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在西班牙青少年中,家庭聚餐和社交饮食行为与青少年经验性回避之间有什么关系?EHDLA研究。

What is the role of family meals and social eating behaviour in relation to experiential avoidance in adolescents among Spanish adolescents? the EHDLA study.

作者信息

Montenegro-Espinosa José Adrián, Jiménez-López Estela, Gutiérrez-Espinoza Héctor, Olivares-Arancibia Jorge, Yañéz-Sepúlveda Rodrigo, Duclos-Bastías Daniel, Mesas Arthur Eumann, López-Gil José Francisco

机构信息

Universidad de Las Américas, Quito, Ecuador.

Universidad de Castilla-La Mancha, Ciudad Real, Spain.

出版信息

BMJ Nutr Prev Health. 2025 Mar 31;8(1):e001072. doi: 10.1136/bmjnph-2024-001072. eCollection 2025.

Abstract

PURPOSE

The aim of the present study was to analyse the associations of family meals and social eating behaviour (SEB) with experiential avoidance (EA) in adolescents from Spain.

METHODS

This cross-sectional study involved 617 adolescents (aged 12-17 years, 56.7% females) from the Eating Habits and Daily Life Activities study from (Region of Murcia, Spain). Variables were analysed using visual techniques including Shapiro-Wilk test and density and quantile-quantile plots. Continuous data were displayed using medians and IQRs, while categorical data was shown as percentages. The frequency of family meals was assessed by asking participants to indicate how many times their family had shared a meal together during the previous week. SEB was self-reported by the adolescents through responses to three statements. To measure EA, we used the Acceptance and Action Questionnaire-II (AAQ-II). Generalised linear models were employed to ascertain the associations of family meals or SEB with EA.

RESULTS

For each further point in SEB, a lower estimated marginal mean (M) of the AAQ-II was observed (-0.86 points, 95% CI -1.39 to -0.33, p=0.001). In terms of family meal status, the highest AAQ-II score was found in those with low family meal status (M=20.1, 95% confidence interval [CI] 18.1 to 22.2), followed by participants with medium family meal status (M=19.2, 95% CI 17.0 to 21.4) and those with high family meal status (M=18.8, 95% CI 16.1 to 21.0). Significant differences were observed between participants with high SEB status and their counterparts with medium SEB (p=0.004) or low SEB (p<0.001).

CONCLUSIONS

This research revealed a significant relationship between SEB and EA and a non-significant relationship between the frequency of family meals and EA. Promoting positive social eating environments and increasing family meal participation could help reduce the prevalence of EA and its negative consequences in adolescents.

摘要

目的

本研究旨在分析西班牙青少年的家庭聚餐和社交饮食行为(SEB)与经验性回避(EA)之间的关联。

方法

这项横断面研究涉及来自西班牙穆尔西亚地区饮食习惯与日常生活活动研究的617名青少年(年龄在12 - 17岁之间,女性占56.7%)。使用包括夏皮罗 - 威尔克检验以及密度和分位数 - 分位数图在内的可视化技术对变量进行分析。连续数据用中位数和四分位距表示,分类数据以百分比呈现。通过询问参与者其家庭在前一周一起用餐的次数来评估家庭聚餐的频率。青少年通过对三条陈述的回答自我报告SEB情况。为测量EA,我们使用了接受与行动问卷 - II(AAQ - II)。采用广义线性模型来确定家庭聚餐或SEB与EA之间的关联。

结果

在SEB方面,每增加一分,观察到AAQ - II的估计边际均值(M)更低(-0.86分,95%置信区间[CI] -1.39至 -0.33,p = 0.001)。就家庭聚餐状况而言,家庭聚餐状况低的参与者的AAQ - II得分最高(M = 20.1,95%置信区间[CI] 18.1至22.2),其次是家庭聚餐状况中等的参与者(M = 19.2,95% CI 17.0至21.4)和家庭聚餐状况高的参与者(M = 18.8,95% CI 16.1至21.0)。高SEB状态的参与者与中等SEB状态(p = 0.004)或低SEB状态(p < 0.001)的参与者之间存在显著差异。

结论

本研究揭示了SEB与EA之间存在显著关系,而家庭聚餐频率与EA之间不存在显著关系。促进积极的社交饮食环境并增加家庭聚餐参与度有助于降低青少年中EA的患病率及其负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a94/12322529/eece2f6184b1/bmjnph-8-1-g001.jpg

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