AppetitePub Date : 2024-09-29DOI: 10.1016/j.appet.2024.107696
Ana Rosa Sepúlveda , Marta Rojo , Tatiana Lacruz , Santos Solano , Montserrat Graell , Óscar L. Veiga
{"title":"Testing a family system-based intervention (ENTREN-F Programme) for a paediatric obesity sample by a randomized controlled trial","authors":"Ana Rosa Sepúlveda , Marta Rojo , Tatiana Lacruz , Santos Solano , Montserrat Graell , Óscar L. Veiga","doi":"10.1016/j.appet.2024.107696","DOIUrl":"10.1016/j.appet.2024.107696","url":null,"abstract":"<div><div>This study evaluated the effectiveness of ‘ENTREN-F’ –a multi-component, family system-based intervention-for managing paediatric obesity at National Health Primary Care. A 3-arm, parallel-design, single-blinded randomized controlled trial (RCT), 165 families were randomized: Arm 1) ENTREN-F(n = 62) is a 12-week cognitive-behavioural intervention (CBT) family system-based programme, addressing lifestyle changes, children's emotional and social development and the family system, Arm 2) ‘ENTREN’ (n = 52) is a CBT family-based programme for children and parents, not addressing the family system, and Arm 3) Control group (CG) (n = 51) covers individual behavioural monitoring. All children were clinical interviewed to assess a diagnosis. Their effectiveness was assessed against six-month changes in children's body mass index (BMI) z-score, children's psychological well-being, levels of expressed maternal emotion, depression symptoms, parental feeding practices, levels of physical activity and sedentary lifestyles. The maintenance of the changes was evaluated for two years. High-attendance rates for ENTREN-F (72.6% vs. 66% vs. 33%, respectively) indicated its greater acceptance. After programme completion, the BMI z-score reduced by .5 points in almost 50% ENTREN-F (n = 22/45), 21.9% ENTREN (n = 7/32) and 11.8% (n = 2/17) CG participants. There were no significant differences between the three trial arms for anthropometric, psychological, or family-related measures. At the two-year follow-up, both ENTREN-F and ENTREN showed similar long-term effectiveness without between-group differences, and weight trajectories were favourable. ENTREN-F appears effective for childhood obesity management; however, the COVID-19 pandemic limited the sample size. Also, the tendency towards multiple differences in child and family outcomes could not be statistically shown. It also provides further evidence of the role of psychological and family-related factors that may underlie the origin and maintenance of weight gain.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"203 ","pages":"Article 107696"},"PeriodicalIF":4.6,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142363668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2024-09-28DOI: 10.1016/j.appet.2024.107694
Yiling Wang , Lirong Tang , Jiani Wang , Weihua Li , Miao Wang , Qian Chen , Zhenghan Yang , Zhanjiang Li , Zhenchang Wang , Guowei Wu , Peng Zhang
{"title":"Disruption of network hierarchy pattern in bulimia nervosa reveals brain information integration disorder","authors":"Yiling Wang , Lirong Tang , Jiani Wang , Weihua Li , Miao Wang , Qian Chen , Zhenghan Yang , Zhanjiang Li , Zhenchang Wang , Guowei Wu , Peng Zhang","doi":"10.1016/j.appet.2024.107694","DOIUrl":"10.1016/j.appet.2024.107694","url":null,"abstract":"<div><div>The human brain works as a hierarchical organization that is a continuous axis spanning sensorimotor cortex to transmodal cortex (referring to cortex that integrates multimodal sensory information and participates in complex cognitive functions). Previous studies have demonstrated abnormalities in several specific networks that may account for their multiple behavioral deficits in patients with bulimia nervosa (BN), but whether and how the network hierarchical organization changes in BN remain unknown. This study aimed to investigate alterations of the hierarchy organization in BN network and their clinical relevance. Connectome gradient analyses were applied to depict the network hierarchy patterns of fifty-nine patients with BN and thirty-nine healthy controls (HCs). Then, we evaluated the network- and voxel-level gradient alterations of BN by comparing gradient values in each network and each voxel between patients with BN and HCs. Finally, the association between altered gradient values and clinical variables was explored. In the principal gradient, patients with BN exhibited reduced gradient values in dorsal attention network and increased gradient values in subcortical regions compared to HCs. In the secondary gradient, patients with BN showed decreased gradient values in ventral attention network and increased gradient values in limbic network. Regionally, the areas with altered principal or secondary gradient values in BN group were mainly located in transmodal networks, i.e., the default-mode and frontoparietal network. In BN group, the principal gradient values of right inferior frontal gyrus were negatively associated with external eating behavior. This study revealed the disordered network hierarchy patterns in patients with BN, which suggested a disturbance of brain information integration from attention network and subcortical regions to transmodal networks in these patients. These findings may provide insight into the neurobiological underpinnings of BN.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"203 ","pages":"Article 107694"},"PeriodicalIF":4.6,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142327648","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}
