Startseite Parental control attitudes over their pre-school children’s diet
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Parental control attitudes over their pre-school children’s diet

  • Dulce Ivone Pinto Alves , Moniky Araújo da Cruz , Nadirlene Pereira Gomes ORCID logo und Amâncio António de Sousa Carvalho ORCID logo EMAIL logo
Veröffentlicht/Copyright: 30. September 2024

Abstract

It is during childhood that eating behaviors begin to form, with parents being the main agents in this process. Parents have eating habits that shape their children’s diet, both in terms of variety and quantity of food eaten. The aim is to analyze sociodemographic factors related to parental control over their children’s diet. Descriptive-correlational and cross-sectional study, with a sample of 46 parents of preschool children. An online questionnaire was used to collect data, with data processing carried out using SPSS, using descriptive and inferential statistics. The majority of respondents were mothers (89.1%), belonged to the 20–44 age group (89.1%), and were married (89.1%). The mean of the subscales of the children’s food questionnaire food restriction, pressure to eat, and monitoring was 3.266 ± 0.570, 3.109 ± 1.206, and 4.268 ± 0.848, respectively. The mean rank score for the food restriction subscale differed significantly between parents with different age groups (Mann–Whitney: p < 0.014), with the 45–64 age group having the highest mean rank, i.e., they restricted their children more in food. The age group is a factor related to food restriction, making it essential to take a closer look at the parents of that age group, during the health education process.

1 Introduction

Eating behavior is represented by all forms of interaction with food, ranging from preference for food to ingestion, representing not only what we eat, but also the elements related to the act of eating, such as the eating environment, the way and time we eat, and the reasons why people eat [1].

Researchers think that children’s eating behavior is multidetermined. Innate factors, family and school context, socioeconomic and cultural issues may be related to a child’s eating behavior. The parental practices of control, pressure, reward, and monitoring used by parents, for example, seem to influence children’s eating behavior, potentially increasing or decreasing food intake [1].

Behaviors associated with health are learned from a very early age during childhood, and are closely linked to culture. However, they can be changed as a consequence of factors associated with human development and cultural pressure [2].

Children’s eating behavior and eating habits are influenced by the family and, specifically, by their parents. In childhood, the transition to a varied diet is shaped by parents’ decisions regarding the type of feeding followed.

The practices that parents use at mealtimes to teach and reinforce children about what to eat, when to eat, and how to eat play a major role in the development of children’s eating behavior [3].

It should be noted that parents’ behavior and attitudes toward their children’s diet influence their ability to control the amount of what is ingested, the duration, and frequency of meals. Allowing the child to associate the beginning of the meal with the feeling of hunger and relating the end of the meal with the feeling of satiety, leads the child to learn to eat in moderation [4].

Parental practices regarding food, i.e., the strategies used by parents to achieve certain goals they set for their children’s diet, such as the correct way to behave at the table and what to eat, will vary according to perceptions and controlling attitudes, related to the health and development of children. These practices are influenced by the child’s characteristics, such as age, sex, eating behavior, and weight [5].

The parental food control practices that have been most studied are pressure to eat, restriction, and monitoring. Pressure to eat can be defined as a practice used to increase children’s food intake. In contrast, dietary restriction is defined as a way of limiting the intake of some foods or groups of foods. In turn, monitoring is understood as the observation carried out on the food that the child eats. Excessive use of these practices by parents can negatively or positively affect children’s intake and weight. However, some of these parental practices can influence the child to eat healthier [6].

A study carried out in Israel [7], with a sample of 174 parents of children and young people between the age of 2 and 18, aimed at evaluating the relationships between parents’ retrospective memories of their mothers’ infant feeding practices and the current form how they feed their children, highlighted the way in which adults transmit their eating practices to their children, which are strongly influenced by childhood memories, mothers’ concerns about their weight, pressure for them to eat, or restrictions on their food intake. Positive and significant correlations were also observed between parents’ current weight and concern about the child’s weight, restriction, and monitoring of food intake. The study’s most significant finding demonstrates that specific eating practices that participants mentioned retrospectively were those they currently used with their own children. Thus, this study shows how people remember mothers’ concerns about their own weight during childhood, the pressure to eat, and the restriction of food intake, as well as the transmission of these eating practices to the next generation.

Another study, carried out in Saudi Arabia [8] consisting of 209 mothers of children enrolled in pre-school education, in which the main objective was to evaluate the psychometric properties of the children’s food questionnaire (CFQ), with the study’s hypothesis being to understand whether weight perception of the child and concern about their children’s weight and diet were associated with eating practices among mothers, demonstrating that mothers who applied greater restrictions to their children monitored their children’s diet more often, and mothers who indicated that they were highly responsible for their children’s diet apply greater restriction, i.e., mothers who perceive that their child has a high weight apply greater restriction and monitoring, and mothers who are more concerned about their children’s weight will be more concerned about their diet.

The topic of eating behavior has been relevant nowadays due to the implications it has on the determination of prevalent chronic diseases such as diabetes mellitus, obesity, high blood pressure, among others [1].

In Portugal, the prevalence of chronic diseases associated with inadequate feeding is high, and is probably one of the main public health problems. No matter how efficient the health services that any society can offer its citizens, the prevention of disease and the preservation of health always depend, to a large extent, on the adoption of healthy lifestyles by people [9].

Currently, the increase in childhood obesity has reached alarming proportions and the World Health Organization (WHO) estimates that by 2025 the number of obese children on the planet will reach 75 million [10], constituting a huge public health problem throughout the world, and can be considered an epidemic [11,12].

In Portugal, according to the 2022 Childhood Report Obesity Surveillance Initiative (COSI), of the WHO/Europe COSI Portugal (2022), coordinated by the National Institute of Health Doutor Ricardo Jorge, in its capacity as WHO Collaborative Center for Childhood Nutrition and Obesity, in 2021/2022, 31.9% of children were overweight, of which 13.5% were obese. From 2019 to 2022, there was an increase of 1.6% points (11.9–13.5%) in the prevalence of childhood obesity and 2.2% points (29.7–31.9%) in the prevalence of excess weight in children [13].

