The global epidemic of overweight and obesity results from individual factors and from meso- and macro environmental factors. Adolescents are especially vulnerable to unhealthy changes in life style. One major influence on health behavior in this age group is represented by friends in peer groups. Young people tend to select and mimic each other with respect to both eating behavior and physical exercise. Peer groups are a close and important source of influence on health behavior and social media strengthens this influence. New research and interventions should take account of the influence of the peer group and social media.
Introductie: De behandeling van Anorexia Nervosa is multidisciplinair. Ondanks de uitvoerige behandeling blijkt dat herstelpercentages laag zijn en terugvalpercentages hoog. Er wordt vaak gezien dat (ex)eetstoornispatiënten een paar jaar na de behandeling nog restrictief eetgedrag vertonen. ‘Intuitief Eten’ is een wetenschappelijk onderbouwde methode die kan helpen met het herstellen van de relatie met eten en leren om weer te vertrouwen op het lichaam. Deze studie is opgezet om uit te zoeken hoe Intuïtief Eten het best geïmplementeerd kan worden in de behandeling van Anorexia Nervosa in de diëtistische praktijk. Methode: Om het (eet)gedrag tijdens en na de eetstoornis en de effecten van Intuïtief Eten bij Anorexia Nervosa in kaart te brengen is literatuuronderzoek uitgevoerd. De literatuur is gezocht in de volgende databases: CataloguePlus, Google Scholar, ScienceDirect en Pubmed. Vervolgens is kwalitatief onderzoek gedaan bij 17 vrouwen, in de leeftijd van 15-35 jaar die in behandeling waren voor Anorexia Nervosa of deze behandeling korter dan 5 jaar geleden hadden afgerond. Ze zijn naar hun meningen en voorkeuren bij de behandeling van Anorexia Nervosa gevraagd, door middel van semigestructureerde diepte-interviews. Resultaten: Uit de resultaten van het literatuuronderzoek is gebleken, dat Intuïtief Eten wordt geassocieerd met positieve behandeluitkomsten bij het herstel van Anorexia Nervosa, maar dat toepassing pas mogelijk is, nadat er een periode van hervoeden door middel van een gestructureerd eetschema heeft plaatsgevonden. Uit de diepte-interviews kwam naar voren dat de volgorde van de principes van belang lijkt voor een succesvolle toepassing van Intuïtief Eten. Het lijkt erop, dat er aan het begin van de behandeling mogelijk een grotere kans is dat er misbruik gemaakt wordt van bepaalde principes van Intuïtief Eten, doordat sommige principes als excuus gebruikt kunnen worden om minder te eten of extra te sporten en daarmee het eetstoornis gedrag voortzetten. Principes gericht op het herkennen van de eetstoornis, het lichaamsbeeld en omgaan met emoties, kunnen mogelijk al in een eerder stadium van de behandeling worden toegepast. De principes gericht op het luisteren naar honger- en verzadigingssignalen, bewegen en gezonde voeding worden door respondenten gezien als valkuilen en kunnen daardoor wellicht pas later toegepast worden. Conclusie: Om de toepassing van Intuïtief Eten bij Anorexia Nervosa succesvol te laten verlopen lijkt het van belang om rekening te houden met de volgorde waarin de principes worden geïntroduceerd. Rekening houden met de fase waarin bepaalde principes toegepast kunnen worden, kan mogelijk het verschil maken voor een succesvolle behandeling en zou de kans kunnen verkleinen dat de patiënt misbruik maakt van de principes. Het stroomschema: “Implementatie van Intuïtief Eten bij het herstel van Anorexia Nervosa” kan worden ingezet als hulpmiddel bij het toepassen van Intuïtief Eten bij patiënten met Anorexia Nervosa. Introduction: Anorexia Nervosa treatment is multidisciplinary. Despite comprehensive treatment, recovery rates are found to be low and relapse rates high. It is often seen that (former) eating disorder patients still exhibit restrictive eating behaviour a few years after treatment. 'Intuitive Eating' Wetenschap | Origineel artikel26 Voeding & Visie jaargang 36, nummer 1 2023 is a science-based method that can help restore the relationship with food and learn to trust the body again. This study was designed to find out how Intuitive Eating can best be implemented in the treatment of Anorexia Nervosa in dietetic practice. Method: To identify the (eating) behavior during and after the eating disorder and the effects of Intuitive Eating in Anorexia Nervosa, a literature search was conducted. The literature was searched in the following databases: CataloguePlus, Google Scholar, ScienceDirect and Pubmed. Next, qualitative research was conducted among 17 women, aged 15-35 years who were being treated for Anorexia Nervosa or who have completed this treatment less than 5 years ago. They were asked about their opinions and preferences in the treatment of Anorexia Nervosa, through semi-structured in-depth interviews. Results: The results of the literature review revealed that Intuitive Eating is associated with positive treatment outcomes in the recovery from Anorexia Nervosa, but that application is only possible after a period of refeeding through a structured eating schedule has taken place. The in-depth interviews revealed that the order of the principles appears to be important for the successful application of Intuitive Eating. There seems to be a greater chance of misusing certain principles of Intuitive Eating at the beginning of treatment, as some principles