Determinantes de comportamentos alimentares desordenados
índice de massa corporal, alimentação emocional, restrição alimentar e motivos para comer alimentos palatáveis
Palavras-chave:
Regulamentos de apetite, Atitudes, Comportamento alimentar, Distúrbios alimentares, EmoçãoResumo
Objetivo
O objetivo do estudo foi investigar as relações entre o índice de massa corporal, as razões para consumir alimentos palatáveis, o comer emocional, a restrição alimentar cognitiva e os comportamentos de desordem alimentar em jovens adultos.
Métodos
Este estudo foi realizado com 800 jovens adultos, em Ancara, na Turquia. Foi aplicado um questionário composto por perguntas sobre características sociodemográficas, estado de saúde e instrumentos, incluindo o Eating Attitudes Test-26, o Emotional Appetite Questionnaire, a Palatable Eating Motives Scale e o The Three-Fator Eating Questionnaire, através de entrevistas presenciais.
Resultados
De acordo com o Eating Attitudes Test-26, 17,2% dos homens e 27,7% das mulheres estavam em risco de desenvolver comportamentos alimentares desordenados (χ2=9,750, p=0,002). As pontuações médias do Three-Fator Eating Questionnaire-emotional eating, as subescalas de restrição cognitiva e as pontuações positivas e negativas do Emotional Appetite Questionnaire foram mais elevadas no sexo masculino do que no feminino (p<0,05). As pontuações médias da Palatable Eating Motives Scale - motivos de coping e de aumento da recompensa - foram mais elevadas no sexo feminino, enquanto a pontuação média para os motivos de conformidade foi significativamente mais elevada no sexo masculino. O índice de massa corporal, o Three-Fator Eating Questionnaire-subescala de contenção cognitiva, o Emotional Appetite Questionnaire-negativo e o PEMS-motores de conformidade foram encontrados como preditores do Eating Attitudes Test-26 (todos p<0,05).
Conclusão
Os resultados mostraram uma elevada tendência para a alimentação emocional, o consumo de alimentos palatáveis e a restrição alimentar cognitiva em adultos jovens, sendo estes factores considerados determinantes para as perturbações alimentares.
Referências
World Health Organization. Obesity and overweight [Internet]. Geneva: Organization; 2021 June 9 [cited 2021 Dec 14]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Coumans JMJ, Danner UN, Intemann T, De Decker A, Hadjigeorgiou C, Hunsberger M, et al. Emotion-driven impulsiveness and snack food consumption of European adolescents: Results from the I. Family study. Appetite. 2018;123:152-9.
guiar-Bloemer AC, Palazzo CC, Diez-Garcia RW. Relationship of negative emotion with leptin and food intake among overweight women. Physiol Behav. 2021;237:113457.
Boggiano MM. Palatable Eating Motives Scale in a college population: Distribution of scores and scores associated with greater BMI and binge-eating. Eat Behav. 2016;21:95-8.
Wong L, Stammers L, Churilov L, Price S, Ekinci E, Sumithran P. Emotional eating in patients attending a specialist obesity treatment service. Appetite. 2020;151:104708.
Yoon C, Simone M, Masona S, Neumark-Sztainera D. A single summative global scale of disordered eating attitudes and behaviors: Findings from Project EAT, a 15-year longitudinal population based study. Eat Behav. 2020;39:101418.
Côté M, Gagnon-Girouard MP, Sabourin S, Bégin C. Emotion suppression and food intake in the context of a couple discussion: A dyadic analysis. Appetite. 2018;120:109-14.
Singh A, Dhanasekaran D, Ganamurali N, Preethi L, Sabarathinam S. Junk food-induced obesity - a growing threat to youngsters during the pandemic. Obes Med. 202;26:100364.
Academy of Nutrition and Dietetics. What is disordered eating? [Internet]. Washington: Academy of Nutrition and Dietetics; 2018 Oct 26 [cited 2021 Dec 15]. Available from: https://www.eatright.org/health/diseases-and-conditions/eating-disorders/what-is-disordered-eating
Zhang J, Wang Y, Wu C, He J. The relationship between emotional intelligence and eating disorders or disordered eating behaviors: a meta-analysis. Pers Individ Dif. 2022;185:111239.
Reichenberger J, Schnepper R, Arend AK, Blechert J. Emotional eating in healthy individuals and patients with an eating disorder: evidence from psychometric, experimental and naturalistic studies. Proc Nutr Soc. 2020;79(3):290-9.
Gonzalez CEF, Chavez-Servin JL, de la Carbot K, Gonzalez DR, Barreiro MDLAA, Navarro LRO. Relationship between emotional eating, consumption of hyperpalatable energy-dense foods, and indicators of nutritional status: a systematic review. J Obes. 2022;1:1-11.
Hasan H, Shihab KA, Mohammad Z, Jahan H, Coussa A, Faris ME. Associations of smartphone addiction, chronotype, sleep quality, and risk of eating disorders among university students: a cross-sectional study from Sharjah/United Arab Emirates. Heliyon. 2023;9(1):e12882.
