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Dietary attitudes and diseases of comfort

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ABSTRACT

This article reviews Western dietary attitudes and lifestyle choices by identifying the environmental, social and personal factors that determine said attitudes and choices. Environmental factors exert a major influence on, and complicate, dietary behavior, primarily by facilitating the consumption of meals away from home and by minimizing time dedicated to meal preparation and consumption. Social factors, from mass media to advertising and cultural traditions, also influence food intake, to an extent that is still underestimated. Ignorance of the real influence of environment and society on food choices could well blind consumers to the real significance of such choices. Accordingly, this review discusses differing aspects of emerging dietary trends and/or philosophies, and underlines their potentially harmful influence on health. Western countries are increasingly witnessing a dichotomy between the findings of nutritional science and the choices that dietary trends propose and impose. Coinciding with the obesity epidemic and the spread of other food-related diseases, this dichotomy calls for the development of effective preventive strategies.

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References

  1. Choi BC, Hunter DJ, Tsou W, et al. Diseases of comfort: primary cause of death in the 22nd century. J Epidemiol Community Health 2005; 59: 1030–4.

    PubMed  PubMed Central  Google Scholar 

  2. Betlejewski S. Social diseases, civilization diseases or lifestyle diseases? Wiad Lek 2007; 60: 489–92.

    PubMed  Google Scholar 

  3. Bammann K, Peplies J, Pigeot I, et al. IDEFICS: a multicenter European project on diet- and lifestyle-related disorders in children. Med Klin (Munich) 2007; 102: 230–5.

    Google Scholar 

  4. Giugliano D, Esposito K. Mediterranean diet and metabolic diseases. Curr Opin Lipidol 2008; 19: 63–8.

    CAS  PubMed  Google Scholar 

  5. Keys A. Mediterranean diet and public health: personal reflections. Am J Clin Nutr 1995; 61: 1321S–3S.

    CAS  PubMed  Google Scholar 

  6. Simopoulos AP. The Mediterranean diets: What is so special about the diet of Greece? The scientific evidence. J Nutr 2001; 131: 3065S–73S.

    Google Scholar 

  7. Giorgi PL. Mode alimentari, pubblicità e industria. “La nutrizione del bambino sano”. Roma, Il Pensiero Scientifico Editore, 2004.

    Google Scholar 

  8. WHO. The European Health Report — Public health action for healthier children and populations. http;//www.euro.who.int/_data/assets/pdf_file/0004/8 2435/E87325.pdf. 2010 January.

    Google Scholar 

  9. WHO. Diet, physical activity and health. 55th World Health Assembly. http://www.who.int/dietphysical activity/ strategy/eb11344/strategy_english_web.pdf. 2010 January.

    Google Scholar 

  10. Ricciardi R. Sedentarism: a concept analysis. Nurs Forum 2005; 40: 79–87.

    PubMed  Google Scholar 

  11. Reed DR, Tanaka T, McDaniel AH. Diverse tastes: Genetics of sweet and bitter perception. Physiol Behav 2006; 88: 215–26.

    CAS  PubMed  PubMed Central  Google Scholar 

  12. Hanson MD, Chen E. Socioeconomic status and health behaviours in adolescence: a review of the literature. J Behav Med 2007; 30: 263–85.

    PubMed  Google Scholar 

  13. Bellisari A. Evolutionary origins of obesity. Obes Rev 2008; 9: 165–80.

    CAS  PubMed  Google Scholar 

  14. Furst T, Conners M, Bisogni CA, et al. Food choice: a conceptual model of the process. Appetite 1996; 26: 247–66.

    CAS  PubMed  Google Scholar 

  15. Bosello O, Ostuzzi R. Peso e Salute — Dimagrire mangiando bene. Milano, Baldini Castoldi Dalai Editore, 2010, pp. 35–37.

    Google Scholar 

  16. Stroebele N, De Castro JM. Television viewing is associated with an increase in meal frequency in humans. Appetite 2004; 42: 111–3.

