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Exploring Australian parent preferences for a school-provided meal offering using a discrete choice experiment 使用离散选择实验探索澳大利亚家长对学校提供的膳食的偏好。
IF 3.8 2区 医学
Appetite Pub Date : 2025-10-03 DOI: 10.1016/j.appet.2025.108335
Alexandra C. Manson , Rebecca K. Golley , Vicki Brown , Daniela McCann , Brittany J. Johnson
{"title":"Exploring Australian parent preferences for a school-provided meal offering using a discrete choice experiment","authors":"Alexandra C. Manson ,&nbsp;Rebecca K. Golley ,&nbsp;Vicki Brown ,&nbsp;Daniela McCann ,&nbsp;Brittany J. Johnson","doi":"10.1016/j.appet.2025.108335","DOIUrl":"10.1016/j.appet.2025.108335","url":null,"abstract":"<div><div>There is growing interest in school-provided meal offerings in Australia. As a key stakeholder, it is important to understand Australian parent/caregiver preferences for such an offering. This study aimed to investigate parent interest and preferences in a school-provided meal offering for Australian primary schools. An online survey incorporating a discrete choice experiment was administered to parents of primary school-aged children across Australia. The discrete choice experiment involved 12 choice tasks, where parents were required to choose between two hypothetical school-provided lunch offerings. Six attributes with varying levels were used to describe the choice options: cost, nutrition and quality, environmental sustainability, access, menu options, and the school approach to food. A d-efficient design was constructed, with data analysed using multinomial logit models and the Krinsky and Robb method to calculate willingness to pay. The final sample consisted of 383 participants, predominantly women (90 %). A majority expressed interest in school-provided meals (93 %). The most significant influence on parent choice was nutrition and quality (β = 0.71), followed by menu options (β = 0.47), environmental sustainability (β = 0.35), and a whole-school approach to food (β = 0.28). A negative cost coefficient indicated a preference for lower-cost options. Parents were willing to pay for enhancements indicating the attributes were financially valued by parents. Results demonstrate Australian parent support for comprehensively designed and delivered school-provided lunches, aligned with their preferences. Parental preferences should be considered in system design, alongside other stakeholder perspectives, to achieve an acceptable and financially equitable school-provided meal system in Australia.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"217 ","pages":"Article 108335"},"PeriodicalIF":3.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231034","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
Differential associations between overt and covert restrictive feeding practices and children's eating behaviours and dietary intake 显性和隐性限制性喂养方式与儿童饮食行为和饮食摄入量之间的差异关联。
IF 3.8 2区 医学
Appetite Pub Date : 2025-10-01 DOI: 10.1016/j.appet.2025.108330
Anna M.D. Say , Lilly M. Werner , Xochitl de la Piedad Garcia , Kimberley M. Mallan
{"title":"Differential associations between overt and covert restrictive feeding practices and children's eating behaviours and dietary intake","authors":"Anna M.D. Say ,&nbsp;Lilly M. Werner ,&nbsp;Xochitl de la Piedad Garcia ,&nbsp;Kimberley M. Mallan","doi":"10.1016/j.appet.2025.108330","DOIUrl":"10.1016/j.appet.2025.108330","url":null,"abstract":"<div><div>There is debate over whether restricting children's access to ‘unhealthy’ foods is a harmful feeding practice. Overt restriction, which children can detect, is theorised to increase desirability of restricted foods and undermine children's ability to self-regulate their eating behaviour. Conversely, covert restriction, which children cannot detect, may be a protective feeding practice. The aim of this study was to investigate the association between maternal overt and covert restrictive feeding and children's maladaptive eating behaviours (Study 1) and dietary intake (Study 2). Mothers of children 2–12 years (Study 1: <em>N</em> = 214, Study 2: <em>N</em> = 1299) completed an online survey measuring overt and covert restriction, child eating behaviours (Study 1) and child intake of fruits/vegetables and non-core (energy-dense, nutrient-poor) foods (Study 2). Overt restriction was positively associated with food responsiveness and desire for drinks and covert restriction was not associated with eating behaviours (Study 1). Overt restriction was associated with lower fruit/vegetable intake and higher intake of non-core foods and covert restriction was associated with lower non-core foods intake only (Study 2). Overt restriction may be a problematic feeding practice associated with poorer eating behaviours and diet. Conversely, covert restriction is unrelated to maladaptive eating behaviours and may benefit children's diet in terms of lower intake of unhealthy foods.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"217 ","pages":"Article 108330"},"PeriodicalIF":3.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224606","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
