PDF(Pubmed)
Abstract：
BACKGROUND: Chronic weight management and treatments for type 2 diabetes (T2D) involve a combination of lifestyle-based (diet, exercise) and pharmaceutical interventions. In people with obesity or T2D, understanding the impact of drivers/triggers on appetite and eating behaviors can be crucial to successful medical management. This study aimed to characterize perceptions and experiences regarding appetite and eating behaviors among people with obesity or T2D and identify drivers/triggers of food choices.
METHODS: This non-interventional, cross-sectional, qualitative study utilized semi-structured concept elicitation interviews to explore the perceptions of people with obesity and/or T2D around appetite, eating behaviors and drivers/triggers of food choices. Adult US residents (≥ 18 years) with stable body weight (± 5 kg) in the 3 months preceding participation were included in the study.
RESULTS: Forty-five participants (obesity: n = 15; overweight: n = 10; T2D: n = 20) were interviewed. Interviews were audio-recorded and transcribed verbatim for analysis. A subset of participants described eating behaviors on smartphone-based app tasks over 5 days. Most (> 96%) discussed the influence of hunger, cravings and satiety on food choices. Participants identified 22 drivers/triggers (including health, 95.6%; culture/heritage, 93.3%; location, 91.1%; stress, 88.8%). Participants also discussed associations between drivers/triggers and eating behavior concepts (appetite, hunger, cravings, satiety, motivation/determination). A conceptual model illustrating eating behavior concepts and related drivers/triggers was developed. The concept elicitation interviews identified a multitude of drivers and triggers and characterized the association of such drivers/triggers with seven core patient-reported concepts encompassing eating behaviors.
CONCLUSIONS: The findings build upon existing models of factors influencing food choices. Findings confirm prior research regarding impact of drivers/triggers on food choice in people with obesity and T2D and indicate underlying disease state does not appear to influence eating behaviors in people with stable body weight.
METHODS: This non-interventional, cross-sectional, qualitative study utilized semi-structured concept elicitation interviews to explore the perceptions of people with obesity and/or T2D around appetite, eating behaviors and drivers/triggers of food choices. Adult US residents (≥ 18 years) with stable body weight (± 5 kg) in the 3 months preceding participation were included in the study.
RESULTS: Forty-five participants (obesity: n = 15; overweight: n = 10; T2D: n = 20) were interviewed. Interviews were audio-recorded and transcribed verbatim for analysis. A subset of participants described eating behaviors on smartphone-based app tasks over 5 days. Most (> 96%) discussed the influence of hunger, cravings and satiety on food choices. Participants identified 22 drivers/triggers (including health, 95.6%; culture/heritage, 93.3%; location, 91.1%; stress, 88.8%). Participants also discussed associations between drivers/triggers and eating behavior concepts (appetite, hunger, cravings, satiety, motivation/determination). A conceptual model illustrating eating behavior concepts and related drivers/triggers was developed. The concept elicitation interviews identified a multitude of drivers and triggers and characterized the association of such drivers/triggers with seven core patient-reported concepts encompassing eating behaviors.
CONCLUSIONS: The findings build upon existing models of factors influencing food choices. Findings confirm prior research regarding impact of drivers/triggers on food choice in people with obesity and T2D and indicate underlying disease state does not appear to influence eating behaviors in people with stable body weight.
摘要：
背景：2型糖尿病（T2D）的慢性体重管理和治疗涉及基于生活方式的组合（饮食，锻炼)和药物干预。在肥胖或T2D患者中，了解驱动因素/触发因素对食欲和饮食行为的影响对于成功的医疗管理至关重要。这项研究旨在表征肥胖或T2D人群对食欲和饮食行为的看法和经验，并确定食物选择的驱动因素/触发因素。
方法：这种非干预性，横截面,定性研究利用半结构化概念启发访谈来探索肥胖和/或T2D患者对食欲的看法，饮食行为和食物选择的驱动因素/触发因素。参与前3个月体重稳定（±5kg）的成年美国居民（≥18岁）被纳入研究。
结果：对45名参与者（肥胖：n=15；超重：n=10；T2D：n=20）进行了访谈。访谈是录音记录和逐字转录的，用于分析。一部分参与者描述了5天内基于智能手机的应用程序任务的饮食行为。大多数（>96％）讨论了饥饿的影响，对食物选择的渴望和饱腹感。参与者确定了22个驱动因素/触发因素(包括健康、95.6%;文化/遗产,93.3%;位置,91.1%；应力，88.8%）。参与者还讨论了驾驶员/触发器与饮食行为概念(食欲，饥饿,渴望，饱腹感,动机/决心)。开发了说明饮食行为概念和相关驱动/触发因素的概念模型。概念启发访谈确定了许多驱动程序和触发器，并将此类驱动程序/触发器与包含饮食行为的七个核心患者报告概念的关联进行了表征。
结论：这些发现建立在现有的影响食物选择的因素模型上。研究结果证实了先前关于驱动因素/触发因素对肥胖和T2D患者食物选择的影响的研究，并表明潜在的疾病状态似乎不会影响体重稳定的人的饮食行为。
方法：这种非干预性，横截面,定性研究利用半结构化概念启发访谈来探索肥胖和/或T2D患者对食欲的看法，饮食行为和食物选择的驱动因素/触发因素。参与前3个月体重稳定（±5kg）的成年美国居民（≥18岁）被纳入研究。
结果：对45名参与者（肥胖：n=15；超重：n=10；T2D：n=20）进行了访谈。访谈是录音记录和逐字转录的，用于分析。一部分参与者描述了5天内基于智能手机的应用程序任务的饮食行为。大多数（>96％）讨论了饥饿的影响，对食物选择的渴望和饱腹感。参与者确定了22个驱动因素/触发因素(包括健康、95.6%;文化/遗产,93.3%;位置,91.1%；应力，88.8%）。参与者还讨论了驾驶员/触发器与饮食行为概念(食欲，饥饿,渴望，饱腹感,动机/决心)。开发了说明饮食行为概念和相关驱动/触发因素的概念模型。概念启发访谈确定了许多驱动程序和触发器，并将此类驱动程序/触发器与包含饮食行为的七个核心患者报告概念的关联进行了表征。
结论：这些发现建立在现有的影响食物选择的因素模型上。研究结果证实了先前关于驱动因素/触发因素对肥胖和T2D患者食物选择的影响的研究，并表明潜在的疾病状态似乎不会影响体重稳定的人的饮食行为。