AppetitePub Date : 2024-09-26DOI: 10.1016/j.appet.2024.107695
Simone P Nguyen, Isabella Seip, Alexis Longinetti
{"title":"Beyond table manners: Children's gratitude for food and the role of parental socialization.","authors":"Simone P Nguyen, Isabella Seip, Alexis Longinetti","doi":"10.1016/j.appet.2024.107695","DOIUrl":"https://doi.org/10.1016/j.appet.2024.107695","url":null,"abstract":"<p><p>This investigation explores children's food gratitude and parents' socialization of this gratitude within the United States. Study 1 examined children's spontaneous expressions of gratitude (N = 1,441), focusing on the concepts of food environmental sustainability, properties, origins, scripts, and well-being. Study 2 surveyed parents (N = 110) regarding their engagement in socialization practices that promote children's food gratitude: conversations; modeling; niche selection; and, scaffolding. The results unveil nuances in younger and older children's gratitude for food concepts as well as parents' differential use of food gratitude socialization practices and emphasis on specific concepts. Furthermore, the results demonstrate that parents' food gratitude socialization practices predict parents' reports of their children's food gratitude. These studies elucidate variability in children's gratitude for food and parents' contribution to its development within this domain. These findings have implications for food gratitude socialization. (137 words).</p>","PeriodicalId":242,"journal":{"name":"Appetite","volume":" ","pages":"107695"},"PeriodicalIF":4.6,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142338088","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}
AppetitePub Date : 2024-09-26DOI: 10.1016/j.appet.2024.107692
Chelsea A. Davies , Samantha K. Stanley
{"title":"Untangling the dairy paradox: How vegetarians experience and navigate the cognitive dissonance aroused by their dairy consumption","authors":"Chelsea A. Davies , Samantha K. Stanley","doi":"10.1016/j.appet.2024.107692","DOIUrl":"10.1016/j.appet.2024.107692","url":null,"abstract":"<div><div>Most people eat meat, yet report valuing the environment, animal life, and their health, which contradicts this dietary behaviour. The psychological discomfort aroused by this value-behaviour inconsistency, and the strategies meat eaters use to resolve this unpleasant state, is termed the ‘meat paradox’. Vegetarians eschew meat consumption, but the negative implications of dairy are comparable to meat. We investigated the ‘dairy paradox’ in a sample of vegetarians (<em>N</em> = 378) using an experimental design. Specifically, we tested whether vegetarians experienced cognitive dissonance after reading about the environmental, animal welfare, and health impacts of dairy consumption when compared to a control group not exposed to this information. Then, we examined to what extent perceiving dairy consumption as <em>Natural, Necessary, Normal, Nice,</em> or <em>Neglectable</em>, and denial of cows' mental states (<em>Experience</em> or <em>Agency</em>) predicted reduced cognitive dissonance. Vegetarians in the dissonance-induction condition reported experiencing significantly <em>greater</em> dissonance, though they more strongly <em>rejected</em> the justification strategies. Instead, they reported <em>greater</em> intentions to reduce their dairy consumption than vegetarians in the control condition. Rather than replicating findings from the meat paradox literature, these results suggest that vegetarians respond to uncomfortable feelings about their value-behaviour conflict with a greater intention to abandon the incongruent behaviour, rather than endorsing the cognitions that justify it. This research provides evidence that vegetarians experience a dairy paradox. Given the success of our study in shifting participants away from behavioural justification and toward behavioural change intentions, our findings can help guide the design of interventions seeking to reduce dairy consumption.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"203 ","pages":"Article 107692"},"PeriodicalIF":4.6,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142338089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2024-09-26DOI: 10.1016/j.appet.2024.107693
Sebastian Isbanner , Julia Carins , Nazila Babakhani , Anna Kitunen