Reasoning about eating animals across the lifespan 关于终生食用动物的推理。
IF 3.8 2区 医学
Appetite Pub Date : 2025-10-01 DOI: 10.1016/j.appet.2025.108333
Tina Bagus , Luke McGuire , Hanna Beißert
{"title":"Reasoning about eating animals across the lifespan","authors":"Tina Bagus ,&nbsp;Luke McGuire ,&nbsp;Hanna Beißert","doi":"10.1016/j.appet.2025.108333","DOIUrl":"10.1016/j.appet.2025.108333","url":null,"abstract":"<div><div>Meat consumption contributes to climate change and causes animal suffering. Being aware of animal suffering while at the same time eating meat may lead to experiences of meat-related conflict. One outcome of this conflict are the reasoning justifications used to support or oppose meat-eating. The present study builds on burgeoning work that has examined children's reasoning about eating non-human animals by conceptually replicating and extending British findings in Germany. Here, 507 participants aged between 8 and 74 were asked to reason about why it is (not) okay to eat animals. Overall, meat-eating was justified as natural, necessary, or based on animal categories, and condemned as unnecessary or referencing animal welfare or rights. Conditional justifications for meat-eating included humane husbandry or reduced consumption. As hypothesized, children were more likely to mention animal welfare, whereas adolescents and adults were more likely to refer to eating meat as natural or to humane husbandry conditions. Additionally, participants' reasoning differed as a function of their moral evaluation of meat-eating. Opponents of eating animals were more likely to reason about animal welfare, unlike proponents who were more likely to refer to meat-eating as natural or necessary. Compared to proponents, participants who were ambivalent about eating meat were more likely to mention animal welfare. Lastly, an exploratory investigation of generational reasoning differences between emerging adults and adults revealed no effects. Overall, our findings suggest a developmental trajectory from a focus on animal welfare in childhood to a focus on biological and conventional justifications beginning in adolescence.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"217 ","pages":"Article 108333"},"PeriodicalIF":3.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224612","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
Feeding frontlines: A descriptive qualitative study exploring the experiences and perceptions of caregivers feeding typically developing children 喂养前线:一项探讨照顾者喂养典型发育儿童的经验和看法的描述性定性研究。
IF 3.8 2区 医学
Appetite Pub Date : 2025-10-01 DOI: 10.1016/j.appet.2025.108331
Jovelle Pook , Nicholas Beng Hui Ng , Jamie Qiao Xin Ng , Ting Shian Chiang , Marion Margaret Aw , Shefaly Shorey
{"title":"Feeding frontlines: A descriptive qualitative study exploring the experiences and perceptions of caregivers feeding typically developing children","authors":"Jovelle Pook ,&nbsp;Nicholas Beng Hui Ng ,&nbsp;Jamie Qiao Xin Ng ,&nbsp;Ting Shian Chiang ,&nbsp;Marion Margaret Aw ,&nbsp;Shefaly Shorey","doi":"10.1016/j.appet.2025.108331","DOIUrl":"10.1016/j.appet.2025.108331","url":null,"abstract":"<div><div>Caregivers play a crucial role in meal structure, food variety and feeding styles which contribute to the development and management of behavioural feeding difficulties in children, yet there is limited understanding of the caregiving experiences of feeding difficulties in typically developing children. This study aimed to explore the perceptions and experiences of parents in feeding typically developing children in Singapore. A descriptive qualitative design was adopted. Data collection occurred from July 2024 to October 2024. Convenience sampling was used to recruit 12 participants who were approached through social media, recruitment at public locations and word-of-mouth. Semi-structured one-on-one interviews were conducted online and audio-recorded. Inductive thematic analysis was utilised to generate the findings. Three principal themes and nine subthemes were identified. The three themes were: (1) Navigating the mealtime minefield, (2) Harmonizing modernity with traditional family values, (3) Winning the mealtime battle together. This study highlighted the various challenges faced and strategies utilised by parents, shedding light on the emotional labour that goes into managing feeding challenges at home and the complex relational dynamics between parents and grandparents. Overall, caregivers' journey through feeding difficulties were characterised by patience, creativity in finding strategies that worked based on a deep understanding of their child's personality. There is a need for informational support for caregivers to manage their feeding expectations and adapt feeding strategies that are situated within their cultural context, and social support to help caregivers navigate feelings of failure and external judgement.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"217 ","pages":"Article 108331"},"PeriodicalIF":3.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211196","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
