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Karamizadeh M, Akbarzadeh M, Pourghassem Gargari B, Mahdavi R, Nikniaz Z. Association between hedonic hunger and body mass index in adults: A systematic review and meta-analysis. Appetite 2024; 199:107395. [PMID: 38718576 DOI: 10.1016/j.appet.2024.107395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2023] [Revised: 05/01/2024] [Accepted: 05/02/2024] [Indexed: 06/01/2024]
Abstract
Hedonic hunger has been proposed as one of the important causes of obesity in recent years. In the present study, we systematically reviewed and meta-analyzed the relationship between hedonic hunger and body mass index (BMI) in healthy adults. PubMed, Web of Science, and Scopus were searched until January 19, 2023. All English-language original observational studies conducted on healthy adult subjects, which used the Power of Food Scale (PFS) to evaluate hedonic hunger were included. Quality assessment was done using the Joanna Briggs Institute checklist, and StataMP-17 software was used for the meta-analysis. After screening, 25 observational studies with a total of 14457 participants were included. Twenty-four studies were cross-sectional, and one was a cohort study. Twenty-two studies examined both sexes, two studies were conducted only on women, and one study conducted analysis separately on men and women. The results of the meta-analysis showed a positive and significant association between hedonic hunger and BMI with a small effect size (r = 0.13, 95% CI: 0.08, 0.18). In addition, a positive significant association was observed between subscales of PFS ("food available", "food present", and "food tasted") and BMI. The association between hedonic hunger and BMI was not affected by the results of meta-regression analysis of %female, mean age & BMI, and sample size. In conclusion, there was a positive significant association between hedonic hunger and BMI, but the effect size was weak. Considering the low quality of included studies, we need longitudinal design studies considering the association between these two variables as a primary outcome for a more accurate conclusion.
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Affiliation(s)
- Malihe Karamizadeh
- Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran; Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Marzieh Akbarzadeh
- Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Bahram Pourghassem Gargari
- Nutrition Research Center, Department of Biochemistry and Diet Therapy, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Reza Mahdavi
- Nutrition Research Center, Department of Biochemistry and Diet Therapy, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
| | - Zeinab Nikniaz
- Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
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León E, Tabares M, Baile JI, Salazar JG, Zepeda AP. Eating behaviors associated with weight gain among university students worldwide and treatment interventions: A systematic review. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:1624-1631. [PMID: 35834744 DOI: 10.1080/07448481.2022.2089841] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 04/29/2022] [Accepted: 06/07/2022] [Indexed: 06/15/2023]
Abstract
Introduction: Emerging adulthood has been described as a period of risk for body weight gain. Several studies have indicated that the positive or negative health behaviors established during this stage, tend to prevail the rest of life. However, there are discrepancies in published studies on weight change in freshmen and there are disagreements on weight gain predictors. The present study reviewed the literature with the aim of knowing the eating behaviors associated with weight gain in university students. Method: A systematic search was conducted in three databases according to the PRISMA method during the months of February to November 2020. Results: 20 articles were included in the review. The main behaviors associated with weight gain were the consumption of sugary drinks, alcohol consumption, low consumption of vegetables and fruits, frequent self-consumption, eating unhealthy and low levels of food regulation.
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Affiliation(s)
- Edgar León
- Instituto de Investigaciones en Comportamiento Alimentario y Nutrición (IICAN), Universidad de Guadalajara, Guadalajara, Mexico
| | - Marcela Tabares
- Instituto de Investigaciones en Comportamiento Alimentario y Nutrición (IICAN), Universidad de Guadalajara, Guadalajara, Mexico
| | - José Ignacio Baile
- Departamento de Psicología y Salud, Universidad a Distancia de Madrid (UDIMA), Madrid, Spain
| | - José Guadalupe Salazar
- Instituto de Investigaciones en Comportamiento Alimentario y Nutrición (IICAN), Universidad de Guadalajara, Guadalajara, Mexico
| | - Ana Patricia Zepeda
- Instituto de Investigaciones en Comportamiento Alimentario y Nutrición (IICAN), Universidad de Guadalajara, Guadalajara, Mexico
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Myrissa K, Court C, Kelaiditi E. Cross-sectional study examining the association between diet quality and the prevalence of anxiety and depression in UK undergraduate students. NUTR BULL 2024. [PMID: 38940391 DOI: 10.1111/nbu.12694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Revised: 06/11/2024] [Accepted: 06/12/2024] [Indexed: 06/29/2024]
Abstract
The prevalence of mental health issues among UK undergraduate students is growing, and poor diet quality appears to be a risk factor for poor mental health although with limited research in this area. Therefore, the objective of this study was to examine the cross-sectional associations between diet quality and common mental disorders (CMD) such as depression and anxiety in UK undergraduate students. A cross-sectional survey consisting of demographic information and validated questionnaires (the Short-Form Food Frequency Questionnaire [SFFFQ] and the Hospital Anxiety and Depression Scale [HADS]) was conducted to measure diet quality and anxiety and depression in young adults in 44 UK-based universities. Multiple regression analysis adjusting for confounding factors was used to assess the associations between them. Undergraduate university students (n = 202, 67% female) with a mean age of 20.9 ± 3.6 years and a mean body mass index (n = 170) of 22.6 ± 3.2 kg/m2 took part in the study. Prevalence of anxiety was high, with 40% of the sample having an anxiety score in the severe range (≥12 points) while the prevalence of depression was lower, with 6% of the population having a depression score in the severe range (≥12 points). Diet quality was significantly higher for females than males (p = 0.034) and was poor for 38% of the sample, being more common in males compared to females, although not significantly so (43% and 36%, respectively). Diet quality was inversely associated with anxiety (β = -0.427; p = 0.029) and was more likely to be associated with anxiety in females than males (β = 0.743; p = 0.043). No significant relationship between diet quality and depression was found. Better self-reported health, father's qualification and smoking status were also associated with less anxiety and depression. This research supports other research suggesting that UK universities should explore whether the implementation of dietary interventions and improving the food environment would be a cost-effective option to reduce the high prevalence of anxiety among students.
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Affiliation(s)
- Kyriaki Myrissa
- Faculty of Sport, Allied Health and Performance Science, St Mary's University, Twickenham, UK
| | - Catherine Court
- Faculty of Sport, Allied Health and Performance Science, St Mary's University, Twickenham, UK
| | - Eirini Kelaiditi
- Faculty of Sport, Allied Health and Performance Science, St Mary's University, Twickenham, UK
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Jeune SC, Graziano P, Campa A, Coccia CC. Interoception and self-regulation of eating behaviors and weight status in college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024:1-12. [PMID: 38442359 DOI: 10.1080/07448481.2024.2319200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Accepted: 02/08/2024] [Indexed: 03/07/2024]
Abstract
OBJECTIVE To determine the associations between interoception, self-regulation, eating behaviors, and weight status among college students. PARTICIPANTS 229 female undergraduates, predominantly classified as Juniors (51.1%) and identified as Hispanic/Latinx (75%) with a mean age of 23.4 (SD = 6.3), were examined. METHODS Cross-sectional data using baseline measures from a larger, longitudinal study, were examined. Confirmatory factor analyses and structural equation modeling were conducted to test hypotheses. RESULTS Interoception was directly associated to self-regulation. Interoception and self-regulation were inversely associated with non-purposeful eating. Non-purposeful eating was directly associated with weight status. CONCLUSION This study provided empirical evidence on the associations between interoception, self-regulation, eating behaviors, and weight status. Our results support the need for programs that target college students' cognitive skills to reduce unhealthy eating behaviors and optimize weight status. Future interventions are needed to enhance interoception and self-regulation skills so that college students can be more purposeful in their eating habits.
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Affiliation(s)
- Shanté C Jeune
- Department of Health Sciences, University of Central Florida, Orlando, Florida, USA
| | - Paulo Graziano
- Department of Psychology, Florida International University, Miami, Florida, USA
| | - Adriana Campa
- Department of Dietetics and Nutrition, Florida International University, Miami, Florida, USA
| | - Catherine C Coccia
- Department of Dietetics and Nutrition, Florida International University, Miami, Florida, USA
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Alves R, Petitjean H, Druzhinenko-Silhan D. Psychological approaches to obesity in young adults: state of the art. Front Nutr 2024; 11:1328386. [PMID: 38385013 PMCID: PMC10879406 DOI: 10.3389/fnut.2024.1328386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Accepted: 01/25/2024] [Indexed: 02/23/2024] Open
Abstract
Background Obesity has become a significant health concern among young adults aged 18-35 years. Addressing this issue is crucial, and exploring psychological treatments and perspectives specifically for this population is essential. Methods This literature review examines psychological treatments for obesity in young adults over the past decade. It focuses on interventions and discussions particularly relevant to this age group. Discussion Research on obesity often overlooks young adults, with most interventions primarily focusing on weight loss and neglecting emotional aspects. Cognitive-behavioral approaches are commonly used for self-regulation and motivation, but psychodynamic perspectives remain underutilized. While group-based methods lack a detailed analysis of benefits, hybrid approaches demonstrate higher engagement compared to technology-only interventions. There is a notable gap in tailoring obesity interventions to meet the unique needs of young adults during this transitional life phase. It's imperative to shift the focus from merely weight loss to a broader consideration of psychological, emotional, and unconscious factors. Integrating group modalities with psychodynamic approaches might offer additional benefits. Conclusion This review highlights the need for further research into the psychological well-being of young adults with obesity. A more comprehensive approach is required to address their distinct needs and psychological factors.
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Miró-Padilla A, Adrián-Ventura J, Cherednichenko A, Monzonís-Carda I, Beltran-Valls MR, MolinerUrdiales D, Ávila C. Relevance of the anterior cingulate cortex volume and personality in motivated physical activity behaviors. Commun Biol 2023; 6:1106. [PMID: 37907751 PMCID: PMC10618534 DOI: 10.1038/s42003-023-05423-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 10/05/2023] [Indexed: 11/02/2023] Open
Abstract
Some recent theories about the origins and maintenance of regular physical activity focus on the rewards of the properties of practicing this activity. Animal and human studies have demonstrated that mesolimbic dopamine plays a crucial role in the involvement in voluntary physical activity. Here, we test this possible role in a sample of 66 right-handed healthy young adults by studying the influence of personality and the volume of reward-related brain areas on individual differences in voluntary physical activity, objectively measured by accelerometer and subjectively self-reported by questionnaire. Our results show that a smaller volume of the right anterior cingulate cortex and lower scores on reward sensitivity contributed to explaining low levels of daily physical activity. Moreover, the volume of the right anterior cingulate cortex correlates positively with self-reported total physical activity. Results are discussed by highlighting the need to use objective measures of daily physical activity, as well as the important role of the anterior cingulate cortex and personality in promoting effortful and invigorating actions to obtain rewards.
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Affiliation(s)
- Anna Miró-Padilla
- Neuropsychology and Functional Neuroimaging Group, Department of Basic Psychology, Clinical Psychology and Psychobiology, Universitat Jaume I, Castelló de la Plana, Spain.
| | - Jesús Adrián-Ventura
- Neuropsychology and Functional Neuroimaging Group, Department of Basic Psychology, Clinical Psychology and Psychobiology, Universitat Jaume I, Castelló de la Plana, Spain
- Department of Psychology and Sociology, University of Zaragoza, 44003, Teruel, Spain
| | - Anastasia Cherednichenko
- Neuropsychology and Functional Neuroimaging Group, Department of Basic Psychology, Clinical Psychology and Psychobiology, Universitat Jaume I, Castelló de la Plana, Spain
| | - Irene Monzonís-Carda
- LIFE Research Group, Department of Education, Universitat Jaume I, 12071, Castellon, Spain
| | | | - Diego MolinerUrdiales
- LIFE Research Group, Department of Education, Universitat Jaume I, 12071, Castellon, Spain
| | - César Ávila
- Neuropsychology and Functional Neuroimaging Group, Department of Basic Psychology, Clinical Psychology and Psychobiology, Universitat Jaume I, Castelló de la Plana, Spain
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Saffari M, Chen IH, Huang PC, O’Brien KS, Hsieh YP, Chen JK, Chang YH, Jiang X, Bevan N, Chang YL, Chen JS, Tsai CC, Griffiths MD, Lin CY. Measurement Invariance and Psychometric Evaluation of the Tendency to Avoid Physical Activity and Sport Scale (TAPAS) Among Mainland Chinese University Students. Psychol Res Behav Manag 2023; 16:3821-3836. [PMID: 37724136 PMCID: PMC10505390 DOI: 10.2147/prbm.s425804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Accepted: 08/29/2023] [Indexed: 09/20/2023] Open
Abstract
Introduction Preventative factors in young people's physical inactivity require further understanding, including related psychosocial factors (eg, body image and weight stigma). The Tendency to Avoid Physical Activity and Sport Scale (TAPAS) is a recently developed instrument to address this issue and the present study examined its psychometric properties among Chinese university students particularly in relation to patterns across sex, physical activity (PA) level, and weight status. Methods Using a convenience sample of 3142 students (mean age = 19.8 years; 56% female) in mainland China, data were collected using an online survey between August and October 2022. Psychometric instruments including the Weight Bias Internalization Scale, 21-item Depression, Anxiety and Stress Scale, and International Physical Activity Questionnaire Short Form were administered along with the TAPAS to assess convergent and discriminant validity. Multi-group confirmatory factor analysis (CFA) assessed the measurement invariance across specific groups. Results The unidimensional structure of the scale was confirmed through CFA (CFI=0.995; RMSEA=0.046). All configural, metric and scalar models of invariance indicated that the scale was invariant across sex, PA level, and weight status. Acceptable convergent and discriminant validity for the scale were found. Conclusion The TAPAS is a suitable instrument to assess body image and weight stigma concerns for avoiding physical activity and sport among Chinese university students.