    PubMed  Google Scholar 

  17. Rozin P, Tuorila H. Simultaneous and temporal contextual influences on food acceptance. Food Qual Prefer 1993; 4: 11–20.

    Google Scholar 

  18. Wansink B. Environmental factors that increase the food intake and consumption volume of unknowing consumers. Annu Rev Nutr 2004; 24: 455–79.

    CAS  PubMed  Google Scholar 

  19. Wansink B, Painter JE, Lee YK. The office candy dish: proximity’s influence on estimated and actual consumption. Int J Obes 2006; 30: 871–5.

    CAS  Google Scholar 

  20. Herman CP, Roth DA, Polivy J. Effects of the presence of others on food intake: A normative interpretation. Psychol Bull 2003; 129: 873–86.

    PubMed  Google Scholar 

  21. Clendenen V, Herman CP, Polivy J. Social facilitation of eating among friends and strangers. Appetite 1994; 23: 1–13.

    CAS  PubMed  Google Scholar 

  22. De Castro JM, Brewer EM. The amount eaten in meals by humans is a power function of the number of people present. Physiol Behav 1992; 51: 121–5.

    PubMed  Google Scholar 

  23. De Castro JM, Brewer EM, Elmore DK. Social facilitation of the spontaneous meal size of humans occurs regardless of time, place, alcohol or snacks. Appetite 1990; 15: 89–101.

    PubMed  Google Scholar 

  24. De Castro JM, de Castro ES Spontaneous meal patterns of humans: Influence of the presence of other people. Am J Clin Nutr 1989; 50: 237–47.

    PubMed  Google Scholar 

  25. De Castro JM. Family and friends produce greater social facilitation of food intake than other companions. Physiol Behav 1994; 56: 445–55.

    PubMed  Google Scholar 

  26. Mori D, Chaiken S, Pliner P. “Eating lightly” and the self-presentation of femininity. J Pers Soc Psychol 1987; 53: 693–702.

    CAS  PubMed  Google Scholar 

  27. Pliner P, Chaiken S. Eating, social motives, and selfpresentation in women and men. Journal of Experimental Social Psychology 1990; 26: 240–54.

    Google Scholar 

  28. Jeffery RW, French SA. Epidemic obesity in the United States: Are fast foods and television viewing contributing? Am J Public Health 1998; 88: 277–80.

    CAS  PubMed  PubMed Central  Google Scholar 

  29. Stroebele N, de Castro JM. Listening to music while eating is related to increases in people’s food intake and meal duration. Appetite 2006; 47: 285–9.

    PubMed  Google Scholar 

  30. Andersen RA, Crespo CD, Bartlett SJ, et al. Relationship of physical activity and television watching with body weight and level of fatness among children. JAMA 1998; 279: 938–42.

    CAS  PubMed  Google Scholar 

  31. Crespo C, Smit E, Troiano R, et al. Television watching, energy intake and obesity in US children. Arch Pediatr Adolesc Med 2001; 155: 360–5.

    CAS  PubMed  Google Scholar 

  32. Klesges RC, Shelton ML, Klesges LM: Effects of television on metabolic rate: Potential implications for childhood obesity. Pediatrics 1993; 91: 281–6.

    CAS  PubMed  Google Scholar 

  33. Matheson D, Killen J, Wang Y, et al. Children’s food consumption during television viewing. Am J Clin Nutr 2004; 79: 1088–94.

    CAS  PubMed  Google Scholar 

  34. Hancox RJ, Milne BJ, Poulton R. Association between child and adolescent television viewing and adult health: A longitudinal birth cohort study. Lancet 2004; 364: 257–62.

    PubMed  Google Scholar 

  35. Robinson TN. Television viewing and childhood obesity. Pediatr Clin North Am 2001; 48: 1017–25.

    CAS  PubMed  Google Scholar 

  36. Dietz WH Jr, Gortmaker SL. Do we fatten our children at the television set? Obesity and television viewing in children and adolescents. Pediatrics 1985; 75: 807–12.

