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Leary M, Skinner JA, Pursey KM, Verdejo-Garcia A, Collins R, Collins C, Hay P, Burrows TL. The effectiveness of the TRACE online nutrition intervention in improving dietary intake, sleep quality and physical activity levels for Australian adults with food addiction: a randomised controlled trial. J Hum Nutr Diet 2024; 37:978-994. [PMID: 38652589 DOI: 10.1111/jhn.13312] [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: 12/07/2023] [Accepted: 04/05/2024] [Indexed: 04/25/2024]
Abstract
BACKGROUND Few interventions for food addiction (FA) report on dietary intake variables. The present study comprised a three-arm randomised controlled trial in adults with symptoms of FA. The aim was to evaluate dietary intake, sleep and physical activity resulting from a dietitian-led telehealth intervention at 3 months. METHODS Adults with ≥3 symptoms of FA and a body mass index > 18.5 kg/m2 were recruited. Dietary intake including energy, nutrients and diet quality were assessed by a validated food frequency questionnaire in addition to sleep quality and physical activity (total min) and compared between groups and over time. Personalised dietary goals set by participants were examined to determine whether improvements in percent energy from core and non-core foods were reported. RESULTS The active intervention group was superior compared to the passive intervention and control groups for improvements in percent energy from core (6.4%/day [95% confidence interval (CI) -0.0 to 12.9], p = 0.049), non-core foods (-6.4%/day [95% CI -12.9 to 0.0], p = 0.049), sweetened drinks (-1.7%/day [95% CI -2.9 to -0.4], p = 0.013), takeaway foods (-2.3%/day [95% CI -4.5 to -0.1], p = 0.045) and sodium (-478 mg/day [95% CI -765 to -191 mg], p = 0.001). CONCLUSIONS A dietitian-led telehealth intervention for Australian adults with FA found significant improvements in dietary intake variables. Setting personalised goals around nutrition and eating behaviours was beneficial for lifestyle change.
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Affiliation(s)
- Mark Leary
- School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, Australia
- Hunter Medical Research Institute, University of Newcastle, New Lambton Heights, NSW, Australia
| | - Janelle A Skinner
- School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, Australia
- Hunter Medical Research Institute, University of Newcastle, New Lambton Heights, NSW, Australia
| | - Kirrilly M Pursey
- School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, Australia
- Hunter Medical Research Institute, University of Newcastle, New Lambton Heights, NSW, Australia
| | - Antonio Verdejo-Garcia
- School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Clayton, VIC, Australia
| | - Rebecca Collins
- School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, Australia
- Hunter Medical Research Institute, University of Newcastle, New Lambton Heights, NSW, Australia
| | - Clare Collins
- School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, Australia
- Hunter Medical Research Institute, University of Newcastle, New Lambton Heights, NSW, Australia
| | - Phillipa Hay
- Translational Health Research Institute, School of Medicine, Western Sydney University, Penrith, NSW, Australia
- Mental Health Services, South Western Sydney Local Health District, Camden and Campbelltown Hospitals, NSW, Australia
| | - Tracy L Burrows
- School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, Australia
- Hunter Medical Research Institute, University of Newcastle, New Lambton Heights, NSW, Australia
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2
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Hussenoeder FS, Conrad I, Löbner M, Engel C, Reyes N, Yahiaoui-Doktor M, Glaesmer H, Hinz A, Witte V, Schroeter ML, Medawar E, Wichmann G, Kirsten T, Löffler M, Villringer A, Riedel-Heller SG. The different areas of chronic stress and food addiction: Results from the LIFE-Adult-Study. Stress Health 2024; 40:e3348. [PMID: 37994391 DOI: 10.1002/smi.3348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 09/22/2023] [Accepted: 11/02/2023] [Indexed: 11/24/2023]
Abstract
There is an empirical association between stress and symptoms of food addiction (FA), but it is still not clear which domains of stress are the most relevant when it comes to FA, limiting the ability of researchers and practitioners to address problematic eating-related health outcomes. In order to address this gap in the literature, we analysed how different domains of chronic stress are related to FA. We used data from a subsample of the LIFE-Adult-Study (N = 1172), a German cohort study. We conducted a linear regression analysis with stress domains (Trier Inventory for Chronic Stress, TICS) as predictors of FA (Yale Food Addiction Scale, YFAS). In the second regression analysis we included sociodemographic variables, personality, and smoking as control variables. There was a significant and positive association between Social Overload, Work Discontent, Excessive Demands from Work, and Chronic Worrying and FA. After adding control variables, only Social Overload, Excessive Demands from Work, and Chronic Worrying remained significant predictors. Connections between stress domains and FA can serve as starting points for the development of meaningful interventions that support individuals self-care strategies (Social Overload), complexity management (Excessive Demands from Work), and coping with negative emotions (Chronic Worrying).
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Affiliation(s)
- Felix S Hussenoeder
- Institute of Social Medicine, Occupational Health and Public Health, Leipzig University, Leipzig, Germany
| | - Ines Conrad
- Institute of Social Medicine, Occupational Health and Public Health, Leipzig University, Leipzig, Germany
| | - Margrit Löbner
- Institute of Social Medicine, Occupational Health and Public Health, Leipzig University, Leipzig, Germany
| | - Christoph Engel
- Institute for Medical Informatics, Leipzig University, Statistics and Epidemiology (IMISE), Leipzig, Germany
- Leipzig Research Centre for Civilization Diseases, Leipzig University, Leipzig, Germany
| | - Nigar Reyes
- Institute for Medical Informatics, Leipzig University, Statistics and Epidemiology (IMISE), Leipzig, Germany
- Leipzig Research Centre for Civilization Diseases, Leipzig University, Leipzig, Germany
| | - Maryam Yahiaoui-Doktor
- Institute for Medical Informatics, Leipzig University, Statistics and Epidemiology (IMISE), Leipzig, Germany
- Leipzig Research Centre for Civilization Diseases, Leipzig University, Leipzig, Germany
| | - Heide Glaesmer
- Department of Medical Psychology and Medical Sociology, Leipzig University, Leipzig, Germany
| | - Andreas Hinz
- Department of Medical Psychology and Medical Sociology, Leipzig University, Leipzig, Germany
| | - Veronica Witte
- Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Clinic for Cognitive Neurology, University Hospital Leipzig, Leipzig, Germany
| | - Matthias L Schroeter
- Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
- Clinic for Cognitive Neurology, University Hospital Leipzig, Leipzig, Germany
| | - Evelyn Medawar
- Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Gunnar Wichmann
- Department of Otorhinolaryngology, University of Leipzig, Leipzig, Germany
| | - Toralf Kirsten
- Institute for Medical Informatics, Leipzig University, Statistics and Epidemiology (IMISE), Leipzig, Germany
- Department for Medical Data Science, University Medical Data Center Leipzig, Leipzig, Germany
| | - Markus Löffler
- Institute for Medical Informatics, Leipzig University, Statistics and Epidemiology (IMISE), Leipzig, Germany
| | - Arno Villringer
- Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Steffi G Riedel-Heller
- Institute of Social Medicine, Occupational Health and Public Health, Leipzig University, Leipzig, Germany
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3
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Ceylan B, Kocoglu-Tanyer D, Sacikara Z, Sultan Dengiz K. The relationship between chronotype and food addiction: Serial mediation of social jetlag and psychological pain. Chronobiol Int 2024; 41:485-494. [PMID: 38353208 DOI: 10.1080/07420528.2024.2315220] [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: 07/17/2023] [Accepted: 02/01/2024] [Indexed: 02/21/2024]
Abstract
This study evaluates how food addiction is related to chronotype, social jetlag, and psychological pain. Of the participants (n = 1,035 university students), 16.6% had a morning chronotype, 25.1% had an evening chronotype, and 25.1% were clinically addicted to eating. The mean sleep durations for participants were 7.41 ± 2.18 h and 8.95 ± 3.0 h on weekdays and weekends, respectively. The mean misalignment time for social jetlag was 1.45 ± 1.5 h. Food addiction, psychological pain, and social jetlag levels were high among participants with the evening chronotype. The risk factors for food addiction included being female, having an evening chronotype, and having high body mass index levels and psychological pain. The total indirect effect of psychological pain and social jetlag on the relationship between chronotype and food addiction was 20.6%. However, the social jetlag effect is relatively minor compared to psychological pain. The significant conclusions of this study are as follows. Clinical food addiction is prevalent among students, and a strong direct correlation between chronotype and food addiction was observed. The study emphasizes the importance of being aware of chronotype and mental status in establishing a healthy diet and lifestyle.
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Affiliation(s)
- Burcu Ceylan
- Faculty of Health Sciences, Nursing Department, Tekirdağ Namık Kemal University, Tekirdağ, Turkey
| | | | - Zeynep Sacikara
- Faculty of Nursing, Public Health Department, Necmettin Erbakan University, Konya, Turkey
| | - Kubra Sultan Dengiz
- Faculty of Nursing, Public Health Department, Necmettin Erbakan University, Konya, Turkey
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4
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Portel CDS, da Silva WP, Tavares Filho ER, Pagani MM, Pimentel TC, Mársico ET, de Freitas MQ, Cruz AGD, Esmerino EA. Are healthiness and pleasure dimensions perceived similarly by people with food addiction in Brazil? A case study using holistic sensory methodologies. Food Res Int 2023; 173:113206. [PMID: 37803534 DOI: 10.1016/j.foodres.2023.113206] [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: 03/12/2023] [Revised: 06/28/2023] [Accepted: 06/29/2023] [Indexed: 10/08/2023]
Abstract
The relationship between the consumption of hyper-palatable ultra-processed foods and the process of addiction gains notoriety due to its relationship with obesity. Food addiction is a complex phenomenon intrinsically related to the individual's behavioral, emotional, and subjective aspects. Therefore, using classical approaches to sensory science may be insufficient to understand better the individual's sensory experience with hyper-palatable foods. In this context, sensory and consumer science techniques with holistic approaches have been aimed at accessing more subjective consumer perceptions. This study used the Yale Food Addiction Scale (YFAS 2.0) to investigate the prevalence of food addiction and the Structured Projective Mapping (S-MP) and Sorting techniques to verify how individuals with and without food addiction perceive and understand different types of food. The prevalence of food addiction was 21.77% (n = 59 out of 271) and was associated with a higher BMI but not with sociodemographic aspects. Projective Mapping (RV = 0.937) and Sorting (RV = 0.934) indicated that perception in relation to attributes such as health and pleasure was similar for all investigated foods in individuals with or without food addiction. The presence of addictive eating behavior does not seem to be related to the way individuals perceive foods from different categories, for example, minimally or highly processed and hyper-palatable foods.