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Affiliation(s)
- Mohsen Saffari
- Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
- Health Education Department, Faculty of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - I-Hua Chen
- Chinese Academy of Education Big Data, Qufu Normal University, Qufu, People’s Republic of China
| | - Po-Ching Huang
- Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Kerry S O’Brien
- School of Social Sciences, Monash University, Melbourne, Australia
| | - Yi-Ping Hsieh
- Department of Social Work, College of Nursing and Professional Disciplines, University of North Dakota, Grand Forks, ND, USA
| | - Ji-Kang Chen
- Department of Social Work, Chinese University of Hong Kong, Shatin, New Territories, Hong Kong
| | - Yun-Hsuan Chang
- Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Institute of Behavioral Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Department of Psychology, National Cheng Kung University, Tainan, Taiwan
- Institute of Genomics and Bioinformatics, College of Life Sciences, National Chung Hsing University, Taichung, Taiwan
| | - Xingyong Jiang
- Yangan Primary School of Qionglai City, Qionglai, People’s Republic of China
| | - Nadia Bevan
- School of Social Sciences, Monash University, Melbourne, Australia
| | - Yen-Ling Chang
- Department of Family Medicine, Cardinal Tien Hospital, New Taipei, Taiwan
| | - Jung-Sheng Chen
- Department of Medical Research, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan
| | - Ching-Chung Tsai
- Department of Pediatrics, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan
- School of Medicine, I-Shou University, Kaohsiung, Taiwan
| | - Mark D Griffiths
- International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, UK
| | - Chung-Ying Lin
- Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan
- Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
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Crane NT, Butryn ML, Gorin AA, Lowe MR, LaFata EM. Overlapping and distinct relationships between hedonic hunger, uncontrolled eating, food craving, and the obesogenic home food environment during and after a 12-month behavioral weight loss program. Appetite 2023; 185:106543. [PMID: 36940743 PMCID: PMC10121957 DOI: 10.1016/j.appet.2023.106543] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 02/24/2023] [Accepted: 03/17/2023] [Indexed: 03/23/2023]
Abstract
Hedonic hunger, reward-driven eating outside of biological need, is a newer construct in eating behavior research. During behavioral weight loss (BWL), greater improvements in hedonic hunger are associated with higher weight loss, but it remains unclear if hedonic hunger predicts weight loss independent of more well-established, similar constructs (uncontrolled eating and food craving). Research also is needed to understand how hedonic hunger interacts with contextual factors (e.g., obesogenic food environment) during weight loss. Adults (N = 283) in a 12-month randomized controlled trial of BWL were weighed at 0, 12, and 24 months, and completed questionnaires assessing hedonic hunger, food craving, uncontrolled eating, and the home food environment. All variables improved at 12 and 24 months. Decreases in hedonic hunger at 12 months were associated with higher concurrent weight loss, but not when accounting for improvements in craving and uncontrolled eating. At 24 months, reduction in craving was a stronger predictor of weight loss than hedonic hunger, but improvement in hedonic hunger was a stronger predictor of weight loss than change in uncontrolled eating. Changes to the obesogenic home food environment failed to predict weight loss, regardless of levels of hedonic hunger. This study adds novel information on the individual and contextual factors associated with short- and long-term weight control, which can help refine conceptual models and treatment strategies.
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Affiliation(s)
- Nicole T Crane
- Center for Weight, Eating, and Lifestyle Science, Department of Psychological and Brain Sciences, Drexel University, 3141 Chestnut Street, Stratton Hall, Philadelphia, PA, 19104, United States.
| | - Meghan L Butryn
- Center for Weight, Eating, and Lifestyle Science, Department of Psychological and Brain Sciences, Drexel University, 3141 Chestnut Street, Stratton Hall, Philadelphia, PA, 19104, United States
| | - Amy A Gorin
- Institute for Collaboration on Health, Intervention and Policy, University of Connecticut, J.Ryan Building, 2006 Hillside Road, Storrs, CT, 06269, United States
| | - Michael R Lowe
- Department of Psychological and Brain Sciences, Drexel University, 3141 Chestnut Street, Stratton Hall, Philadelphia, PA, 19104, United States
| | - Erica M LaFata
- Center for Weight, Eating, and Lifestyle Science, Department of Psychological and Brain Sciences, Drexel University, 3141 Chestnut Street, Stratton Hall, Philadelphia, PA, 19104, United States
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Czeczelewski Phd J, Czeczelewski Phd M, Czeczelewska Phd E. Longitudinal weight and body-composition changes in polish undergraduate students of health faculty. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:1084-1090. [PMID: 34242519 DOI: 10.1080/07448481.2021.1920604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Revised: 02/20/2021] [Accepted: 04/18/2021] [Indexed: 05/31/2023]
Abstract
Objective: The study investigates the changes in body composition, dietary intake and physical activity of Polish health faculty undergraduates. Methods: 340 university students were measured at the beginning their studies. Subsequent measurements were performed at the beginning of the following academic years. In total, 82 men and 87 women were included in the analysis. The measurements included anthropometric parameters and the amount of consumed nutrients. Using Seven-Day Physical Activity Recall Questionnaire measured students' physical activity. Results: Across three years at university 65.1% of students showed an increase in body mass. Men displayed an increase in body weight (1.6 kg) and waist circumference (4.1 cm). Women's weight changed insignificantly. Participants' energy intake increased statistically significantly after the 1st year and decreased after the 2nd year. In men there was observed decline in energy expenditure between the 1st and 2nd year. Conclusion: Transitory unfavorable changes were observed in students' nutrition and physical activity.
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Affiliation(s)
- Jan Czeczelewski Phd
- Faculty of Physical Education and Health in Biala Podlaska, Józef Pilsudski University of Physical Education, Warsaw, Biala Podlaska, Poland
| | | | - Ewa Czeczelewska Phd
- Department of Nursing, Faculty of Health Sciences, Collegium Mazovia Innovative Higher School in Siedlce, Siedlce, Poland
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Maillet MA, Grouzet FME. Understanding changes in eating behavior during the transition to university from a self-determination theory perspective: a systematic review. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:422-439. [PMID: 34292133 DOI: 10.1080/07448481.2021.1891922] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Revised: 02/03/2021] [Accepted: 02/14/2021] [Indexed: 06/13/2023]
Abstract
Objective: The objective of this systematic review was to understand how and why eating behavior changes during the transition to university, and interpret findings from a self-determination theory perspective (Ryan & Deci, 2000). Methods: We searched six databases and identified 51 articles with findings involving changes in eating behavior during the transition to university. Results: During this transition, students eat less food, less healthy, and less regularly. These changes are mostly among students who move into a university residence or off-campus housing, with few changes in eating behavior among students who continue living at home. Yet, incoming students with food skills and experience living independently seem less likely to experience these changes. Conclusions: The university context offers challenges to eating healthy. Students' satisfaction of psychological needs may explain observed changes in habits, self-regulation, and motivation.
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Affiliation(s)
- Myles A Maillet
- Department of Psychology and Centre for Youth and Society, University of Victoria, Victoria, BC, Canada
| | - Frederick M E Grouzet
- Department of Psychology and Centre for Youth and Society, University of Victoria, Victoria, BC, Canada
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Deng Y, Hwang Y, Kim T, Yli-Piipari S. First semester changes in college students' objectively-measured physical activity and dietary behaviors. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022:1-6. [PMID: 36328796 DOI: 10.1080/07448481.2022.2135379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Revised: 09/01/2022] [Accepted: 10/07/2022] [Indexed: 06/16/2023]
Abstract
Objective: The objective of this study was to examine changes in freshman students' objectively measured body mass index (BMI), physical activity (PA), and dietary behaviors (consumption of trans fats, sugars, and added sugars) during their first college semester. Methods: Twenty-eight participants (18.32 ± 2.2) completed the dietary (ASA24-US) and PA (wrist-worn ActiGraph accelerometer) assessments. Non-parametric Paired-Wilcoxon signed-rank tests were used to identify the changes in BMI, moderate-to-vigorous intensity PA (MVPA), vigorous-intensity PA (VPA), and nutrition. Results: The analyses showed a statistically significant increase in BMI (Mbaseline = 22.85[2.87] kg/m2; Mpost = 23.53[3.21] kg/m2; p = .002, r = .53) and MVPA (Mbaseline = 200.94[81.08]; Mpost = 216.92[78.33]; p = .031, r = .41), but there were no statistically significant changes in VPA or dietary behaviors. Conclusions: Although freshman students' PA and dietary behaviors were relatively healthy, efforts to increase VPA and reduce consumption of added sugars are well warranted.
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Affiliation(s)
- Yangyang Deng
- Department of Kinesiology, University of Georgia, Athens, Georgia, USA
| | - Yongju Hwang
- Department of Kinesiology, University of Georgia, Athens, Georgia, USA
| | - Taewoo Kim
- Department of Kinesiology, University of Georgia, Athens, Georgia, USA
| | - Sami Yli-Piipari
- Department of Kinesiology, University of Georgia, Athens, Georgia, USA
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Hubert PA, Fiorenti H, Duffy VB. Feasibility of a Theory-Based, Online Tailored Message Program to Motivate Healthier Behaviors in College Women. Nutrients 2022; 14:nu14194012. [PMID: 36235664 PMCID: PMC9572712 DOI: 10.3390/nu14194012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Revised: 09/21/2022] [Accepted: 09/21/2022] [Indexed: 11/16/2022] Open
Abstract
We aimed to test the feasibility of an online survey and tailored message program in young women. Recruited from college campuses, women (n = 189) completed an online survey assessing preference for and behaviors toward diet and physical activity as well as theory-based influencers of these behaviors (knowledge/information, motivation, and confidence). Health messages were tailored to the participant’s survey responses and learning style to address misconceptions and motivate or reinforce healthy physical activity and dietary behaviors. Most women reported the survey as relevant (92%) and useful for reflecting on their health (83%), with survey responses variable in level of nutrition and physical activity knowledge, motivation, and confidence. Each woman received four tailored messages—most reported the messages as relevant (80%) and learning new information (60%). Across all messages, nearly half of the participants (~48%) reported willingness to try or maintain healthier behaviors and confidence in their ability. Body size discrepancy and dietary restraint had small effects message responses of information learned, and the motivation and confidence in trying healthier behaviors. In summary, these data support the feasibility of this online tailored message program. The college women found the tailored message program acceptable and useful to motivate healthier behaviors. The findings provide direction for behaviorally focused interventions to improve dietary and physical activity behaviors.
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Wilson NA, Villani A, Tan SY, Mantzioris E. UniStArt: A 12-Month Prospective Observational Study of Body Weight, Dietary Intake, and Physical Activity Levels in Australian First-Year University Students. Biomedicines 2022; 10:2241. [PMID: 36140342 PMCID: PMC9496163 DOI: 10.3390/biomedicines10092241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Revised: 09/05/2022] [Accepted: 09/07/2022] [Indexed: 11/16/2022] Open
Abstract
Background: Students in the United States gain weight significantly during their first year of university, however limited data are available for Australian students. Methods: This 12-month observational study was conducted to monitor monthly body weight and composition, as well as quarterly eating behaviours, dietary intake, physical activity, sedentary behaviours, and basal metabolic rate changes amongst first-year Australian university students. Participants were first-year university students over 18 years. Results: Twenty-two first-year university students (5 males and 17 females) completed the study. Female students gained weight significantly at two, three, and four-months (+0.9 kg; +1.5 kg; +1.1 kg, p < 0.05). Female waist circumference (2.5 cm increase at three-months, p = 0.012), and body fat also increased (+0.9%, p = 0.026 at three-months). Intakes of sugar, saturated fat (both >10% of total energy), and sodium exceeded recommended levels (>2000 mg) at 12-months. Greater sedentary behaviours were observed amongst male students throughout the study (p <0.05). Conclusions: Female students are at risk of unfavourable changes in body composition during the first year of university, while males are at risk of increased sedentary behaviours. High intakes of saturated fat, sugars, and sodium warrant future interventions in such a vulnerable group.
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Affiliation(s)
- Nina A. Wilson
- Clinical and Health Sciences, University of South Australia, Adelaide, SA 5000, Australia
| | - Anthony Villani
- School of Health and Behavioural Sciences, University of the Sunshine Coast, Sippy Downs, QLD 4556, Australia
| | - Sze-Yen Tan
- Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC 3220, Australia
| | - Evangeline Mantzioris
- Clinical and Health Sciences, University of South Australia, Adelaide, SA 5000, Australia
- Alliance for Research in Nutrition, Exercise and Activity (ARENA), University of South Australia, Adelaide, SA 5000, Australia
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14
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Alam BF, Abbasi N, Hussain T, Khan MA, Chaudhary MAG, Ijaz F. Relationship of BMI with the diet, physical activity and oral hygiene practices amongst the dental students. BMC Oral Health 2022; 22:311. [PMID: 35902918 PMCID: PMC9330987 DOI: 10.1186/s12903-022-02318-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Accepted: 07/06/2022] [Indexed: 11/10/2022] Open
Abstract
Background Regardless of attaining adequate knowledge regarding oral hygiene, physical activity, and healthy eating habits, dental students still face oral health problems. This study was aimed to assess the association of oral hygiene habits, physical activity, and eating habits with the BMI in the dental students.
