Environmental influences on energy balance-related behaviors: A dual-process view

被引:419
作者
Kremers, Stef P. J. [1 ]
de Bruijn, Gert-Jan [1 ]
Visscher, Tommy L. S. [2 ,3 ]
van Mechelen, Willem [4 ,5 ]
de Vries, Nanne K. [1 ]
Brug, Johannes [6 ]
机构
[1] Maastricht Univ, Dept Hlth Educ & Hlth Promot, POB 616, NL-6200 MD Maastricht, Netherlands
[2] Vrije Univ, Dept Nutr & Hlth, Amsterdam, Netherlands
[3] Natl Inst Publ Hlth & Environm, Bilthoven, Netherlands
[4] Vrije Univ Amsterdam, Med Ctr, Dept Publ & Occupat Hlth, Amsterdam, Netherlands
[5] Vrije Univ Amsterdam, Med Ctr, Inst Res Extramural Med, Amsterdam, Netherlands
[6] Erasmus MC, Dept Publ Hlth, Rotterdam, Netherlands
关键词
D O I
10.1186/1479-5868-3-9
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background: Studies on the impact of the 'obesogenic' environment have often used non-theoretical approaches. In this journal's debate and in other papers authors have argued the necessity of formulating conceptual models for differentiating the causal role of environmental influences on behavior. Discussion: The present paper aims to contribute to the debate by presenting a dual-process view on the environment - behavior relationship. This view is conceptualized in the EnRG framework (Environmental Research framework for weight Gain prevention). In the framework, behavior is postulated to be the result of a simultaneous influence of conscious and unconscious processes. Environmental influences are hypothesized to influence behavior both indirectly and directly. The indirect causal mechanism reflects the mediating role of behavior-specific cognitions in the influence of the environment on behavior. A direct influence reflects the automatic, unconscious, influence of the environment on behavior. Specific personal and behavioral factors are postulated to moderate the causal path (i.e., inducing either the automatic or the cognitively mediated environment - behavior relation). In addition, the EnRG framework applies an energy balance-approach, stimulating the integrated study of determinants of diet and physical activity. Conclusion: The application of a dual-process view may guide research towards causal mechanisms linking specific environmental features with energy balance-related behaviors in distinct populations. The present paper is hoped to contribute to the evolution of a paradigm that may help to disentangle the role of 'obesogenic' environmental factors.
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页数:10
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