Miraj M, Kashoo F, Saleem S, Alzhrani M, Alanazi A, Alzahrani H, et al. Prevalence of night eating syndrome associated with psychological disorders among university students: a metaanalysis. J King Saud Univ Sci. 2022;34(5):102031.
Savasır I, Erol N. Yeme tutum testi: anoreksiya nervosa belirtileri indeksi. Psikoloji Dergisi 1989;7:19-25.
Garner DM, Olmsted MP, Bohr Y, Garfinkel PE. The eating attitudes test: psychometric features and clinical correlates. Psychol Med. 1982;12:871-8.
Nolan LJ, Halperin LB, Geliebter A. Emotional appetite questionnaire. Construct validity and relationship with BMI. Appetite. 2010;54(2):314-9.
Demirel B, Yavuz KF, Karadere ME, Şafak Y, Türkçapar MH. Duygusal iştah anketi’nin türkçe geçerlik ve güvenilirliği, beden kitle indeksi ve duygusal şemalarla ilişkisi. J Cog Behavioral Psycho Research. 2014;3:171-81.
And A, Sylvester MD, Turan B, Irak DU, Ray MK, Boggiano MM. The Turkish Palatable Eating Motives Scale (T-PEMS): utility in predicting binge-eating eating and obesity risk in university students. Eat Weight Disord. 2018;23(4):527-31.
Karlsson J, Persson JO, Sjoestroem J, Sullivan M. Psychometric properties and factor structure of the Three-Factor Eating Questionnaire (TFEQ) in obese men and women. Results from the Swedish Obese Subjects (SOS) Study. Int J Obesity. 2000;24:1715-25.
Stunkard AJ, Messick S. The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res. 1985;29:71-83.
Kıraç D, Kaspar EÇ, Avcılar T, Çakır ÖK, Ulucan K, Kurtel H, et al. Obeziteyle ilişkili beslenme alışkanlıklarının araştırılmasında yeni bir yöntem “Üç Faktörlü Beslenme Anketi”. Clin Exp Health Sci. 2015;5(3):162-9.
Tavolacci MP, Ladner J, Dechelotte P. Sharp Increase in Eating Disorders among University Students since the COVID-19 Pandemic. Nutrients. 2021;13(10):3415.
Kabakuş Aykut M, Bilici S. The relationship between the risk of eating disorder and meal patterns in University students. Eat Weight Disord. 2021;27(2):579-87.
Al Banna H, Brazendale K, Khan SI, Sayeed A, Hasan MT, Kundu S. Association of overweight and obesity with the risk of disordered eating attitudes and behaviors among Bangladeshi university students. Eat Behav. 2021;40:101474.
Clauss N, Byrd-Craven J. Exposure to a sex-specific stressor mitigates sex differences in stress-induced eating. Physiol Behav. 2019;202:26-35.
Alhazmi AH, Al Johani A. Prevalence and associated factors of eating disorders among students in Taiba University, Saudi Arabia: a cross-sectional study. Malaysian J Public Health Med. 2019;19(1):172-6.
Bryant EJ, Rehman J, Pepper LB, Walters ER. Obesity and eating disturbance: the role of TFEQ restraint and disinhibition. Curr Obes Rep. 2019;8:363-72.
van Strien T. Causes of emotional eating and matched treatment of obesity. Curr Diab Rep. 2018;18:35.
Kowalkowska J, Poínhos R. eating behaviour among university students: relationships with age, socioeconomic status, physical activity, body mass index, waist-to-height ratio and social desirability. Nutrients. 2021;13:3622.
Costa ML, Costa MGO, Souza MFC, Silva DG, Santos Vieira DA, Mendes-Netto RS. Cognitive restraint, emotional eating and uncontrolled eating: exploring factors associated with the cycle of behaviors during the COVID-19 pandemic. Food Qual Prefer. 2022;100:104579.
Zambrowicz R, Schebendach J, Sysko R, Mayer LES, Walsh BT, Steinglass JE. Relationship between three factor eating questionnaire-restraint subscale and food intake. Int J Eat Disord. 2019;52:255-60.
Kenny PJ. Reward deficits in compulsive eating. In: Cottone P, Sabino V, Moore CF, Koob GF, editors. Compulsive eating behavior and food addiction: emerging pathological constructs. Boston: Elsevier Academic Press; 2019. p. 97-113.
Suwalska J, Bogdanski P. Social modeling and eating behavio – a narrative review. Nutrients. 2021;13(4):1209.
Bilici S, Ayhan B, Karabudak E, Koksal E. Factors affecting emotional eating and eating palatable food in adults. Nutr Res Pract. 2020;14(1):70-5.
Galmiche M, Dechelotte P, Lambert G, Tavolacci MP. Prevalence of eating disorders over the 2000–2018 period: a systematic literature review. Am J Clin Nutr. 2019;109(5):1402-13.
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Copyright (c) 2023 Hande MORTAŞ, Semra NAVRUZ-VARLI, Saniye BILICI
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