Comportamentos alimentares medeiam a relação entre estresse percebido e medidas antropométricas relacionadas à obesidade em adultos jovens
Palavras-chave:
Medidas antropométricas, Comportamento alimentar, Obesidade, Estresse percebido, Estudantes universitáriosResumo
Objetivo
O objetivo do presente estudo foi investigar a associação do estresse percebido, dos comportamentos alimentares e das medidas antropométricas relacionadas à obesidade em universitários.
Métodos
Um estudo transversal foi realizado com 658 estudantes universitários (128 homens, 530 mulheres). Por meio de um questionário, indagou-se sobre as características sociodemográficas, alguns hábitos alimentares, estresse percebido com Perceived Stress Scale-14, comportamentos alimentares com o Dutch Eating Behavior Questionnaire e medidas antropométricas e medidas por pesquisadores.
Resultados
O estresse percebido foi maior em participantes pré-obesos/obesos em comparação ao baixo peso e normais (p<0.001). A alimentação emocional e externa foi maior nos participantes pré-obesos/obesos em relação aos demais (p<0.001). Além disso, a pontuação total Perceived Stress Scale-14 foi determinada significativamente correlacionada ao índice de massa corporal (r=0.245, p<0.001), circunferência do quadril (r=0.223, p<0.001), circunferência do braço (r=0.248, p<0.001), e dobra cutânea tricipital (r=0.178, p<0.001). Ademais, quando o efeito dos mediadores foi levado em consideração, a relação positiva entre o escore de estresse percebido e o índice de massa corporal foi mantida (β=0.358, IC 95% [0.185, 0.531], p <0.001). O aumento do escore Dutch Eating Behavior Questionnaire teve um efeito mediado nessa relação (β=0.073, IC 95% [0.056, 0.091], p<0.001).
Conclusão
Os resultados deste estudo indicam que há uma relação significativa entre estresse percebido, comportamentos alimentares e medidas antropométricas relacionadas à obesidade em estudantes universitários. Melhorar as estratégias de enfrentamento do estresse para os indivíduos pode acurar os comportamentos alimentares e reduzir o risco de obesidade.
Referências
Aljunid SM. Obesity, a costly epidemic. In: Al-Sabah S, Aminian A, Angrisani L, Al Haddad E, Kow L, editors. Laparoscopic Sleeve Gastrectomy. Switzerland: Springer; 2021. p. 13-22.
Gazda C, Almandoz JP. Obesity management and prevention of cardiovascular disease. ASPC Man Prev Cardiol. 2021;119-48.
Hales CM, Fryar CD, Carroll MD, Freedman DS, Aoki Y, Ogden CL. Differences in obesity prevalence by demographic characteristics and urbanization level among adults in the United States, 2013-2016. J Am Med Assoc. 2018;319(23):2419-29.
Nittari G, Scuri S, Petrelli F, Pirillo I, Di Luca NM, Grappasonni I. Fighting obesity in children from European world health organization member states. Epidemiological data, medical-social aspects, and prevention programs. Clin Ter. 2019;170(3):E223-30.
Medvedyuk S, Ali A, Raphael D. Ideology, obesity and the social determinants of health: A critical analysis of the obesity and health relationship. Crit Public Health. 2018;28(5):573-85.
Rand K, Vallis M, Aston M, Price S, Piccinini-Vallis H, Rehman L, et al. “It is not the diet; it is the mental part we need help with.” A multilevel analysis of psychological, emotional, and social well-being in obesity. Int J Qual Stud Health Well-being. 2017;12(1):1306421.