Method This multi centric cross-sectional study was conducted from January to May 2021 in Pakistan. Three hundred and eighty-six study participants enrolled as undergraduate dental students, both males and females, were included in the study. A questionnaire used to gather data, was modified from a study conducted by Jouhar et al. Chi-square testing was used in order to assess the relationship between two categorical variables. Linear regression was performed to assess the association with putative confounders. Statistical significance was considered for p value < 0.05. Results Regarding brushing teeth, 57% of the underweight individuals brushed once daily, 69.8% of the healthy, 79.2% of overweight, and 48% of obese participants brushed twice. Horizontal brushing technique was performed by 50% of the underweight participants, followed by scrub technique. A soft bristled brush was frequently used by underweight (42.9%) and healthy (66%) individuals, while a medium textured bristle brush was used by overweight (62.3%) and obese (54.2%) participants. Majority of the underweight (64.3%), overweight (48.1%), and 45.8% of obese individuals had meals thrice a day, while healthy (62.3%) individuals had meals twice a day.
Conclusion This study further intensified the contributing role of having an excessive dietary intake and sugar consumption in causing obesity and dental caries. Findings from the current study, identify a statistically significant relationship that exists between BMI levels with oral hygiene, eating habits and the physical activity.
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Affiliation(s)
- Beenish Fatima Alam
- Department of Oral Biology, Bahria University Dental College, Karachi, Pakistan.
| | - Nabeela Abbasi
- Department of Oral Biology, Rawal Institute of Health Sciences, Islamabad, Pakistan
| | - Talib Hussain
- Department of Oral Biology, Women Medical and Dental College, Abbottabad, Pakistan
| | - Malik Arshman Khan
- Department of Oral Biology, Abbottabad International Dental College, Abbottabad, Pakistan
| | | | - Faiza Ijaz
- Department of Oral Biology, Women Medical and Dental College, Abbottabad, Pakistan
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15
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Compton SE, Larson MJ, LeCheminant JD, Tucker LA, Bailey BW. The effects of daily step goals of 10,000, 12,500, and 15,000 steps per day on neural activity to food cues: A 24-week dose-response randomized trial. Brain Behav 2022; 12:e2590. [PMID: 35429416 PMCID: PMC9120883 DOI: 10.1002/brb3.2590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Revised: 01/30/2022] [Accepted: 03/05/2022] [Indexed: 11/29/2022] Open
Abstract
INTRODUCTION The purpose of this study was to examine the effect of different levels of sustained physical activity on neural reflections of attention allocated toward food cues in first year college women. METHODS Seventy-nine first-year college women (18.6 ± 0.5 years) were recruited to participate in the study. Women were randomly assigned to a daily step goal of 10,000, 12,500, or 15,000 for 24 weeks. Once during weeks 16-24, participants were shown pictures of plated meals or flowers with the neural response measured using the P300 and late positive potential (LPP) components of the scalp-recorded event-related potential. Diet was assessed using the automated 24-h recall. RESULTS Both the P300 and LPP amplitudes were significantly more positive to food versus flower pictures (ps < .001). There was no interaction between step group and picture condition for the P300 and LPP. However, the 12,500-step group showed a significantly elevated LPP amplitude in comparison to the other groups for both food and flowers (F(2,74) = 8.84; p < .001). The effect size for the combined results (food and flowers) was 0.56 between 10,000 and 12,500-step groups, and 0.75 between the 12,500- and 15,000-step groups. In addition, the 12,500 group reduced caloric consumption over the course of the intervention (t(1,74) = 3.35, p = .001, dz = 0.59). CONCLUSION Habitual physical activity of 10,000, 12,500, or 15,000 steps per day does not preferentially alter neural reflections toward food cues compared to flowers. There may be a nonlinear response to pleasant visual cues, with 12,500 steps per day eliciting higher LPPs than either 10,000 or 15,000.
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Affiliation(s)
- Sharla E Compton
- Department of Exercise Sciences, Brigham Young University, Provo, Utah, USA
| | - Michael J Larson
- Department of Psychology, Brigham Young University, Provo, Utah, USA
| | | | - Larry A Tucker
- Department of Exercise Sciences, Brigham Young University, Provo, Utah, USA
| | - Bruce W Bailey
- Department of Exercise Sciences, Brigham Young University, Provo, Utah, USA
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16
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Valand IU, Øverby NC, Strömmer S, Barker M, Bjornes C, Nordli J, Pettersen L, Bjørkkjær T, Vik FN, Kiland C, Hillesund ER. "It is really just brilliant to get credits for something that is so important to you!" Skills for Life: University students' perceptions of a planned dietary life skills course. PLoS One 2022; 17:e0260890. [PMID: 35389990 PMCID: PMC8989186 DOI: 10.1371/journal.pone.0260890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Accepted: 11/18/2021] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE Universities have a role in educating and empowering students to become healthy and literate citizens of the 21st century society. The aim of this study was to explore university students' perceptions regarding the relevance and utility of a planned dietary life skills course. DESIGN Qualitative design including focus group discussions. SETTING A Norwegian university with participating undergraduate students from seven different disciplines. METHOD Data collection included 13 semi-structured focus group discussions involving 57 university students (35 women and 22 men aged 18-38 years). The focus group discussions were recorded and transcribed verbatim. To ensure in-depth knowledge of the research participants' thoughts and reflections, thematic analysis strategy was undertaken by a team of researchers. RESULTS When presented to the idea of a dietary life skills course as a university course, the students were mostly positive regarding its relevance and utility, however both motivators and barriers for attending were put forward. Some mentioned potential academic course benefits, such as enhanced CV, and a few mentioned potential societal benefits such as a healthy population and sustainable food consumption. Several motivators for attending the course were launched, such as increased knowledge and cooking skills, having dinner and expanded network. The students wanted to learn about food, nutrients and health, and how to cook simple, affordable, healthy and sustainable meals. Potential barriers for attending were mostly related to practicalities, such as potential lack of alignment with ordinary study programme or too demanding lectures. CONCLUSION Most students acknowledged the value of a dietary life skills course and thought that such a course could benefit their personal life. This encourages the offering of such courses at university level, tailored to consider both motivators and barriers for attending.
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Affiliation(s)
- Ida Ulrikke Valand
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
| | - Nina C. Øverby
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
| | - Sofia Strömmer
- MRC Lifecourse Epidemiology Unit, University of Sout,lhampton, Southampton General Hospital, Southampton, United Kingdom and NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
| | - Mary Barker
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
- MRC Lifecourse Epidemiology Unit, University of Sout,lhampton, Southampton General Hospital, Southampton, United Kingdom and NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
- School of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, United Kingdom
| | - Camilla Bjornes
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
| | - Julie Nordli
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
| | - Line Pettersen
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
- Department of Upbringing and Culture, Bjerkreim Municipality, Bjerkreim, Norway
| | - Tormod Bjørkkjær
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
| | - Frøydis N. Vik
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
| | - Charlotte Kiland
- Department of Political Science and Management, Faculty of Social Sciences, University of Agder, Kristiansand, Norway
| | - Elisabet R. Hillesund
- Department of Nutrition and Public Health, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway
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Weydmann G, Souzedo FB, Tavares P, Corrêa L, Heidrich H, Holland H, Bizarro L. Parsing the link between reinforcement sensitivity theory and eating behavior: A systematic review. Neurosci Biobehav Rev 2022; 134:104525. [PMID: 34998836 DOI: 10.1016/j.neubiorev.2022.104525] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2021] [Revised: 11/16/2021] [Accepted: 01/03/2022] [Indexed: 12/21/2022]
Abstract
The Reinforcement Sensitivity Theory (RST) is a widely studied psychobiological model of personality. RST factors seem to influence eating behavior, but how these personality traits are associated with distinct features of eating behavior is still unclear. In the present systematic review, we analyzed the relationship between RST personality factors and eating behavior using a parsing approach in which BMI-related results, self-reported results, and behavioral results were distinguished. Our analysis revealed that reward and punishment sensitivity seem to correlate and influence distinct features of eating behavior. The association between BMI and RST factors was uncertain, but nonlinear associations between reward sensitivity and weight need further testing. Reward sensitivity was linked to most eating behavior phenotypes (e.g., emotional eating and restrained eating), but only punishment sensitivity was primarily correlated with eating pathology. Reward sensitivity was the main factor linked with reactivity to food stimuli on many behavioral measures. The neurobiological personality factors of RST offer parsimonious concepts to understand eating behavior outcomes and the differential relationships observed are useful to translational research.
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Affiliation(s)
- Gibson Weydmann
- Department of Psychology, Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro Barcellos 2600, Porto Alegre, Brazil.
| | - Flávia Bellesia Souzedo
- Department of Psychology, Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro Barcellos 2600, Porto Alegre, Brazil
| | - Patrice Tavares
- Department of Psychology, Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro Barcellos 2600, Porto Alegre, Brazil
| | - Luciana Corrêa
- Department of Psychology, Universidade Federal de Ciências da Saúde de Porto Alegre, Rua Sarmento Leite 245, 90050-170, Porto Alegre, Brazil
| | - Heiner Heidrich
- Department of Psychology, Universidade Federal de Ciências da Saúde de Porto Alegre, Rua Sarmento Leite 245, 90050-170, Porto Alegre, Brazil
| | - Heitor Holland
- Department of Health Sciences, Universidade do Vale do Rio dos Sinos, Avenida Unisinos 950, 93022-000, São Leopoldo, Brazil
| | - Lisiane Bizarro
- Department of Psychology, Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro Barcellos 2600, Porto Alegre, Brazil
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18
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Garcia-Garcia I, Neseliler S, Morys F, Dadar M, Yau YHC, Scala SG, Zeighami Y, Sun N, Collins DL, Vainik U, Dagher A. Relationship between impulsivity, uncontrolled eating and body mass index: a hierarchical model. Int J Obes (Lond) 2022; 46:129-136. [PMID: 34552208 DOI: 10.1038/s41366-021-00966-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Revised: 08/28/2021] [Accepted: 09/09/2021] [Indexed: 02/08/2023]
Abstract
BACKGROUND Impulsivity increases the risk for obesity and weight gain. However, the precise role of impulsivity in the aetiology of overeating behavior and obesity is currently unknown. Here we examined the relationships between personality-related measures of impulsivity, Uncontrolled Eating, body mass index (BMI), and longitudinal weight changes. In addition, we analyzed the associations between general impulsivity domains and cortical thickness to elucidate brain vulnerability factors related to weight gain. METHODS Students (N = 2318) in their first year of university-a risky period for weight gain-completed questionnaire measures of impulsivity and eating behavior at the beginning of the school year. We also collected their weight at the end of the term (N = 1177). Impulsivity was divided into three factors: stress reactivity, reward sensitivity and lack of self-control. Using structural equation models, we tested a hierarchical relationship, in which impulsivity traits were associated with Uncontrolled Eating, which in turn predicted BMI and weight change. Seventy-one participants underwent T1-weighted MRI to investigate the correlation between impulsivity and cortical thickness. RESULTS Impulsivity traits showed positive correlations with Uncontrolled Eating. Higher scores in Uncontrolled Eating were in turn associated with higher BMI. None of the impulsivity-related measurements nor Uncontrolled Eating were correlated with longitudinal weight gain. Higher stress sensitivity was associated with increased cortical thickness in the superior temporal gyrus. Lack of self-control was positively associated with increased thickness in the superior medial frontal gyrus. Finally, higher reward sensitivity was associated with lower thickness in the inferior frontal gyrus. CONCLUSION The present study provides a comprehensive characterization of the relationships between different facets of impulsivity and obesity. We show that differences in impulsivity domains might be associated with BMI via Uncontrolled Eating. Our results might inform future clinical strategies aimed at fostering self-control abilities to prevent and/or treat unhealthy weight gain.
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Affiliation(s)
- Isabel Garcia-Garcia
- Montreal Neurological Institute, McGill University, Montréal, QC, Canada.,Department of Clinical Psychology and Psychobiology, University of Barcelona Barcelona, Barcelona, Spain
| | - Selin Neseliler
- Montreal Neurological Institute, McGill University, Montréal, QC, Canada
| | - Filip Morys
- Montreal Neurological Institute, McGill University, Montréal, QC, Canada
| | - Mahsa Dadar
- Montreal Neurological Institute, McGill University, Montréal, QC, Canada
| | - Yvonne H C Yau
- Montreal Neurological Institute, McGill University, Montréal, QC, Canada
| | - Stephanie G Scala
- Montreal Neurological Institute, McGill University, Montréal, QC, Canada
| | - Yashar Zeighami
- Montreal Neurological Institute, McGill University, Montréal, QC, Canada
| | - Natalie Sun
- Montreal Neurological Institute, McGill University, Montréal, QC, Canada
| | - D Louis Collins
- Montreal Neurological Institute, McGill University, Montréal, QC, Canada
| | - Uku Vainik
- Montreal Neurological Institute, McGill University, Montréal, QC, Canada.,Institute of Psychology, University of Tartu, Tartu, Estonia
| | - Alain Dagher
- Montreal Neurological Institute, McGill University, Montréal, QC, Canada.
