviour. Surprisingly, attitudes toward the ethical benefits of organic food did not show a direct relationship with purchase intention. However, a positive attitude toward ethical benefits was linked to enhanced attitudes toward hedonic and utilitarian benefits, thus indirectly influencing purchase intention. The results shed light on the strategy for promoting sustainable food consumption.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"214 ","pages":"Article 108142"},"PeriodicalIF":4.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144131392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Determinants of minimum dietary diversity attainment among infants aged 6–11 months in rural China: a COM-B model-based Bayesian network analysis 中国农村6-11月龄婴儿最低饮食多样性成就的决定因素:基于COM-B模型的贝叶斯网络分析
IF 4.6 2区 医学
Appetite Pub Date : 2025-05-21 DOI: 10.1016/j.appet.2025.108144
Linhua Li , Yanrong Dong , Zhengjie Cai , Hanwen Zhang , Xiannan Xian , Yiran Tian , Xinru Zhou , Liang Lv , Yuju Wu , Huan Zhou
{"title":"Determinants of minimum dietary diversity attainment among infants aged 6–11 months in rural China: a COM-B model-based Bayesian network analysis","authors":"Linhua Li ,&nbsp;Yanrong Dong ,&nbsp;Zhengjie Cai ,&nbsp;Hanwen Zhang ,&nbsp;Xiannan Xian ,&nbsp;Yiran Tian ,&nbsp;Xinru Zhou ,&nbsp;Liang Lv ,&nbsp;Yuju Wu ,&nbsp;Huan Zhou","doi":"10.1016/j.appet.2025.108144","DOIUrl":"10.1016/j.appet.2025.108144","url":null,"abstract":"<div><div>Achieving minimum dietary diversity (MDD), a crucial indicator of infant and young child diet quality, remains a challenge in rural China, especially for infants aged 6–11 months. This study examined the rate of MDD attainment in rural China, identified its determinants using the Capability, Opportunity, Motivation, and Behavior (COM-B) model and Bayesian network analysis, and estimated the potential impact of improving each modifiable determinant. A multi-stage sampling design selected 1328 caregivers of infants aged 6–11 months across 77 rural townships in China. Data were collected through a cross-sectional survey via in-person household interviews. Bayesian network analysis identified key factors influencing MDD attainment and their interrelationships, while Bayesian inference estimated MDD attainment probabilities. Results showed that only 22.2 % of the sample infants attained MDD. Bayesian network analysis revealed that caregiver knowledge (a proxy of capability), self-efficacy and habits (proxies of motivation), and infant age directly influenced MDD attainment. Social support (a proxy of opportunity) indirectly promoted MDD attainment by boosting self-efficacy and habit. Notably, simultaneous improvements in knowledge, self-efficacy, and habit could increase MDD attainment by 17.6 %, underscoring the potential effectiveness of interventions focused on enhancing caregiver capability and motivation. The critically low MDD attainment rate among rural Chinese infants highlights the urgent need for targeted interventions. Strategies should prioritize enhancing caregiver feeding knowledge, self-efficacy, and habit formation to improve infant dietary diversity. Addressing these key factors could substantially boost MDD attainment in rural China.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"214 ","pages":"Article 108144"},"PeriodicalIF":4.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144131391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of ultra-processed foods on hedonic and homeostatic appetite regulation: A systematic review 超加工食品对享乐和内稳态食欲调节的影响:系统综述。
IF 4.6 2区 医学
Appetite Pub Date : 2025-05-17 DOI: 10.1016/j.appet.2025.108139
Elif Ulug , Aylin Acikgoz Pinar , Bulent Okan Yildiz