Vaamonde JG, Álvarez-Món MA. Obesity and overweight [Internet]. Geneva: Organization; 2023 Mar 1 [cited 2023 Mar 3]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-andoverweight
Centers for Disease Control and Prevention. Adult Obesity Facts [Internet]. Atlanta: U.S. Department of Health & Human Services; 2015 [cited 2023 Mar 3]. Available from: http://www.cdc.gov/obesity/data/adult.html
World Health Organization. WHO European Regional Obesity Report 2022 [Internet]. Copenhagen: WHO Regional Office for Europe; 2022 [cited 2023 Mar 3]. Available from: https://www.who.int/europe/publications/i/item/9789289057738
Türkiye Cumhuriyeti Sağlık Bakanlığı Türkiye Beslenme ve Sağlık Araştırması [Internet]. Ankara: Başkent University; 2019 [cited 2023 Mar 3]. Available from: https://krtknadmn.karatekin.edu.tr/files/sbf/TBSA_RAPOR_KITAP_20.08.pdf
Al Houri HN, Jomaa S, Arrouk DMN, Nassif T, Al Ata Allah MJ, Al Houri AN, et al. The prevalence of stress among medical students in Syria and its association with social support: A cross-sectional study. BMC Psychiatry. 2023;23(1):1-13.
Homan KJ, Sirois FM. Self-compassion and physical health: Exploring the roles of perceived stress and health-promoting behaviors. Heal Psychol Open. 2017;4(2):2055102917729542.
Jain P. A Correlational Analysis of Academic Stress in Adolescents in Respect of Socio-Economic Status. Int J Phys Sci Eng. 2017;1(1):59-61.
Hsu T, Raposa EB. Effects of stress on eating behaviours in adolescents: A daily diary investigation. Psychol Heal. 2021;36(2):236-51.
Chan JA, Koster A, Eussen SJ, Pinho MGM, Lakerveld J, Stehouwer CD, et al. The association between the food environment and adherence to healthy diet quality: The Maastricht Study. Public Health Nutr. 2023;26(9):1775-83.
Myers CA. Impact of the neighborhood food environment on dietary intake and obesity: A review of the recent literature. Curr Diab Rep. 2023;23(12):371-86.
Hewagalamulage SD, Lee TK, Clarke IJ, Henry BA. Stress, cortisol, and obesity: A role for cortisol responsiveness in identifying individuals prone to obesity. Domest Anim Endocrinol. 2016;56:S112-20.
Maniaci G, La Cascia C, Giammanco A, Ferraro L, Palummo A, Saia GF, et al. The impact of healthy lifestyles on academic achievement among Italian adolescents. Curr Psychol. 2023;42(6):5055-61.
Sominsky L, Spencer SJ. Eating behavior and stress: A pathway to obesity. Front Psychol. 2014;5:434. 20. van der Valk ES, Savas M, van Rossum EFC. Stress and Obesity: Are there more susceptible individuals? Curr Obes Rep. 2018;7(2):193-203.
Jääskeläinen A, Nevanperä N, Remes J, Rahkonen F, Järvelin MR, Laitinen J. Stress-related eating, obesity and associated behavioural traits in adolescents: A prospective population-based cohort study. BMC Public Health. 2014;14(1):1-14.
Moore AM, Fisher JO, Morris KS, Croce CM, Paluch RA, Kong KL. Frequency of sweet and salty snack food consumption is associated with higher intakes of overconsumed nutrients and weight-for-length z scores during infancy and toddlerhood. Journal of the Academy of Nutrition and Dietetics. 2022;122(8):1534-42.
Schweren LJS, Larsson H, Vinke PC, Li L, Kvalvik LG, Arias-Vasquez A, et al. Diet quality, stress and common mental health problems: A cohort study of 121,008 adults. Clin Nutr. 2021;40(3):901-6.
Sproesser G, Schupp HT, Renner B. The Bright Side of Stress-Induced Eating: Eating More When Stressed but Less When Pleased. Psychol Sci. 2014;25(1):58-65.
Richards AL, Specker B. Evaluating hours of sleep and perceived stress on dietary cognitive restraint in a survey of college students. J Am Coll Health. 2021;68(8):824-31.
Smith AD, Sanchez N, Reynolds C, Casamassima M, Verros M, Annameier SK, et al. Associations of parental feeding practices and food reward responsiveness with adolescent stress-eating. Appetite. 2020;152:104715.
Araiza AM, Lobel M. Stress and eating: Definitions, findings, explanations, and implications. Soc Personal Psychol Compass. 2018;12(4):e12378.
