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探讨影响超重和肥胖成年人深夜进食的因素,以及改变其较早进食模式的障碍和促进因素。

Exploring factors influencing late evening eating and barriers and enablers to changing to earlier eating patterns in adults with overweight and obesity.

机构信息

Department of Psychology, University of Sheffield, ICOSS Building, S1 4DP, United Kingdom.

Sheffield Centre for Health and Related Research (SCHARR), School of Medicine and Population Health, University of Sheffield, 30 Regent St, Sheffield S1 4DA, United Kingdom.

出版信息

Appetite. 2024 Nov 1;202:107646. doi: 10.1016/j.appet.2024.107646. Epub 2024 Aug 22.

DOI:10.1016/j.appet.2024.107646
PMID:39179110
Abstract

Late evening eating is a potential risk factor for overconsumption and weight gain. However, there is limited qualitative research investigating the complex factors that influence late evening eating in adults living with obesity. Identifying the factors that influence late evening eating can inform interventions to reduce late evening eating and associated health risks. Therefore, this study aimed to: i) explore factors that contribute to eating late, and ii) apply the Capability, Opportunity, and Motivation Behaviour (COM-B) model to understand the barriers and enablers to changing to earlier food intake timings in UK adults who report eating late. Semi-structured interviews with seventeen participants [32.47 ± 6.65 years; 34.68 ± 7.10 kg/m; 71% female (n = 12); 41% White (n = 7)] investigated reasons for late evening eating and the potential barriers and enablers to changing to earlier eating patterns. Thematic analysis identified four main contributors to late evening eating: 1) internal signals (e.g., feeling hungry in the evening); 2) external and situational factors (e.g., work schedules and the food-rich environment); 3) social factors (e.g., interactions with family) and 4) behavioural and emotional factors (e.g., personal preferences and negative feelings in the evening). Time constraints and work schedules were identified as main barriers to changing to earlier eating patterns. Whereas, having high motivation (e.g., contentment with eating earlier in the evening) and interpersonal support were identified as main enablers to eating earlier. This study provides in-depth insights into the psychological, social, and environmental factors contributing to late evening eating. The findings highlight potential targets for future interventions to facilitate earlier eating times in individuals at risk of overweight and obesity.

摘要

深夜进食可能是导致过度摄入和体重增加的一个危险因素。然而,目前关于影响肥胖成年人深夜进食的复杂因素的定性研究有限。确定影响深夜进食的因素可以为减少深夜进食和相关健康风险的干预措施提供信息。因此,本研究旨在:i)探讨导致进食时间晚的因素,ii)应用能力、机会和动机行为(COM-B)模型,了解报告深夜进食的英国成年人改变进食时间较早的障碍和促进因素。对 17 名参与者(年龄 32.47±6.65 岁;体重指数 34.68±7.10kg/m;女性占 71%(n=12);白种人占 41%(n=7))进行了半结构化访谈,调查了深夜进食的原因,以及改变较早进食模式的潜在障碍和促进因素。主题分析确定了导致深夜进食的四个主要因素:1)内部信号(如晚上感到饥饿);2)外部和情境因素(如工作安排和丰富的食物环境);3)社会因素(如与家人的互动)和 4)行为和情绪因素(如个人偏好和晚上的负面情绪)。时间限制和工作安排被确定为改变较早进食模式的主要障碍。而具有较高的动机(如对晚上较早进食感到满意)和人际支持被确定为较早进食的主要促进因素。本研究深入了解了导致深夜进食的心理、社会和环境因素。研究结果强调了未来干预措施的潜在目标,以促进超重和肥胖风险人群更早的进食时间。

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