In view of the above and considering the increase in the prevalence of obesity and problems related to child diet, the need for more research in this area is recognized. At governmental level, this disease has been the target of intervention and, in Portugal, despite efforts already being made in terms of treatment, such as bariatric surgery, with regard to health promotion, in school-age children and in adolescents, little attention has been paid to children in early childhood and preschool age. It is, therefore, very important to evaluate eating behavior during childhood and adolescence to understand the mechanisms that can determine adult health [14].

It is within the scope of this problem that this study is inserted, which aimed to analyze sociodemographic factors related to parental control over their children’s diet.

2 Methods

This is a descriptive-correlational, cross-sectional study with a quantitative approach [15]. The population was defined using the following inclusion criteria: (i) being a father/mother of children attending kindergarten, the context of this study, (ii) belong to the geographic area covered by the Community Care Unit (CCU) of Amarante, and (iii) the child is enrolled in the 2021/2022 school year.

The target population was made up of parents of pre-school children enrolled in the year 2021/2022, in kindergarten at the Basic School, the context of this study, included in the Amadeo Souza-Cardoso School Group, around 64 parents of children, attending pre-school.

The sample is defined by the exclusion criteria. The following exclusion criteria were established: (i) not having e-mail and/or digital equipment with internet access and (ii) not having answered at least 80% of the questions in the questionnaire. After applying these exclusion criteria, the sample consisted of 46 parents/guardians of preschool children, around 71.9% of the population.

The selected group was composed through the non-probabilistic, intentional, or convenience sampling technique, consisting of individuals who were available and who met the exclusion criteria.

For this study, the questionnaire was selected as the data collection instrument. We chose this data collection instrument, since it is a data collection method that allows it to be applied in the same period of time, to a large group of participants, who have the possibility of filling it out at any time they consider more appropriate, for relatively homogeneous and educated populations, being a low-cost means of data collection, fast, impersonal in nature, and can be applied online [15].

The questionnaire was created using the “Google Forms” software, which allowed more effective, quick, and practical access to study participants. This instrument included a brief presentation of the study, instructions for filling it out, and reference to the participants’ anonymity and comprised two parts: (i) the first part aimed to collect sociodemographic data and (ii) the second part included the scale called the CFQ, which assesses concern about being overweight and parents’ controlling attitudes toward their children’s diet.

This scale, called CFQ, was a method developed to assess parental practices and concerns associated with children’s diet and weight. It was initially constructed by Birch et al. [16], translated, adapted, and validated for the Portuguese population by Viana and Sinde [17], and can be applied to parents of children and young adolescents.

The CFQ consists of 31 items distributed across seven subscales/domains. Four subscales assess risk and concern about weight: “Perception of parental responsibility for their children’s diet” (3 items), “Perception of parental weight” (4 items), “Perception of child’s weight” (6 items), and “Concern about the child’s weight” (3 items). The remaining three subscales assess parental control attitudes regarding their children’s eating habits: “restriction” (8 items), “pressure to eat” (4 items), and “monitoring” (3 items). In this study, only data from these three subscales on parental eating control attitudes will be used. All items are rated on a five-point Likert scale [17]. The total scale score varies between a minimum of 28 points and a maximum of 140 points. A higher score corresponds to greater concern among parents about their children being overweight and greater control over their children’s diet.

The instrument, validated for the Portuguese population, showed good psychometric properties, with good Cronbach’s alpha values, ranging between 0.61 and 0.90, presenting an internal consistency between weak and good [18].

In order to safeguard ethical considerations, authorization was previously requested from the coordinator of the CCU of Amarante to carry out the study, as well as a request for authorization from the Amadeu Sousa Cardoso School Group, which received a favorable opinion. The UTAD Ethics Committee was also asked for an opinion on this study, which also received a favorable response (Opinion_Doc92-CE-UTAD-2021).

When data were collected, informed consent was requested from the participants, in a barrier question, with a mandatory answer, which was placed on Google Forms. Before applying the questionnaire, a meeting was scheduled with the CCU coordinator, to operationalize the data collection process. Having complied with all ethical considerations, data collection was carried out online using the Google Forms tool. As previously mentioned, the questionnaire had a brief introduction, which presented the study, as well as its objective. We began by sending the link to fill out the online questionnaire to the pre-school teachers in the school group in the context of this study, who in turn sent it to the parents who were part of the sample. The initial information made it clear that responses to the questionnaire would be anonymous, ensuring the privacy of respondents, as well as anonymity, with no cost or moral damage expected for the participant. The parents who were part of the sample completed the questionnaire at home, and the answers were available to the researcher in the Google Forms database. The data collection period ran from October 2021 to February 2022.

Statistical Package for the Social Sciences (version 27.0) database was created, where they were inserted. Subsequently, descriptive statistics and inferential statistics were used for data processing and analysis. In terms of descriptive statistics, the absolute and relative frequencies and mode frequencies were calculated for all variables, and in the case of ordinal measurement level variables, order statistics were requested and in the case of ratio measurement level variables, the calculation of measures of central tendency and dispersion (mean, median, and standard deviation) was requested. Regarding inferential statistics, parametric tests (Student’s t and ANOVA) were used. When the assumptions for its use were not guaranteed, alternative non-parametric tests (Mann–Whitney and Kruskal–Wallis) were used. The assumption of normality was assessed using the Shapiro Wilk test. The significance level considered was 5% [19].

3 Results

Of the total sample (n = 46), the majority of respondents were mothers (89.1%), belonged to the age group of 20–44 years (89.1%), and had married/de facto union status (89.1%), had basic education as educational qualifications (69.6%), and were in the employment status of an employee (69.6%) (Table 1).