might be used as an excuse to eat less or exercise extra, thus continuing the eating disorder behavior. Principles focused on recognizing the eating disorder, body image and dealing with emotions can possibly be applied early in treatment. Principles focused on listening to hunger and satiety signals, exercise and healthy eating are seen as pitfalls and can possibly only be applied later. Conclusion: In order for the application of Intuitive Eating in Anorexia Nervosa to be successful, it seems important to take into account the order in which the principles are introduced. Considering the phase in which certain principles can be applied might make the difference to successful treatment and possibly reduces the likelihood of the patient misusing the principles. The flowchart: "Implementing Intuitive Eating in Recovery from Anorexia Nervosa" can be used as an aid in applying Intuitive Eating to patients with Anorexia Nervosa.
Background Eating behaviour of older adults is influenced by a complex interaction of determinants. Understanding the determinants of a specific target group is important when developing targeted health-promoting strategies. The aim of this study was to explore interpersonal determinants of eating behaviours in older adults living independently in a specific neighbourhood in the Netherlands. Methods In the neighbourhood of interest, populated by relatively many older adults, fifteen semi-structured interviews were conducted with independently living older adults (aged 76.9 ± 6.4y). Interviews were complemented with observations among the target group: three occasions of grocery shopping and three collective eating occasions in the neighbourhood. A thematic approach was used to analyse the qualitative data. Results When we asked the older adults unprompted why they eat what they eat, the influence of interpersonal determinants did not appear directly; respondents rather mentioned individual (e.g. habits) and environmental factors (e.g. food accessibility). Key findings regarding interpersonal factors were: 1) Behaviours are shaped by someone’s context; 2) Living alone influences (determinants of) eating behaviour via multiple ways; 3) There is a salient norm that people do not interfere with others’ eating behaviour; 4) Older adults make limited use of social support (both formal and informal) for grocery shopping and cooking, except for organised eating activities in the neighbourhood. In this particular neighbourhood, many facilities (e.g. shops at walking distance) are present, and events (e.g. dinners) are organised with and for the target group, which likely impact (determinants of) their behaviours. Conclusions The study showed that older adults do not directly think of interpersonal factors influencing their eating behaviour, but rather of individual or environmental factors. However, multiple interpersonal factors did appear in the interviews and observations. Moreover, neighbourhood-specific factors seem to play a role, which underlines the need to understand the specific (social) setting when developing and implementing intervention programmes. Insights from this study can assist in developing health-promoting strategies for older adults, taking into account the context of the specific neighbourhood.
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In recent years, disasters are increasing in numbers, location, intensity and impact; they have become more unpredictable due to climate change, raising questions about disaster preparedness and management. Attempts by government entities at limiting the impact of disasters are insufficient, awareness and action are urgently needed at the citizen level to create awareness, develop capacity, facilitate implementation of management plans and to coordinate local action at times of uncertainty. We need a cultural and behavioral change to create resilient citizens, communities, and environments. To develop and maintain new ways of thinking has to start by anticipating long-term bottom-up resilience and collaborations. We propose to develop a serious game on a physical tabletop that allows individuals and communities to work with a moderator and to simulate disasters and individual and collective action in their locality, to mimic real-world scenarios using game mechanics and to train trainers. Two companies–Stratsims, a company specialized in game development, and Society College, an organization that aims to strengthen society, combine their expertise as changemakers. They work with Professor Carola Hein (TU Delft), who has developed knowledge about questions of disaster and rebuilding worldwide and the conditions for meaningful and long-term disaster preparedness. The partners have already reached out to relevant communities in Amsterdam and the Netherlands, including UNUN, a network of Ukrainians in the Netherlands. Jaap de Goede, an experienced strategy simulation expert, will lead outreach activities in diverse communities to train trainers and moderate workshops. This game will be highly relevant for citizens to help grow awareness and capacity for preparing for and coping with disasters in a bottom-up fashion. The toolkit will be available for download and printing open access, and for purchase. The team will offer training and facilitate workshops working with local communities to initiate bottom-up change in policy making and planning.