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Affiliation(s)
- Carolina de Souto Portel
- Department of Food, Federal Institute of Education, Science and Technology of Rio de Janeiro (IFRJ), 20270-021 Rio de Janeiro, Rio de Janeiro, Brazil
| | - Wanessa Pires da Silva
- Department of Food Technology, Federal Fluminense University, Faculty of Veterinary, 24230-340 Niterói, Rio de Janeiro, Brazil
| | - Elson Rogério Tavares Filho
- Department of Food, Federal Institute of Education, Science and Technology of Rio de Janeiro (IFRJ), 20270-021 Rio de Janeiro, Rio de Janeiro, Brazil
| | - Mônica Marques Pagani
- Department of Food Technology, Federal Rural University of Rio de Janeiro, Faculty of Food Engineering, 23897-001 Seropédica, Rio de Janeiro, Brazil
| | - Tatiana Colombo Pimentel
- Department of Food Technology, Federal Institute of Education, Science and Technology of Paraná, 87703-536 Paranavaí, Brazil
| | - Eliane Teixeira Mársico
- Department of Food Technology, Federal Fluminense University, Faculty of Veterinary, 24230-340 Niterói, Rio de Janeiro, Brazil
| | - Mônica Queiroz de Freitas
- Department of Food Technology, Federal Fluminense University, Faculty of Veterinary, 24230-340 Niterói, Rio de Janeiro, Brazil
| | - Adriano Gomes da Cruz
- Department of Food, Federal Institute of Education, Science and Technology of Rio de Janeiro (IFRJ), 20270-021 Rio de Janeiro, Rio de Janeiro, Brazil
| | - Erick Almeida Esmerino
- Department of Food, Federal Institute of Education, Science and Technology of Rio de Janeiro (IFRJ), 20270-021 Rio de Janeiro, Rio de Janeiro, Brazil; Department of Food Technology, Federal Fluminense University, Faculty of Veterinary, 24230-340 Niterói, Rio de Janeiro, Brazil.
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5
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Ribeiro A, Sinval J, Félix S, Guimarães C, Machado BC, Gonçalves S, de Lourdes M, Conceição EM. Food Addiction and Grazing-The Role of Difficulties in Emotion Regulation and Negative Urgency in University Students. Nutrients 2023; 15:4410. [PMID: 37892485 PMCID: PMC10610407 DOI: 10.3390/nu15204410] [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: 09/12/2023] [Revised: 10/13/2023] [Accepted: 10/16/2023] [Indexed: 10/29/2023] Open
Abstract
University students are a vulnerable population to the development of disordered eating, such as food addiction (FA) and grazing. FA is an emerging concept characterized by an intense desire to eat hyper-palatable foods. Grazing is characterized by the repetitive and unplanned ingestion of food throughout a period of time. Both FA and grazing have been associated with increased scores of negative urgency (NU) and difficulties in emotion regulation (ER). This study aims to evaluate the frequency of FA and grazing in a university population and to test the direct, total, and indirect effects-via FA-of ER and NU on repetitive eating and compulsive grazing. A total of 338 participants responded to a set of psychological measures assessing these variables. Thirty-six (10.7%) participants met the criteria for FA diagnosis and 184 (54.4%) presented grazing. Confirmatory factor analysis showed acceptable fit indexes for the model tested (χ2(1695) = 3167.575; p < 0.001; CFI = 0.955; NFI = 0.908; TLI = 0.953; SRMR = 0.085; RMSEA = 0.051; CI 90% (0.048; 0.053); P[RMSEA ≤ 0.05] = 0.318) and suggested that FA partially mediated the effect of difficulties in ER and NU on grazing, specifically on compulsive grazing. The results indicate that individuals with difficulties in ER and impulse control under negative emotions are more likely to engage in grazing if food addiction scores are higher. These results highlight the importance of assessing these variables, particularly in at-risk populations such as university students.
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Affiliation(s)
- Andreia Ribeiro
- Psychology Research Center (CIPsi), School of Psychology, University of Minho, 4710-057 Braga, Portugal; (A.R.); (S.F.); (C.G.); (S.G.); (M.d.L.)
| | - Jorge Sinval
- National Institute of Education, Nanyang Technological University, Singapore 637616, Singapore;
- Department of Evidence-Based Health, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo 04023-062, SP, Brazil
- Faculty of Philosophy, Sciences and Languages of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14040-901, SP, Brazil
- Business Research Unit (BRU-IUL), Instituto Universitário de Lisboa (ISCTE-IUL), 1649-026 Lisbon, Portugal
| | - Sílvia Félix
- Psychology Research Center (CIPsi), School of Psychology, University of Minho, 4710-057 Braga, Portugal; (A.R.); (S.F.); (C.G.); (S.G.); (M.d.L.)
| | - Carolina Guimarães
- Psychology Research Center (CIPsi), School of Psychology, University of Minho, 4710-057 Braga, Portugal; (A.R.); (S.F.); (C.G.); (S.G.); (M.d.L.)
| | - Bárbara César Machado
- Research Centre for Human Development (CEDH), Faculty of Education and Psychology, Universidade Católica Portuguesa, 4169-005 Porto, Portugal;
| | - Sónia Gonçalves
- Psychology Research Center (CIPsi), School of Psychology, University of Minho, 4710-057 Braga, Portugal; (A.R.); (S.F.); (C.G.); (S.G.); (M.d.L.)
| | - Marta de Lourdes
- Psychology Research Center (CIPsi), School of Psychology, University of Minho, 4710-057 Braga, Portugal; (A.R.); (S.F.); (C.G.); (S.G.); (M.d.L.)
| | - Eva M. Conceição
- Psychology Research Center (CIPsi), School of Psychology, University of Minho, 4710-057 Braga, Portugal; (A.R.); (S.F.); (C.G.); (S.G.); (M.d.L.)
- Faculty of Psychology and Educational Sciences, University of Porto, 4200-135 Porto, Portugal
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6
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Kabasakal Cetin A. Chronotype is associated with addiction-like eating behavior, mindful eating and ultra-processed food intake among undergraduate students. Chronobiol Int 2023; 40:1435-1443. [PMID: 37818640 DOI: 10.1080/07420528.2023.2267677] [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: 05/03/2023] [Accepted: 10/01/2023] [Indexed: 10/12/2023]
Abstract
This study aimed to investigate the relationships between chronotype and addiction-like eating behavior, mindful eating and ultra-processed food consumption among undergraduate students. Specific and validated scales were used in order to evaluate chronotype, addiction-like eating behavior and mindful eating (N = 605). Dietary intake was determined by food frequency questionnaire and percentage energy from ultra-processed food was calculated. Self-reported weights and heights were obtained from the participants. Mean scores of scales, social jetlag, energy intake, ultra-processed food intake and BMI were compared by chronotypes. Associations between chronotype, addiction-like eating behavior, mindful eating, ultra-processed food consumption and BMI were determined by Pearson's test. The relationships between chronotype and addiction-like eating behavior, mindful eating and ultra-processed food intake were assessed by linear regression models and adjusted for sex, BMI, energy intake, season, smoking and alcohol consumption. Evening-type participants had higher scores of social jetlag (2.01 ± 0.09), appetitive drive (26.02 ± 0.63), low dietary control (20.50 ± 0.41), addiction-like eating behavior (46.52 ± 0.85), lower scores of recognition (21.91 ± 0.43) and higher percentage energy from ultra-processed food (32.24 ± 1.26%). Chronotype score showed negative associations with addiction like eating behavior (β=-0.247, p < 0.001) and ultra-processed food consumption (β=-0.247, p < 0.001), and a positive association with recognition (β = 0.124, p < 0.001). Results suggest that chronotype is inversely associated with addiction-like eating behavior and ultra-processed food consumption, and positively associated with mindful eating among undergraduate students.