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Mazurek-Kusiak AK, Kobyłka A, Korcz N, Sosnowska M. Analysis of Eating Habits and Body Composition of Young Adult Poles. Nutrients 2021; 13:nu13114083. [PMID: 34836335 PMCID: PMC8624486 DOI: 10.3390/nu13114083] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 11/06/2021] [Accepted: 11/11/2021] [Indexed: 01/26/2023] Open
Abstract
BACKGROUND Obesity and overweight affect a large proportion of the world's population. Increasingly, this problem can be observed among young adults. The aim of the study was to identify the motivations and barriers to healthy eating habits among young Poles, the relationship between physical activity and healthy eating and the impact of healthy eating on the body composition of the young. METHODS The method used in the research was a diagnostic survey using direct personal interviews. The research was conducted in the years 2016-2019 on a group of 399 young Poles aged 18-26. Their body composition was analyzed by determining resistance and reactance using the biological impedance method, with a TANITA SC-330ST Body Composition Analyzer. RESULTS AND CONCLUSION The main reasons for healthy eating among young Poles are the intent to follow a doctor's recommendations, to lose weight and to live a healthy lifestyle and to follow a trend. On the other hand, the largest barriers to proper nutrition are: lack of time to prepare healthy meals and of financial resources, inability to prepare meals and limited knowledge of the principles of healthy eating. The eating behavior varied significantly in relation to the physical activity of the respondents. Active people's eating habits were the best, and those of sedentary people the worst. Healthy eaters also had normal body composition indicators (adipose tissue level, BMI, body type). Young adults should be educated on the principles of healthy eating and have access to healthy food in canteens and vending machines, both at work and at university.
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Affiliation(s)
- Anna K. Mazurek-Kusiak
- Department of Tourism and Recreation, University of Life Sciences in Lublin, Akademicka 13, 20-950 Lublin, Poland;
| | - Agata Kobyłka
- Department of Tourism and Recreation, University of Life Sciences in Lublin, Akademicka 13, 20-950 Lublin, Poland;
- Correspondence:
| | - Natalia Korcz
- Department of Natural Foundations of Forestry, Institute of Soil Science and Environment Management, University of Life Sciences in Lublin, Akademicka 13, 20-950 Lublin, Poland;
| | - Małgorzata Sosnowska
- Department of Grassland and Landscape Shaping, University of Life Sciences in Lublin, Akademicka 13, 20-950 Lublin, Poland;
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20
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Middlemass KM, Cruz J, Gamboa A, Johnson C, Taylor B, Gomez F, Becker CB. Food insecurity & dietary restraint in a diverse urban population. Eat Disord 2021; 29:616-629. [PMID: 32129723 DOI: 10.1080/10640266.2020.1723343] [Citation(s) in RCA: 36] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
The primary aim of this study was to investigate self-reported reasons for engaging in dietary restraint (DR) in a food insecure urban population. It also tested whether DR was associated with increased eating disorder (ED) pathology when DR was broadly assessed. The initial sample (N = 503) consisted of adult clients visiting food pantries who completed the Eating Disorder Diagnostic Scale for DSM 5, the Radimer Cornell Food Insecurity Measure, and three items from the DR subscale of Eating Disorder Examination Questionnaire (EDE-Q); EDE-Q items were modified to allow participants to explain why they restricted. Analyses included participants (N = 259) who responded to one of the modified EDE-Q questions. Results indicated that participants engaged in DR for several reasons, including minimizing the effect of hunger for other family members (i.e., children), "stretching" food to make it last longer, and prioritizing medical expenses. Intentional efforts to limit food intake in this sample were correlated with increased ED pathology. Although it is not surprising that adults experiencing food insecurity engage in intentional DR, this study adds important information about why food insecure adults engage in DR and highlights the importance of assessing DR for reasons other than weight and shape concerns.
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Affiliation(s)
- Keesha M Middlemass
- Department of Political Science, Howard University, Washington, District of Columbia, USA
| | - Jessica Cruz
- Departments of Political Science & Psychology, Trinity University, San Antonio, Texas, USA
| | - Alexandra Gamboa
- Department of Psychology, Trinity University, San Antonio, Texas, USA
| | - Clara Johnson
- Department of Psychology, Trinity University, San Antonio, Texas, USA
| | - Brigitte Taylor
- Department of Psychology, Trinity University, San Antonio, Texas, USA
| | - Francesca Gomez
- Department of Psychology, Trinity University, San Antonio, Texas, USA
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21
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Foscarini-Craggs P, Lowe R, Lee M. Changes over time in the relationship between weight, body fat, motivation, impulsivity and eating behaviour. BMC Public Health 2021; 21:1353. [PMID: 34238269 PMCID: PMC8268531 DOI: 10.1186/s12889-021-11402-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Accepted: 06/28/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND University students are at a greater risk of gaining weight compared to others. We explored associations between changes in weight and a set of dispositional constructs related to eating behaviour: motivation, impulsivity, social comparison, and eating styles. We predicted that increases in controlled motivation, impulsivity, uncontrolled eating, emotional eating, and physical appearance comparison would be related to increased weight and body fat. METHODS First year students at a British university completed baseline (n = 196) and three-month (n = 163) measures of impulsivity, physical appearance comparison, motivation for following a healthy diet, eating styles, weight and body fat. Baseline-follow-up changes in these constructs were computed and subjected to cluster analysis. RESULTS Four participant groups were identified according to similarities in the way these constructs evolved over time. The Losing and Gaining groups tended to show opposing changes in key variables (physical appearance comparison, uncontrolled eating, motivation, weight, and percentage of body fat). Interestingly, two groups showed no change in weight and body fat but evidenced unique changes in key variables, indicating that individuals can have different psychological profiles but still maintain their weight. CONCLUSIONS The study highlighted how stable weight maintenance arises from sets of interdependent constructs rather than variables in isolation, as well as emphasizing a need to take a person-centred approach to examining those at risk of weight gain and in developing interventions.
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Affiliation(s)
| | - Rob Lowe
- Psychology Department, Swansea University, Swansea, UK
| | - Michelle Lee
- Psychology Department, Swansea University, Swansea, UK
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22
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Alzain HM, Leavey C, Mitchell G, Gee I, Hall J, Al-Subaie AS. Exploration of changes in health-related behaviours among Saudi Arabian undergraduates in the UK. Health Promot Int 2021; 37:6264893. [PMID: 33948640 DOI: 10.1093/heapro/daab055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
This project is an exploratory survey of the ways in which living in the UK has affected the health-related behaviours of Saudi Arabian undergraduate students. The study identifies changes in exercise behaviours, dietary and smoking habits and experiences of stress after their move to the UK. In addition, it identifies what the students perceive to be the drivers of these changes. To achieve this, an online questionnaire was developed collecting quantitative data. This was distributed via Facebook groups specifically for Saudi students in the UK. The results demonstrate that a majority of Saudi Arabian undergraduates felt that their behaviours had become healthier since their move to the UK, mainly as a result of a more active lifestyle, derived from reduced reliance on cars, increased daily walking, and a heightened focus on health promoted by their independence, the availability of healthy foods and exposure to a more health-promoting culture. Although these results are based on a relatively small sample, they are surprising since they contradict previous studies on international students, which have generally found negative lifestyle changes during their studies, including increased stress, poorer dietary habits and a decline in physical activity. Although the exploratory nature of the study means that concrete recommendations cannot be made, it nonetheless offers an impetus for further research into how Saudi Arabian students may be encouraged to adopt healthier lifestyles while studying in the UK.
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Affiliation(s)
- Hassan Mohammed Alzain
- Public Health Institute, Faculty of Health, Liverpool John Moores University, 3rd Floor, Exchange Station, Tithebarn Street, Liverpool L2 2QP, UK.,Environmental Protection, Workplace Environment Division, Environmental Health Unit, Al-Midra Tower, Dhahran 31311, Kingdom of Saudi Arabia
| | - Conan Leavey
- Public Health Institute, Faculty of Health, Liverpool John Moores University, 3rd Floor, Exchange Station, Tithebarn Street, Liverpool L2 2QP, UK
| | - Graeme Mitchell
- Public Health Institute, Faculty of Health, Liverpool John Moores University, 3rd Floor, Exchange Station, Tithebarn Street, Liverpool L2 2QP, UK
| | - Ivan Gee
- Public Health Institute, Faculty of Health, Liverpool John Moores University, 3rd Floor, Exchange Station, Tithebarn Street, Liverpool L2 2QP, UK
| | - Jason Hall
- Environmental Protection, Workplace Environment Division, Environmental Health Unit, Al-Midra Tower, Dhahran 31311, Kingdom of Saudi Arabia
| | - Abdullah Saad Al-Subaie
- Environmental Protection, Workplace Environment Division, Environmental Health Unit, Al-Midra Tower, Dhahran 31311, Kingdom of Saudi Arabia
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23
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Genis M, de Klerk W, Malan L. Psychosocial functions of eating behaviour among South African female university students: An exploratory study. JOURNAL OF PSYCHOLOGY IN AFRICA 2021. [DOI: 10.1080/14330237.2021.1927338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Monique Genis
- School of Psychosocial Health, Community Psychosocial Research (COMPRES), North-West University, Potchefstroom, South Africa
| | - Werner de Klerk
- School of Psychosocial Health, Community Psychosocial Research (COMPRES), North-West University, Potchefstroom, South Africa
| | - Lelanie Malan
- School of Psychosocial Health, Community Psychosocial Research (COMPRES), North-West University, Potchefstroom, South Africa
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Wilson OWA, Galascio MM, Bopp M. Freshmen weight and body composition change determinants: A scoping review. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2021; 69:298-307. [PMID: 31589100 DOI: 10.1080/07448481.2019.1665053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2019] [Revised: 08/18/2019] [Accepted: 09/02/2019] [Indexed: 06/10/2023]
Abstract
Scoping review of freshmen weight and body composition change determinants in order to inform practice, policymaking, and research that improve health and well-being. Methods: A systematic search of the literature identified potential sources. Duplicates were removed before a title and abstract review. A full-text review was then conducted on the remaining sources. Retained sources were then reviewed systematically before synthesis. Results: Eighty-five sources were synthesized. Variation in study design, measurement, reporting, and analyses of determinants, in particular dietary characteristics and physical activity, complicate comparisons. Dietary characteristics and physical activity appear to influence freshmen weight and body composition changes, while evidence indicates alcohol consumption is associated with deleterious weight and body composition changes. Conclusions: Design, measurement, analyses, and reporting can be improved considerably to better examine relationship between body composition changes and determinants in order to provide insight into, and inform, interventions and policies to benefit students' health and well-being.
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Affiliation(s)
- Oliver W A Wilson
- Department of Kinesiology, Pennsylvania State University, University Park, PA, USA
| | - Madison M Galascio
- Department of Kinesiology, Pennsylvania State University, University Park, PA, USA
- Department of Nutrition, Pennsylvania State University, University Park, PA, USA
| | - Melissa Bopp
- Department of Kinesiology, Pennsylvania State University, University Park, PA, USA
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A qualitative study about college students' attitudes, knowledge and perceptions regarding sugar intake. Appetite 2020; 159:105059. [PMID: 33271200 DOI: 10.1016/j.appet.2020.105059] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Revised: 09/16/2020] [Accepted: 11/25/2020] [Indexed: 01/04/2023]
Abstract
Excessive sugar intake has been associated with multiple health conditions (e.g., higher risk for non-communicable diseases). Hence, health organizations have issued guidelines defining the maximum daily intake of free or added sugars. However, data from several countries suggests that these guidelines are rarely met, particularly by young adults. For example, almost half of Portuguese adolescents and young adults exceed the recommended sugar intake. In this work, we aim to further explore college students' attitudes, knowledge, and perceptions about sugar intake, as well as about sugar intake guidelines. A thematic analysis on data from five focus groups (N = 40) indicated that participants reported difficulty in the comprehension of added/free sugars definition and sugar intake recommendations. Overall, attitudes toward sugar were ambivalent. Sugar was simultaneously perceived as pleasurable and needed, but also as addictive and harmful. Although aware of the potential negative health outcomes associated with excessive sugar intake, most participants did not perceive being at risk due to their youth, exercise habits, or type of diet. The few concerns expressed were mostly associated with the negative impact of high sugar intake on body image (e.g., weight gain). The main barriers to reducing sugar intake identified were environmental (e.g., time restrictions, food available at the university). Still, participants could identify several individual strategies to effectively regulate sugar intake. By identifying knowledge gaps and sources of bias related to sugar consumption, our findings are useful to inform future interventions aiming to address the problem of high sugar intake among university students.
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Buckland NJ, Swinnerton LF, Ng K, Price M, Wilkinson LL, Myers A, Dalton M. Susceptibility to increased high energy dense sweet and savoury food intake in response to the COVID-19 lockdown: The role of craving control and acceptance coping strategies. Appetite 2020; 158:105017. [PMID: 33161044 PMCID: PMC8580210 DOI: 10.1016/j.appet.2020.105017] [Citation(s) in RCA: 67] [Impact Index Per Article: 16.8] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 10/15/2020] [Accepted: 10/31/2020] [Indexed: 01/02/2023]
Abstract
Emerging evidence indicates that for some people, the COVID-19 lockdowns are a time of high risk for increased food intake. A clearer understanding of which individuals are most at risk of over-eating during the lockdown period is needed to inform interventions that promote healthy diets and prevent weight gain during lockdowns. An online survey collected during the COVID-19 lockdown (total n = 875; analysed n = 588; 33.4 ± 12.6 years; 82% UK-based; mostly white, educated, and not home schooling) investigated reported changes to the amount consumed and changes to intake of high energy dense (HED) sweet and savoury foods. The study also assessed which eating behaviour traits predicted a reported increase of HED sweet and savoury foods and tested whether coping responses moderated this relationship. Results showed that 48% of participants reported increased food intake in response to the COVID-19 lockdown. There was large individual variability in reported changes and lower craving control was the strongest predictor of increased HED sweet and savoury food intake. Low cognitive restraint also predicted greater increases in HED sweet snacks and HED savoury meal foods. Food responsiveness, enjoyment of food, emotional undereating, emotional overeating and satiety responsiveness were not significant predictors of changes to HED sweet and savoury food intake. High scores on acceptance coping responses attenuated the conditional effects of craving control on HED sweet snack intake. Consistent with previous findings, the current research suggests that low craving control is a risk factor for increased snack food intake during lockdown and may therefore represent a target for intervention.