{"title":"Impact of ultra-processed foods on hedonic and homeostatic appetite regulation: A systematic review","authors":"Elif Ulug ,&nbsp;Aylin Acikgoz Pinar ,&nbsp;Bulent Okan Yildiz","doi":"10.1016/j.appet.2025.108139","DOIUrl":"10.1016/j.appet.2025.108139","url":null,"abstract":"<div><div>The rapid rise in ultra-processed foods (UPF) consumption correlates with the growing global obesity prevalence. Investigating the hedonic and homeostatic mechanisms affected by UPF may provide insights for obesity prevention and appetite regulation. This systematic review aimed to examine the current understanding of the potential effects of UPF on appetite regulation and food intake, examining both hedonic and homeostatic pathways. A search was performed in PubMed, Scopus, Web of Science, and EMBASE databases, and studies published in English language were selected. Study selection and inclusion/exclusion criteria were determined based on PECOS framework. The quality of the studies was evaluated using appropriate Cochrane Risk of Bias tools and all articles were found to have low risk of bias. Of the 11 studies included, three were randomized controlled trials, one was cross-over study, one was non-randomized controlled study, and six were observational studies. Results indicated that UPF consumption may influence to hedonic appetite by promoting faster eating rates, enhancing palatability, activating brain reward circuits, and potentially increasing food addiction behaviors. Additionally, UPF intake may disrupt homeostatic appetite regulation by altering gut-brain axis signaling and modulating peripheral peptides such as ghrelin, GLP-1, GIP, and PYY. However, findings on both hedonic and homeostatic mechanisms remain inconclusive due to heterogeneous study designs, general characteristics of participants, and varying baseline UPF intake. These findings suggest that reducing UPF consumption could be a relevant target for appetite and weight management strategies, highlighting the need for more mechanistic and longitudinal research.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"213 ","pages":"Article 108139"},"PeriodicalIF":4.6,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between caregivers’ responsive feeding practices and eating behaviors of children aged 6–35 months 6-35月龄儿童照料者反应性喂养行为与饮食行为的关系
IF 4.6 2区 医学
Appetite Pub Date : 2025-05-17 DOI: 10.1016/j.appet.2025.108141
Yujie Wen , Meijing An , Nan Wu , Xiaojing Ren , Xiyao Liu , Jie Huang , Qianling Zhou
{"title":"Association between caregivers’ responsive feeding practices and eating behaviors of children aged 6–35 months","authors":"Yujie Wen ,&nbsp;Meijing An ,&nbsp;Nan Wu ,&nbsp;Xiaojing Ren ,&nbsp;Xiyao Liu ,&nbsp;Jie Huang ,&nbsp;Qianling Zhou","doi":"10.1016/j.appet.2025.108141","DOIUrl":"10.1016/j.appet.2025.108141","url":null,"abstract":"<div><h3>Background</h3><div>Studies on responsive feeding are mainly conducted among preschool and school-aged children, and from high-income countries. This study aims to examine the associations between caregivers’ responsive and non-responsive feeding practices and eating behaviors of children aged 6–35 months in China.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted among 409 caregivers in Shijiazhuang City, China in 2020. The Infant and Young Child Feeding Behavior Scale with adjustment was used to assess caregivers' feeding practices. The Children's Eating Behavior Questionnaire was used to assess the outcomes. Multiple linear regression was performed to examine the associations between caregivers' feeding practices and children's eating behaviors.</div></div><div><h3>Results</h3><div>Children's eating behavior score for enjoyment of food was relatively high. Caregivers' responsive feeding of responsiveness to cues (β: 0.16, 95 %CI: 0.05, 0.26), modeling (β: 0.10, 95 %CI: 0.01, 0.20), and active communication and interaction (β: 0.20, 95 %CI: 0.08, 0.33) were positively related to whereas the non-responsive feeding of pressure to eat (β: −0.10, 95 %CI: −0.19, −0.01) was negatively related to children's enjoyment of food. Caregivers' pressure to eat was positively related to children's scores for food fussiness (β: 0.10, 95 %CI: 0.03, 0.16) as well as slowness in eating (β: 0.11, 95 %CI: 0.01, 0.20). Caregivers' non-responsive feeding practices were positively related to children's emotional overeating, emotional undereating, food responsiveness and satiety responsiveness (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Our results demonstrate in a sample of caregivers from China that responsive feeding practices are linked with positive healthy eating behaviors of infants and toddlers, and could potentially be used to inform feeding interventions in this population.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"213 ","pages":"Article 108141"},"PeriodicalIF":4.6,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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