{"title":"Streamlining COM-B model: Insights from the Healthy Eating Context","authors":"Sebastian Isbanner , Julia Carins , Nazila Babakhani , Anna Kitunen","doi":"10.1016/j.appet.2024.107693","DOIUrl":"10.1016/j.appet.2024.107693","url":null,"abstract":"<div><div>The global rise in diet-related diseases highlights the urgent need for effective behavioural interventions. While theoretical frameworks like the Capability, Opportunity, Motivation-Behaviour (COM-B) model are valuable for understanding and influencing healthy eating behaviours, their practical application is often hindered by complexity and extensive measurement demands. This study addresses these challenges by testing a simplified version of the COM-B model, focusing on a select set of items representing seven core constructs. We conducted a cross-sectional survey with 347 Australian young adults to validate this streamlined model, making it more accessible for researchers and practitioners. Our findings underscore the importance of automatic motivation, the physical environment, and physical capability as critical factors in promoting healthy eating behaviours. By simplifying the COM-B model, this research contributes to developing more practical and effective strategies for healthier eating, addressing a critical public health issue.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"203 ","pages":"Article 107693"},"PeriodicalIF":4.6,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142338092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2024-09-25DOI: 10.1016/j.appet.2024.107691
Cecilia I. Oviedo-Solís , Lizbeth Tolentino-Mayo , Kathia Larissa Quevedo , Sonia Ana Naumann , Gustavo Cediel , Mercedes Mora , Victoria Abril-Ulloa , Israel Ríos-Castillo , Victoria Valdes , Flavia Fontes , Janine Sagaceta , Daniela García , Mariana Andrea Janjetic , Lecticia Azzaretti , Gabriela Flores , Eliana Hansen , María Valeria Souto Brey , Andrea Paula Cravero Bruneri , Natalia Romero Mathieu , Alejandra Jáuregui , Simón Barquera
{"title":"Impact of front-of-package nutrition labels on acceptability and objective understanding: A randomized experiment in Latin American adults","authors":"Cecilia I. Oviedo-Solís , Lizbeth Tolentino-Mayo , Kathia Larissa Quevedo , Sonia Ana Naumann , Gustavo Cediel , Mercedes Mora , Victoria Abril-Ulloa , Israel Ríos-Castillo , Victoria Valdes , Flavia Fontes , Janine Sagaceta , Daniela García , Mariana Andrea Janjetic , Lecticia Azzaretti , Gabriela Flores , Eliana Hansen , María Valeria Souto Brey , Andrea Paula Cravero Bruneri , Natalia Romero Mathieu , Alejandra Jáuregui , Simón Barquera","doi":"10.1016/j.appet.2024.107691","DOIUrl":"10.1016/j.appet.2024.107691","url":null,"abstract":"","PeriodicalId":242,"journal":{"name":"Appetite","volume":"203 ","pages":"Article 107691"},"PeriodicalIF":4.6,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142338090","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}
AppetitePub Date : 2024-09-22DOI: 10.1016/j.appet.2024.107690
Boyoon Kim , Sara Kim , Jiniee Park , Daeun Park
{"title":"Regretful bites: Exploring the influence of anthropomorphized food on children's food choices and consumption","authors":"Boyoon Kim , Sara Kim , Jiniee Park , Daeun Park","doi":"10.1016/j.appet.2024.107690","DOIUrl":"10.1016/j.appet.2024.107690","url":null,"abstract":"<div><div>Anthropomorphizing food is a prevalent marketing technique, particularly for children; however, its impact on their choices and consumption remains largely unexplored. We conducted two experiments to investigate how anthropomorphism affects food choices and consumption in four- and five-year-old children. In Study 1 (within-subjects design, <em>N</em> = 72), children were shown both anthropomorphized and non-anthropomorphized cookies and given a plastic coin. They were asked to choose the cookie they would like to exchange the coin for. The results indicated that a greater proportion of children selected the anthropomorphized cookie. In Study 2 (between-subjects design, <em>N</em> = 144), children were given either an anthropomorphized or a non-anthropomorphized cookie and allowed to eat as much as they wished. Those who received the anthropomorphized cookie consumed less and reported more feelings of regret compared to those who were given a non-anthropomorphized cookie. Together, these findings suggest that while anthropomorphic features might increase food choice, they paradoxically decrease actual consumption while increasing feelings of regret.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"203 ","pages":"Article 107690"},"PeriodicalIF":4.6,"publicationDate":"2024-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142338091","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}
AppetitePub Date : 2024-09-20DOI: 10.1016/j.appet.2024.107688
Kyle R. Busse , Marjury E. Dino , Stephanie L. Martin , Nanette R. Lee Mayol , Sonny A. Bechayda , Linda S. Adair , Alice S. Ammerman
{"title":"Awareness, experiences, and beliefs related to ultra-processed foods among young people in Cebu, Philippines","authors":"Kyle R. Busse , Marjury E. Dino , Stephanie L. Martin , Nanette R. Lee Mayol , Sonny A. Bechayda , Linda S. Adair , Alice S. Ammerman","doi":"10.1016/j.appet.2024.107688","DOIUrl":"10.1016/j.appet.2024.107688","url":null,"abstract":"<div><div>Ultra-processed food (UPF) intake is rising in low- and middle-income countries, where non-communicable diseases are now the leading contributor to disease burden. The purpose of this study was to assess awareness and knowledge of UPFs, factors that influence consumption of UPFs, and beliefs about the relationship between UPF intake and health among young people (18–20 years old) in a metropolitan area of the Philippines, a lower middle-income country. We conducted eight focus group discussions