Sensory sensitivity and food disgust in ARFID presentations across ages 回避/限制性食物摄入障碍在不同年龄表现中的感觉敏感性和食物厌恶。
IF 3.8 2区 医学
Appetite Pub Date : 2025-09-30 DOI: 10.1016/j.appet.2025.108329
Lena Kramer , Alexander Nettlau , Anne-Kathrin Merz , Annick Martin , Anja Hilbert , Ricarda Schmidt
{"title":"Sensory sensitivity and food disgust in ARFID presentations across ages","authors":"Lena Kramer ,&nbsp;Alexander Nettlau ,&nbsp;Anne-Kathrin Merz ,&nbsp;Annick Martin ,&nbsp;Anja Hilbert ,&nbsp;Ricarda Schmidt","doi":"10.1016/j.appet.2025.108329","DOIUrl":"10.1016/j.appet.2025.108329","url":null,"abstract":"<div><div>Sensory sensitivity plays a pivotal role in avoidant/restrictive food intake disorder (ARFID), and food disgust is widely accepted as a key factor in food avoidance across ages. However, their relationship remains unclear in ARFID in general and across its main presentations, picky eating, fear of aversive consequences, and lack of interest. Therefore, this cross-sectional study examined whether food disgust acted as a mediator of the relationship between sensory sensitivity and ARFID symptoms in children and adults. Parents and adults from the community participated in an online survey on children's and adults' sensory sensitivity, food disgust, and ARFID symptoms according to the three main presentations based on validated questionnaires. Data from 270 parents (children aged 2–17 years, 60.4% male) and 491 adults (18–73 years, 76.8% female) were analyzed. Consistently across ages, positive associations between food disgust and picky eating (medium to large effect) and fear of aversive consequences (small effect) were observed. Food disgust mediated (i.e., weakened) the association between sensory sensitivity and both picky eating (large effect) and fear of aversive consequences (small effect), but did not mediate this association for lack of interest. The results showed that different etiological mechanisms may play a role in the main presentations of ARFID. Food disgust was found to be particularly relevant for ARFID-picky eating in both children and adults, but was less relevant for ARFID-fear of aversive consequences and ARFID-lack of interest. Longitudinal studies are needed to explore the directionality between sensory sensitivity, food disgust, and ARFID symptoms. Addressing food disgust in therapeutic approaches for ARFID warrants further investigation.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"217 ","pages":"Article 108329"},"PeriodicalIF":3.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211216","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
The relationship between perceived stress and night eating moderated by personality: Cognitive emotion regulation as a mediator 应激感知与夜间进食的关系:认知情绪调节的中介作用。
IF 3.8 2区 医学
Appetite Pub Date : 2025-09-30 DOI: 10.1016/j.appet.2025.108326
Manyuan Li , Jing Wu , Sihang Zhu , Tour Liu
{"title":"The relationship between perceived stress and night eating moderated by personality: Cognitive emotion regulation as a mediator","authors":"Manyuan Li ,&nbsp;Jing Wu ,&nbsp;Sihang Zhu ,&nbsp;Tour Liu","doi":"10.1016/j.appet.2025.108326","DOIUrl":"10.1016/j.appet.2025.108326","url":null,"abstract":"<div><div>Night Eating Syndrome (NES) was characterized by morning anorexia, evening hyperphagia, and insomnia, and was considered to be a response to stress that harms both physical and mental health. The present study utilized the Night Eating Questionnaire (NEQ), the Perceived Stress Scale (PSS), the Cognitive Emotion Regulation Questionnaire (CERQ), and the Chinese Big Five Personality Inventory brief version-15 (CBF-PI-B-15) to explore how perceived stress relates to night eating behavior and the role of cognitive emotion regulation and personality traits in this process. Key findings revealed that perceived stress significantly predicted increased night eating behavior (<em>β</em> = 0.392,<em>p</em> &lt; 0.01), with maladaptive cognitive emotion regulation strategies mediating this relationship (indirect effect = 0.264, 95 %CI = [0.198,0.334]). Notably, the extraversion dimension of personality demonstrated a negative moderating effect between