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Associations Between Mukbang Watching and Appetite, Nutrition, and Quality of Life in Pediatric Patients with Cancer:
Yuxue Xiao1, Jiani Wang1,2, Ting Zhong3
1School of Nursing, Sun Yat-sen University, RM 613, Block of School of Nursing, Sun Yat-Sen University North Campus, No. 74, 2nd Yat-Sen Road,Yuexiu District, Guangzhou, 510080, China, 86 020-87334851.
Insights
Mukbang watching helped maintain appetite in children with cancer undergoing treatment. While quality of life improved initially, long-term effects require further study, especially regarding the virtual-physical reality gap.
Area of Science:
- Oncology
- Pediatrics
- Nutrition Science
- Psychology
Background:
- Malnutrition and diminished appetite are common challenges for pediatric cancer patients.
- Mukbang, an online eating show genre, is increasingly used by hospitalized children.
- This study investigates the impact of mukbang on children with cancer.
Purpose of the Study:
- To assess the association between mukbang watching and appetite in pediatric cancer patients.
- To evaluate the relationship between mukbang consumption and nutritional status.
- To determine the effect of mukbang viewing on the quality of life for children with cancer.
Main Methods:
- An intensive longitudinal study of 179 children undergoing cancer treatment in Guangzhou, China.
- Daily data collection on mukbang watching and appetite for 5 consecutive days.
- Assessment of nutrition and quality of life pre- and post-treatment using latent class analysis and generalized estimating equation (GEE) models.
Main Results:
- 63.7% of participants watched mukbang, categorized into low, medium, and high viewing classes.
- Medium and high mukbang consumption correlated with better appetite maintenance over time.
- No significant association was found between mukbang watching and nutritional status.
- Higher quality of life was observed in medium and high mukbang classes, but low and medium classes showed greater declines over time.
Conclusions:
- Medium- and high-frequency mukbang watching is linked to improved appetite maintenance in pediatric cancer patients.
- While mukbang may aid appetite management, its long-term impact on quality of life needs careful consideration.
- Future research should explore the psychological aspects of the virtual stimulation versus physical reality in this context.
Background:
Malnutrition is prevalent among children with cancer and is often exacerbated by diminished appetite. To combat this, hospitalized children are increasingly adopting mukbang, a popular online eating show genre.
Objective:
This study aimed to assess the associations between mukbang watching and appetite, nutrition, and quality of life in children with cancer.
Methods:
From September 2022 to June 2023, an intensive longitudinal study involved 179 children undergoing radiotherapy or chemotherapy at 2 tertiary hospitals in Guangzhou, China. Daily mukbang watching and appetite data were collected for 5 consecutive days. Nutrition and quality of life were assessed pretreatment and posttreatment. Latent class analysis and generalized estimating equation (GEE) models were used. Sensitivity analyses were conducted by stratifying participants based on baseline appetite levels using adjusted GEE models.
Results:
Among participants, 63.7% (114/179) watched mukbang during hospitalization, forming low (C2), medium (C3), and high (C4) watching classes. The adjusted appetite GEE model indicated a significant interaction effect of time × class in both the medium (β=0.08, 95% CI 0.02-0.13; P=.006) and high classes (β=0.10, 95% CI 0.04-0.17; P=.003). No significant association was observed between mukbang watching and nutritional status over time. A significantly higher quality of life was observed in the medium (β=19.18, 95% CI 7.84-30.53; P=.001) and high (β=13.63, 95% CI 1.15-26.12; P=.03) classes compared to the never class, with significant negative interactions of time × class observed in the low (β=-7.58, 95% CI -14.78 to -0.37; P=.04) and medium classes (β=-14.00, 95% CI -22.06 to -5.94; P=.001). Sensitivity analyses confirmed that appetite maintenance was robust across baseline appetite subgroups.
Conclusions:
Medium- and high-frequency mukbang watching were associated with better appetite maintenance over time among children undergoing treatment. Medium and high classes showed higher overall quality of life compared to the never class; however, the low and medium classes exhibited greater declines over time. These findings suggest the potential for mukbang in appetite-related symptom management while highlighting the need to address the psychological gap between virtual stimulation and physical reality in future research.
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