    PubMed  Google Scholar 

  37. Salmon J, Bauman A, Crawford D, et al. The association between television viewing and overweight among Australian adults participating in varying levels of leisure-time physical activity. Int J Obes Relat Metab Disord 2000; 24: 600–6.

    CAS  PubMed  Google Scholar 

  38. Johnson FW, Treno AJ. Outlets, drinking and driving: a multilevel analysis of availability. J Stud Alcohol 2002; 63: 460–8.

    PubMed  Google Scholar 

  39. Elmståhl S, Blabolil V, Fex G, et al. Hospital nutrition in geriatric long-term medicine. Compr Gerontol 1987; 1: 29–33.

    Google Scholar 

  40. Whitten LA. Hedonics of taste-odor mixtures in humans: a study of flavor perception. J Biomed Sci Eng 1996; 57: 2192.

    Google Scholar 

  41. Areni CS, Kim D. The influence of background music on shopping behaviour: classical versus Top-40 music in a wine store. Adv Consum Res 1993; 20: 336.

    Google Scholar 

  42. Peta EA. Consumi Agro-Alimentari in Italia e Nuove Tecnologie. Quadro Strategico Nazionale 2007–2013. http://www.dps.mef.gov.it/documentazione/uval/Consumi%2 0e%20Innovazioni%20Marzo_rev.pdf. 2006. Accessed January 2010.

    Google Scholar 

  43. Diliberti N, Bordi PL, Conklin MT, et al. Increased portion size leads to increased energy intake in a restaurant meal. Obes Res 2004; 12: 562–8.

    PubMed  Google Scholar 

  44. Ogden CI, Carroll MD, Curtin LR, et al. Prevalence of overweight and obesity in the United States, 1999–2004. JAMA 2006; 295: 1549–55.

    CAS  PubMed  Google Scholar 

  45. Schwartz J, Byrd-Bredbenner C. Portion distortion: typical portion sizes selected by young adults. J Am Diet Assoc 2006; 106: 1412–8.

    PubMed  Google Scholar 

  46. Heart Attack Grill. Heart Attack Grill Health care plan. http://www.heartattackgrill.com. 2006. Accessed January 2010.

    Google Scholar 

  47. Super sized meals. The Heart Attack Grill, Tempe, AZ http://www.supersizedmeals.com. 2006. Accessed January 2010.

    Google Scholar 

  48. Lichtenstein AH, Appel LJ, Brands M, et al. Diet and lifestyle recommendations revision 2006: pa scientific statement from the American Heart Association Nutrition Committee. Circulation 2006; 114: 82–96.

    PubMed  Google Scholar 

  49. Sundram K, Hornstra G, von Houwelingen AC, et al. Replacement of dietary fat with palm oil: effect on human serum lipids, lipoproteins and apolipoproteins. British. J Nutr 1992; 68: 677–92.

    CAS  Google Scholar 

  50. Willett WC, Stampfer MJ, Manson JE, et al. Intake of trans fatty acids and risk of coronary heart disease among women. Lancet 1993; 341: 581–5.

    CAS  PubMed  Google Scholar 

  51. Ascherio A, Hennekens CH, Buring JE, et al. Trans fatty acids intake and risk of myocardial infarction. Circulation 1994; 89: 94–101.

    CAS  PubMed  Google Scholar 

  52. Pereira MA, Kartashov AI, Ebbeling CB, et al. Fastfood habits, weight gain, and insulin resistance (the CARDIA study): 15-year prospective analysis. Lancet 2005; 365: 36–42.

    PubMed  Google Scholar 

  53. Shaldon S, Vienken J. Salt, the neglected silent killer. Semin Dial 2009; 22: 264–6.

    PubMed  Google Scholar 

  54. Brownell KD, Warner KE. The perils of ignoring history: big tobacco played dirty and millions died. How similar is big food? Milbank Q 2009;. 87: 259–94.