maladaptive cognitive regulation and night eating behavior (<em>β</em> = −0.422, <em>p</em> &lt; 0.05). Network analysis identified catastrophizing (strength = 1.107; closeness = 0.022) and perceived tension (strength = 1.054; closeness = 0.020) as central nodes in this network. The association between perceived stress and night eating behavior primarily manifested through catastrophizing and other-blame dimensions of maladaptive strategies. These findings suggest that individuals with heightened stress perception tend to employ maladaptive cognitive strategies, subsequently increasing night eating behavior. Importantly, extraversion became a protective personality factor that weakened the association between maladaptive regulation strategies and night eating behaviors.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"217 ","pages":"Article 108326"},"PeriodicalIF":3.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211155","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
The impact of smoking reduction on food demand in people with excess weight 减少吸烟对超重人群食物需求的影响。
IF 3.8 2区 医学
Appetite Pub Date : 2025-09-30 DOI: 10.1016/j.appet.2025.108332
Ángel García-Pérez , Andrea Krotter , Antonio Verdejo-Garcia , Gloria Garcia-Fernandez
{"title":"The impact of smoking reduction on food demand in people with excess weight","authors":"Ángel García-Pérez ,&nbsp;Andrea Krotter ,&nbsp;Antonio Verdejo-Garcia ,&nbsp;Gloria Garcia-Fernandez","doi":"10.1016/j.appet.2025.108332","DOIUrl":"10.1016/j.appet.2025.108332","url":null,"abstract":"<div><div>Smoking cessation is commonly associated with increased food intake and weight gain, representing a substantial barrier to quitting, particularly for individuals with overweight or obesity. This study aimed to uncover the behavioral economic mechanisms underpinning this phenomenon by analyzing changes in food demand during smoking cessation treatment among people with overweight or obesity. We also explored whether baseline tobacco use and eating behaviors predicted these changes. In an eight-week clinical trial, 120 adults with tobacco use disorder and overweight or obesity received treatment to promote smoking cessation and prevent weight gain. Tobacco exposure was assessed via urine cotinine, and food demand was measured using the Food Purchase Task (FPT) at baseline, 48 hours before the scheduled quit day (week 5), and post-treatment (week 8). Mixed-effects repeated measures models were used to analyze changes in FPT indices: demand intensity, Omax, Pmax, breakpoint, and elasticity. Participants who reduced or ceased smoking exhibited increases in food demand. Decreases in cotinine levels were significantly associated with higher Omax (<em>p</em> = .02), Pmax (<em>p</em> = .023), and breakpoint (<em>p</em> = .026), indicating increased reinforcing value of food during cessation treatment. Smoking reduction is linked to heightened food reinforcement, which may contribute to post-cessation weight gain. These findings highlight a potential mechanism underlying cessation-related weight gain and support the need for targeted interventions addressing the heightened reinforcing value of food during smoking cessation in individuals with excess weight.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"217 ","pages":"Article 108332"},"PeriodicalIF":3.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211168","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
Steak is not the only meat: Men opt for unconventional meat products when mitigating masculinity threat 牛排不是唯一的肉类:男性选择非传统的肉类产品来减轻男子气概的威胁。
IF 3.8 2区 医学
Appetite Pub Date : 2025-09-30 DOI: 10.1016/j.appet.2025.108324
Izabella Poswistak-Jazwiecka , Peter M. Gollwitzer , Katarzyna Byrka
{"title":"Steak is not the only meat: Men opt for unconventional meat products when mitigating masculinity threat","authors":"Izabella Poswistak-Jazwiecka ,&nbsp;Peter M. Gollwitzer ,&nbsp;Katarzyna Byrka","doi":"10.1016/j.appet.2025.108324","DOIUrl":"10.1016/j.appet.2025.108324","url":null,"abstract":"<div><div>Grounding our research in the symbolic self completion theory, we explored situations in which men are particularly motivated to consume meat and unconventional meat products, even when considered disgusting. We tested whether men compensate their experience of masculinity threat by opting for meat, including red meat, white larvae and offal. We also examined whether disgust towards products and their perception as feminine affect such decisions. In Study 1 (<em>N</em> = 247), men opted for more meat products when feeling self-incomplete in their masculinity. In Study 2 (<em>N</em> = 256), spicy edible larvae were preferred by men made to feel incomplete in their masculinity compared to those who felt complete, but the effect was significant only when considering the extent to which insects were perceived as disgusting and repulsive. Study 3 (<em>N</em> = 156) showed that preparing disgusting offal during a cooking course may compensate for feeling self-incomplete but only when it is not perceived as feminine. We discuss new research avenues and point to other boundary conditions that affect using various meat products in order to compensate for feelings of self-incompleteness in masculinity.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"217 ","pages":"Article 108324"},"PeriodicalIF":3.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205026","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