Table 1

Characterization sociodemographic from the sample (n = 46)

Variables Categories AF RF (%)
Degree of kinship Father 5 10.9
Mother 41 89.1
Age group 20–44 years 41 89.1
45–64 years 5 10.9
Marital status Single/separated/divorced 5 10.9
Married/union in fact that 41 89.1
Educational level Teaching basic 32 69.6
Teaching higher 14 30.4
Situation labor Employee 32 69.6
Unemployed 14 30.4

Regarding the restriction subscale, the item that most contributed to the dietary restriction carried out by parents was item 14 “I need to make sure that my child does not eat too many sweets” in which 54.3% of parents marked the option “I agree” that they needed to make sure their child did not eat too many sweets. At the other extreme was item 19 “Do I offer my child his favorite foods in exchange for good behavior?” in which none of the parents (0%) selected the answer option “Agree,” having obtained the second highest percentage of disagreement (54.3%), as shown in Table 2.

Table 2

Percentage of answers to each of the CFQ items (n = 46), regarding the “restriction” subscale

Subscale items restriction 1 2 3 4 5
I14-Do I need to make sure that my child doesn’t eat too many sweets? 0.0 2.2 15.2 28.3 54.3
I15-Do I need to make sure that my child does not eat too many foods with a high fat content? 0.0 2.2 15.2 32.5 50.0
I16-Do I need to make sure that my child does not eat too many favorite foods? 0.0 2.2 32.6 34.8 30.4
I17-Do I purposely keep some foods out of my child’s reach? 8.7 4.3 15.2 32.6 39.1
I18-Do I offer sweets to my child as a reward for good behavior? 58.7 13.0 17.4 6.5 4.3
I19-Do I offer my child his favorite foods in exchange for good behavior? 54.3 13.0 23.9 8.7 0.0
I20-If I didn’t regulate my child’s intake, would he eat too much fast food? 32.6 17.4 23.9 10.9 15.2
I21-If I didn’t regulate my child’s intake, would he eat too many of his favorite foods? 12.0 4.3 34.8 30.4 17.4

Note: 1 – Disagree; 2 – I slightly disagree; 3 – neutral; 4 – I slightly agree; 5 – I agree.

In the pressure to eat subscale, the item that most contributed to greater agreement with this attitude was item 23 “I have to be especially careful to make sure my child eats enough,” which obtained 34.8% in the response option “I agree” and 23.9% in the “Slightly agree” option. It was also the item that had the lowest percentage in the “Disagree” response option (6.5%). On the other hand, item 24 “If my child says “I’m not hungry,” do I try to make him eat anyway?” was the one with the second lowest percentage in the answer option “Agree” 15.2% and the highest percentage in “Disagree” (26.1%) (Table 3).

Table 3

Percentage of answers to each of the CFQ items (n = 46), regarding the “pressure to eat” subscale

Pressure to eat subscale items 1 2 3 4 5
I22-Should my son always eat all the food on his plate? 26.1 13.0 26.1 21.7 13.0
I23-Do I have to take special care to make sure my child eats enough? 6.5 13.0 21.7 23.9 34.8
I24- If my child says “I’m not hungry,” do I try to make him eat anyway? 26.1 6.5 34.8 17.4 15.2
I25-If I didn’t regulate my child’s intake, would he eat much less than he should? 21.7 13.0 28.3 13.0 23.9

Note: 1 – Disagree; 2 – I slightly disagree; 3 – neutral; 4 – I slightly agree; 5 – I agree.

Finally, with regard to the monitoring subscale, the majority of parents marked the response option “Always” in all items, although item 28 “How often are you aware of foods with a high fat content that your child eats?” presented the lowest percentage. The item that most contributed to the attitude of monitoring eating habits was item 27 “How often do you pay attention to the snacks your child eats?” in which 52.2% of parents indicated the answer “Always” and 0% indicated the answer “Never.” The intake of sweets by children seemed to be the least monitored, since as a whole the “Always” and “Often” options were selected by the lowest percentage of parents (Table 4).

Table 4

Percentage of answers to each of the CFQ items (n = 46), regarding the “monitoring” subscale

Subscale items monitoring 1 2 3 4 5
I26-How often do you pay attention to the sweets your child eats? 2.2 6.5 6.5 32.6 52.2
I27-How often do you pay attention to the snacks your child eats? 0.0 6.5 6.5 34.8 52.2
I28-How often do you pay attention to the high-fat foods your child eats? 2.2 6.5 4.3 41.3 45.7

Note: 1 – Never; 2 – rarely; 3 – sometimes; 4 – often; 5 – always.

The subscale that obtained the highest average in this group was monitoring children’s diet, which obtained a value of 4.268 ± 0.818 points, with the minimum being 2.00 and the maximum 5.00 points, revealing the high level of monitoring of children’s diet children. On the opposite side was the pressure to eat subscale, which obtained an average of 3.109 ± 1.026 points, a minimum of 1.00 points and a maximum of 5.00 points, which indicates that it is the subscale that contributed least to control parental diet.

There were no significant statistical differences between the restriction score of parents with different degrees of kinship (MW: p = 0.972), nor with different educational levels (KW: p = 0.267) nor between parents with different employment status (MW: p = 0.829).

The restriction score differed significantly between parents with different age groups (MW: p = 0.014), with parents aged between 45 and 64 having a higher average rating, i.e., they restrict their children’s diet more, than parents aged between 20 and 44 years old.

No statistically significant differences were observed between the pressure to eat score of parents with different degrees of kinship (MW: p = 1.000), nor between parents with different age groups (MW: p = 0.583), nor between parents with different educational levels (KW: p = 0.712) nor among parents with different employment status (MW: p = 0.409).

There were no statistically significant differences between the monitoring scores of parents with different degrees of kinship (MW: p = 0.913), nor between parents of different age groups (MW: p = 0.650), nor between parents with different educational levels (KW: p = 0.690) nor among parents with different employment status (MW: p = 0.176).

None of the three subscales studied correlated with each other (Pearson: p = 0.050). However, it was possible to identify correlations with the other group of subscales. It was observed that there was a low-intensity positive correlation between the score on the perception of children’s overweight subscale and the score on the restriction subscale (Pearson: p = 0.033; correlation coefficient R = +0.316). In other words, as the score of the perception of children’s overweight subscale increases, the restriction subscale score also increases, meaning that when the perception of children’s excess weight increases, the attitude of restricting their children’s eating increases.