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Affiliation(s)
- Arzu Kabasakal Cetin
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey
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Rivera-Mateos M, Ramos-Lopez O. Prevalence of food addiction and its association with lifestyle factors in undergraduate students from Northwest Mexico. J Addict Dis 2023; 41:308-316. [PMID: 36005830 DOI: 10.1080/10550887.2022.2116252] [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: 10/15/2022]
Abstract
Background: The aim of this study was to determine the prevalence of food addiction (FA) in undergraduate students from Northwest Mexico and to examine its association with lifestyle factors, eating behaviors and food consumption.Methods: This cross-sectional study included a total of 326 undergraduate students, both sexes, between 18 and 25 years of age, who were enrolled in a bachelor's degree program at a public or private university in the city of Tijuana, Baja California, Mexico. FA was assessed using the modified Yale Food Addiction Scale Version 2.0 (mYFAS 2.0). Lifestyle (sleep patterns, physical exercise, alcohol intake, and smoking) and nutritional information (eating behaviors and food frequency consumption) was obtained through a clinical history. A multivariate logistic regression model was fitted to assess the factors associated with FA.Results: The whole prevalence of FA was 12.9%. In general, mild FA was the most frequent (5.2%), followed by severe (4.3%) and moderate (3.4%) categories. In the multivariate model, insomnia conferred a higher risk for FA (OR = 2.08, 95% CI, 1.04-4.17, p = 0.040), while the habitual consumption of fruits showed a protective effect (OR = 0.50, 95% CI, 0.25-0.98, p = 0.046). Overall, the model predicted FA in 12% (R2=0.12, p = 0.011).Conclusion: The prevalence of FA is 12.9% among undergraduate students from Northwest Mexico. Although caution should be exercised, insomnia seems to increase the risk of FA, while the habitual consumption of fruits appears to have a protective role. Additional studies are needed to validate these results.
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Affiliation(s)
- Melissa Rivera-Mateos
- Medicine and Psychology School, Autonomous University of Baja California, Tijuana, Mexico
| | - Omar Ramos-Lopez
- Medicine and Psychology School, Autonomous University of Baja California, Tijuana, Mexico
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Castelli L, Galasso L, Mulè A, Ciorciari A, Esposito F, Roveda E, Montaruli A. Physical activity and morningness: A helpful combination in improving the sleep quality of active Italian university students. Chronobiol Int 2023; 40:1028-1038. [PMID: 37525628 DOI: 10.1080/07420528.2023.2241906] [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: 11/08/2022] [Revised: 07/20/2023] [Accepted: 07/20/2023] [Indexed: 08/02/2023]
Abstract
University students are commonly described as having worsened sleep quality, especially when inactive and Evening-type (E-type) subjects. This study aimed to examine the interactions between physical activity and chronotype on sleep quality among a sample of active Sports Science university students. In November 2019, 433 participants (mean age: 19.7 ± 1.56 years; 70% males) completed the Pittsburgh Sleep Quality Index, the Godin-Shepard Leisure-Time Physical Activity Questionnaire (tertiles categorisation), and the Morningness-Eveningness Questionnaire. Females and E-type slept significantly worse than males and Neither-(N-types) and Morning-types (M-types), respectively. However, there were no significant differences in sleep quality based on physical activity levels. The three-way ANOVA revealed that sleep quality in N- and E-types appeared to be independent of physical activity, whereas M-types showed an improvement in sleep classification with increased physical activity. Moderation analysis indicated that physical activity significantly moderated the relationship between chronotypes and sleep quality. Specifically, M-types demonstrated a more pronounced improvement in sleep quality with increasing physical activity compared to the other chronotypes. In conclusion, M-type university students derived the greatest benefits from physical activity in improving sleep quality. Conversely, physical activity seemed to have a limited impact on sleep quality among active E-type university students.
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Affiliation(s)
- Lucia Castelli
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - Letizia Galasso
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - Antonino Mulè
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - Andrea Ciorciari
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - Fabio Esposito
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
- I.R.C.C.S. Ospedale Galeazzi-Sant'ambrogio, Milan, Italy
| | - Eliana Roveda
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
- I.R.C.C.S. Ospedale Galeazzi-Sant'ambrogio, Milan, Italy
| | - Angela Montaruli
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
- I.R.C.C.S. Ospedale Galeazzi-Sant'ambrogio, Milan, Italy
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Ratković D, Knežević V, Dickov A, Fedrigolli E, Čomić M. Comparison of binge-eating disorder and food addiction. J Int Med Res 2023; 51:3000605231171016. [PMID: 37115520 PMCID: PMC10155018 DOI: 10.1177/03000605231171016] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/29/2023] Open
Abstract
In the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, binge-eating disorder (BED) is classified as episodes of binge eating while not being hungry, eating too fast until feeling uncomfortably full, or eating in solitude with feelings of shame and disgust after eating, without compensatory mechanisms. The controversial disorder food addiction (FA) is characterized by overconsumption, cravings, failure to cut down on amounts of food, and withdrawal and tolerance to overeating. In this narrative review, we aimed to comprehensively characterize and compare BED and FA. We searched PubMed using the keywords "binge-eating disorder" and "food addiction." We finally included 51 publications according to topic specificity, credibility, the authors' reputation, and non-bias criteria. BED is characterized by concerns about dietary issues, body shape, and weight as well as depressive symptoms and brooding rumination. FA can be divided into substance addiction and behavioral addiction, which can be differentiated using a list of criteria including hunger, taste, pleasure, function of food, loss of social connections, weight concerns, and awareness about the disorder. Further research is needed to further characterize and distinguish BED and FA.
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Affiliation(s)
- Dragana Ratković
- University of Novi Sad, Faculty of Medicine Novi Sad, Department of Psychiatry and Psychological Medicine, Novi Sad, Republic of Serbia
- Psychiatry Clinic, University Clinical Center of Vojvodina, Novi Sad, Republic of Serbia
| | - Vladimir Knežević
- University of Novi Sad, Faculty of Medicine Novi Sad, Department of Psychiatry and Psychological Medicine, Novi Sad, Republic of Serbia
- Psychiatry Clinic, University Clinical Center of Vojvodina, Novi Sad, Republic of Serbia
| | - Aleksandra Dickov
- University of Novi Sad, Faculty of Medicine Novi Sad, Department of Psychiatry and Psychological Medicine, Novi Sad, Republic of Serbia
- Psychiatry Clinic, University Clinical Center of Vojvodina, Novi Sad, Republic of Serbia
| | - Elsa Fedrigolli
- University of Novi Sad, Faculty of Medicine Novi Sad, Department of Psychiatry and Psychological Medicine, Novi Sad, Republic of Serbia
| | - Maša Čomić
- University of Novi Sad, Faculty of Medicine Novi Sad, Department of Psychiatry and Psychological Medicine, Novi Sad, Republic of Serbia
- Psychiatry Clinic, University Clinical Center of Vojvodina, Novi Sad, Republic of Serbia
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Abdulla NK, Obaid RR, Qureshi MN, Asraiti AA, Janahi MA, Abu Qiyas SJ, Faris ME. Relationship between hedonic hunger and subjectively assessed sleep quality and perceived stress among university students: A cross-sectional study. Heliyon 2023; 9:e14987. [PMID: 37089280 PMCID: PMC10114148 DOI: 10.1016/j.heliyon.2023.e14987] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Revised: 03/21/2023] [Accepted: 03/23/2023] [Indexed: 04/05/2023] Open
Abstract
Purpose This study examined the relationship between hedonic hunger (HH), sleep quality, and stress levels among university students in the United Arab Emirates and the Kingdom of Bahrain. Methods We used a cross-sectional design with participants (N = 565) recruited via convenience sampling. Data were collected with a self-administered, standardized, and validated online questionnaire. HH was assessed with the Palatable Eating Motives Scale (PEMS) and Power of Food Scale (PFS), sleep quality and sleep components were assessed with the Pittsburgh Sleep Quality Index (PSQI), stress was evaluated with the Perceived Stress Scale (PSS), and physical activity was examined with the International Physical Activity Questionnaire. Descriptive and analytical statistics were used to assess the relationship between HH and sleep quality and perceived stress. Results There were positive associations between total PSQI scores and total PEMS (β = 0.14, 95% confidence interval [CI]: 0.06-0.25, P = 0.001) and PFS (β = 0.21, 95% CI: 0.45-1.04, P < 0.001). The likelihood of poor sleep quality increased by 8% (odds ratio [OR] = 1.08, P = 0.020) and 43% (OR = 1.43, P < 0.001) for each one-unit increase in PEMS and PFS scores, respectively. We also found positive associations between PSS scores and total PEMS (β = 0.19, 95% CI: 0.26-0.63, P < 0.001) and PFS (β = 0.23, 95% CI: 1.04-2.22, P < 0.001) scores. Conclusion Reducing HH and stress levels may help to enhance sleep quality among university students. Conversely, improving sleep quality and reducing stress levels could improve HH in this population.
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GÜNŞEN U, ESECELİ H, TARI SELÇUK K, ATAN RM. Üniversite Öğrencilerinde Vücut Kompozisyonu ve Antropometrik Ölçümlerin Uyku Süresi ve Uyku Kalitesiyle İlişkisi. İSTANBUL GELIŞIM ÜNIVERSITESI SAĞLIK BILIMLERI DERGISI 2022. [DOI: 10.38079/igusabder.1096981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
Amaç: Bu çalışmada üniversite öğrencilerinde vücut kompozisyonu ve antropometrik ölçümlerin uyku süresi ve uyku kalitesiyle ilişkisinin incelenmesi amaçlanmıştır.Yöntem: Kesitsel tipteki çalışma bir fakültede öğrenim gören, araştırmaya katılmayı kabul eden ve dahil edilme kriterlerini karşılayan Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Fakültesinin 310 öğrencisiyle yürütülmüştür. Araştırmanın verileri Tanıtıcı Bilgi Formu ve Pittsburg Uyku Kalitesi İndeksi’ni içeren anket formu kullanılarak yüz yüze görüşme yöntemiyle toplanmıştır. Öğrencilerin vücut kompozisyonlarının belirlenmesinde Biyoelektrik İmpedans Analizi (BİA) ile yağsız vücut kütlesi, vücut yağ ve kas kütlesi incelenmiş, Beden Kütle İndeksi (BKİ), bel çevresi, Bel Kalça Oranı (BKO), Bel Boy Oranı (BBO) ve triseps, supskapular, biseps, suprailiak Deri Kıvrım Kalınlıkları (DKK) değerlendirilmiştir. Verilerin analizinde sayı, yüzde, ortalama, standart sapma, Student’s t testi ve Pearson korelasyon analizi kullanılmıştır.Bulgular: Öğrencilerin uyku süresi ortalama 7,10±1,66 saattir, %74,8’i kötü uyku kalitesine sahiptir. Her iki cinsiyette yağsız vücut kütlesi (kg) ve vücut kas kütlesi (kg) ile uyku kalitesi skoru arasında istatistiksel olarak anlamlı, negatif yönlü zayıf ilişki, erkek öğrencilerde ise suprailiak DKK ve biseps DKK ile uyku kalitesi arasında istatistiksel olarak anlamlı, pozitif yönlü zayıf ilişki saptanmıştır (p<0,05).Sonuç: Üniversite öğrencilerinin uyku süreleri önerilen düzeydedir, buna karşın öğrencilerin dörtte üçü kötü uyku kalitesine sahiptir. Kız ve erkek öğrencilerde yağsız vücut kütlesi (kg) ve vücut kas kütlesi (kg) azaldıkça uyku kalitesi kötüleşmekte, erkek öğrencilerde ise suprailiak DKK ve biseps DKK arttıkça uyku kalitesi kötüleşmektedir.