Varela C, Andrés A, Saldaña C. The behavioral pathway model to overweight and obesity: Coping strategies, eating behaviors and body mass index. Eat Weight Disord. 2020;25:1277-83.
Schultchen D, Reichenberger J, Mittl T, Weh TRM, Smyth JM, Blechert J, et al. Bidirectional relationship of stress and affect with physical activity and healthy eating. Br J Health Psychol. 2019;24(2):315-33.
Diggins A, Woods-Giscombe C, Waters S. The association of perceived stress, contextualized stress, and emotional eating with body mass index in college-aged Black women. Eat Behav. 2015;19:188-92.
van Strien T, Frijters JER, Bergers GPA, Defares PB. The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. Int J Eat Disord. 1986;5(2):295-315.
Bozan N, Bas M, Asci FH. Psychometric properties of Turkish version of Dutch Eating Behaviour Questionnaire (DEBQ). A preliminary results. Appetite. 2011;56(3):564-6.
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-96.
Eskin M, Harlak H, Demirkıran F, Dereboy Ç. Algılanan stres ölçeğinin Türkçeye uyarlanması: Güvenirlik ve geçerlik analizi. New/Yeni Symp Journal. 2013;132-40. https://www.neuropsychiatricinvestigation.org/Content/files/sayilar/pdf/TR-YeniSempozyum-c1d2631c.PDF
World Health Organization. Obesity: Preventing and managing the global epidemic. Report of a WHO consultation [Internet]. Geneva: Organization; 2000 [cited 2023 Mar 3]. Available from: http://www.who.int/entity/nutrition/publications/obesity/WHO_TRS_894/en/index.html
World Health Organization. WHO | Waist Circumference and Waist–Hip Ratio. Report of a WHO Expert Consultation [Internet]. Geneva: Organization; 2008 [cited 2023 Mar 3] Available from: https://www.who.int/publications/i/item/9789241501491
Harding JL, Backholer K, Williams ED, Peeters A, Cameron AJ, Hare MJL, et al. Psychosocial stress is positively associated with body mass index gain over 5 years: Evidence from the longitudinal AusDiab study. Obesity. 2014;22(1):277-86.
Kim H, Jeon HJ, Bae JN, Cho MJ, Cho SJ, Lee H, et al. Association of body mass index with suicide behaviors, perceived stress, and life dissatisfaction in the Korean general population. Psychiatry Investig. 2018;15(3):272-8.
Boyce JA, Kuijer RG. Perceived stress and freshman weight change: The moderating role of baseline body mass index. Physiol Behav. 2015;139:491-6.
Hootman KC, Guertin KA, Cassano PA. Stress and psychological constructs related to eating behavior are associated with anthropometry and body composition in young adults. Appetite. 2018;125:287-94.
Harding JL, Backholer K, Williams ED, Peeters A, Cameron AJ, Hare MJ, Shaw JE, Magliano DJ. Psychosocial stress is positively associated with body mass index gain over 5 years: Evidence from the longitudinal AusDiab study. Obesity. 2014;22: 277-286.
Mehlig K, Nehmtallah T, Rosvall M, Hunsberger M, Rosengren A, Lissner L. Negative life events predict weight gain in a 13-year follow-up of an adult Swedish population. J Psychosom Res. 2020;132:109973.
Magnavita N. Work-related psychological injury is associated with metabolic syndrome components in apparently healthy workers. Plos One. 2015;10(6):e0130944.
Yoon SJ, Kim HJ, Doo M. Association between perceived stress, alcohol consumption levels and obesity in Koreans. Asia Pac J Clin Nutr. 2016;25(2):316-25.
Doostfatemeh M, Haem E, Sarbaraninan M, Ajdari Tafti M. Multidimensional item Response theory to assess the psychometric properties of persian version of dutch eating behavior questionnaire (DEBQ) in university students. Curr Psychol. 2023;42:13400-10.