It was found that there is a low-intensity positive correlation between the score on the perception of children’s excess weight subscale and the score on the monitoring subscale (Pearson: p = 0.011; correlation coefficient R = +0.373), i.e., as the score for the perception of children’s overweight subscale increases, the score for the monitoring subscale increases, meaning that when the perception of children’s overweight increases, the attitude of monitoring their children’s diet increases.

It was also found that there was a low-intensity positive correlation between the score on the subscale concern about children being overweight and restriction (Pearson: p = 0.018; correlation coefficient R = +0.348), i.e., as the score on the concern about their children’s overweight subscale increases, the score on the restriction subscale increases, meaning that when parents’ concern about their children’s excess weight increases, their attitude of restricting their children’s feeding increases.

4 Discussion

In the sample of this study, the vast majority of parents were female, who fell into the age group of 20–44 years old, with a minimum of 20 years old and a maximum of 64 years old, and had 4 years of schooling. These results differ slightly from those obtained by the study carried out in Portugal [17], with a sample of 292 mothers, with the aim of validating the CFQ for the Portuguese population, in which all parents were female, aged between 28 and 59 years old (oldest) and completely coincides in terms of education, as the participants had between 4 and 19 years of education (from basic education to university education).

If we compare the mean values of the three subscales in our study with the mean values obtained in the study carried out in Saudi Arabia [8], with a sample of 209 mothers and their children, aiming to examine the psychometric qualities of the CFQ, in order to validate the instrument for the population of that country, it was found that the order relationship of the subscale mean values is maintained, with the highest mean being monitoring (4.44 ± 0.800) and the lowest being pressure to Eat (3.91 ± 1.140). However, in that study the mean values of the subscales were all higher than those in the present study, meaning that Saudi mothers demonstrated attitudes of greater food restriction, greater pressure to eat, and monitoring the food consumed. This difference may be due to cultural differences between the two samples and because it is a sample of older mothers.

In our study, there were only significant statistical differences between the restriction of parents with different age groups, with older parents having greater food restriction attitudes, which could be explained by the greater desire to protect their children. None of the articles consulted on this issue addressed the relationship between the CFQ subscales and the parents’ sociodemographic characteristics. Other authors report that parental practices regarding diet are influenced by the child’s characteristics such as age, sex, eating behavior, and weight, with no mention being made of the sociodemographic characteristics of the sample of parents [5].

In this sample, it was observed that there was a low-intensity positive correlation between the subscales of perception of children’s excess weight and restriction and the subscales of perception of children’s excess weight and monitoring, which is in line with the study carried out in Saudi Arabia [8], where there was a low-intensity positive correlation between the restriction subscales and the perception of children’s excess weight (p = 0.001; R = +0.20), and between the monitoring subscale and the perception of excess children’s weight (p = 0.01; R = +0.17).

With regard to the correlation between the CFQ subscales, the study that validated this instrument for the Portuguese population [17] states that the relationship between restriction and the weight concern subscale was expected, justifying that restrictive attitudes are used usually as a way of controlling weight and as a response to being overweight.

The profile of the parents who make up this sample can be considered to be a mother, aged between 20 and 44, married, with basic education, and belonging to the active population.

The strongest eating control attitude in this sample is monitoring, with pressure to eat being the least intense. The only sociodemographic factor relating to parents identified was the age group of the parents in this sample, which is related to dietary restriction, in which older parents expressed more pronounced restrictive attitudes than younger parents, constituting the factor related to that subscale.

The main limitations of this study lie in the small sample size, which limited the use of parametric tests, because the assumptions of normality and homogeneity of variances must be ensured for their use and with the fact that it is a non-random sample, which may have influenced the representativeness of the sample and affected the statistical inferences made from the sample to the population.

In terms of implications for professional practice that this study may have, knowledge of these parental dietary control attitudes can be listed, which must be taken into account when planning feeding education programs for parents, in counseling parents of children in risk of excess weight, and in the definition of weight reduction programs, by health professionals belonging to the health unit that supports the context of this study, providing health care to the parents and children of this sample. Health education sessions aimed at these parents have already been held, with the aim of training them in food control attitudes and contributing to the prevention of obesity, and pamphlets have been prepared with the main messages to reinforce this training, with a look at more attentive to older parents.

  1. Funding information: This work was financially supported by Portuguese national funds through the FCT (Foundation for Science and Technology) within the framework of the CIEC (Research Center on Child Studies of the University of Minho) projects under the references UIDB/00317/2020 and UIDP/00317/2020.

  2. Author contributions: Study conception and design: D.I.P.A., M.A.C., N.P.G., A.A.S.C.; data collection: D.I.P.A.; data analysis and interpretation: D.I.P.A., M.A.C., N.P.G., A.A.S.C.; drafting of the article: D.I.P.A., M.A.C., N.P.G., A.A.S.C.; critical revision of the article: D.I.P.A., M.A.C., N.P.G., A.A.S.C.

  3. Conflict of interest: The authors state no conflict of interest. One of the authors (A.A.S.C.) is an editor with Open Medicine, but this did not affect the peer review process, and the authors were not aware of who the peer reviewers were.

  4. Data availability statement: The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Received: 2024-06-02
Revised: 2024-08-23
Accepted: 2024-09-10
Published Online: 2024-09-30

© 2024 the author(s), published by De Gruyter

This work is licensed under the Creative Commons Attribution 4.0 International License.