    PubMed  PubMed Central  Google Scholar 

  55. Spurlock M “Super Size Me”. http://wapedia.mobi/en/Super_Size_Me. 2004. Accessed January 2010.

    Google Scholar 

  56. Verzeletti C, Maes L, Santinello M, et al. Soft drink consumption in adolescence: associations with foodrelated lifestyles and family rules in Belgium Flanders and the Veneto Region of Italy. Eur J Public Health 2009; 5: 66–8.

    Google Scholar 

  57. Bellisle F, Dalix AM, Slama G. Non food-related environmental stimuli induce increased meal intake in healthy women: Comparison of television viewing versus listening to a recorded story in laboratory settings. Appetite 2004; 43: 175–80.

    CAS  PubMed  Google Scholar 

  58. Blass EM, Anderson DR, Kirkorian HL, et al. On the road to obesity: Television viewing increases intake of high-density foods. Physiol Behav 2006; 88: 597–604.

    CAS  PubMed  Google Scholar 

  59. Higgs S, Woodward M. Television watching during lunch increases afternoon snack intake of young women. Appetite 2009; 52: 39–43.

    PubMed  Google Scholar 

  60. Sothern MS, Loftin M, Suskind RM, et al. The health benefits of physical activity in children and adolescents: implications for chronic disease prevention. Eur J Pediatr 1999; 158: 271–4.

    CAS  PubMed  Google Scholar 

  61. O’Neill B. Is this what you call junk food?. BBC News. http://www.news.bbc.co.uk/2/hi/uk_news/magazine/6187234.stm. 2006. Accessed January 2010.

    Google Scholar 

  62. Ofcom Media Office Television advertising of food and drink products to children — Options for new restrictions. Advertising Standards Authority. http://www.ofcom.org.uk/media/news/2006/03/nr_20060328. Address="http://www.ofcom.org.uk"/>/media/news/2006/03/nr_20060328. 2006. Accessed January 2010.

  63. Bayol S, Macharia R, Farrington S. Evidence that a maternal “junk food” diet during pregnancy and lactation can reduce muscle force in offspring. Eur J Nutr 2009; 48: 62–5.

    PubMed  Google Scholar 

  64. Faith MS, Berman N, Heo M, et al. Effects of contingent television on physical activity and television viewing in obese children. Pediatrics 2001; 107: 1043–8.

    CAS  PubMed  Google Scholar 

  65. Ezzati M, Hoorn SV, Rodgers A, et al. Comparative Risk Assessment Collaborating Group. Estimates of global and regional potential health gains from reducing multiple major risk factors. Lancet 2003; 362: 271–80. Erratum in: Lancet2005; 365: 28.

    PubMed  Google Scholar 

  66. Davidson KK, Birch LL. Childhood overweight: a contextual model and recommendations for future research. Obes Rev 2001; 2: 159–71.

    Google Scholar 

  67. Powell KE, Blair SN. The public health burdens of sedentary living habits: theoretical but realistic estimates. Med Sci Sports Exerc 1994; 26: 851–6.

    CAS  PubMed  Google Scholar 

  68. Euromonitor. Consumer Foodservice in Chile. http://www.euromonitor.com. 2010 November.

    Google Scholar 

  69. Lock K, Pomerleau J, Causer L, et al. The global burden of disease attributable to low consumption of fruit and vegetables: implications for the global strategy on diet. BullWorld Health Organ 2005; 83: 100–8.

    Google Scholar 

  70. Sofi F, Cesari F, Abbate R, et al. Adherence to Mediterranean diet and health status: meta-analysis. BMJ 2008; 337: a1344.

    PubMed  PubMed Central  Google Scholar 

  71. Direttiva 2002/46/ce del parlamento europeo e del consiglio del 10 giugno 2002 per il ravvicinamento delle legislazioni degli Stati membri relative agli integratori alimentari.

  72. Maughan R. The atlhete’s diet: nutrition goals and dietary strategies. Proc Nutr Soc 2002; 61: 87–96.

    PubMed  Google Scholar 

  73. Vadiveloo M, Zhu L, Quatromoni P. Diet and physical activity patterns of school-aged children. J Am Diet Assoc 2009; 109: 145–51.