The effects of climate change on food intake, appetite and dietary choices: From current challenges to future practices 气候变化对食物摄入、食欲和饮食选择的影响:从当前的挑战到未来的做法。
IF 3.8 2区 医学
Appetite Pub Date : 2025-09-29 DOI: 10.1016/j.appet.2025.108328
Isaac Cheah , Anwar Sadat Shimul , Mahabub Rahman , Natalina Zlatevska
{"title":"The effects of climate change on food intake, appetite and dietary choices: From current challenges to future practices","authors":"Isaac Cheah ,&nbsp;Anwar Sadat Shimul ,&nbsp;Mahabub Rahman ,&nbsp;Natalina Zlatevska","doi":"10.1016/j.appet.2025.108328","DOIUrl":"10.1016/j.appet.2025.108328","url":null,"abstract":"<div><div>Climate change profoundly impacts human appetite, food intake, and dietary behaviors through multiple pathways. Heat stress suppresses appetite via thermoregulation mechanisms, while climate-induced food insecurity alters availability and nutritional quality of staple crops. This special issue compiles twenty studies examining physiological responses, vulnerable population adaptations, and sustainable dietary transitions, emphasizing the urgent need for climate-resilient food systems and equitable nutrition interventions.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"217 ","pages":"Article 108328"},"PeriodicalIF":3.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205038","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
Associations between nutritional and physical outcomes of community-dwelling older adults eating alone, versus with others: A systematic review 社区独居老年人单独用餐与与他人一起用餐的营养和身体结果之间的关系:一项系统综述。
IF 3.8 2区 医学
Appetite Pub Date : 2025-09-26 DOI: 10.1016/j.appet.2025.108327
Caitlin Wyman , Jolene Thomas , Michael Lawless , Alison Yaxley
{"title":"Associations between nutritional and physical outcomes of community-dwelling older adults eating alone, versus with others: A systematic review","authors":"Caitlin Wyman ,&nbsp;Jolene Thomas ,&nbsp;Michael Lawless ,&nbsp;Alison Yaxley","doi":"10.1016/j.appet.2025.108327","DOIUrl":"10.1016/j.appet.2025.108327","url":null,"abstract":"<div><div>Age-related changes in physiological function and an older person's physical, social and economic environment can impact their nutritional intake and overall health. While it is well-established that social isolation and loneliness can contribute to decreased food intake, the evidence quantifying the association between nutritional and physical outcomes of older adults eating alone, versus with others, has yet to be synthesised. Therefore, this systematic review aimed to answer the question, “What is the association between nutritional and physical outcomes of community-dwelling older adults (aged ≥65 years) who eat alone, versus with others?” This systematic review followed the PRISMA guidelines. Four databases (MEDLINE, CINAHL, Scopus, PsycINFO) were searched to February 2025 to identify relevant publications. From 3759 articles identified, 24 fulfilled the inclusion criteria. These cross-sectional (n = 19), cohort (n = 4) or case-control (n = 1) studies were mostly of neutral methodological quality and reported on nutritional status, dietary intake, appetite, body mass index, weight loss, muscle mass and/or frailty. Five studies reported no negative associations between eating alone and these outcomes. The remaining studies reported significant negative outcomes for those who ate alone: (1) poorer diet quality and food diversity; (2) lower fruit, vegetable and meat intake; and (3) an increased risk of weight loss and frailty. Strategies targeting shared mealtimes for community-dwelling older people should be investigated to reduce the experience of eating alone and associated negative outcomes. Implications for dietetic practice, primary and preventative healthcare include screening of mealtime habits to determine nutritional risk, and monitoring of outcomes identified in this review.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"217 ","pages":"Article 108327"},"PeriodicalIF":3.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145184336","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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