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  4. Association of SOX6 gene polymorphisms with Kashin-Beck disease risk in the Chinese Han population
  5. The pyroptosis-related signature predicts prognosis and influences the tumor immune microenvironment in dedifferentiated liposarcoma
  6. METTL3 attenuates ferroptosis sensitivity in lung cancer via modulating TFRC
  7. Identification and validation of molecular subtypes and prognostic signature for stage I and stage II gastric cancer based on neutrophil extracellular traps
  8. Novel lumbar plexus block versus femoral nerve block for analgesia and motor recovery after total knee arthroplasty
  9. Correlation between ABCB1 and OLIG2 polymorphisms and the severity and prognosis of patients with cerebral infarction
  10. Study on the radiotherapy effect and serum neutral granulocyte lymphocyte ratio and inflammatory factor expression of nasopharyngeal carcinoma
  11. Transcriptome analysis of effects of Tecrl deficiency on cardiometabolic and calcium regulation in cardiac tissue
  12. Aflatoxin B1 induces infertility, fetal deformities, and potential therapies
  13. Serum levels of HMW adiponectin and its receptors are associated with cytokine levels and clinical characteristics in chronic obstructive pulmonary disease
  14. METTL3-mediated methylation of CYP2C19 mRNA may aggravate clopidogrel resistance in ischemic stroke patients
  15. Understand how machine learning impact lung cancer research from 2010 to 2021: A bibliometric analysis
  16. Pressure ulcers in German hospitals: Analysis of reimbursement and length of stay
  17. Metformin plus L-carnitine enhances brown/beige adipose tissue activity via Nrf2/HO-1 signaling to reduce lipid accumulation and inflammation in murine obesity
  18. Downregulation of carbonic anhydrase IX expression in mouse xenograft nasopharyngeal carcinoma model via doxorubicin nanobubble combined with ultrasound
  19. Feasibility of 3-dimensional printed models in simulated training and teaching of transcatheter aortic valve replacement
  20. miR-335-3p improves type II diabetes mellitus by IGF-1 regulating macrophage polarization
  21. The analyses of human MCPH1 DNA repair machinery and genetic variations
  22. Activation of Piezo1 increases the sensitivity of breast cancer to hyperthermia therapy
  23. Comprehensive analysis based on the disulfidptosis-related genes identifies hub genes and immune infiltration for pancreatic adenocarcinoma
  24. Changes of serum CA125 and PGE2 before and after high-intensity focused ultrasound combined with GnRH-a in treatment of patients with adenomyosis
  25. The clinical value of the hepatic venous pressure gradient in patients undergoing hepatic resection for hepatocellular carcinoma with or without liver cirrhosis
  26. Development and validation of a novel model to predict pulmonary embolism in cardiology suspected patients: A 10-year retrospective analysis
  27. Downregulation of lncRNA XLOC_032768 in diabetic patients predicts the occurrence of diabetic nephropathy
  28. Circ_0051428 targeting miR-885-3p/MMP2 axis enhances the malignancy of cervical cancer
  29. Effectiveness of ginkgo diterpene lactone meglumine on cognitive function in patients with acute ischemic stroke
  30. The construction of a novel prognostic prediction model for glioma based on GWAS-identified prognostic-related risk loci
  31. Evaluating the impact of childhood BMI on the risk of coronavirus disease 2019: A Mendelian randomization study
  32. Lactate dehydrogenase to albumin ratio is associated with in-hospital mortality in patients with acute heart failure: Data from the MIMIC-III database
  33. CD36-mediated podocyte lipotoxicity promotes foot process effacement
  34. Efficacy of etonogestrel subcutaneous implants versus the levonorgestrel-releasing intrauterine system in the conservative treatment of adenomyosis
  35. FLRT2 mediates chondrogenesis of nasal septal cartilage and mandibular condyle cartilage
  36. Challenges in treating primary immune thrombocytopenia patients undergoing COVID-19 vaccination: A retrospective study
  37. Let-7 family regulates HaCaT cell proliferation and apoptosis via the ΔNp63/PI3K/AKT pathway
  38. Phospholipid transfer protein ameliorates sepsis-induced cardiac dysfunction through NLRP3 inflammasome inhibition
  39. Postoperative cognitive dysfunction in elderly patients with colorectal cancer: A randomized controlled study comparing goal-directed and conventional fluid therapy
  40. Long-pulsed ultrasound-mediated microbubble thrombolysis in a rat model of microvascular obstruction
  41. High SEC61A1 expression predicts poor outcome of acute myeloid leukemia
  42. Comparison of polymerase chain reaction and next-generation sequencing with conventional urine culture for the diagnosis of urinary tract infections: A meta-analysis
  43. Secreted frizzled-related protein 5 protects against renal fibrosis by inhibiting Wnt/β-catenin pathway
  44. Pan-cancer and single-cell analysis of actin cytoskeleton genes related to disulfidptosis
  45. Overexpression of miR-532-5p restrains oxidative stress response of chondrocytes in nontraumatic osteonecrosis of the femoral head by inhibiting ABL1
  46. Autologous liver transplantation for unresectable hepatobiliary malignancies in enhanced recovery after surgery model
  47. Clinical analysis of incomplete rupture of the uterus secondary to previous cesarean section
  48. Abnormal sleep duration is associated with sarcopenia in older Chinese people: A large retrospective cross-sectional study
  49. No genetic causality between obesity and benign paroxysmal vertigo: A two-sample Mendelian randomization study
  50. Identification and validation of autophagy-related genes in SSc
  51. Long non-coding RNA SRA1 suppresses radiotherapy resistance in esophageal squamous cell carcinoma by modulating glycolytic reprogramming
  52. Evaluation of quality of life in patients with schizophrenia: An inpatient social welfare institution-based cross-sectional study
  53. The possible role of oxidative stress marker glutathione in the assessment of cognitive impairment in multiple sclerosis
  54. Compilation of a self-management assessment scale for postoperative patients with aortic dissection
  55. Left atrial appendage closure in conjunction with radiofrequency ablation: Effects on left atrial functioning in patients with paroxysmal atrial fibrillation
  56. Effect of anterior femoral cortical notch grade on postoperative function and complications during TKA surgery: A multicenter, retrospective study