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Affiliation(s)
- Nicola J Buckland
- Department of Psychology, University of Sheffield, Cathedral Court, 1 Vicar Lane, Sheffield, S1 2LT, United Kingdom.
| | - Lucy F Swinnerton
- Department of Psychology, University of Sheffield, Cathedral Court, 1 Vicar Lane, Sheffield, S1 2LT, United Kingdom
| | - Kwok Ng
- School of Educational Sciences and Psychology, University of Eastern Finland, 80101, Joensuu, Finland; Physical Activity for Health Research Cluster, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
| | - Menna Price
- Department of Psychology, College of Human and Health Sciences, Swansea University, Singleton Park, Swansea, SA2 8PP, United Kingdom
| | - Laura L Wilkinson
- Department of Psychology, College of Human and Health Sciences, Swansea University, Singleton Park, Swansea, SA2 8PP, United Kingdom
| | - Anna Myers
- Sheffield Hallam University, Advanced Wellbeing Research Centre, Olympic Legacy Park, Sheffield, S9 3TU, United Kingdom
| | - Michelle Dalton
- School of Social and Behavioural Sciences, Leeds Trinity University, Horsforth, Leeds, LS18 5HD, United Kingdom
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Maher JP, Harduk M, Hevel DJ, Adams WM, McGuirt JT. Momentary Physical Activity Co-Occurs with Healthy and Unhealthy Dietary Intake in African American College Freshmen. Nutrients 2020; 12:nu12051360. [PMID: 32397433 PMCID: PMC7285035 DOI: 10.3390/nu12051360] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2020] [Revised: 04/23/2020] [Accepted: 05/04/2020] [Indexed: 12/13/2022] Open
Abstract
Background: Research investigating interrelations between physical activity and dietary intake has primarily used retrospective, summary-based measures of behavior subject to increased recall bias. This study used ecological momentary assessment (EMA) methods with accelerometry to determine within-day, momentary associations between physical activity and dietary intake behaviors in African American college freshmen. Methods: Participants (N = 50) completed a dietary EMA protocol that assessed food/fluids consumed over the past 2 h at five random times per day and wore an activPAL accelerometer for 7 days to measure physical activity. Physical activity was operationalized as step counts in the 2 h prior to the EMA prompt (matching the EMA recall window). Results: On occasions when participants took more steps than was typical for them in the 2 h prior to the EMA prompt, they were more likely to consume sugar-sweetened beverages (OR = 1.37, p < 0.001), water (OR = 1.28, p < 0.001), fruit (OR = 1.44, p < 0.001), vegetables (OR = 1.19, p = 0.02), and fried fast food (OR = 1.21, p = 0.04) over that same time. Conclusion: Momentary physical activity co-occurred with momentary consumption of both healthy and unhealthy dietary intake. These behavioral interrelations suggest potential implications for obesity risk and multiple health behavior change interventions in young adult African Americans.
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Affiliation(s)
- Jaclyn P. Maher
- Department of Kinesiology, University of North Carolina Greensboro, Greensboro, NC 27412, USA; (M.H.); (D.J.H.); (W.M.A.)
- Correspondence: ; Tel.: +1-336-256-1379
| | - Meghan Harduk
- Department of Kinesiology, University of North Carolina Greensboro, Greensboro, NC 27412, USA; (M.H.); (D.J.H.); (W.M.A.)
| | - Derek J. Hevel
- Department of Kinesiology, University of North Carolina Greensboro, Greensboro, NC 27412, USA; (M.H.); (D.J.H.); (W.M.A.)
| | - William M. Adams
- Department of Kinesiology, University of North Carolina Greensboro, Greensboro, NC 27412, USA; (M.H.); (D.J.H.); (W.M.A.)
| | - Jared T. McGuirt
- Department of Nutrition, University of North Carolina Greensboro, Greensboro, NC 27412, USA;
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Pegington M, French DP, Harvie MN. Why young women gain weight: A narrative review of influencing factors and possible solutions. Obes Rev 2020; 21:e13002. [PMID: 32011105 DOI: 10.1111/obr.13002] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Revised: 12/30/2019] [Accepted: 12/30/2019] [Indexed: 01/02/2023]
Abstract
Significant weight gain occurs in women during young adulthood, which increases risk of diseases such as diabetes, cardiovascular disease, and many cancers. This review aims to inform future individually targeted weight gain prevention programmes and summarizes possible targets: key life events, mediators that influence energy intake and physical activity levels, and moderators that could identify groups of women at greatest risk. Life events affecting weight include pregnancy and motherhood, smoking cessation, marriage and cohabiting, attending university, and possibly bereavement. Research has identified successful methods for preventing weight gain associated with pregnancy and motherhood, which could now be used in practice, but evidence is inconclusive for preventing weight gain around other life events. Weight gain is mediated by lack of knowledge and skills around food and nutrition, depression, anxiety, stress, satiety, neural responses, and possibly sleep patterns and premenstrual cravings. A paucity of research exists into altering these to limit weight gain. Moderators include socioeconomic status, genetics, personality traits, and eating styles. More research is required to identify at-risk females and engage them in weight gain prevention. There is a need to address evidence gaps highlighted and implement what is currently known to develop effective strategies to limit weight gain in young women.
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Affiliation(s)
- Mary Pegington
- Division of Cancer Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.,Prevent Breast Cancer Research Unit, The Nightingale Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK
| | - David P French
- Manchester Centre for Health Psychology, School of Health Sciences, University of Manchester, Manchester, UK
| | - Michelle N Harvie
- Division of Cancer Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.,Prevent Breast Cancer Research Unit, The Nightingale Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.,Manchester Breast Centre, University of Manchester, Manchester, UK
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Miller KG, Hartman JM. Influence of physical activity on weight status during the first year of college. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2020; 68:258-262. [PMID: 30614774 DOI: 10.1080/07448481.2018.1539398] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Accepted: 10/14/2018] [Indexed: 06/09/2023]
Abstract
Objective: To provide an analysis of weight change in response to physical activity levels among first year college students. Participants: First year students (N = 114) participated during the 2012-2013 academic year. Methods: Using a web-based survey, researchers gathered information on physical activity and weight at three points: twice throughout the fall and once at the end of the spring semesters. Results: Over half (56.25%) of respondents reported weight gain (between 0.45 and 13.61 kg) from baseline to 9-month follow-up. Weight gainers reported an average gain of 4.20 kg. More than half of participants were not meeting minimal recommendations for cardiorespiratory fitness (59.5%) and strength (53.2%) by the end of the first year of college. Conclusion: This research provides support for intervention and implementation of strategies to promote self-regulation in college students during the transition to college. Addressing the importance of physical activity in weight maintenance is beneficial to first year students' well-being.
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Affiliation(s)
- Kaitlyn G Miller
- Department of Counseling and Clinical Psychology, Teachers College, Columbia University, New York, New York, USA
| | - Jeffrey M Hartman
- Department of Exercise Science, Gardner-Webb University, Boiling Springs, North Carolina, USA
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García-García I, Morys F, Michaud A, Dagher A. Food Addiction, Skating on Thin Ice: a Critical Overview of Neuroimaging Findings. CURRENT ADDICTION REPORTS 2020. [DOI: 10.1007/s40429-020-00293-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
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Fazzino TL, Serwatka C, Schneider H, Sullivan D. A systematic review of the methodology used to study weight change among young adults attending college. Eat Behav 2019; 35:101333. [PMID: 31491664 DOI: 10.1016/j.eatbeh.2019.101333] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2019] [Revised: 07/29/2019] [Accepted: 08/22/2019] [Indexed: 12/17/2022]
Abstract
INTRODUCTION Young adulthood is a sensitive developmental period that is high-risk for weight gain. Ample research has focused on weight gain among college students; however meta-analyses report <2 kg pooled estimates of weight gain, which is in the range of normal weight fluctuation, and there is disagreement in the literature regarding common predictors of weight gain. These limitations pose a major barrier to targeted obesity prevention efforts. The present study reviewed the literature assessing college weight gain with a focus on three methodological factors that could contribute to variability in the literature: 1) use of an evidence-supported definition of weight gain (>2 kg or ≥3%); 2) weight measurement protocols; and 3) including weight/BMI in analyses of predictors of weight change. METHODS Three databases were systematically searched. Studies were included in the review if the primary goal was to determine magnitude of weight change and/or test predictors of weight change during the academic year, and they reported weight at 2+ time points. RESULTS A total of 81 studies were included in the review. Most studies (90%; 73/81) did not use an evidence-supported definition of weight gain. Studies that used an evidence-supported definition reported estimates of gain among students who gained weight to be beyond the range of normal weight fluctuation (4.0-7.5 kg), and occurred in a subset (<32%) of participants. Studies that did not use an evidence-supported definition reported weight gain to be 2.0-4.5 kg, and occurred in the majority >50% of students. Most studies that measured height and weight (71%; 42/59) did not use a fasting protocol and the majority (63%; 37/59) did not conduct measurements at the same time of day. A higher percentage of studies that used a standardized measurement protocol reported weight change >2 kg (44% vs 20%). A lower percentage of studies that used a standardized measurement protocol had substantial variability in weight change estimates (50% vs 69%). The majority of studies that tested predictors of weight gain (74%; 42/57) included weight/BMI as a covariate in analyses. CONCLUSIONS The body of literature examining weight change among college students suffers from limitations that may have contributed to overestimations in the percent of students who gain weight, and simultaneous underestimations of the magnitude of weight gain among those who gain weight. Weight gain may be limited to approximately 30% of students in a sample, and weight gain among this subset of students may be substantial (>4 kg). Going forward, use of both an evidence-supported weight gain definition and fasting measurement protocol will likely enhance accuracy in characterizing weight gain among college students, as well as improve researchers' ability to detect important predictors of weight gain.
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Affiliation(s)
- Tera L Fazzino
- Department of Psychology, University of Kansas, United States of America; Cofrin Logan Center for Addiction Research and Treatment, University of Kansas, United States of America.
| | - Catherine Serwatka
- Department of Psychology, University of Kansas, United States of America; Cofrin Logan Center for Addiction Research and Treatment, University of Kansas, United States of America
| | - Heather Schneider
- Department of Psychology, University of Kansas, United States of America; Cofrin Logan Center for Addiction Research and Treatment, University of Kansas, United States of America
| | - Debra Sullivan
- Department of Nutrition and Dietetics, University of Kansas Medical Center, United States of America
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'A Healthy CIT': An Investigation into Student Health Metrics, Lifestyle Behaviours and the Predictors of Positive Mental Health in an Irish Higher Education Setting. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16224318. [PMID: 31698784 PMCID: PMC6888466 DOI: 10.3390/ijerph16224318] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/28/2019] [Revised: 11/01/2019] [Accepted: 11/04/2019] [Indexed: 01/05/2023]
Abstract
Higher Education Institutions (HEIs) are potent health promotion settings, uniquely positioned to aid societal efforts to combat non-communicable diseases (NCDs). International evidence suggests that health metrics and lifestyle behaviours of higher education students are sub-optimal, yet a dearth of contemporary Irish data exists. This study aimed to examine sex differences in student lifestyle behaviours and identify significant predictors of positive mental health in an Irish HEI setting. An online questionnaire instrument distributed to all registered students (n = 11,261) gathered data regarding a multitude of health and lifestyle domains. Many items were adapted from previous Irish research. Further validated scales included the Alcohol Use Disorders Identification Test (AUDIT), Mental-Health Index 5 (MHI-5) and the Energy and Vitality Index (EVI). Self-reported height/body mass were also recorded. In total, 2267 responses were analysed (51.7% female, 48.3% male). Both sexes demonstrated poor sleeping patterns, hazardous drinking and sub-optimal fruit and vegetable intake. The calculated prevalence of overweight/obesity was 38.2%. Both sexes underestimated obesity. Males underestimated and females overestimated overweight. Males displayed riskier behavioural patterns with regard to illicit substances, drinking, and sexual partners. Females reported greater psychological distress. Multivariate linear regression identified 8 variables as predictors of positive mental health, accounting for 37% of the variance in EVI scores. In conclusion, HEI students would benefit from sex-specific multi-level health promotion initiatives to remove macro-level barriers to healthier lifestyles.
