Biopsychosocial pathways model of early childhood appetite self-regulation: Temperament as a key to modulation of interactions among systems.

The widespread discrimination against individuals with obesity often stems from a simplistic perception of obesity as a mere consequence of personal choices of overeating and insufficient physical activity. This reductionist perception fails to acknowledge the complexity of the epidemic of obesity, which extends beyond diet and exercise decisions. The concept of appetite self-regulation (ASR) has been explored as a crucial element in identifying obesogenic behavioral approaches to food. Although an extensive understanding of ASR in children is essential as an early precursor and modifiable factor influencing obesity, the prevailing view of self-regulation of eating solely as a matter of cognitive and behavioral processing tends to overlook interacting systems of influences. This narrow approach attributes obesity to the lack of voluntary self-control in food consumption while neglecting to account for the biological, psychological, and social influences implicated in the developmental processes of ASR, which may further contribute to the stigmatization of obesity. The current critical analysis provides a comprehensive developmental framework that could guide future studies with testable hypotheses, outlining pathways of interactions among biopsychosocial systems, all of which contribute to the development of ASR in early childhood. Adopting developmental perspectives allows a holistic approach to investigating ASR, which accounts for intricate interactions between biological (B), psychological (P), and social (S) factors influential in the early manifestation of ASR.

Perceived Facilitators and Barriers to Implementing Culturally Inclusive Diets into Hospitals and Long-Term Care Facilities.

OBJECTIVES: To identify perceived facilitators and barriers to implementing culturally inclusive foods into hospitals and long-term care (LTC) from the perspectives of registered dietitians and food service directors. DESIGN: Cross-sectional survey. SETTING AND PARTICIPANTS: Online nationwide survey of registered dietitians and food service directors working in hospitals or LTC. METHODS: We analyzed and compared participants' perceived barriers to implementing culturally inclusive foods in hospitals and LTC, assessed through a question in which we provided respondents with 13 different barriers and asked them to report the top 3. Then, we conducted a qualitative analysis of perceived facilitators, which respondents described in open-ended comments. RESULTS: The most common perceived barriers to implementing culturally inclusive foods were cost of ingredients (44%) and staff cultural knowledge and competence (44%). LTC respondents perceived barriers including (1) willingness of staff to adopt new practices, (2) time, (3) staff burnout, and (4) local/facility-level regulatory barriers more frequently than hospital respondents. Administrative buy-in, staff diversity, and patient considerations (eg, feedback and demand) were perceived facilitators to implementing culturally inclusive foods. CONCLUSIONS AND IMPLICATIONS: Implementing culturally inclusive foods into hospitals and LTC requires administrative buy-in, willingness to change, and resources including staff diversity and cultural knowledge and awareness. Incorporating patient feedback and preferences into decisions related to dietary offerings could further motivate menu modifications. Further examination of organizational and state policies regulating diet, particularly in LTC settings, is necessary to understand both how to implement culturally inclusive foods and further, to inform investigation of health outcomes (physical and mental) associated with increasing culturally inclusive food offerings in these facilities.

Who should feed hungry families during crisis? Moral claims about hunger on Twitter during the COVID-19 pandemic.

How do crisis conditions affect longstanding societal narratives about hunger? This paper examines how hunger was framed in public discourse during an early period in the COVID-19 crisis to mobilize attention and make moral claims on others to alleviate it. It does so through a discourse analysis of 1023 U.S.-based English-language posts dedicated to hunger on Twitter during four months of the COVID-19 pandemic. This analysis finds that Twitter users chiefly adopted hunger as a political tool to make moral claims on the state rather than individuals, civil society organizations, or corporations; however, hunger was deployed to defend widely diverse political agendas ranging from progressive support for SNAP entitlements to conservative claims reinforcing anti-lockdown and racist "America First" sentiments. Theoretically, the paper contributes to understanding how culture and morality operate in times of crisis. It demonstrates how culture can be deployed in crisis to reinforce longstanding ideological commitments at the same time that it organizes political imaginations in new ways. The result, in this case, is that longstanding cultural narratives about hunger were used to defend dissimilar, and in some ways contradictory, political ends. Practically, the paper demonstrates how moralized calls to alleviate hunger are vulnerable to political manipulation and used to further conflicting political goals, yet may also offer opportunities to leverage support for bolstered state investments in food assistance during times of crisis.