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Affiliation(s)
- Uğur GÜNŞEN
- BANDIRMA ONYEDİ EYLÜL ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, BESLENME VE DİYETETİK BÖLÜMÜ
| | - Hüseyin ESECELİ
- BANDIRMA ONYEDİ EYLÜL ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, BESLENME VE DİYETETİK BÖLÜMÜ
| | - Kevser TARI SELÇUK
- BANDIRMA ONYEDİ EYLÜL ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, BESLENME VE DİYETETİK BÖLÜMÜ
| | - Ramazan Mert ATAN
- BANDIRMA ONYEDİ EYLÜL ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, BESLENME VE DİYETETİK BÖLÜMÜ
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van der Merwe C, Münch M, Kruger R. Chronotype Differences in Body Composition, Dietary Intake and Eating Behavior Outcomes: A Scoping Systematic Review. Adv Nutr 2022; 13:2357-2405. [PMID: 36041181 PMCID: PMC9776742 DOI: 10.1093/advances/nmac093] [Citation(s) in RCA: 32] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Revised: 03/03/2022] [Accepted: 08/23/2022] [Indexed: 01/29/2023] Open
Abstract
The timing and nutritional composition of food intake are important zeitgebers for the biological clocks in humans. Thus, eating at an inappropriate time (e.g., during the night) may have a desynchronizing effect on the biological clocks and, in the long term, may result in adverse health outcomes (e.g., weight gain, obesity, and poor metabolic function). Being a very late or early chronotype not only determines preferred sleep and wake times but may also influence subsequent mealtimes, which may affect the circadian timing system. In recent years, an increased number of studies have examined the relation between chronotype and health outcomes, with a main focus on absolute food intake and metabolic markers and, to a lesser extent, on dietary intake distribution and eating behavior. Therefore, this review aimed to systematically determine whether chronotype indirectly affects eating behaviors, dietary intake (timing, choice, nutrients), and biomarkers leading to body composition outcomes in healthy adults. A systematic literature search on electronic databases (PubMed, CINAHL, MEDLINE, SCOPUS, Cochrane library) was performed (International Prospective Register of Systematic Reviews number: CRD42020219754). Only studies that included healthy adults (aged >18 y), classified according to chronotype and body composition profiles, using outcomes of dietary intake, eating behavior, and/or biomarkers, were considered. Of 4404 articles, 24 met the inclusion criteria. The results revealed that late [evening type (ET)] compared with early [morning type (MT)] chronotypes were more likely to be overweight/obese with poorer metabolic health. Both MT and ET had similar energy and macronutrient intakes, consuming food during their preferred sleep-wake timing: later for ET than MT. Most of the energy and macronutrient intakes were distributed toward nighttime for ET and exacerbated by unhealthy eating behaviors and unfavorable dietary intakes. These findings from our systematic review give further insight why higher rates of overweight/obesity and unhealthier metabolic biomarkers are more likely to occur in ET.
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Affiliation(s)
- Carlien van der Merwe
- School of Sport, Exercise and Nutrition, Massey University East Precinct, Albany, Auckland, New Zealand
| | - Mirjam Münch
- Centre for Chronobiology, Transfaculty Research Platform Molecular and Cognitive Neurosciences, Psychiatric Hospital of the University of Basel, Basel, Switzerland
- Research Centre for Hauora and Health, Massey University, Wellington, New Zealand
| | - Rozanne Kruger
- School of Sport, Exercise and Nutrition, Massey University East Precinct, Albany, Auckland, New Zealand
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Socio-Demographic, Self-Control, Bullying, Parenting, and Sleep as Proximal Factors Associated with Food Addiction among Adolescents. Behav Sci (Basel) 2022; 12:bs12120488. [PMID: 36546971 PMCID: PMC9774808 DOI: 10.3390/bs12120488] [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: 11/14/2022] [Revised: 11/24/2022] [Accepted: 11/28/2022] [Indexed: 12/03/2022] Open
Abstract
Adolescence is considered an important period of neurodevelopment. It is a time for the emergence of psychosocial vulnerabilities, including symptoms of depression, eating disorders, and increased engagement in unhealthy eating behaviours. Food addiction (FA) in adolescents is an area of study where there has been substantial growth. However, to date, limited studies have considered what demographic characteristics of adolescents may predispose them to endorse greater symptoms of FA. Studies have found a variety of factors that often cluster with and may influence an adolescent's eating behaviour such as sleep, level of self-control, and parenting practices, as well as bullying. Therefore, this study investigated a range of socio-demographic, trait, mental health, and lifestyle-related profiles (including self-control, parenting, bullying, and sleep) as proximal factors associated with symptoms of FA, as assessed via the Yale Food Addiction Scale for Children (YFAS-C) in a large sample of Australian adolescents. Following data cleaning, the final analysed sample included 6587 students (age 12.9 years ± 0.39; range 10.9-14.9 years), with 50.05% identifying as male (n = 3297), 48.5% as female (n = 3195), 1.02% prefer not to say (n = 67), and 0.43% as non-binary (n = 28). Self-control was found to be the most significant predictor of total FA symptom score, followed by female gender, sleep quality, and being a victim of bullying. Universal prevention programs should therefore aim to address these factors to help reduce the prevalence or severity of FA symptoms within early adolescent populations.
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14
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Vidmar AP, Cáceres NA, Schneider-Worthington CR, Shirazipour C, Buman MP, de la Haye K, Salvy SJ. Integration of Time-Based Recommendations with Current Pediatric Health Behavior Guidelines: Implications for Obesity Prevention and Treatment in Youth. Curr Obes Rep 2022; 11:236-253. [PMID: 36348216 PMCID: PMC9742346 DOI: 10.1007/s13679-022-00491-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/11/2022] [Indexed: 11/09/2022]
Abstract
PURPOSE OF REVIEW Youth-onset obesity is associated with negative health outcomes across the lifespan including cardiovascular diseases, type 2 diabetes, obstructive sleep apnea, dyslipidemias, asthma, and several cancers. Pediatric health guidelines have traditionally focused on the quality and quantity of dietary intake, physical activity, and sleep. RECENT FINDINGS Emerging evidence suggests that the timing (time of day when behavior occurs) and composition (proportion of time spent allocated to behavior) of food intake, movement (i.e., physical activity, sedentary time), and sleep may independently predict health trajectories and disease risks. Several theoretically driven interventions and conceptual frameworks feature behavior timing and composition (e.g., 24 h movement continuum, circadian science and chronobiology, intermittent fasting regimens, structured day hypothesis). These literatures are, however, disparate, with little crosstalk across disciplines. In this review, we examine dietary, sleep, and movement guidelines and recommendations for youths ages 0-18 in the context of theoretical models and empirical findings in support of time-based approaches. The review aims to inform a unifying framework of health behaviors and guide future research on the integration of time-based recommendations into current quantity and quality-based health guidelines for children and adolescents.
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Affiliation(s)
- Alaina P Vidmar
- Department of Pediatrics, Center for Endocrinology, Diabetes and Metabolism, Children's Hospital Los Angeles and Keck School of Medicine of USC, 4650 Sunset Boulevard, Mailstop #61, Los Angeles, CA, 90027, USA.
| | - Nenette A Cáceres
- Cancer Research Center On Health Equity, Cedars-Sinai Medical Center, West Hollywood, CA, USA
| | | | - Celina Shirazipour
- Cancer Research Center On Health Equity, Cedars-Sinai Medical Center, West Hollywood, CA, USA
| | - Matthew P Buman
- College of Health Solutions, Arizona State University, Tempe, USA
| | - Kayla de la Haye
- Department of Population and Public Health Sciences, University of Southern California, Los Angeles, CA, USA
| | - Sarah-Jeanne Salvy
- Cancer Research Center On Health Equity, Cedars-Sinai Medical Center, West Hollywood, CA, USA
- Department of Population and Public Health Sciences, University of Southern California, Los Angeles, CA, USA
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15
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Gonçalves S, Félix S, Martins F, Lapenta O, Machado BC, Conceição EM. Food Addiction Problems in College Students: The Relationship between Weight-Related Variables, Eating Habits, and Food Choices. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14588. [PMID: 36361467 PMCID: PMC9658711 DOI: 10.3390/ijerph192114588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Revised: 10/31/2022] [Accepted: 11/04/2022] [Indexed: 06/16/2023]
Abstract
The concept of food addiction, characterized by a strong urge to overeat highly palatable foods, has gained increased research attention over the last decade. College students are a recognized risk group for manifesting an eating pathology and weight gain due to the changes in eating habits experienced during this period. However, there is a gap in the literature connecting food addiction with eating and weight variables in this population. Thus, the present study aims to characterize food addiction in a sample of college students and enlighten the relationship between food addiction, weight-variables, eating habits, and food choices in this population. A sample of 194 college students (89.2% females) aged between 18 and 32 years old (M = 20.85, SD = 2.78) completed a set of self-reported online questionnaires on Google Forms. Namely, a Sociodemographic and Anthropometric Questionnaire, a questionnaire on Food Choices Characterization, the Eating Habits Scale, and the Portuguese Yale Food Addiction Scale 2.0. Thirty (22.2%) participants presented food addiction problems. The logistic regression models utilized suggest that participants in the group with food addiction problems are more likely to seek clinical help to control weight, to consider that they should eat less food high in sugar, and to report lower food adequacy. In sum, this finding highlighted a connection between food addiction, weight dissatisfaction, eating habits, and food choices in college students, a population at risk for developing and retaining eating pathologies. Further research is essential to evaluate and implement interventions regarding food addiction, weight dissatisfaction, eating habits, and food choices in college students.