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Stamp E, Crust L, Swann C. Mental toughness and dietary behaviours in undergraduate university students. Appetite 2019; 142:104389. [PMID: 31376439 DOI: 10.1016/j.appet.2019.104389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2018] [Revised: 07/17/2019] [Accepted: 07/28/2019] [Indexed: 11/26/2022]
Abstract
Dietary behaviour of university students is a growing concern and a potential contributor to weight gain during university studies. Individual differences may be one factor that influences how students respond and adapt when entering a new environment. Mental toughness (MT) is an individual difference which has previously been found to be significantly and positively related to health behaviours (e.g., physical activity, psychological wellbeing), thus it was hypothesised that MT would predict eating behaviours of university students. Undergraduate students (n = 167) completed an online questionnaire to assess MT and eating behaviours. Students were included from all three years of undergraduate study and from a range of courses at nine UK institutions. Pearson correlations were conducted between MT variables and eating behaviour variables. The MT component life control displayed the strongest relationship with healthy eating (r = 0.24, p < .001). Regression analysis found weak relationships between the components of MT that were related to eating behaviours. Thus, factors other than MT may play a greater role influencing eating behaviours of university students. It may be that MT is more important in adhering to programmes to change dietary behvaiours, rather than simply eating healthily.
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Affiliation(s)
| | - Lee Crust
- University of Lincoln, Brayford Way, Brayford Pool, Lincoln, LN6 7TS, UK
| | - Christian Swann
- School of Health and Human Sciences, Southern Cross University, Coffs Harbour, Australia; Centre for Athlete Development, Experience & Performance, Southern Cross University, Coffs Harbour, Australia
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'Oh God, I Have to Eat Something, But Where Can I Get Something Quickly?'-A Qualitative Interview Study on Barriers to Healthy Eating among University Students in Germany. Nutrients 2019; 11:nu11102440. [PMID: 31614957 PMCID: PMC6835904 DOI: 10.3390/nu11102440] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2019] [Revised: 10/02/2019] [Accepted: 10/05/2019] [Indexed: 11/17/2022] Open
Abstract
Healthy eating can prevent individuals across all age groups from developing overweight/obesity and non-communicable diseases such as type 2 diabetes and cardiovascular disease. However, unhealthy eating habits (e.g., a high level of fast food consumption) have been found to be widespread among university students. Thus, it seems necessary to develop prevention strategies to improve students' eating habits. However, to ensure that such strategies are successful, it is important that they fit the needs of the target population. By conducting qualitative interviews with students (n = 20), we aimed to get a deeper understanding of barriers to healthy eating. Students were asked about barriers to healthy eating and to suggest possible ideas that could improve their eating behavior in the future. Our findings revealed that students are especially affected by time-related barriers (e.g., a lack of time due to university commitment) and environmental barriers (e.g., a lack of cheap, tasty, and healthy meal options at the university canteen). Time-related barriers were also related to motivational barriers (e.g., being too lazy to cook after a busy day at university). In addition, knowledge/information-related barriers, social-support-related barriers, and transition-related barriers emerged from our interviews. The variety of barriers addressed and the different views on some of these, indicate that various strategies seem to be needed to improve the eating behavior among university students and to prevent them from gaining weight and developing non-communicable diseases in the future.
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Scott S, Muir C, Stead M, Fitzgerald N, Kaner E, Bradley J, Wrieden W, Power C, Adamson A. Exploring the links between unhealthy eating behaviour and heavy alcohol use in the social, emotional and cultural lives of young adults (aged 18-25): A qualitative research study. Appetite 2019; 144:104449. [PMID: 31520670 DOI: 10.1016/j.appet.2019.104449] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2018] [Revised: 06/19/2019] [Accepted: 09/10/2019] [Indexed: 01/16/2023]
Abstract
Alcohol use peaks in early adulthood and can contribute both directly and indirectly to unhealthy weight gain. This is the first qualitative study to explore the links between unhealthy eating behaviour and heavy alcohol use in the social, emotional and cultural lives of young adults. We conducted 45 in-depth interviews with 18-25-year-olds in North-East England to inform development of a dual-focused intervention to reduce health risk due to excess weight gain and alcohol use. Data were analysed thematically, following the principles of constant comparison, resulting in three intersecting themes: (1) how food and alcohol consumption currently link together for this population group; (2) influences upon linked eating and drinking behaviours and (3) young adults' feelings and concerns about linked eating and drinking behaviours. Socio-cultural, physical and emotional links between food and alcohol consumption were an unquestioned norm among young adults. Eating patterns linked to alcohol use were not tied only to hunger, but also to sociability, traditions and identity. Young adults conceptualised and calculated risks to weight, appearance and social status, rather than to long-term health. This study is the first to evidence the deeply interconnected nature of food and alcohol consumption for many young adults. Findings have important implications for intervention development, UK public health policy and practice, and point to a need for similar research in other countries.
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Affiliation(s)
- Stephanie Scott
- School of Social Sciences, Humanities and Law, Teesside University, Middlesbrough, TS1 3BA, UK.
| | - Cassey Muir
- Institute of Health & Society, Baddiley-Clark Building, Newcastle University, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.
| | - Martine Stead
- Institute for Social Marketing (ISM), University of Stirling, Stirling, FK9 4LA, UK.
| | - Niamh Fitzgerald
- Institute for Social Marketing (ISM), University of Stirling, Stirling, FK9 4LA, UK.
| | - Eileen Kaner
- Institute of Health & Society, Baddiley-Clark Building, Newcastle University, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.
| | - Jen Bradley
- Institute of Health & Society, Baddiley-Clark Building, Newcastle University, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.
| | - Wendy Wrieden
- Institute of Health & Society, Baddiley-Clark Building, Newcastle University, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.
| | - Christine Power
- Population, Policy and Practice, UCL Great Ormond Street Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK.
| | - Ashley Adamson
- Institute of Health & Society, Baddiley-Clark Building, Newcastle University, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.
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Warschburger P, Zitzmann J. Does an Age-Specific Treatment Program Augment the Efficacy of a Cognitive-Behavioral Weight Loss Program in Adolescence and Young Adulthood? Results from a Controlled Study. Nutrients 2019; 11:nu11092053. [PMID: 31480678 PMCID: PMC6769959 DOI: 10.3390/nu11092053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Revised: 08/22/2019] [Accepted: 08/23/2019] [Indexed: 12/27/2022] Open
Abstract
Research on weight-loss interventions in emerging adulthood is warranted. Therefore, a cognitive-behavioral group treatment (CBT), including development-specific topics for adolescents and young adults with obesity (YOUTH), was developed. In a controlled study, we compared the efficacy of this age-specific CBT group intervention to an age-unspecific CBT group delivered across ages in an inpatient setting. The primary outcome was body mass index standard deviation score (BMI-SDS) over the course of one year; secondary outcomes were health-related and disease-specific quality of life (QoL). 266 participants aged 16 to 21 years (65% females) were randomized. Intention-to-treat (ITT) and per-protocol analyses (PPA) were performed. For both group interventions, we observed significant and clinically relevant improvements in BMI-SDS and QoL over the course of time with small to large effect sizes. Contrary to our hypothesis, the age-specific intervention was not superior to the age-unspecific CBT-approach.
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Affiliation(s)
- Petra Warschburger
- Department of Psychology, University of Potsdam, Karl-Liebknecht-Str. 24-25, 14476 Potsdam, Germany.
| | - Jana Zitzmann
- Department of Psychology, University of Potsdam, Karl-Liebknecht-Str. 24-25, 14476 Potsdam, Germany
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Lipsky LM, Nansel TR, Haynie DL, Liu D, Eisenberg Colman MH, Simons-Morton B. Lack of prospective relationships of the Power of Food Scale with Body Mass Index and dieting over 2 years in U.S. emerging adults. Eat Behav 2019; 34:101302. [PMID: 31153024 PMCID: PMC7668209 DOI: 10.1016/j.eatbeh.2019.101302] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Revised: 05/13/2019] [Accepted: 05/15/2019] [Indexed: 10/26/2022]
Abstract
BACKGROUND This study investigated prospective relationships of the Power of Food Scale (PFS), a self-report measure of hedonic hunger, with weight outcomes and dieting in U.S. young adults. METHODS PFS (PFS-aggregate and subscales: PFS-available, PFS-present, PFS-tasted) was assessed in waves (W, years) 5 and 6 of a nationally representative cohort of 10th graders assessed annually (baseline n = 2785, 83% retention at W7). Internal consistency (Cronbach's α), 1-year stability (intraclass correlation coefficient, ICC) and confirmatory factor analysis (CFA) were examined. Analyses accounting for the complex survey design examined cross-sectional associations of W6 PFS with W6 BMI and dieting, and prospective relationships of PFS in each wave with BMI, 1-year BMI change (BMIΔ, W6-W5 and W7-W6), overweight/obesity onset (OWOB, moving to a higher risk weight category) and dieting in the following wave. Multiple imputations addressed missing data. RESULTS Baseline participant mean ± SE age was 20.3 ± 0.02 years. Mean BMI increased by approximately 0.6 kg/m2 from W5 through W7; OWOB occurred in 7.4% of participants between W5-W6; 9.0% between W6-W7. Approximately half the sample reported dieting in each wave. W6 weight outcomes were not associated with W6 PFS, but W6 dieting frequency was positively associated with W6 PFS-available, PFS-present, and PFS-aggregate (but not PFS-tasted) in multivariable models. PFS was not prospectively associated with weight outcomes. Positive prospective associations of PFS with dieting frequency were inconsistent across waves and with respect to inclusion of covariates. CONCLUSIONS Greater PFS is associated with dieting cross-sectionally but was not a reliable indicator of susceptibility to future weight outcomes or dieting in young adults.
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Affiliation(s)
- Leah M Lipsky
- Social and Behavioral Sciences Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, United States of America.
| | - Tonja R Nansel
- Social and Behavioral Sciences Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development
| | - Denise L Haynie
- Social and Behavioral Sciences Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development
| | - Danping Liu
- Biostatistics and Bioinformatics Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development
| | - Miriam H. Eisenberg Colman
- Social and Behavioral Sciences Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development
| | - Bruce Simons-Morton
- Social and Behavioral Sciences Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development
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Roy R, Soo D, Conroy D, Wall CR, Swinburn B. Exploring University Food Environment and On-Campus Food Purchasing Behaviors, Preferences, and Opinions. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2019; 51:865-875. [PMID: 30981657 DOI: 10.1016/j.jneb.2019.03.003] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Revised: 02/21/2019] [Accepted: 03/03/2019] [Indexed: 06/09/2023]
Abstract
OBJECTIVE Cross-sectional observation of a university food environment and a survey of food purchasing preferences, behaviors, and opinions of students and staff to formulate strategies for interventions. DESIGN A modified food environment-quality index was used to assess food outlets. A cross-sectional survey with closed (n = 42) and open-ended (n = 2) questions assessing students and staff purchasing, choice determinants, and opinions about the food environment. SETTING Six campuses of 1 large urban university. PARTICIPANTS Food outlets (eg, convenience stores, restaurant and café, takeout, vending machines) (n = 57). University students and staff (n = 1,954). ANALYSIS The researchers calculated descriptive statistics and Pearson chi-square tests to compare the percentages of healthy and/or unhealthy products in high- vs low-scoring outlets. Kruskal-Wallis H test was used to determine differences in healthiness between outlet types. Pearson chi-square tests were used to examine the influence of gender, and student and staff differences in survey responses. RESULTS Median food environment-quality index was 79 out of 199 (interquartile range = 7). Six food outlets were categorized as healthy and 2 as unhealthy; the rest were intermediate. Overall, healthy items were less available, accessible, and promoted and cost more than unhealthy items. The majority of respondents in the survey (79%) purchased food and beverages on campus; males consuming them more frequently than did females (P = .001) and students consumed them more frequently than did staff (P = .001). Value for money, healthfulness, and taste determined the choice. Respondents suggested increasing value for money and healthy options. CONCLUSIONS AND IMPLICATIONS Interventions that improve food availability, accessibility, prices, and promotions through policies are warranted and would be well-received among both university students and staff.
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Affiliation(s)
- Rajshri Roy
- Discipline of Nutrition and Dietetics, University of Auckland, Auckland, New Zealand.
| | - Danielle Soo
- Discipline of Nutrition and Dietetics, University of Auckland, Auckland, New Zealand
| | - Denise Conroy
- Faculty of Business and Economics, University of Auckland, Auckland, New Zealand
| | - Clare R Wall
- Discipline of Nutrition and Dietetics, University of Auckland, Auckland, New Zealand
| | - Boyd Swinburn
- School of Population Health, University of Auckland, Auckland, New Zealand
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Vázquez CMP, Costa JO, Bomfim LGS, Pires LV, da Silva DG, Fukutani KF, de Jesus AR, de Jesus Silva N, de Jesus Santana G, de Moura TR, Barbosa K. Oxidized Low-Density Lipoprotein (Ox-LDL) and Triggering Receptor-Expressed Myeloid Cell (TREM-1) Levels Are Associated with Cardiometabolic Risk in Nonobese, Clinically Healthy, and Young Adults. OXIDATIVE MEDICINE AND CELLULAR LONGEVITY 2019; 2019:7306867. [PMID: 30944697 PMCID: PMC6421781 DOI: 10.1155/2019/7306867] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/17/2018] [Revised: 11/26/2018] [Accepted: 12/24/2018] [Indexed: 12/21/2022]
Abstract
Oxidative and inflammatory substances play an important role in the genesis of processes related to cardiometabolic risk. High levels of oxidized low-density lipoprotein (Ox-LDL) and of triggering receptor-expressed myeloid cells (TREM-1) are associated with cardiovascular and inflammatory diseases. In this study, we evaluate the association of the plasma concentrations of Ox-LDL and serum levels of circulating TREM-1 (sTREM-1) with the components of cardiometabolic risk (CMR) and other associated risk parameters. Although the individuals in this study were young, nonobese, and did not have signs, symptoms, and diagnosis of diseases, they already presented components of CMR. Ox-LDL lipid fraction correlated positively with CMR-related markers: body mass index (BMI), waist circumference (WC), body fat percentage, total cholesterol, LDL-c, VLDL-c, triglycerides, atherogenic cholesterol, and atherogenic index. Among these parameters, atherogenic cholesterol had a greater predictive effect for Ox-LDL alterations. Individuals with higher serum concentrations of sTREM-1 presented higher values for BMI, WC, triglycerides, VLDL-c, and atherogenic cholesterol. WC showed an effect on the association between the sTREM-1's inflammatory response and the components of CMR. The association of oxidative and inflammatory markers with anthropometric parameters and atherogenic cholesterol in nonobese, clinically healthy, and young individuals suggests the importance of early evaluation of these markers in order to prevent future cardiac events.