  57. Clinical characteristics and assessment of risk factors in patients with influenza A-induced severe pneumonia after the prevalence of SARS-CoV-2
  58. Analgesia nociception index is an indicator of laparoscopic trocar insertion-induced transient nociceptive stimuli
  59. High STAT4 expression correlates with poor prognosis in acute myeloid leukemia and facilitates disease progression by upregulating VEGFA expression
  60. Factors influencing cardiovascular system-related post-COVID-19 sequelae: A single-center cohort study
  61. HOXD10 regulates intestinal permeability and inhibits inflammation of dextran sulfate sodium-induced ulcerative colitis through the inactivation of the Rho/ROCK/MMPs axis
  62. Mesenchymal stem cell-derived exosomal miR-26a induces ferroptosis, suppresses hepatic stellate cell activation, and ameliorates liver fibrosis by modulating SLC7A11
  63. Endovascular thrombectomy versus intravenous thrombolysis for primary distal, medium vessel occlusion in acute ischemic stroke
  64. ANO6 (TMEM16F) inhibits gastrointestinal stromal tumor growth and induces ferroptosis
  65. Prognostic value of EIF5A2 in solid tumors: A meta-analysis and bioinformatics analysis
  66. The role of enhanced expression of Cx43 in patients with ulcerative colitis
  67. Choosing a COVID-19 vaccination site might be driven by anxiety and body vigilance
  68. Role of ICAM-1 in triple-negative breast cancer
  69. Cost-effectiveness of ambroxol in the treatment of Gaucher disease type 2
  70. HLA-DRB5 promotes immune thrombocytopenia via activating CD8+ T cells
  71. Efficacy and factors of myofascial release therapy combined with electrical and magnetic stimulation in the treatment of chronic pelvic pain syndrome
  72. Efficacy of tacrolimus monotherapy in primary membranous nephropathy
  73. Mechanisms of Tripterygium wilfordii Hook F on treating rheumatoid arthritis explored by network pharmacology analysis and molecular docking
  74. FBXO45 levels regulated ferroptosis renal tubular epithelial cells in a model of diabetic nephropathy by PLK1
  75. Optimizing anesthesia strategies to NSCLC patients in VATS procedures: Insights from drug requirements and patient recovery patterns
  76. Alpha-lipoic acid upregulates the PPARγ/NRF2/GPX4 signal pathway to inhibit ferroptosis in the pathogenesis of unexplained recurrent pregnancy loss
  77. Correlation between fat-soluble vitamin levels and inflammatory factors in paediatric community-acquired pneumonia: A prospective study
  78. CD1d affects the proliferation, migration, and apoptosis of human papillary thyroid carcinoma TPC-1 cells via regulating MAPK/NF-κB signaling pathway
  79. miR-let-7a inhibits sympathetic nerve remodeling after myocardial infarction by downregulating the expression of nerve growth factor
  80. Immune response analysis of solid organ transplantation recipients inoculated with inactivated COVID-19 vaccine: A retrospective analysis
  81. The H2Valdien derivatives regulate the epithelial–mesenchymal transition of hepatoma carcinoma cells through the Hedgehog signaling pathway
  82. Clinical efficacy of dexamethasone combined with isoniazid in the treatment of tuberculous meningitis and its effect on peripheral blood T cell subsets
  83. Comparison of short-segment and long-segment fixation in treatment of degenerative scoliosis and analysis of factors associated with adjacent spondylolisthesis
  84. Lycopene inhibits pyroptosis of endothelial progenitor cells induced by ox-LDL through the AMPK/mTOR/NLRP3 pathway
  85. Methylation regulation for FUNDC1 stability in childhood leukemia was up-regulated and facilitates metastasis and reduces ferroptosis of leukemia through mitochondrial damage by FBXL2
  86. Correlation of single-fiber electromyography studies and functional status in patients with amyotrophic lateral sclerosis
  87. Risk factors of postoperative airway obstruction complications in children with oral floor mass
  88. Expression levels and clinical significance of serum miR-19a/CCL20 in patients with acute cerebral infarction
  89. Physical activity and mental health trends in Korean adolescents: Analyzing the impact of the COVID-19 pandemic from 2018 to 2022
  90. Evaluating anemia in HIV-infected patients using chest CT
  91. Ponticulus posticus and skeletal malocclusion: A pilot study in a Southern Italian pre-orthodontic court
  92. Causal association of circulating immune cells and lymphoma: A Mendelian randomization study
  93. Assessment of the renal function and fibrosis indexes of conventional western medicine with Chinese medicine for dredging collaterals on treating renal fibrosis: A systematic review and meta-analysis
  94. Comprehensive landscape of integrator complex subunits and their association with prognosis and tumor microenvironment in gastric cancer
  95. New target-HMGCR inhibitors for the treatment of primary sclerosing cholangitis: A drug Mendelian randomization study
  96. Population pharmacokinetics of meropenem in critically ill patients
  97. Comparison of the ability of newly inflammatory markers to predict complicated appendicitis
  98. Comparative morphology of the cruciate ligaments: A radiological study
  99. Immune landscape of hepatocellular carcinoma: The central role of TP53-inducible glycolysis and apoptosis regulator
  100. Serum SIRT3 levels in epilepsy patients and its association with clinical outcomes and severity: A prospective observational study
  101. SHP-1 mediates cigarette smoke extract-induced epithelial–mesenchymal transformation and inflammation in 16HBE cells
  102. Acute hyper-hypoxia accelerates the development of depression in mice via the IL-6/PGC1α/MFN2 signaling pathway
  103. The GJB3 correlates with the prognosis, immune cell infiltration, and therapeutic responses in lung adenocarcinoma
  104. Physical fitness and blood parameters outcomes of breast cancer survivor in a low-intensity circuit resistance exercise program
  105. Exploring anesthetic-induced gene expression changes and immune cell dynamics in atrial tissue post-coronary artery bypass graft surgery
  106. Empagliflozin improves aortic injury in obese mice by regulating fatty acid metabolism
  107. Analysis of the risk factors of the radiation-induced encephalopathy in nasopharyngeal carcinoma: A retrospective cohort study
  108. Reproductive outcomes in women with BRCA 1/2 germline mutations: A retrospective observational study and literature review
  109. Evaluation of upper airway ultrasonographic measurements in predicting difficult intubation: A cross-section of the Turkish population