    CAS  PubMed  Google Scholar 

  74. Sharma A, Hegde AM. Relationship between body mass index, caries experience and dietary preferences in children. J Clin Pediatr Dent 2009; 34: 49–52.

    PubMed  Google Scholar 

  75. Escobar-Chaves SL, Markham CM, Addy RC, et al. The Fun Families Study: intervention to reduce children’s TV viewing. Obesity (Silver Spring) 2010; 18 Suppl 1: S99–101.

    Google Scholar 

  76. Field AE, Austin SB, Camargo CA, et al. Exposure to the mass media, body shape concerns, and use of supplements to improve weight and shape among male and female adolescents. Pediatrics 2005; 116: e214–20.

    PubMed  Google Scholar 

  77. McCabe MP, Ricciardelli LA. Parent, peer, and media influences on body image and strategies to both increase and decrease body size among adolescent boys and girls. Adolescence 2001; 36: 225–40.

    CAS  PubMed  Google Scholar 

  78. Neumark-Sztainer D, Story M, Falkner NH, et al. Sociodemographic and personal characteristics of adolescents engaged in weight loss and weight/muscle gain behaviors: who is doing what?. Prev Med 1999; 28: 40–50.

    CAS  PubMed  Google Scholar 

  79. Irving LM, Neumark-Sztainer D. Integrating the Prevention of Eating Disorders and Obesity: Feasible or Futile? Prev Med 2002; 34: 299–309.

    PubMed  Google Scholar 

  80. Yesalis CE, Barsukiewicz CK, Kopstein AN, et al. Trends in anabolic-androgenic steroid use among adolescents. Arch Pediatr Adolesc Med 1997; 151: 1197–206.

    CAS  PubMed  Google Scholar 

  81. Melia P, Pipe A, Greenberg L. The use of anabolicandrogenic steroids by Canadian students. Clin J Sport Med 1996; 6: 9–14.

    CAS  PubMed  Google Scholar 

  82. Tanner SM, Miller DW, Alongi C. Anabolic steroid use by adolescents: prevalence, motives, and knowledge of risks. Clin J Sport Med 1995; 5: 108–15.

    CAS  PubMed  Google Scholar 

  83. Faigenbaum AD, Zaichkowsky LD, Gardner DE, et al. Anabolic steroid use by male and female middle school students. Pediatrics 1998; 101: E6.

    CAS  PubMed  Google Scholar 

  84. Wichstrøm L, Pedersen W. Use of anabolic-androgenic steroids in adolescence: winning, looking good or being bad?. J Stud Alcohol 2001; 62: 5–13.

    PubMed  Google Scholar 

  85. Loud KJ. Nutrition in pediatrics. 3rd ed. Hamilton, Ontario, BC Decker, 2003, pp. 883–896.

    Google Scholar 

  86. Ministero delle Attività Produttive. Progetto cofinanziato EA06 — situazione al: 09-2009. http://www.centroconsumatori.it/43v220d368.html. 2009. Accessed January 2010.

    Google Scholar 

  87. Reissig CJ, Strain EC, Griffiths RR. Caffeinated energy drinks — a growing problem. Drug Alcohol Depend 2009; 99: 1–10.

    CAS  PubMed  PubMed Central  Google Scholar 

  88. Williams CM. Nutritional quality of organic food: shades of grey or shades of green? Proc Nutr Soc 2002; 61: 19–24.

    PubMed  Google Scholar 

  89. Aarnio K, Lindeman M. Magical food and health beliefs: a portrait of believers and functions of the beliefs. Appetite 2004; 43: 65–74.

    PubMed  Google Scholar 

  90. Craig WJ, Mangels AR, American Dietetic Association. Position of the American Dietetic Association: Vegetarian Diets. J Am Diet Assoc 2009; 109: 1266–82.