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Vainik U, García-García I, Dagher A. Uncontrolled eating: a unifying heritable trait linked with obesity, overeating, personality and the brain. Eur J Neurosci 2019; 50:2430-2445. [PMID: 30667547 DOI: 10.1111/ejn.14352] [Citation(s) in RCA: 103] [Impact Index Per Article: 20.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2018] [Revised: 12/21/2018] [Accepted: 01/08/2019] [Indexed: 12/21/2022]
Abstract
Many eating-related psychological constructs have been proposed to explain obesity and overeating. However, these constructs, including food addiction, disinhibition, hedonic hunger, emotional eating, binge eating and the like all have similar definitions, emphasizing loss of control over intake. As questionnaires measuring the constructs correlate strongly (r > 0.5) with each other, we propose that these constructs should be reconsidered to be part of a single broad phenotype: uncontrolled eating. Such an approach enables reviewing and meta-analysing evidence obtained with each individual questionnaire. Here, we describe robust associations between uncontrolled eating, body mass index (BMI), food intake, personality traits and brain systems. Reviewing cross-sectional and longitudinal data, we show that uncontrolled eating is phenotypically and genetically intertwined with BMI and food intake. We also review evidence on how three psychological constructs are linked with uncontrolled eating: lower cognitive control, higher negative affect and a curvilinear association with reward sensitivity. Uncontrolled eating mediates all three constructs' associations with BMI and food intake. Finally, we review and meta-analyse brain systems possibly subserving uncontrolled eating: namely, (i) the dopamine mesolimbic circuit associated with reward sensitivity, (ii) frontal cognitive networks sustaining dietary self-control and (iii) the hypothalamus-pituitary-adrenal axis, amygdala and hippocampus supporting stress reactivity. While there are limits to the explanatory and predictive power of the uncontrolled eating phenotype, we conclude that treating different eating-related constructs as a single concept, uncontrolled eating, enables drawing robust conclusions on the relationship between food intake and BMI, psychological variables and brain structure and function.
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Affiliation(s)
- Uku Vainik
- Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada.,Institute of Psychology, University of Tartu, Tartu, Estonia
| | | | - Alain Dagher
- Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada
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Cognitive dietary restraint, disinhibition, and hunger are associated with 24-h energy expenditure. Int J Obes (Lond) 2019; 43:1456-1465. [PMID: 30651576 PMCID: PMC6610661 DOI: 10.1038/s41366-018-0305-9] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2018] [Revised: 12/04/2018] [Accepted: 12/06/2018] [Indexed: 12/25/2022]
Abstract
Background: Higher energy expenditure (EE) is associated with greater food intake, possibly because the human body senses EE and modifies eating behaviors to regulate food intake and ultimately achieve energy balance. As eating behaviors are also influenced by social and cultural factors, any association between EE and eating behavior may differ between ethnicities and sexes. Objective: To assess relationships between EE and eating behavior constructs of the Three-Factor Eating Questionnaire (TFEQ). Subjects/Methods: 307 healthy adults (201M/106F, 160 Native Americans) completed the TFEQ and had measures of 24-h EE in a whole-room calorimeter during energy balance. Body composition was assessed by DXA. Results: On average, adjusted 24-h EE was lower (β=−229 kcal/day, CI: −309-−148, p<0.001) but cognitive restraint (Δ=+1.5; CI: 0.5–2.5, p=0.003) and disinhibition (Δ=+2.1, CI: 1.3–2.8, p<0.001) scores were higher in women compared to men. In Native Americans, adjusted 24-h EE (β=+94 kcal/day, CI: 48–139, p<0.001) and disinhibition scores (Δ=+1.0, CI: 0.1–2.0, p=0.003) were higher compared to other ethnicities. Higher 24-h EE associated with lower cognitive restraint in women (ρ=−0.20, p=0.04), but not men (p=0.71; interaction term p=0.01) with no ethnic differences. Greater 24-h EE associated with higher disinhibition (ρ=0.20, p=0.001) and hunger cues (ρ=0.16, p=0.004) with no gender differences. These associations were primarily present in non-Native Americans (ρ=0.23, p=0.006 and ρ=0.25, p=0.003) but not observed in Native Americans (both p>0.40). Conclusions: Higher EE is associated with psychological constructs of eating behaviors that favors overeating including lower cognitive restraint, higher dietary disinhibition, and greater susceptibility to hungers cues, supporting the existence of energy-sensing mechanisms influencing human eating behavior. These associations were observed in ethnicities other than Native Americans, possibly explaining the contradictory relationships reported between EE and weight change in different ethnic groups. We propose that increased EE may alter eating behaviors, potentially leading to uncontrolled overeating and weight gain.
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Kliemann N, Croker H, Johnson F, Beeken RJ. Starting university with high eating self-regulatory skills protects students against unhealthy dietary intake and substantial weight gain over 6 months. Eat Behav 2018; 31:105-112. [PMID: 30243053 PMCID: PMC6234330 DOI: 10.1016/j.eatbeh.2018.09.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2017] [Revised: 08/10/2018] [Accepted: 09/14/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND There is consistent evidence that suggests first year students are at risk of weight gain, but the reasons for this vulnerability are still unclear. This study aimed to explore whether the ability to regulate eating behaviours is a predictor of weight and dietary changes in first year undergraduate students. METHODS First year undergraduate students from universities situated in London were invited to complete a survey at the beginning of the academic year and at 6-month follow-up. Each survey included the Self-Regulation of Eating Behaviour Questionnaire, food frequency questions, socio-demographic questions and anthropometric questions. Linear and logistic regressions were performed to explore the associations between baseline eating self-regulatory skills and weight and dietary changes. RESULTS 481 first year undergraduate students took part in the study. Students who entered university with higher eating self-regulatory skills were more likely to maintain or achieve a higher fruit and vegetable (OR = 1.8, p = 0.007) and a lower sweet and salty snack (OR = 1.9, p = 0.001) intake over the course of the first 6 months in university. Higher baseline eating self-regulatory skills were also related to lower weight changes (β = -0.15, p = 0.018) and lower likelihood of gaining 5% initial body weight (OR = 0.52, p = 0.006) at 6-month. Additionally, self-regulatory skills moderated the relationship between baseline BMI and weight changes (β = -0.25, p ≤0.001) and between baseline BMI and 5% weight gain (OR = 0.82, p = 0.008). CONCLUSIONS Starting university with higher eating self-regulatory skills may help students to maintain or achieve a healthy diet and protect them against substantial weight gain, especially among students with overweight.
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Affiliation(s)
- Nathalie Kliemann
- Department of Behavioural Science & Health, University College London, London, UK
| | - Helen Croker
- Department of Behavioural Science & Health, University College London, London, UK
| | - Fiona Johnson
- Department of Behavioural Science & Health, University College London, London, UK
| | - Rebecca J. Beeken
- Department of Behavioural Science & Health, University College London, London, UK,Leeds Institute of Health Sciences, University of Leeds, Leeds, UK,Corresponding author at: Leeds Institute of Health Sciences, University of Leeds, Leeds LS2 9JT, UK.
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43
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Kaisari P, Kumar S, Hattersley J, Dourish CT, Rotshtein P, Higgs S. Top-down guidance of attention to food cues is enhanced in individuals with overweight/obesity and predicts change in weight at one-year follow up. Int J Obes (Lond) 2018; 43:1849-1858. [PMID: 30464229 PMCID: PMC6760610 DOI: 10.1038/s41366-018-0246-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2018] [Revised: 09/06/2018] [Accepted: 09/19/2018] [Indexed: 12/23/2022]
Abstract
Background Changing eating behaviour may be challenging for individuals with obesity and this may be related to attentional bias towards food. Previous paradigms used to assess attentional bias to food stimuli have not distinguished between bottom-up processes related to assessment of rewarding stimuli versus top-down processes related to effects of mind-set on attention. We investigated whether attentional bias for food cues varies between individuals with overweight/obesity and healthy weight individuals, due to differential top-down control of attention. We also determined whether top-down biases predict food consumption in the lab and weight change in our sample over one-year. Methods Forty-three participants with overweight/obesity and 49 healthy weight participants between the ages of 18 and 58 participated. Participants completed two attention tasks in a counterbalanced order: (i) a priming task assessing bottom-up control of attention and (ii) a working memory task assessing top-down control of attention. Eating behaviour was assessed by a taste test. At one-year follow-up participants returned to the laboratory to assess changes in their body mass index (BMI). Results The healthy weight and overweight/obese groups did not differ in demographics and baseline measures (appetite, food liking, taste test food intake). Participants with overweight/obesity showed greater top-down attentional bias towards food cues than did healthy weight participants but had no difference in bottom-up attentional bias. Top down attentional bias towards food cues predicted weight change over one-year but did not predict food intake in the taste test. Conclusions The present findings illustrate that the relationship between attentional bias for food, food intake, and body weight is complex. Top-down effects of mind-set on attention, rather than bottom-up control of attention to food may contribute to patterns of eating that result in development and/or maintenance of overweight/obesity. Interventions targeted at top down biases could be effective in facilitating prevention of weight gain.
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Affiliation(s)
- Panagiota Kaisari
- School of Psychology, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK
| | - Sudhesh Kumar
- Warwick Medical School, University of Warwick, Coventry, UK.,Warwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism (WISDEM), University Hospitals of Coventry and Warwickshire (UHCW) NHS Trust, Coventry, UK
| | - John Hattersley
- Human Metabolic Research Unit, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK
| | | | - Pia Rotshtein
- School of Psychology, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK
| | - Suzanne Higgs
- School of Psychology, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
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Buresh R, Hornbuckle LM, Garrett D, Garber H, Woodward A. Associations between measures of health-related physical fitness and cardiometabolic risk factors in college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2018; 66:754-766. [PMID: 29405878 DOI: 10.1080/07448481.2018.1431910] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2017] [Revised: 11/17/2017] [Accepted: 01/14/2018] [Indexed: 06/07/2023]
Abstract
OBJECTIVE To determine the influence of health-related fitness on cardiometabolic risk factors in college students. PARTICIPANTS 75 traditional students (33 men and 42 women, 21.8±1.8 years old) at a university in southeastern U.S. METHODS Height, weight, waist circumference, body composition, blood pressure, lipids, glucose, insulin, c-reactive protein, and glucose tolerance were measured. Indices of insulin sensitivity were calculated. Aerobic and muscular fitness were measured. Regression and correlation analyses, and comparisons of cardiometabolic markers in low- vs high-fit participants were performed. RESULTS Men and women with low muscular fitness exhibited higher fasting insulin, and poorer insulin sensitivity index scores than those with high muscular fitness. In addition, women with high body fat percentage exhibited higher fasting and 2-hour insulin levels and lower insulin sensitivity index scores than those with low body fat percentages. CONCLUSIONS College students possessing low levels of health-related physical fitness exhibited less favorable cardiometabolic risk profiles.