  110. Prognostic and diagnostic value of circulating IGFBP2 in pancreatic cancer
  111. Postural stability after operative reconstruction of the AFTL in chronic ankle instability comparing three different surgical techniques
  112. Research trends related to emergence agitation in the post-anaesthesia care unit from 2001 to 2023: A bibliometric analysis
  113. Frequency and clinicopathological correlation of gastrointestinal polyps: A six-year single center experience
  114. ACSL4 mediates inflammatory bowel disease and contributes to LPS-induced intestinal epithelial cell dysfunction by activating ferroptosis and inflammation
  115. Affibody-based molecular probe 99mTc-(HE)3ZHER2:V2 for non-invasive HER2 detection in ovarian and breast cancer xenografts
  116. Effectiveness of nutritional support for clinical outcomes in gastric cancer patients: A meta-analysis of randomized controlled trials
  117. The relationship between IFN-γ, IL-10, IL-6 cytokines, and severity of the condition with serum zinc and Fe in children infected with Mycoplasma pneumoniae
  118. Paraquat disrupts the blood–brain barrier by increasing IL-6 expression and oxidative stress through the activation of PI3K/AKT signaling pathway
  119. Sleep quality associate with the increased prevalence of cognitive impairment in coronary artery disease patients: A retrospective case–control study
  120. Dioscin protects against chronic prostatitis through the TLR4/NF-κB pathway
  121. Association of polymorphisms in FBN1, MYH11, and TGF-β signaling-related genes with susceptibility of sporadic thoracic aortic aneurysm and dissection in the Zhejiang Han population
  122. Application value of multi-parameter magnetic resonance image-transrectal ultrasound cognitive fusion in prostate biopsy
  123. Laboratory variables‐based artificial neural network models for predicting fatty liver disease: A retrospective study
  124. Decreased BIRC5-206 promotes epithelial–mesenchymal transition in nasopharyngeal carcinoma through sponging miR-145-5p
  125. Sepsis induces the cardiomyocyte apoptosis and cardiac dysfunction through activation of YAP1/Serpine1/caspase-3 pathway
  126. Assessment of iron metabolism and iron deficiency in incident patients on incident continuous ambulatory peritoneal dialysis
  127. Tibial periosteum flap combined with autologous bone grafting in the treatment of Gustilo-IIIB/IIIC open tibial fractures
  128. The application of intravenous general anesthesia under nasopharyngeal airway assisted ventilation undergoing ureteroscopic holmium laser lithotripsy: A prospective, single-center, controlled trial
  129. Long intergenic noncoding RNA for IGF2BP2 stability suppresses gastric cancer cell apoptosis by inhibiting the maturation of microRNA-34a
  130. Role of FOXM1 and AURKB in regulating keratinocyte function in psoriasis
  131. Parental control attitudes over their pre-school children’s diet
  132. The role of auto-HSCT in extranodal natural killer/T cell lymphoma
  133. Significance of negative cervical cytology and positive HPV in the diagnosis of cervical lesions by colposcopy
  134. Echinacoside inhibits PASMCs calcium overload to prevent hypoxic pulmonary artery remodeling by regulating TRPC1/4/6 and calmodulin
  135. ADAR1 plays a protective role in proximal tubular cells under high glucose conditions by attenuating the PI3K/AKT/mTOR signaling pathway
  136. The risk of cancer among insulin glargine users in Lithuania: A retrospective population-based study
  137. The unusual location of primary hydatid cyst: A case series study
  138. Intraoperative changes in electrophysiological monitoring can be used to predict clinical outcomes in patients with spinal cavernous malformation
  139. Obesity and risk of placenta accreta spectrum: A meta-analysis
  140. Shikonin alleviates asthma phenotypes in mice via an airway epithelial STAT3-dependent mechanism
  141. NSUN6 and HTR7 disturbed the stability of carotid atherosclerotic plaques by regulating the immune responses of macrophages
  142. The effect of COVID-19 lockdown on admission rates in Maternity Hospital
  143. Temporal muscle thickness is not a prognostic predictor in patients with high-grade glioma, an experience at two centers in China
  144. Luteolin alleviates cerebral ischemia/reperfusion injury by regulating cell pyroptosis
  145. Therapeutic role of respiratory exercise in patients with tuberculous pleurisy
  146. Effects of CFTR-ENaC on spinal cord edema after spinal cord injury
  147. Irisin-regulated lncRNAs and their potential regulatory functions in chondrogenic differentiation of human mesenchymal stem cells
  148. DMD mutations in pediatric patients with phenotypes of Duchenne/Becker muscular dystrophy
  149. Combination of C-reactive protein and fibrinogen-to-albumin ratio as a novel predictor of all-cause mortality in heart failure patients
  150. Significant role and the underly mechanism of cullin-1 in chronic obstructive pulmonary disease
  151. Ferroptosis-related prognostic model of mantle cell lymphoma
  152. Observation of choking reaction and other related indexes in elderly painless fiberoptic bronchoscopy with transnasal high-flow humidification oxygen therapy
  153. A bibliometric analysis of Prader-Willi syndrome from 2002 to 2022
  154. The causal effects of childhood sunburn occasions on melanoma: A univariable and multivariable Mendelian randomization study
  155. Oxidative stress regulates glycogen synthase kinase-3 in lymphocytes of diabetes mellitus patients complicated with cerebral infarction
  156. Role of COX6C and NDUFB3 in septic shock and stroke
  157. Trends in disease burden of type 2 diabetes, stroke, and hypertensive heart disease attributable to high BMI in China: 1990–2019
  158. Purinergic P2X7 receptor mediates hyperoxia-induced injury in pulmonary microvascular endothelial cells via NLRP3-mediated pyroptotic pathway
  159. Investigating the role of oviductal mucosa–endometrial co-culture in modulating factors relevant to embryo implantation
  160. Analgesic effect of external oblique intercostal block in laparoscopic cholecystectomy: A retrospective study
  161. Elevated serum miR-142-5p correlates with ischemic lesions and both NSE and S100β in ischemic stroke patients
  162. Correlation between the mechanism of arteriopathy in IgA nephropathy and blood stasis syndrome: A cohort study
  163. Risk factors for progressive kyphosis after percutaneous kyphoplasty in osteoporotic vertebral compression fracture