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Affiliation(s)
- Sónia Gonçalves
- Psychology Research Center (CIPsi), School of Psychology, University of Minho, 4710-057 Braga, Portugal
| | - Sílvia Félix
- Psychology Research Center (CIPsi), School of Psychology, University of Minho, 4710-057 Braga, Portugal
| | - Filipa Martins
- Psychology Research Center (CIPsi), School of Psychology, University of Minho, 4710-057 Braga, Portugal
| | - Olívia Lapenta
- Psychology Research Center (CIPsi), School of Psychology, University of Minho, 4710-057 Braga, Portugal
| | - Bárbara C. Machado
- Research Centre for Human Development (CEDH), Faculty of Education and Psychology, Universidade Católica Portuguesa, 4150-268 Porto, Portugal
| | - Eva M. Conceição
- Psychology Research Center (CIPsi), School of Psychology, University of Minho, 4710-057 Braga, Portugal
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The Modified Yale Food Addiction Scale May Be Simplified and Diagnostically Improved: The Same Prevalence but Different Severity and Risk Factors of Food Addiction among Female and Male Students. Nutrients 2022; 14:nu14194041. [PMID: 36235693 PMCID: PMC9573175 DOI: 10.3390/nu14194041] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Revised: 09/22/2022] [Accepted: 09/24/2022] [Indexed: 11/24/2022] Open
Abstract
The Yale Food Addiction Scale (YFAS) is the most commonly used scale for measuring food addiction (FA). The previous approach to the YFAS and its subsequent versions assumed dichotomization of items, separating addiction symptoms and clinical significance items, and factorial validity testing on a subset of items. In this paper, we discuss the drawbacks associated with these procedures. In addition, we present a different analytical approach to investigate the validity of the modified YFAS (mYFAS) along with an alternative scoring method that overcomes limitations related to the previous approach. After establishing the structure of the mYFAS, we investigated the potential antecedents and consequences of FA separately for men and women. The sample consisted of 1182 Polish undergraduate students (613 women, 559 men, 10 missing values on gender) with a mean age of 20.33 years (SD = 1.68; range: 18–36). They were asked to complete self-report questionnaires measuring FA, personality traits (Big Five), self-esteem, narcissism, self-efficacy, social anxiety, loneliness, and well-being indicators. Due to the low content, factorial, and clinical validity, the first three items were excluded from the Polish version of the mYFAS. The six-item mYFAS demonstrated measurement invariance, allowing for meaningful comparisons between genders and yielded almost identical prevalence rates for men and women. The hierarchical multiple regression analysis showed that, narcissism, and social anxiety predicted FA in both genders, whereas important gender differences in antecedents were also noted. In addition, FA was associated with body mass index (BMI) and most of the well-being indicators, even after controlling for relevant variables. The findings suggest that our modified analytical approach allows researchers to measure FA using a valid, useful, and simple tool.
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Mediating effect of self-control in the relationship between psychological distress and food addiction among college students. Appetite 2022; 179:106278. [PMID: 35988799 DOI: 10.1016/j.appet.2022.106278] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2022] [Revised: 08/13/2022] [Accepted: 08/13/2022] [Indexed: 11/24/2022]
Abstract
Psychological distress is a possible trigger contributing to food addiction, which is characterized by a loss of behavioral control and compulsive food intake. However, little is known about its underlying mechanisms. Self-control, an important self-regulation skill, may mediate the effect of psychological distress on food addiction. A cross-sectional survey was used to explore the direct relationship between psychological distress and food addiction, and the mediating role of self-control in this relationship. Food addiction, psychological distress, and self-control were evaluated using the Chinese versions of the Yale Food Addiction Scale 2.0, Depression-Anxiety-Stress Scale, and Self-control Scale, respectively. Correlation analyses showed that food addiction was positively correlated with psychological distress, but negatively related to self-control. Structural equation modeling revealed the mediating role of self-control in the relationship between food addiction and psychological distress. As a significant predictor of food addiction, psychological distress may induce food addiction directly or indirectly through the effect of self-control. These findings provide a deeper understanding of the relationship between psychological distress and food addiction, and the underlying mechanism. As such, psychological distress and self-control should be included in prevention and intervention strategies to address food addiction among college students.
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18
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Zou H, Zhou H, Yan R, Yao Z, Lu Q. Chronotype, circadian rhythm, and psychiatric disorders: Recent evidence and potential mechanisms. Front Neurosci 2022; 16:811771. [PMID: 36033630 PMCID: PMC9399511 DOI: 10.3389/fnins.2022.811771] [Citation(s) in RCA: 40] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Accepted: 06/21/2022] [Indexed: 12/27/2022] Open
Abstract
The circadian rhythm is crucial for physiological and behavioral functions. Chronotype, which represents individual preferences for activity and performance, is associated with human health issues, particularly psychiatric disorders. This narrative review, which focuses on the relationship between chronotype and mental disorders, provides an insight into the potential mechanism. Recent evidence indicates that (1) the evening chronotype is a risk factor for depressive disorders and substance use disorders, whereas the morning chronotype is a protective factor. (2) Evening chronotype individuals with bipolar disorder tend to have more severe symptoms and comorbidities. (3) The evening chronotype is only related to anxiety symptoms. (4) The relationship between chronotype and schizophrenia remains unclear, despite increasing evidence on their link. (5) The evening chronotype is significantly associated with eating disorders, with the majority of studies have focused on binge eating disorders. Furthermore, the underlying mechanisms or influence factors are described in detail, including clock genes, brain characteristics, neuroendocrinology, the light/dark cycle, social factors, psychological factors, and sleep disorders. These findings provide the latest evidence on chronotypes and psychiatric disorders and serve as a valuable reference for researchers.
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Affiliation(s)
- Haowen Zou
- Nanjing Brain Hospital, Medical School, Nanjing University, Nanjing, China
- Department of Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Hongliang Zhou
- Department of Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Rui Yan
- Nanjing Brain Hospital, Medical School, Nanjing University, Nanjing, China
- Department of Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Zhijian Yao
- Nanjing Brain Hospital, Medical School, Nanjing University, Nanjing, China
- Department of Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
- School of Biological Sciences and Medical Engineering, Southeast University, Nanjing, China
- *Correspondence: Zhijian Yao,
| | - Qing Lu
- School of Biological Sciences and Medical Engineering, Southeast University, Nanjing, China
- Child Development and Learning Science, Key Laboratory of Ministry of Education, Nanjing, China
- Qing Lu,
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Yilbas B, Ozturk HI, Karadeniz PG. The relationship of chronotypes with food addiction, impulsivity, and attention deficit hyperactivity disorder symptoms in a sample of undergraduate university students. Chronobiol Int 2022; 39:1389-1398. [PMID: 35938448 DOI: 10.1080/07420528.2022.2109483] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
The primary aim of the current study was to examine the frequency of food addiction in a group of university students and whether it differed among chronotypes. The second aim was to investigate the relationship of chronotypes with impulsivity, poor sleep quality and attention deficit/ hyperactivity disorder (ADHD) symptoms and to evaluate how this relationship affects food addiction. 328 university students were included in the study. Adult Attention Deficit/Hyperactivity Disorder Self-Report Scale (ASRS), Morningness-Eveningness Questionnaire (MEQ), Barratt Impulsiveness Scale-11 Short Form (BIS-11-SF), Yale Food Addiction Scale (YFAS) and Pittsburgh Sleep Quality Index (PSQI) were administered. Evening types scored significantly higher on ASRS and BIS-11 SF (p < .001, p < .001 respectively). Based on YFAS scores, 12.5% (n = 41) of the participants met the criteria for food addiction. The number of participants fulfilling the criteria for food addiction was higher among the evening types compared to intermediate and morning types (p = .006, p = .004, respectively). The mean ASRS and BIS-11 SF scores of the students who met the criteria for food addiction were significantly greater than those who did not (p < .001, p < .001, respectively). 63.4% (n = 26) of the students meeting the criteria for food addiction scored 6 or higher on PSQI versus 32.0% (n = 92) of the students who did not (p < .001). Mediation analysis showed that the direct effect of MEQ scores on food addiction was not significant (β = -0.009, p = .723). However, lower MEQ scores had an indirect effect on food addiction through higher ASRS scores (β = -0.027; p < .05 bias corrected and accelerated 95% CI -0.052 to -0.011). The results of the present study suggest that higher prevalence of food addiction among evening types seems to be related to higher occurrence of ADHD symptoms in these chronotypes. Further population-based studies with a larger sample size are needed to confirm our findings.