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Affiliation(s)
- Robert Buresh
- a Department of Exercise Science and Sport Management , Kennesaw State University , Kennesaw , Georgia , USA
| | - Lyndsey M Hornbuckle
- b Department of Kinesiology , Recreation, and Sport Studies, University of Tennessee Knoxville , Knoxville , Tennessee , USA
| | - Danielle Garrett
- a Department of Exercise Science and Sport Management , Kennesaw State University , Kennesaw , Georgia , USA
| | - Hannah Garber
- a Department of Exercise Science and Sport Management , Kennesaw State University , Kennesaw , Georgia , USA
| | - Andrew Woodward
- a Department of Exercise Science and Sport Management , Kennesaw State University , Kennesaw , Georgia , USA
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45
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Sprake EF, Russell JM, Cecil JE, Cooper RJ, Grabowski P, Pourshahidi LK, Barker ME. Dietary patterns of university students in the UK: a cross-sectional study. Nutr J 2018; 17:90. [PMID: 30290816 PMCID: PMC6172790 DOI: 10.1186/s12937-018-0398-y] [Citation(s) in RCA: 81] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2018] [Accepted: 09/24/2018] [Indexed: 11/10/2022] Open
Abstract
Background University represents a key transition into adulthood for many adolescents but there are associated concerns about health and behaviours. One important aspect relates to diet and there is emerging evidence that university students may consume poor quality diets, with potential implications for body weight and long-term health. This research aimed to characterise dietary patterns of university students in the UK and their sociodemographic and lifestyle antecedents. Methods An online, cross-sectional survey was undertaken with a convenience sample of 1448 university students from five UK universities (King’s College London, Universities of St Andrews, Southampton and Sheffield, and Ulster University). The survey comprised a validated food frequency questionnaire alongside lifestyle and sociodemographic questions. Dietary patterns were generated from food frequency intake data using principal components analysis. Nutrient intakes were estimated to characterise the nutrient profile of each dietary pattern. Associations with sociodemographic variables were assessed through general linear modelling. Results Dietary analyses revealed four major dietary patterns: ‘vegetarian’; ‘snacking’; ‘health-conscious’; and ‘convenience, red meat & alcohol’. The ‘health-conscious’ pattern had the most favourable micronutrient profile. Students’ gender, age, year of study, geographical location and cooking ability were associated with differences in pattern behaviour. Female students favoured the ‘vegetarian’ pattern, whilst male students preferred the ‘convenience, red meat & alcohol’ pattern. Less healthful dietary patterns were positively associated with lifestyle risk factors such as smoking, low physical activity and take-away consumption. The health-conscious pattern had greatest nutrient density. The ‘convenience, red meat & alcohol’ pattern was associated with higher weekly food spending; this pattern was also identified most consistently across universities. Students reporting greater cooking ability tended towards the ‘vegetarian’ and ‘health-conscious’ patterns. Conclusions Food intake varied amongst university students. A substantial proportion of students followed health-promoting diets, which had good nutrient profiles obviating a need for dietary intervention. However, some students consumed poor diets, incurred greater food costs and practised unfavourable lifestyle behaviours, which may have long-term health effects. University policy to improve students’ diets should incorporate efforts to promote student engagement in cooking and food preparation, and increased availability of low cost healthier food items. Electronic supplementary material The online version of this article (10.1186/s12937-018-0398-y) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- E F Sprake
- Human Nutrition Unit, Department of Oncology & Metabolism, The Medical School, University of Sheffield, Sheffield, S10 2RX, UK
| | - J M Russell
- Corporate Information & Computing Service, University of Sheffield, Sheffield, S10 2GU, UK
| | - J E Cecil
- Medical & Biological Sciences Building, University of St Andrews, St Andrews, KY16 9TF, UK
| | - R J Cooper
- School of Health and Related Research, University of Sheffield, Sheffield, S1 4DA, UK
| | - P Grabowski
- Human Nutrition Unit, Department of Oncology & Metabolism, The Medical School, University of Sheffield, Sheffield, S10 2RX, UK
| | - L K Pourshahidi
- Nutrition Innovation Centre for Food & Health (NICHE), Ulster University, Coleraine, BT52 1SA, UK
| | - M E Barker
- Food & Nutrition Group, Business School, Sheffield Hallam University, Sheffield, S1 1WB, UK.
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Mueller MP, Blondin SA, Korn AR, Bakun PJ, Tucker KL, Economos CD. Behavioral Correlates of Empirically-Derived Dietary Patterns among University Students. Nutrients 2018; 10:E716. [PMID: 29865279 PMCID: PMC6024866 DOI: 10.3390/nu10060716] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2018] [Revised: 05/23/2018] [Accepted: 05/31/2018] [Indexed: 12/19/2022] Open
Abstract
Given the importance of young adulthood in establishing lifelong dietary habits, it is imperative to better understand potential underlying drivers of dietary behavior in the university-age population. Dietary patterns have been associated with disease risk, but behavioral predictors of dietary pattern adherence are poorly understood, especially among emerging adults. This study aims to evaluate health-related behaviors associated with dietary pattern scores among freshmen participating in the Tufts Longitudinal Health Study (TLHS; n = 630). We previously derived dietary patterns using principal components analysis and orthogonal rotation from dietary intake data. Health-related behavior data were collected via survey. All data were collected during the Spring semesters of 1998⁻2007. Unadjusted linear models were used to determine associations between dietary pattern scores and health-related behaviors. Significant correlates were retained in multivariable regression models, which were adjusted for demographic characteristics. We found that never eating meals away from home was associated with higher adherence to the Prudent and lower adherence to the Western and Alcohol patterns. Intention to lose weight was negatively associated with the Western pattern, while intention to gain weight was positively associated with all dietary patterns. These findings suggest that intervention efforts aimed at improving eating out behaviors and engaging in healthy weight management strategies may promote healthier dietary patterns among university students.
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Affiliation(s)
- Megan P Mueller
- Department of Community Health Sciences, Fielding School of Public Health, University of California-Los Angeles, Los Angeles, CA 90095, USA.
| | - Stacy A Blondin
- Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA 02115, USA.
| | - Ariella R Korn
- Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA 02111, USA.
| | - Peter J Bakun
- Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA 02111, USA.
| | - Katherine L Tucker
- Clinical Laboratory and Nutritional Sciences, Center for Population Health & Health Disparities, University of Massachusetts-Lowell, Lowell, MA 01854, USA.
| | - Christina D Economos
- Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA 02111, USA.
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Espel‐Huynh HM, Muratore AF, Lowe MR. A narrative review of the construct of hedonic hunger and its measurement by the Power of Food Scale. Obes Sci Pract 2018; 4:238-249. [PMID: 29951214 PMCID: PMC6009994 DOI: 10.1002/osp4.161] [Citation(s) in RCA: 58] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2017] [Revised: 01/20/2018] [Accepted: 01/27/2018] [Indexed: 12/02/2022] Open
Abstract
INTRODUCTION The term 'hedonic hunger' refers to one's preoccupation with and desire to consume foods for the purposes of pleasure and in the absence of physical hunger. The Power of Food Scale (PFS) was developed as a quantitative measure of this construct in 2009. Since then, over 50 published studies have used the PFS to predict appetite-related outcomes including neural, cognitive, behavioural, anthropometric and clinical measures. OBJECTIVE This narrative review evaluates how closely the PFS captures the construct it was originally presumed to assess and to more clearly define hedonic hunger itself. METHODS The measure's relationship to four domains is reviewed and summarized: motivation to consume palatable foods; level of actual consumption of such foods; body mass; and subjective loss-of-control over one's eating behaviour. Findings are synthesized to generate a more accurate understanding of what the PFS measures and how it may relate to the broader definition of hedonic hunger. RESULTS Results suggest that the PFS is closely related to motivation to consume palatable foods and, in extreme cases, occurrence of loss-of-control eating episodes. PFS scores are not consistently predictive of amount of food consumed or body mass. CONCLUSIONS Implications of these findings are discussed in the context of behavioural health, and avenues for further inquiry are identified.
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Affiliation(s)
| | - A. F. Muratore
- Department of PsychologyDrexel UniversityPhiladelphiaPAUSA
| | - M. R. Lowe
- Department of PsychologyDrexel UniversityPhiladelphiaPAUSA
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48
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Stok FM, Renner B, Clarys P, Lien N, Lakerveld J, Deliens T. Understanding Eating Behavior during the Transition from Adolescence to Young Adulthood: A Literature Review and Perspective on Future Research Directions. Nutrients 2018; 10:E667. [PMID: 29794986 PMCID: PMC6024552 DOI: 10.3390/nu10060667] [Citation(s) in RCA: 98] [Impact Index Per Article: 16.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2018] [Revised: 05/18/2018] [Accepted: 05/22/2018] [Indexed: 01/27/2023] Open
Abstract
INTRODUCTION Eating behavior often becomes unhealthier during the transition from adolescence to young adulthood, but not much is known about the factors that drive this change. We assess the available evidence on this topic through a literature review and pay special attention to the research designs employed in the studies available as well as the modifiability of the factors investigated in previous research. METHOD We systematically conducted a scoping review by searching literature published in or after 2000 in three databases that described one or more factors associated with eating behavior or changes in eating behavior during the transition from adolescence to adulthood in the general population. Our search identified eighteen articles meeting these inclusion criteria. The socio-ecological DONE (Determinants of Nutrition and Eating) framework, a recently developed dynamic framework of factors shaping dietary behavior, was used to structure and categorize the factors identified. RESULTS Most factors identified in the literature were individual-level factors (67%) such as food beliefs, time constraints, and taste preferences; on the other hand, interpersonal-level factors (e.g., social support), environmental-level factors (e.g., product characteristics) and policy-level factors (e.g., market regulations) have been reported on less extensively. Furthermore, most factors discussed in the literature have been classified in the DONE framework as not easily modifiable. Moreover, previous studies largely used static research designs and focused primarily on one specific population (US freshmen). DISCUSSION This systematic scoping review identified several gaps in the available literature that hinder insight into the drivers of eating behavior (change) during the transition from adolescence to young adulthood. There is an urgent need for research on broader populations, employing dynamic repeated-measures designs, and taking modifiability of factors into account.
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Affiliation(s)
- F Marijn Stok
- Department of Psychological Assessment and Health Psychology, University of Konstanz, P.O. Box 47, 78457 Konstanz, Germany.
| | - Britta Renner
- Department of Psychological Assessment and Health Psychology, University of Konstanz, P.O. Box 47, 78457 Konstanz, Germany.
| | - Peter Clarys
- Department of Movement and Sport Sciences, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, 1050 Brussels, Belgium.
| | - Nanna Lien
- Department of Nutrition, University of Oslo, 0315 Oslo, Norway.
| | - Jeroen Lakerveld
- Department of Epidemiology and Biostatistics & the EMGO Institute for Health and Care Research, VU University Medical Center, 1081 BT Amsterdam, The Netherlands.
| | - Tom Deliens
- Department of Movement and Sport Sciences, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, 1050 Brussels, Belgium.
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Effect of default menus on food selection and consumption in a college dining hall simulation study. Public Health Nutr 2018; 21:1359-1369. [PMID: 29409556 DOI: 10.1017/s1368980017004220] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To test an obesity prevention strategy derived from behavioural economics (optimal defaults plus delay), focused on changing the college dining hall service method. DESIGN After a uniform pre-load, participants attended an experimental lunch in groups randomized to one of three conditions: a nutrient-dense, lower-fat/energy lunch as an optimal default (OD); a less-nutrient-dense, higher-fat/energy lunch as a suboptimal default (SD); or a free array (FA) lunch. In the OD condition, students were presented a menu depicting healthier vegetarian and omnivore foods as default, with opt-out alternatives (SD menu) available on request with a 15 min wait. In the SD condition, the same menu format was used with the positioning of food items switched. In the FA condition, all choices were presented in uniform fonts and were available immediately. SETTING Private rooms designed to provide a small version of a college dining hall, on two campuses of a Northeastern US university. SUBJECTS First-year college students (n 129). RESULTS There was a significant main effect for condition on percentage of optimal choices selected, with 94 % of food choices in the OD condition optimal, 47 % in the FA condition optimal and none in the SD condition optimal. Similarly, energy intake for those in the SD condition significantly exceeded that in the FA condition, which exceeded that in the OD condition. CONCLUSIONS Presenting menu items as optimal defaults with a delay had a significant impact on choice and consumption, suggesting that further research into its long-term applicability is warranted.
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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; 125:287-294. [PMID: 29309851 DOI: 10.1016/j.appet.2018.01.003] [Citation(s) in RCA: 45] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2017] [Revised: 12/20/2017] [Accepted: 01/02/2018] [Indexed: 11/19/2022]
Abstract
BACKGROUND The transition to college is associated with weight gain, but the relation between eating behavior indicators and anthropometric outcomes during this period remains unclear. OBJECTIVE We aimed to evaluate sex differences in stress, emotional eating, tendency to overeat, and restrained eating behavior, and determine whether the psycho-behavioral constructs assessed immediately prior to starting college are associated with anthropometry and adiposity at the start of college, and with first-semester weight gain. METHODS A prospective study administered the Three Factor Eating Questionnaire (TFEQ), Satter Eating Competence Inventory, and Perceived Stress Scale (PSS) to 264 participants one month before college. Body composition was assessed via dual energy X-ray absorptiometry (DXA) at the start of college, and anthropometry (weight, height, waist circumference [WC]) was collected at the beginning and end of the first semester. Ordinary least squares regression tested the cross-sectional association of baseline psychological and behavioral scales with baseline DXA and anthropometry, and the longitudinal association with change in anthropometry. RESULTS Among 264 participants, 91% (241) had baseline data, and 66% (173) completed follow-up. In sex-adjusted linear regression models, baseline TFEQ disinhibited and emotional (DE; EE) eating sub-scales were positively associated with baseline weight (P = 0.003; DE, P = 0.014; EE), body mass index (BMI, P = 0.002; DE, P = 0.001; EE), WC (P = 0.004; DE, P = 0.006; EE) and DXA fat mass index (P = 0.023; DE, P = 0.014; EE). Baseline PSS was positively associated with subsequent changes in weight and WC among males only (Pinteraction = 0.0268 and 0.0017 for weight and WC, respectively). CONCLUSION College freshmen with questionnaire scores indicating a greater tendency to overeat in response to external cues and emotions tended to have greater weight, BMI, and WC at the start of college. Males with higher perceived stress at college entrance subsequently gained significantly more weight in the first semester, but no such relation was evident in females.
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Affiliation(s)
- Katie C Hootman
- Division of Nutritional Sciences, Cornell University, Ithaca, NY, USA
| | - Kristin A Guertin
- Division of Nutritional Sciences, Cornell University, Ithaca, NY, USA
| | - Patricia A Cassano
- Division of Nutritional Sciences, Cornell University, Ithaca, NY, USA; Department of Health Policy and Research, Division of Epidemiology and Biostatistics, Weill Cornell Medical College, New York, NY, USA.
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