  164. Predictive role of neuron-specific enolase and S100-β in early neurological deterioration and unfavorable prognosis in patients with ischemic stroke
  165. The potential risk factors of postoperative cognitive dysfunction for endovascular therapy in acute ischemic stroke with general anesthesia
  166. Fluoxetine inhibited RANKL-induced osteoclastic differentiation in vitro
  167. Detection of serum FOXM1 and IGF2 in patients with ARDS and their correlation with disease and prognosis
  168. Rhein promotes skin wound healing by activating the PI3K/AKT signaling pathway
  169. Differences in mortality risk by levels of physical activity among persons with disabilities in South Korea
  170. Review Articles
  171. Cutaneous signs of selected cardiovascular disorders: A narrative review
  172. XRCC1 and hOGG1 polymorphisms and endometrial carcinoma: A meta-analysis
  173. A narrative review on adverse drug reactions of COVID-19 treatments on the kidney
  174. Emerging role and function of SPDL1 in human health and diseases
  175. Adverse reactions of piperacillin: A literature review of case reports
  176. Molecular mechanism and intervention measures of microvascular complications in diabetes
  177. Regulation of mesenchymal stem cell differentiation by autophagy
  178. Molecular landscape of borderline ovarian tumours: A systematic review
  179. Advances in synthetic lethality modalities for glioblastoma multiforme
  180. Investigating hormesis, aging, and neurodegeneration: From bench to clinics
  181. Frankincense: A neuronutrient to approach Parkinson’s disease treatment
  182. Sox9: A potential regulator of cancer stem cells in osteosarcoma
  183. Early detection of cardiovascular risk markers through non-invasive ultrasound methodologies in periodontitis patients
  184. Advanced neuroimaging and criminal interrogation in lie detection
  185. Maternal factors for neural tube defects in offspring: An umbrella review
  186. The chemoprotective hormetic effects of rosmarinic acid
  187. CBD’s potential impact on Parkinson’s disease: An updated overview
  188. Progress in cytokine research for ARDS: A comprehensive review
  189. Utilizing reactive oxygen species-scavenging nanoparticles for targeting oxidative stress in the treatment of ischemic stroke: A review
  190. NRXN1-related disorders, attempt to better define clinical assessment
  191. Lidocaine infusion for the treatment of complex regional pain syndrome: Case series and literature review
  192. Trends and future directions of autophagy in osteosarcoma: A bibliometric analysis
  193. Iron in ventricular remodeling and aneurysms post-myocardial infarction
  194. Case Reports
  195. Sirolimus potentiated angioedema: A case report and review of the literature
  196. Identification of mixed anaerobic infections after inguinal hernia repair based on metagenomic next-generation sequencing: A case report
  197. Successful treatment with bortezomib in combination with dexamethasone in a middle-aged male with idiopathic multicentric Castleman’s disease: A case report
  198. Complete heart block associated with hepatitis A infection in a female child with fatal outcome
  199. Elevation of D-dimer in eosinophilic gastrointestinal diseases in the absence of venous thrombosis: A case series and literature review
  200. Four years of natural progressive course: A rare case report of juvenile Xp11.2 translocations renal cell carcinoma with TFE3 gene fusion
  201. Advancing prenatal diagnosis: Echocardiographic detection of Scimitar syndrome in China – A case series
  202. Outcomes and complications of hemodialysis in patients with renal cancer following bilateral nephrectomy
  203. Anti-HMGCR myopathy mimicking facioscapulohumeral muscular dystrophy
  204. Recurrent opportunistic infections in a HIV-negative patient with combined C6 and NFKB1 mutations: A case report, pedigree analysis, and literature review
  205. Letter to the Editor
  206. Letter to the Editor: Total parenteral nutrition-induced Wernicke’s encephalopathy after oncologic gastrointestinal surgery
  207. Erratum
  208. Erratum to “Bladder-embedded ectopic intrauterine device with calculus”
  209. Retraction
  210. Retraction of “XRCC1 and hOGG1 polymorphisms and endometrial carcinoma: A meta-analysis”
  211. Corrigendum
  212. Corrigendum to “Investigating hormesis, aging, and neurodegeneration: From bench to clinics”
  213. Corrigendum to “Frankincense: A neuronutrient to approach Parkinson’s disease treatment”
  214. Special Issue The evolving saga of RNAs from bench to bedside - Part II
  215. Machine-learning-based prediction of a diagnostic model using autophagy-related genes based on RNA sequencing for patients with papillary thyroid carcinoma
  216. Unlocking the future of hepatocellular carcinoma treatment: A comprehensive analysis of disulfidptosis-related lncRNAs for prognosis and drug screening
  217. Elevated mRNA level indicates FSIP1 promotes EMT and gastric cancer progression by regulating fibroblasts in tumor microenvironment
  218. Special Issue Advancements in oncology: bridging clinical and experimental research - Part I
  219. Ultrasound-guided transperineal vs transrectal prostate biopsy: A meta-analysis of diagnostic accuracy and complication rates
  220. Assessment of diagnostic value of unilateral systematic biopsy combined with targeted biopsy in detecting clinically significant prostate cancer
  221. SENP7 inhibits glioblastoma metastasis and invasion by dissociating SUMO2/3 binding to specific target proteins
  222. MARK1 suppress malignant progression of hepatocellular carcinoma and improves sorafenib resistance through negatively regulating POTEE
  223. Analysis of postoperative complications in bladder cancer patients
  224. Carboplatin combined with arsenic trioxide versus carboplatin combined with docetaxel treatment for LACC: A randomized, open-label, phase II clinical study
  225. Special Issue Exploring the biological mechanism of human diseases based on MultiOmics Technology - Part I
  226. Comprehensive pan-cancer investigation of carnosine dipeptidase 1 and its prospective prognostic significance in hepatocellular carcinoma
  227. Identification of signatures associated with microsatellite instability and immune characteristics to predict the prognostic risk of colon cancer
  228. Single-cell analysis identified key macrophage subpopulations associated with atherosclerosis
Heruntergeladen am 2.10.2025 von https://www.degruyterbrill.com/document/doi/10.1515/med-2024-1054/html
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