across four strata defined by gender and urban-rural neighborhood designation. We applied deductive and inductive codes to transcripts and organized codes into themes. Sixty participants were included in the study. Although most were unfamiliar with the concept of UPFs, participants demonstrated an intuitive understanding of the meaning of the term. Vendors in or around schools were commonly reported as a source of UPFs, though most participants reported consuming UPFs at home as well. Factors that were reported as having influence over participants’ UPF intake included taste, convenience, cost, influence from parents, peers, and others, and health knowledge and status. Participants expressed various beliefs about the link between overconsumption of UPFs and risk of multiple health outcomes, including diabetes, hypertension, and kidney disease. Some males, but not females, believed that some UPFs were neutral or beneficial with respect to health. Commonly cited sources of information about UPFs and their link to health included parents, schools, and social media. This study provides important insights into the factors that drive UPF consumption among young people in a lower middle-income country and should inform efforts to reduce UPF intake among young people in this and similar settings.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"203 ","pages":"Article 107688"},"PeriodicalIF":4.6,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142277725","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}
{"title":"Athletes preferences and willingness to pay for innovative high-protein functional foods","authors":"Matilde Reitano , Roberta Selvaggi , Gaetano Chinnici , Gioacchino Pappalardo , Kohei Yagi , Biagio Pecorino","doi":"10.1016/j.appet.2024.107687","DOIUrl":"10.1016/j.appet.2024.107687","url":null,"abstract":"<div><div>The growing number of athletes in the population leads to an increasing demand for high-protein functional foods to which food industries are trying to respond with new products and strategies that can meet the needs of athletes. An experimental auction was performed to elicit athletes’ willingness to pay for an innovative high-protein bread, correlating it to specific food values. For a deeper understanding of the determinants of respondents' choices for high-protein bread and preferences regarding food values, the combination of Best-Worst Scaling and Cluster Analysis was used. The Cluster Analysis identified five different groups of athletes, each characterised by specific preferences and willingness to pay. Participants with high attention for the nutritional aspect and needs related to sports activity, are willing to pay more than the other ones. The investigated issue is crucial for customizing marketing strategies and meeting the needs of different athlete segments.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"203 ","pages":"Article 107687"},"PeriodicalIF":4.6,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0195666324004902/pdfft?md5=bdc339627dae79ca0646478ce1a4ade2&pid=1-s2.0-S0195666324004902-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142277723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2024-09-19DOI: 10.1016/j.appet.2024.107685
Melissa J. Pehlivan , Mirei Okada , Jane Miskovic-Wheatley , Sarah Barakat , Stephen Touyz , Stephen J. Simpson , Kristi Griffiths , Andrew Holmes , Sarah Maguire
{"title":"Eating disorder risk among Australian youth starting a diet in the community","authors":"Melissa J. Pehlivan , Mirei Okada , Jane Miskovic-Wheatley , Sarah Barakat , Stephen Touyz , Stephen J. Simpson , Kristi Griffiths , Andrew Holmes , Sarah Maguire","doi":"10.1016/j.appet.2024.107685","DOIUrl":"10.1016/j.appet.2024.107685","url":null,"abstract":"<div><div>Dieting is a potent risk factor for eating disorder (ED) symptoms and development, which typically occur in late adolescence. However, as diets are often motivated by body image concerns (another core ED risk factor), dieters may already carry heightened ED risk. Thus, the current study aimed to document ED risk among young people starting a diet in the community. Young people (16–25 years) starting or intending to start a self-initiated diet (<em>N</em> = 727) provided data via a screener questionnaire, assessing containing sociodemographic factors, past and current ED symptoms and behaviours. Over a third (36.9%) screened using a validated instrument were found to be at-risk of a current ED, with 10% above the clinical cut-off. Consistent with this finding, over 10% of the sample self-reported experiencing a lifetime ED, while nearly a quarter reported symptoms consistent with an ED diagnosis with no reported formal diagnosis. Findings suggest a high level of ED risk among young people starting a diet in the community and point to the need for more proactive measures targeted at this cohort (e.g., screening, monitoring). Further education on the risks of dieting and encouragement for help-seeking in young people is indicated.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"203 ","pages":"Article 107685"},"PeriodicalIF":4.6,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142277727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}