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Affiliation(s)
- Baris Yilbas
- Department of Psychiatry, SANKO University School of Medicine, Gaziantep, Turkey
| | - Halil Ibrahim Ozturk
- Department of Psychiatry, SANKO University School of Medicine, Gaziantep, Turkey
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Behera RK, Bala PK, Rana NP, Dwivedi YK. Assessing the influence of COVID-19 protocol on online health information seeking intention of athletes in India. BENCHMARKING-AN INTERNATIONAL JOURNAL 2022. [DOI: 10.1108/bij-11-2021-0718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeThe Internet is used as a tool to seek health information by individuals. Mental health concerns are the high prevalence of the novel coronavirus disease 2019 (COVID-19) and preventive steps are required to curb the illness. Therefore, to gain more insight into health concerns, it is now a common practice to seek health information on the Internet. This study propose an integrated theoretical model to explore the relationship between COVID-19 protocols and perceived online trust with online health information seeking intention (OHISI) and a moderating effect of perceived severity and perceived urgency.Design/methodology/approachData are collected from 325 athletes in the category of individual and team sports through an online survey in a Likert-scale questionnaire. The analysis is performed with a quantitative methodology.FindingsThe study reveals the bright side of online health information (OHI), which brings athletes together and has played out with virtual happy hours, meetings and events. The bright side of OHI reflects social, cultural, technological and economic benefits. An OHI chatbot offers bright personalised side information to the individual seeker, which is more convenient and efficient than human capabilities.Originality/valueThe pivotal contribution is the integrated theoretical framework that is derived from multidisciplinary literature to capture the complexity of OHI. Also, it conceptualises the constructs in the context of OHI and COVID-19.
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21
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Kaya Cebioğlu İ, Dumlu Bilgin G, Kavsara HK, Gül A, Sarioğlu A, Aydin S, Keküllüoğlu M. Food addiction among university students: The effect of mindful eating. Appetite 2022; 177:106133. [PMID: 35753440 DOI: 10.1016/j.appet.2022.106133] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Revised: 05/13/2022] [Accepted: 06/08/2022] [Indexed: 11/30/2022]
Abstract
Recent evidence indicated that lifestyle modifications, especially mindful eating, might be effective interventions for treating food addiction (FA). Mindful eating practices have been considered to regulate emotional eating, which is one predictor of FA along with automatic eating behaviors, including emotional, impulsive, and habitual eating. Thus, this cross-sectional study aimed to determine the effect of mindful eating on FA of university students. The research team collected the data with 2133 undergraduate students. The Mindful Eating Questionnaire examined the mindfulness status of the students, and the FA diagnosed by using the YALE Food Addiction Scale. 56.9% of participants were women, with a mean age of 21.5 ± 2.2 and a mean body mass index (BMI) of 22.5 ± 3.8 kg/m2. Although no significant differences were observed regarding sex (p > .05), the FA prevalence among men (16.1%) was higher than women. The overall prevalence of FA was 15.3%, which was 1.5 units higher among those with BMI ≥25 kg/m2. Also, FA diagnosis was significantly more prevalent among smokers and ex-smokers (p < .01). In addition, participants diagnosed with FA had a significantly lower mean mindful eating score (p < .001). Furthermore, those with lower mindfulness levels had a 4.96 higher risk of being food addicted (p < .000). Those with FA diagnosis had significantly lower scores regarding subscales of "disinhibition," "emotional eating," "control of eating," "mindfulness," and "interference" (p < .001). Consequently, it should be highlighted that determining the level of individuals' mindful eating may have remarkable and cumulative impacts on both obesity and FA in the long term. Thus, increasing mindful eating may be suggested as an essential strategy to control FA among young individuals.
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Affiliation(s)
- İrem Kaya Cebioğlu
- Yeditepe University, Faculty of Health Sciences, Department of Nutrition and Dietetics, İnönü Mah, Kayışdağı Cad, 34755, İstanbul, Turkey.
| | - Gözde Dumlu Bilgin
- Yeditepe University, Faculty of Health Sciences, Department of Nutrition and Dietetics, İnönü Mah, Kayışdağı Cad, 34755, İstanbul, Turkey.
| | - Hasan Kaan Kavsara
- Yeditepe University, Faculty of Health Sciences, Department of Nutrition and Dietetics, İnönü Mah, Kayışdağı Cad, 34755, İstanbul, Turkey.
| | - Açelya Gül
- Yeditepe University, Faculty of Health Sciences, Department of Nutrition and Dietetics, İnönü Mah, Kayışdağı Cad, 34755, İstanbul, Turkey.
| | - Aybüke Sarioğlu
- Yeditepe University, Faculty of Health Sciences, Department of Nutrition and Dietetics, İnönü Mah, Kayışdağı Cad, 34755, İstanbul, Turkey.
| | - Sema Aydin
- Yeditepe University, Faculty of Health Sciences, Department of Nutrition and Dietetics, İnönü Mah, Kayışdağı Cad, 34755, İstanbul, Turkey.
| | - Melis Keküllüoğlu
- Yeditepe University, Institute of Health Sciences, Physiology, İnönü Mah, Kayışdağı Cad, 34755, İstanbul, Turkey.
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22
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Psychometric properties of the Chinese version of the modified Yale Food Addiction Scale version 2.0 (C-mYFAS 2.0): Prevalence of food addiction and relationship with resilience and social support. Eat Weight Disord 2022; 27:273-284. [PMID: 33779965 DOI: 10.1007/s40519-021-01174-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2020] [Accepted: 03/16/2021] [Indexed: 10/21/2022] Open
Abstract
PURPOSE This study aimed to examine the psychometric properties of the Chinese version of the modified Yale Food Addiction Scale 2.0 (C-mYFAS 2.0) and to analyze the prevalence of food addiction among Chinese college students and its relationship with resilience and social support. METHODS A total of 1132 Chinese college students completed the C-mYFAS 2.0, BES, EAT-26, PHQ-9, GAD-7, TFEQ-18, CD-RISC-10, and PSSS. Confirmatory factor analysis was used to evaluate the factor structure of the C-mYFAS 2.0 and psychometric properties were assessed. Test-retest reliability was evaluated in a sub-sample (n = 62). Spearman correlation and logistic regression were used to examine the relationship between resilience, social support, and food addiction. RESULTS The prevalence of food addiction according to the C-mYFAS 2.0 was 6.2%. Confirmatory factor analyses suggested a single-factor structure (comparative fit index = 0.961). The C-mYFAS 2.0 had good test-retest reliability and internal consistency (Kuder-Richardson's α = 0.824). Good convergent validity was indicated by correlations with binge eating, eating disorder symptoms, depressive symptoms, generalized anxiety symptoms, uncontrolled eating, emotional eating, and BMI (ps < 0.001). Appropriate divergent validity was reflected by no association with cognitive restraint. Finally, binge eating was significantly predicted by C-mYFAS 2.0, depressive symptoms, and eating disorder symptoms (ps < 0.001), confirming incremental validity. In addition, our study found that poorer resilience and social support were related to food addiction (ps < .001). CONCLUSIONS The C-mYFAS 2.0 is a brief but reliable and valid screening instrument for food addiction among Chinese college students. In addition, we found that resilience and social support were negatively associated with food addiction. LEVEL OF EVIDENCE Level V, cross-sectional descriptive study.
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23
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Rodríguez-Cortés FJ, Morales-Cané I, Rodríguez-Muñoz PM, Cappadona R, De Giorgi A, Manfredini R, Rodríguez-Borrego MA, Fabbian F, López-Soto PJ. Individual Circadian Preference, Eating Disorders and Obesity in Children and Adolescents: A Dangerous Liaison? A Systematic Review and a Meta-Analysis. CHILDREN (BASEL, SWITZERLAND) 2022; 9:167. [PMID: 35204888 PMCID: PMC8870066 DOI: 10.3390/children9020167] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 01/26/2022] [Accepted: 01/27/2022] [Indexed: 12/19/2022]
Abstract
BACKGROUND Obesity and other eating disorders are an actual public health problem, especially in childhood and adolescents, and could be also related with chronotype. The aim of this systematic review was to determine the relationship between eating disorders, obesity and the different chronotypes in children and adolescents. METHODS A systematic review of observational studies evaluating young populations dealing with and evaluating chronotype was conducted. Electronic searches were performed in six international databases. A qualitative thematic-categorical analysis was carried out and a random-effects model was used for the quantitative analysis (meta-analysis). RESULTS Fifteen studies were included, but quantitative analysis was only carried out in three of them. Children and adolescents with an evening chronotype had higher body mass index, consumed more junk food or were more predisposed to suffer from food addiction and night eating syndrome. CONCLUSIONS Children and adolescents with evening chronotype had higher tendency to incorrect eating behaviors and were suffering from overweight/obesity. Environment but also lifestyle factors should be considered in the association between chronotype and eating disorders and obesity.
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Affiliation(s)
- Francisco José Rodríguez-Cortés
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba, 14005 Cordoba, Spain; (F.J.R.-C.); (I.M.-C.); (P.M.R.-M.); (M.A.R.-B.); (P.J.L.-S.)
- Department of Nursing, Pharmacology and Physiotherapy, Universidad de Córdoba, 14004 Cordoba, Spain
- Department of Nursing, Hospital Universitario Reina Sofía de Córdoba, 14004 Cordoba, Spain
| | - Ignacio Morales-Cané
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba, 14005 Cordoba, Spain; (F.J.R.-C.); (I.M.-C.); (P.M.R.-M.); (M.A.R.-B.); (P.J.L.-S.)