    CAS  PubMed  Google Scholar 

  91. Bertini I, Giampietro M. Diete Vegetariane, esercizio fisico e salute. Roma, Il Pensiero Scientifico Editore, 2006.

    Google Scholar 

  92. Rössner S. Orthorexia nervosa: a new disease? Lakartidningen 2004; 101: 2835.

    PubMed  Google Scholar 

  93. Cartwright MM. Eating disorder emergencies: understanding the medical complexities of the hospitalized eating disordered patient. Crit Care Nurs Clin North Am 2004; 16: 515–30.

    PubMed  Google Scholar 

  94. Mathieu J. What is orthorexia? J Am Diet Assoc 2005; 105: 1510–2.

    PubMed  Google Scholar 

  95. Kinzl JF, Hauer K, Traweger C, et al. Orthorexia nervosa in dieticians. Psychother Psychosom 2006; 75: 395–6.

    PubMed  Google Scholar 

  96. Catalina Zamora ML, Bote Bonaechea B, García Sánchez F, et al. Orthorexia nervosa. A new eating behaviour disorder?. Actas Esp Psiquiatr 2005; 33: 66–8.

    CAS  PubMed  Google Scholar 

  97. Donini LM, Marsili D, Graziani MP, et al. Orthorexia nervosa: a preliminary study with a proposal for diagnosis and an attempt to measure the dimension of the phenomenon. EatWeight Disord 2004; 9: 151–7.

    CAS  Google Scholar 

  98. Pope HG, Phillips KA, Olivardia R. The Adonis complex: The secret crisis of male body obsession. New York, Free Press, 2000.

    Google Scholar 

  99. Dawes J, Mankin T. Muscle dysmorphia. Strenght and Conditioning Journal 2004; 26: 24–5.

    Google Scholar 

  100. Choi PYL, Pope HG, Olivardia R. Muscle Dysmorphia: a new syndrome in weightlifters, British Journal of Sports Medicine, 2002; 36: 375–376.

    CAS  PubMed  PubMed Central  Google Scholar 

  101. Leone JE, Sedory EJ, Gray KA. Recognition and treatment of muscle dysmorphia and related body image disorders. J Athl Train 2005; 40: 352–9.

    PubMed  PubMed Central  Google Scholar 

  102. Mangweth B, Pope HG, Kemmler G, et al. Body image and psychopathology in male bodybuilders. Psychother Psychosom 2001; 70: 38–43.

    CAS  PubMed  Google Scholar 

  103. Mosley PE. Bigorexia: bodybuilding and muscle dysmorphia. Eur Eat Disord Rev 2009; 17: 191–8.

    PubMed  Google Scholar 

  104. Mendez MA, Popkin BM, Jakszyn P, et al. Adherence to a Mediterranean diet is associated with reduced — years incidence of obesity. J Nutr 2006; 136: 2934–8.

    CAS  PubMed  Google Scholar 

  105. WHO. Comparative quantification of the health risks: Global and regional burden of disease attributable to selected major risk factors. http://www.who.int/healthinfo/global_burden_disease/GlobalHealthRisks_report_full.pdf. 2009. Accessed January 2010.

    Google Scholar 

  106. Ministero della Salute. Stili di vita salutari: educazione, informazione e comunicazione in Europa. Sintesi del Rapporto predisposto dalla Task Force del Ministero della Salute in preparazione del Semestre di Presidenza italiana http://www.ministerosalute.it. 2003. Accessed January 2010.

    Google Scholar 

  107. Istituto Superiore di Sanità. Progetto Cuore. http://www.iss.it/ofad. 2009. Accessed January 2010.

    Google Scholar 

  108. Falk LW, Bisogni CA, Sobal J. Food choice processes of older adults: a qualitative investigation. J Nutr Educ 1996; 28: 257–65.

    Google Scholar 

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  1. Department of Applied Health Sciences — Human Nutrition Section, Faculty of Medicine, University of Pavia, Via Bassi 21, 27100, Pavia, Italy

    C. Allegri, G. Turconi & H. Cena

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  1. C. Allegri
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Allegri, C., Turconi, G. & Cena, H. Dietary attitudes and diseases of comfort. Eating Weight Disord. 16, e226–e235 (2011). https://doi.org/10.1007/BF03327465

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