Using confidence interval-based estimation of relevance to explore bottom-up and top-down determinants of problematic eating behavior in children and adolescents with obesity from a dual pathway perspective

Vervoort, Leentje; Naets, Tiffany; Guchtenaere, Ann De; Tanghe, Ann; Braet, Caroline

doi:10.1016/j.appet.2020.104676

Cited by 11 publications

(6 citation statements)

References 51 publications

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“…Fourth, we acknowledge that CIBER analyses do not consider interactions between variables or examine the impacts of possible confounding variables. We decided to use this approach because it does combine both univariate distributions of determinants and the strength of association with the outcome of interest in a visual and clear fashion, and because it demonstrated its usefulness for the selection of relevant items to improve behavioural outcomes ( 34 , 69 , 70 ). Although it could be argued that interventions ideally target all possible determinants of behaviour, resources are finite and choices must be made.…”

Section: Discussionmentioning

confidence: 99%

Determinants of preventive sexual behaviours among first year university students in Beira city, central Mozambique: a cross-sectional study

Zango,

Stutterheim,

de Vries

et al. 2024

Reprod Health

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Background Understanding determinants of preventive sexual behaviours is important for intervention efforts to support these behaviours and, thereby, reduce STIs and HIV burden. In general, there is limited insight into determinants of preventive behaviours among university students in Mozambique. Therefore, this study set out to assess both the prevalence and the determinants of condom use and voluntary counselling and testing (VCT) service use in first year university students. Methods We conducted a cross-sectional study in May–September 2021, at the Universidade Católica de Moçambique and the Universidade Licungo, in Beira central Mozambique. We collected data on sociodemographic characteristics, heterosexual relationship experiences and personal determinants posited to be associated with condom use and VCT service use. We included 819 participants, who were selected using a clustered and random sampling design. We used Pearson's chi-square test to compare proportion and estimate the crude odd ratio as the effect size measure at 95% confidence interval, and Confidence Interval-Based Estimation of Relevance to determine correlation coefficients of means and the behaviours of interest at 95% confidence interval. Results Condoms were used by 96.1% of male participants and 95.0% of female participants. Additionally, 55.1% of male participants and 57.5% of female participants had previously used VCT services. Condom use was associated with discussing sexuality with mother, and self-efficacy for condom use negotiation, and negatively associated with attitudes that condoms reduce pleasure. VCT service use was associated with discussing sexuality with mother, sexual debut, having a sexual partner, and being in what they consider an important heterosexual relationship. Knowledge, attitude, self-efficacy and subjective norms were weakly associated with VCT service use. Conclusion In first year university students in Mozambique, reported condom use was high but VCT services were only used by about half of the participants. Interventions aiming to increase VCT service use should focus on improving communication between parents and their adolescent or young adult children, providing personalized risk information, demonstrating that VCT service use is pleasant and non-judgmental, improving users’ confidence to schedule a visit, and preparing users for possible positive testing results.

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Section: Discussionmentioning

confidence: 99%

Determinants of preventive sexual behaviours among first year university students in Beira city, central Mozambique: a cross-sectional study

Zango,

Stutterheim,

de Vries

et al. 2024

Reprod Health

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“…The exact causal underpinnings of EE remain unclear (e.g., Vervoort et al, 2020 ), but research has explored the contributions of parenting and child factors. In terms of parenting, parents exert a large influence over their children's eating (Savage et al, 2007 ) and parents who emotionally eat have been found to have children who emotionally eat as well (e.g., Yelverton et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Predicting preschool children's emotional eating: The role of parents' emotional eating, feeding practices and child temperament

Stone

Blissett

Haycraft

et al. 2022

Maternal & Child Nutrition

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Emotional eating (EE; defined as overeating irrespective of satiety and in response to emotional states) develops within childhood, persists into adulthood, and is linked with obesity. The origins of EE remain unclear, but parental behaviours (e.g., controlling feeding practices and modelling) and child characteristics (e.g., temperament) are often implicated. To date, the interaction between these influences has not been well investigated. This study explores whether the relationship between parent and child EE is shaped by parental feeding practices, and if the magnitude of this relationship varies as a function of child temperament. Mothers (N = 244) of 3-5-year-olds completed questionnaires about their EE, feeding practices, their children's EE and temperament. Results showed that parental use of food to regulate children's emotions fully mediated the relationship between parent and child EE, and using food as a reward and restricting food for health reasons partially mediated this relationship.Analyses demonstrated that the mediated relationship between parent and child EE via use of food as a reward and restriction of food for health reasons varied as a function of child negative affect, where high child negative affect moderated these mediations. These findings suggest child EE may result from interrelationships between greater parent EE, use of food as a reward, restriction of food for health reasons and negative affective temperaments, but that greater use of food for emotion regulation may predict greater child EE irrespective of child temperament.

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“…On the other hand, studies suggest that working memory, one of the core EF, plays an important role in self-regulation and emotional regulation of eating behavior, and that lower working memory is associated with higher intake of calorie-dense foods and snack foods (Sánchez-Sansegundo et al, 2021). Furthermore, evidence shows emotional eating is determined by emotional control, which can be considered a top-down EF (Vervoort et al, 2020). Additionally, studies have shown that emotional eating is correlated with dlPFC activity, a region involved in self-control, goal directed behavior, and inhibitory control, and also, that higher emotional eating scores are associated with increased responses in the OFC and insula, regions involved in appetitive, reward and emotion processing (for a detailed review see Godet et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Correlation of executive functions, academic achievement, eating behavior and eating habits in university students of Mexico City

Chávez-Hernández

2023

Front. Educ.

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IntroductionYoung adults between 18 and 25 years of age are in an important transitional time and university students are considered vulnerable given that they generally maintain an unhealthy lifestyle characterized by poor diet quality and meal skipping. The aim of the present study was to evaluate the relationship between executive functions, academic achievement, eating behavior, eating habits, and BMI in university students.MethodsUndergraduate university students (18–25 years) who lived in Mexico City were included in the sample; executive function, eating habits, eating behavior and academic achievement were measured.Results1903 university students (1,038 women, 865 men), with a mean age of 20.65 years (SD ±1.66), participated in the study. Spearman’s r correlation analysis revealed that there is a significant correlation between all variables of interest, with the most significant correlations found with academic achievement, emotional eating, and eating habits.DiscussionOur study confirms previous findings in the association between EF, eating habits, eating behavior, and academic achievement in university students, and also provides a first approach to the association between UP food intake, overall meal skipping (breakfast, lunch, and/or dinner) and EF.

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Using confidence interval-based estimation of relevance to explore bottom-up and top-down determinants of problematic eating behavior in children and adolescents with obesity from a dual pathway perspective

Cited by 11 publications

References 51 publications

Determinants of preventive sexual behaviours among first year university students in Beira city, central Mozambique: a cross-sectional study

Determinants of preventive sexual behaviours among first year university students in Beira city, central Mozambique: a cross-sectional study

Predicting preschool children's emotional eating: The role of parents' emotional eating, feeding practices and child temperament

Correlation of executive functions, academic achievement, eating behavior and eating habits in university students of Mexico City

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