- Department of Nursing, Pharmacology and Physiotherapy, Universidad de Córdoba, 14004 Cordoba, Spain
- Department of Nursing, Hospital Universitario Reina Sofía de Córdoba, 14004 Cordoba, Spain
| | - Pedro Manuel Rodríguez-Muñoz
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba, 14005 Cordoba, Spain; (F.J.R.-C.); (I.M.-C.); (P.M.R.-M.); (M.A.R.-B.); (P.J.L.-S.)
- Department of Nursing and Physiotherapy, Universidad de Salamanca, 37007 Salamanca, Spain
| | - Rosaria Cappadona
- Department of Medical Science, University of Ferrara, 44121 Ferrara, Italy;
| | - Alfredo De Giorgi
- Clinica Medica Unit, Azienda Ospedaliero-Universitaria ‘S.Anna’, 44121 Ferrara, Italy;
| | - Roberto Manfredini
- Department of Medical Science, University of Ferrara, 44121 Ferrara, Italy;
- Clinica Medica Unit, Azienda Ospedaliero-Universitaria ‘S.Anna’, 44121 Ferrara, Italy;
- University Center for Studies on Gender Medicine, University of Ferrara, 44121 Ferrara, Italy
| | - María Aurora Rodríguez-Borrego
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba, 14005 Cordoba, Spain; (F.J.R.-C.); (I.M.-C.); (P.M.R.-M.); (M.A.R.-B.); (P.J.L.-S.)
- Department of Nursing, Pharmacology and Physiotherapy, Universidad de Córdoba, 14004 Cordoba, Spain
- Department of Nursing, Hospital Universitario Reina Sofía de Córdoba, 14004 Cordoba, Spain
| | - Fabio Fabbian
- Department of Medical Science, University of Ferrara, 44121 Ferrara, Italy;
- Clinica Medica Unit, Azienda Ospedaliero-Universitaria ‘S.Anna’, 44121 Ferrara, Italy;
| | - Pablo Jesús López-Soto
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba, 14005 Cordoba, Spain; (F.J.R.-C.); (I.M.-C.); (P.M.R.-M.); (M.A.R.-B.); (P.J.L.-S.)
- Department of Nursing, Pharmacology and Physiotherapy, Universidad de Córdoba, 14004 Cordoba, Spain
- Department of Nursing, Hospital Universitario Reina Sofía de Córdoba, 14004 Cordoba, Spain
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Tserne TA, Borisenkov MF, Popov SV, Bakutova LA, Jongte L, Trivedi AK, Pecherkina AA, Dorogina OI, Martinson EA, Vetosheva VI, Gubin DG, Solovieva SV, Danilova LA, Turovinina EF, Symaniuk EE. Food addiction and weight in students with high academic performance. Public Health Nutr 2021; 24:6027-6033. [PMID: 34034842 PMCID: PMC11148585 DOI: 10.1017/s1368980021002160] [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] [Indexed: 11/06/2022]
Abstract
OBJECTIVE The purpose of this study was to analyse the relationships between food addiction (FA), anthropometric characteristics and academic performance. DESIGN The average age (sd) of the participants was 17·5 (sd 2·7) years (64·1 % female). Each study participant indicated their sex, height, weight and academic performance and completed the Yale Food Addiction Scale. SETTING Syktyvkar, Kirov, Tyumen, Yekaterinburg, Russia; Aizawl, India. PARTICIPANTS The study involved 3426 people. RESULTS FA was found in 8·7 % of participants from Russia and 14·6 % from India. In schoolchildren but not in university students, high academic performance was associated with a higher incidence rate of FA detection (OR = 1·16, 95 % CI 1·07, 1·26) and a lower BMI (OR = 0·72, 95 % CI 0·56, 0·94). CONCLUSIONS These data showed an increased incidence rate of FA detection in adolescents with high academic performance.
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Affiliation(s)
- Tatyana A Tserne
- Department of Molecular Immunology and Biotechnology, Institute of Physiology, Komi Science Centre, Ural Branch of the Russian Academy of Sciences, Pervomaiskaya Str. 50, Syktyvkar167982, Russia
| | - Mikhail F Borisenkov
- Department of Molecular Immunology and Biotechnology, Institute of Physiology, Komi Science Centre, Ural Branch of the Russian Academy of Sciences, Pervomaiskaya Str. 50, Syktyvkar167982, Russia
| | - Sergey V Popov
- Department of Molecular Immunology and Biotechnology, Institute of Physiology, Komi Science Centre, Ural Branch of the Russian Academy of Sciences, Pervomaiskaya Str. 50, Syktyvkar167982, Russia
| | - Larisa A Bakutova
- Department of Molecular Immunology and Biotechnology, Institute of Physiology, Komi Science Centre, Ural Branch of the Russian Academy of Sciences, Pervomaiskaya Str. 50, Syktyvkar167982, Russia
| | | | - Amit K Trivedi
- Department of Zoology, Mizoram University, Aizawl, India
| | - Anna A Pecherkina
- Ural Institute of Humanities, Ural Federal University, Yekaterinburg, Russia
| | - Olga I Dorogina
- Ural Institute of Humanities, Ural Federal University, Yekaterinburg, Russia
| | | | - Valentina I Vetosheva
- Institute of Pedagogy and Psychology, Pitirim Sorokin Syktyvkar State University, Syktyvkar, Russia
| | - Denis G Gubin
- Department of Biology, Tyumen Medical University, Tyumen, Russia
- Tyumen Cardiology Research Centre, Tomsk National Research Medical Center, Russian Academy of Science, Tyumen, Russia
| | | | - Lina A Danilova
- Department of Biology, Tyumen Medical University, Tyumen, Russia
| | | | - Elvira E Symaniuk
- Ural Institute of Humanities, Ural Federal University, Yekaterinburg, Russia
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25
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Gardani M, Bradford DRR, Russell K, Allan S, Beattie L, Ellis JG, Akram U. A systematic review and meta-analysis of poor sleep, insomnia symptoms and stress in undergraduate students. Sleep Med Rev 2021; 61:101565. [PMID: 34922108 DOI: 10.1016/j.smrv.2021.101565] [Citation(s) in RCA: 50] [Impact Index Per Article: 16.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Revised: 10/27/2021] [Accepted: 10/27/2021] [Indexed: 12/14/2022]
Abstract
University students experience high prevalence of mental health problems and exacerbation of mental health difficulties, including sleep disturbances and stress during their studies. Stress and poor sleep quality and/or insomnia are interlinked outcomes for this population. The aim was to conduct a systematic review, and meta-analyses, of the relationships between sleep quality and/or insomnia with stress in students. Full-text articles of studies exploring the associations of stress with poor sleep quality and/or insomnia in undergraduate students using validated tools and published in peer-reviewed journals were eligible for inclusion. Thirty-four studies, resulting in 37 effect sizes, included and all were suitable for meta-analysis. The weighted pooled effect size between sleep quality and stress was for 0.39 (25 studies, n = 10,065), whereas a slightly higher pooled association of 0.41 was demonstrated for insomnia and stress (12 studies, n = 5564.5). Pooled associations show moderate effects for associations between sleep quality, insomnia and stress in undergraduate students. High heterogeneity in meta-analyses was found, suggesting the findings should be considered cautiously. Future research should focus on longitudinal studies exploring sleep difficulties across the academic year, whilst university services should consider psychoeducation for stress and sleep in university students, especially during transition to university.
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Affiliation(s)
- Maria Gardani
- School of Health in Social Science, University of Edinburgh, UK.
| | | | - Kirsten Russell
- School of Psychological Sciences and Health, University of Strathclyde, UK
| | - Stephanie Allan
- Institute of Health and Wellbeing, University of Glasgow, UK
| | - Louise Beattie
- Institute of Health and Wellbeing, University of Glasgow, UK
| | - Jason G Ellis
- Department of Psychology, Faculty of Health & Life Sciences, Northumbria University, UK
| | - Umair Akram
- Department of Psychology, Sociology and Politics, Sheffield Hallam University, UK
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26
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Food preferences and YFAS/YFAS-C scores in schoolchildren and university students. Eat Weight Disord 2021; 26:2333-2343. [PMID: 33389716 DOI: 10.1007/s40519-020-01064-6] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Accepted: 10/22/2020] [Indexed: 12/16/2022] Open
Abstract
PURPOSE Food addiction (FA) is one of the causes of widespread obesity in modern society. It was shown that there is an age-associated increase in incidence rate of FA in adolescents/young adults. The purpose of this study was to analyze food preferences in schoolchildren and university students with FA. METHODS High school and university students (N = 1607; age: 17.8 ± 2.7 years; girls: 77.0%) located in four settlements of Russia anonymously took part in the study. Study participants provided personal data (age, sex, height, and weight) and completed the Yale Food Addiction Scale, the Zung Self-Rating Depression Scale and the Munich ChronoType Questionnaire. In addition, they indicated food products with which they had problems. RESULTS The frequency of detection of FA among university students was twice as high as among schoolchildren. University students with FA were 20.2% more likely than schoolchildren to report the symptom 'use continues despite knowledge of adverse consequences,' and 13.7% more likely to report the symptom 'tolerance.' Schoolchildren and university students with FA most often noted that foods high in sugar and fat were problematic. University students with FA also reported that foods with a high carbohydrate content were problematic. CONCLUSION In university students with FA, in comparison with schoolchildren with FA, there is an increase in list of problematic food products, mainly due to products with a high carbohydrate content. LEVEL OF EVIDENCE Level V, cross-sectional descriptive study.