Akdevelioğlu Y, Yörüsün TÖ. Üniversite öğrencilerinin yeme tutum ve davranişlarina ilişkin bazi faktörlerin incelenmesi. Gazi Sağlık Bilim Derg. 2019;4(1):19-28.
Tazeoğlu A, Ayten Ş, Tazeoğlu D. Üniversite öğrencilerinin yeme davranışlarının Hollanda Yeme Davranışı Anketi (DEBQ) ile değerlendirilmesi: Osmaniye Korkut Ata Üniversitesi Örneği. Turkish J Clin Lab. 2020;11(5):429-35.
Aydın-Çil M, Caferoğlu Z, Bilgi P. Üniversite Öğrencilerinde Diyet Kalitesinin ve Yeme Davranışının Antropometrik Ölçümler ile İlişkisi. ACU Saglik Bil Derg. 2020;11(1):61-7.
Ayyıldız F, Ülker İ, Yıldıran H. Hedonik Açlık ve Yeme Davranışı İlişkisinin Farklı Beden Kütlelerine Yansıması. Bes Diy Derg. 2021;49(2):9-17.
Elçi-Boğaz M, Kutlu R, Ci̇han FG. Obezite ile yeme davranışı, beden algısı ve benlik saygısı arasındaki ilişki.
Cukurova Med J. 2019;44(3):1064-73.
Houshyari S, Kalkan İ. Üniversite Öğrencilerinin Yeme Tutumu, Davranışları ve Fiziksel Aktivite Düzeyinin Değerlendirilmesi. Aydın Sağlık Derg. 2019;5(2):121-32.
van Strien T, Herman CP, Verheijden MW. Dietary restraint and body mass change. A 3-year follow up study in a representative Dutch sample. Appetite. 2014;76:44-9.
Benbaibeche H, Saidi H, Bounihi A, Koceir EA. Emotional and external eating styles associated with obesity. J Eat Disord. 2023;11(1):1-7.
van Strien T. Causes of Emotional Eating and Matched Treatment of Obesity. Curr Diab Rep. 2018;18(6):1-8.
van Strien T, Konttinen HM, Ouwens MA, van de Laar FA, Winkens LHH. Mediation of emotional and external eating between dieting and food intake or BMI gain in women. Appetite. 2020;145:104493.
Baños RM, Cebolla A, Moragrega I, van Strien T, Fernández-Aranda F, Agüera Z, et al. Relationship between eating styles and temperament in an Anorexia Nervosa, Healthy Control, and Morbid Obesity female sample. Appetite. 2014;76:76-83.
Wiss D, Brewerton T. Separating the signal from the noise: How psychiatric diagnoses can help discern food addiction from dietary restraint. Nutrients. 2020;12(10):1-28.
Liu Y, Zhang L, Jackson T, Wang J, Yang R, Chen H. Effects of negative mood state on event-related potentials of restrained eating subgroups during an inhibitory control task. Behav Brain Res. 2020;377:112249.
Polivy J, Herman CP. Overeating in restrained and unrestrained eaters. Front Nutr. 2020;19;7:30.
Sinha R. Role of addiction and stress neurobiology on food intake and obesity. Biol Psychol. 2018;131:5-13.
Järvelä-Reijonen E, Karhunen L, Sairanen E, Rantala S, Laitinen J, Puttonen S, et al. High perceived stress is associated with unfavorable eating behavior in overweight and obese Finns of working age. Appetite. 2016;103:249-58.
Barrington WE, Beresford SAA, McGregor BA, White E. Perceived stress and eating behaviors by sex, obesity status, and stress vulnerability: Findings from the Vitamins and Lifestyle (VITAL) Study. J Acad Nutr Diet. 2014;114(11):1791-9.
Ohara K, Mase T, Kouda K, Miyawaki C, Momoi K, Fujitani T, et al. Association of anthropometric status, perceived stress, and personality traits with eating behavior in university students. Eat Weight Disord. 2019;24(3):521-31.
Penaforte FR, Matta NC, Japur CC. Association between stress and eating behavior in college students. Demetra. 2016;11(1):225-38.
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