Dutch Cycling Intelligence (DCI) embodies all Dutch cycling knowledge to enhances customer-oriented cycling policy. Based on the data-driven cycle policy enhancement tools and knowledge of the Breda University of Applied Sciences, DCI is the next step in creating a learning community between road authorities, consultants, cycling industry, and knowledge institutes with their students. The DCI consists of three pilars:- Connecting- Accelerating knowledge- Developing knowledgeConnecting There are many stakeholders and specialists in the cycling domain. Specialists with additional knowledge about socio-cultural impacts, geo-special knowledge, and technical traffic solutions. All of these specialists need each other to ensure a perfect balance between the (electric) bicycle, the cyclist and the cycle path in its environment. DCI connects and brings together all kind of different specialists.Accelerating knowledge Many bicycle innovations take place in so-called living labs. Within the living lab, the triple helix collaboration between road authorities the industry and knowledge institutes is key. Being actively involved in state-of-the-art innovations creates an inspiring work and learning environment for students and staff. A practical example of a successful living lab is the cycle superhighway F261 between Tilburg and Waalwijk, where BUAS tested new cycle route signage. Next, the Cycling Lab F58 is created, where the road authorities Breda and Tilburg opened up physical cycling infrastructure for entrepreneurs in the bicycle domain and knowledge institutes to develop e-cycling innovation. The living labs are test environments where pilots can be carried out in practice and an excellent environment for students to conduct scientifically applied research.Developing knowledge Ultimately, data and information must be translated into knowledge. With a team of specialists and partners Breda University of applied sciences developed knowledge and tools to monitor and evaluate cycling behavior. By participating in (inter)national research programs BUAS has become one of the frontrunners in data-driven cycle policy enhancement. In close collaboration with road authorities, knowledge institutes as well as consultants, new insights and answers are developed in an international context. By an active knowledge contribution to the network of the Dutch Cycling Embassy, BUAS aims to strengthen its position and add to the global sustainability challenges. Partners: Province Noord-Brabant, Province Utrecht, Vervoerregio Amsterdam, Dutch Cycling Embassy, Tour de Force, University of Amsterdam, Technical University Eindhoven, Technical University Delft, Utrecht University, DTV Capacity building, Dat.mobility, Goudappel Coffeng, Argaleo, Stratopo, Move.Mobility Clients:Province Noord-Brabant, Province Utrecht, Province Zuid-Holland, Tilburg, Breda, Tour de Force
Een groeiende groep senioren woont steeds langer zelfstandig thuis en het is bekend dat bij deze doelgroep aandacht voor een gezond (eiwitrijk) voedingspatroon belangrijk is. Het HAS lectoraat Voeding & Gezondheid van Dr. A. Roodenburg richt zich met het onderzoeksprogramma ‘Voeding voor senioren’ op het voedingsgebruik en –gedrag van deze doelgroep. In een aantal reeds lopende projecten wordt onderzoek gedaan naar het verhogen van kennis en bewustzijn over het belang van hogere eiwitconsumptie bij deze doelgroep. Het huidige voorstel bouwt hierop voort en richt zich met name op het gedrag van senioren (aanschaf van eiwitrijke producten) en gaat onderzoeken welke factoren ten aanzien van kennis, houding en sociale druk (Theory of Planned Behavior) hierbij een rol spelen. Deze informatie kan worden ingezet om senioren te sturen op de diverse aspecten om hen zo te verleiden tot de gewenste actie (= verhogen eiwit-inname). Uitkomsten van dit onderzoek geven richting voor productontwikkeling, marketing en communicatie. Voor een sterke verbinding van onderzoek en onderwijs wordt dit onderzoek uitgevoerd door de postdoc (Dr. J Linschooten) en met diverse studententeams onder begeleiding van de postdoc. De nieuw verworven kennis zal terugkomen in het curriculum van diverse HAS opleidingen zoals Voedingsmiddelentechnologie, Food Innovation en de minor ‘Towards a Healthy Society’, als ook in een masterclass voor externe partners (bedrijven/ publieke instellingen) om bij te dragen aan een betere afstemming van het productaanbod op deze doelgroep. Het postdoc programma zal ook ruimte bieden voor een versterking van de algemene leerlijn ‘Onderzoeksvaardigheden’ om docenten en studenten van eerder genoemde opleidingen beter te begeleiden bij de ontwikkeling van deze competentie.