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27
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Vidmar AP, Jones RB, Wee CP, Berger PK, Plows JF, Rios RDC, Raymond JK, Goran MI. Timing of food consumption in Hispanic adolescents with obesity. Pediatr Obes 2021; 16:e12764. [PMID: 33370849 PMCID: PMC8178160 DOI: 10.1111/ijpo.12764] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Revised: 12/01/2020] [Accepted: 12/04/2020] [Indexed: 01/26/2023]
Abstract
BACKGROUND Little is known about the normal eating time periods in adolescents with obesity and how these patterns change throughout development. As the obesity epidemic continues to rise in adolescence, it becomes imperative to understand developmentally appropriate eating behaviours and to create weight management strategies that build on those innate patterns and preferences. The purpose of this study was to determine the most common habitual eating windows observed in adolescents with obesity. METHODS Participants were 101 Hispanic adolescents (mean age 14.8 ± 2.1 years; 48 male/53 female) with obesity (BMI ≥95th percentile) who were recruited as part of a larger clinical trial. Dietary intake and meal timing was determined using multiple pass 24-hours recalls. Histograms were utilized to determine the natural distribution of percent consumption of total kilocalories, carbohydrates and added sugar per hour. RESULTS The majority of total kilocalories (65.4%), carbohydrates (65.3%) and added sugar (59.1%) occurred between 11:00 and 19:00. Adolescents were 2.5 to 2.9 times more likely to consume kilocalories, carbohydrates, and added sugar during the 8-hour window between 11:00 am and 19:00 pm than other time windows examined (all P < .001). The consumption of these calories did not differ between weekdays and weekend (P > .05) or by sex. CONCLUSIONS In this cohort, more than 60% of calories, carbohydrates and added sugar were consumed between 11:00 am and 19:00 pm, which is concordant with an afternoon/evening chronotype that is common in adolescents. Our findings support this 8-hour period as a practical window for weight loss interventions that target pre-specified eating periods in this population.
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Affiliation(s)
- Alaina P. Vidmar
- Diabetes & Obesity Program, Center for Endocrinology, Diabetes and Metabolism, Department of Pediatrics, Children’s Hospital Los Angeles, Los Angeles, California
- Keck School of Medicine of USC, Los Angeles, California
| | - Roshonda B. Jones
- Diabetes & Obesity Program, Center for Endocrinology, Diabetes and Metabolism, Department of Pediatrics, Children’s Hospital Los Angeles, Los Angeles, California
- Keck School of Medicine of USC, Los Angeles, California
| | - Choo Phei Wee
- CTSI Biostatics Core, The Saban Research Institute, Los Angeles, California
| | - Paige K. Berger
- Diabetes & Obesity Program, Center for Endocrinology, Diabetes and Metabolism, Department of Pediatrics, Children’s Hospital Los Angeles, Los Angeles, California
- Keck School of Medicine of USC, Los Angeles, California
| | - Jasmine F. Plows
- Diabetes & Obesity Program, Center for Endocrinology, Diabetes and Metabolism, Department of Pediatrics, Children’s Hospital Los Angeles, Los Angeles, California
- Keck School of Medicine of USC, Los Angeles, California
| | - R. D. Claudia Rios
- Diabetes & Obesity Program, Center for Endocrinology, Diabetes and Metabolism, Department of Pediatrics, Children’s Hospital Los Angeles, Los Angeles, California
- Keck School of Medicine of USC, Los Angeles, California
| | - Jennifer K. Raymond
- Diabetes & Obesity Program, Center for Endocrinology, Diabetes and Metabolism, Department of Pediatrics, Children’s Hospital Los Angeles, Los Angeles, California
- Keck School of Medicine of USC, Los Angeles, California
| | - Michael I. Goran
- Diabetes & Obesity Program, Center for Endocrinology, Diabetes and Metabolism, Department of Pediatrics, Children’s Hospital Los Angeles, Los Angeles, California
- Keck School of Medicine of USC, Los Angeles, California
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28
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Budkevich RO, Budkevich EV, Kolomeichuk SN, Banshchikova TN. [Eating behavior, sleep self-assessment and personality traits of students with extreme chronotypes]. Zh Nevrol Psikhiatr Im S S Korsakova 2021; 121:19-23. [PMID: 34078855 DOI: 10.17116/jnevro202112104219] [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: 11/18/2022]
Abstract
OBJECTIVE To identify the differences in eating behavior, sleep self-assessment and personality traits in students with extreme chronotypes. MATERIAL AND METHODS Students (n=350), aged 17 to 23 years, with extreme chronotypes (owls/larks) were studied. Eating behavior was assessed with the Three-Factor Eating Questionnaire (TFEQ-R18). Evaluation of the condition of the cycle sleep-wakefulness (sleep quality, sleep hygiene, daytime sleepiness) and psychophysiological differences (Eysenck Personality Questionnaire, Spielberger-Khanin anxiety inventory and the Taylor Manifest Anxiety Scale (TMAS); the Stress test) was performed. RESULTS AND CONCLUSION Higher neuroticism, psychoticism and anxiety, low resistance to stress, reduced quality and hygiene of sleep with increased daytime sleepiness are found in people with evening preferences in comparison with the morning chronotype. Eating behavior according to TFEQ-R18 is characterized by a lack of cognitive restraint. The results may indicate preclinical health disorders, which are affected by lifestyle factors. The number of alcohol consumers and smokers is two and more than three times higher, respectively, among students with evening chronotype. The changes identified in people with evening chronotype require additional attention to student's health.
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Affiliation(s)
- R O Budkevich
- North Caucasus Federal University, Stavropol, Russia
| | - E V Budkevich
- North Caucasus Federal University, Stavropol, Russia
| | - S N Kolomeichuk
- Institute of Biology of Karelian Research Centre Russian Academy of Sciences, Petrozavodsk, Russia
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29
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Romero-Blanco C, Hernández-Martínez A, Parra-Fernández ML, Onieva-Zafra MD, Prado-Laguna MDC, Rodríguez-Almagro J. Food Addiction and Lifestyle Habits among University Students. Nutrients 2021; 13:nu13041352. [PMID: 33919610 PMCID: PMC8073513 DOI: 10.3390/nu13041352] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 04/11/2021] [Accepted: 04/15/2021] [Indexed: 12/30/2022] Open
Abstract
The prevalence of overweight and obesity is increasing in our society, with a complex, multifactorial origin, and associated with greater morbidity and mortality in the population. Food addiction (FA) is a common disorder in overweight/obese people, which appears to be increasingly common in young people. This study analyzed food addiction in a group of young university students and to examine its association with body composition, quality of sleep, adherence to the Mediterranean diet, physical activity/sedentary habits, tobacco or alcohol consumption, and health status. A total of 536 undergraduate nursing students participated in a questionnaire that included the Yale Food Addiction Scale (YFAS 2.0). Up to 6.4% of the students presented FA. Statistically significant associations were observed in the variables for sleep quality odds ratio (OR) 4.8 (95% confidence interval (CI): 1.66-13.87), anxiety/depression OR 8.71 (95% CI: 3.93-19.27), body mass index (BMI) OR 8.32 (95% CI: 3.81-18.15) and sedentary lifestyle OR 2.33 (95% CI: 1.09-5.01). A predictive model was developed after binary logistic regression (area under the ROC curve 0.84 (95% CI: 0.77-0.91). Students with FA presented higher BMI values, worse sleep quality, anxiety or depression problems, and more time spent in sedentary behaviors.
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30
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Borisenkov MF, Popov SV, Tserne TA, Bakutova LA, Pecherkina AA, Dorogina OI, Martinson EA, Vetosheva VI, Gubin DG, Solovieva SV, Turovinina EF, Symanyuk EE. Food addiction and symptoms of depression among inhabitants of the European North of Russia: Associations with sleep characteristics and photoperiod. EUROPEAN EATING DISORDERS REVIEW 2020; 28:332-342. [DOI: 10.1002/erv.2728] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2019] [Revised: 12/23/2019] [Accepted: 02/16/2020] [Indexed: 01/20/2023]
Affiliation(s)
- Mikhail F. Borisenkov
- Department of Molecular Immunology and BiotechnologyInstitute of Physiology of Komi Science Centre of the Ural Branch of the Russian Academy of Sciences Syktyvkar Russia
- Ural Institute of HumanitiesUral Federal University Yekaterinburg Russia
| | - Sergey V. Popov
- Department of Molecular Immunology and BiotechnologyInstitute of Physiology of Komi Science Centre of the Ural Branch of the Russian Academy of Sciences Syktyvkar Russia
- Ural Institute of HumanitiesUral Federal University Yekaterinburg Russia
| | - Tatyana A. Tserne
- Department of Molecular Immunology and BiotechnologyInstitute of Physiology of Komi Science Centre of the Ural Branch of the Russian Academy of Sciences Syktyvkar Russia
| | - Larisa A. Bakutova
- Department of Molecular Immunology and BiotechnologyInstitute of Physiology of Komi Science Centre of the Ural Branch of the Russian Academy of Sciences Syktyvkar Russia
| | - Anna A. Pecherkina
- Ural Institute of HumanitiesUral Federal University Yekaterinburg Russia
| | - Olga I. Dorogina
- Ural Institute of HumanitiesUral Federal University Yekaterinburg Russia
| | | | - Valentina I. Vetosheva
- Institute of Pedagogy and PsychologyPitirim Sorokin Syktyvkar State University Syktyvkar Russia
| | - Denis G. Gubin
- Department of BiologyTyumen Medical University Tyumen Russia
- Tyumen Cardiology Research Centre, Tomsk National Research Medical CenterRussian Academy of Science Tyumen Russia
| | | | | | - Elvira E. Symanyuk
- Ural Institute of HumanitiesUral Federal University Yekaterinburg Russia
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