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Chen M, Lam WWT, Yuan J, Dong M, Yang L, Chan DKC, Liao Q. Executive function, perceived stress and eating behaviours among Chinese young adults. Stress Health 2024; 40:e3397. [PMID: 38539280 DOI: 10.1002/smi.3397] [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: 09/20/2023] [Revised: 03/14/2024] [Accepted: 03/16/2024] [Indexed: 08/10/2024]
Abstract
Young adults in a transitional period may experience more stress and, hence, suffer from an increased risk of unhealthy eating. Executive function (EF) involves not only inhibitory control and mental flexibility (the 'cool' facet) to facilitate resistance to immediate temptations, but also affective decision making (the 'hot' facet) that helps to regulate emotional eating. The effects of different facets of EF and their interactions with perceived stress on eating behaviours remained underexplored. In this study, 594 young adults in their graduation year of post-secondary education were included. We used latent profile analysis to identify major patterns of eating behaviours and analysed their associations with perceived stress, and both the 'cool' and 'hot' facets of EF using multinominal logistic regression models. Latent profile analysis identified three clusters of eating patterns: non-approaching moderate eaters (N = 312, 52.5%), approaching eaters (N = 229, 38.6%), and approaching-and-avoidant eaters (N = 53, 8.9%). Logistic regression models found that the approaching-and-avoidant eating pattern was associated with higher perceived stress (OR = 3.16, p value = 0.007) and poorer affective decision-making (OR = 0.97, p value = 0.006). Stratified analysis further revealed that higher perceived stress was significantly associated with approaching-and-avoidant eating only among individuals with poorer affective decision-making. These findings suggest that individuals with poorer emotional regulation may face greater difficulties in regulating eating behaviours when experiencing higher stress. Interventions for people with a mixed pattern of approaching-and-avoidance eating should focus on providing support to regulate emotion-related eating.
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Affiliation(s)
- Meijun Chen
- Division of Behavioural Sciences, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China
| | - Wendy Wing Tak Lam
- Division of Behavioural Sciences, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China
- Jockey Club Institute of Cancer Care, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China
| | - Jiehu Yuan
- Division of Behavioural Sciences, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China
| | - Meihong Dong
- Hospital-Acquired Infection Control Department, Affiliated Foshan Hospital of Southern Medical University, Foshan, Guangdong, China
| | - Lin Yang
- School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China
| | - Derwin King Chung Chan
- Department of Early Childhood Education, The Education University of Hong Kong, Hong Kong, China
| | - Qiuyan Liao
- Division of Behavioural Sciences, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China
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Ji Y, Shi Y, Zhou J, Li X, Qin R, Zhu Q. Analysis on the Change of College Students' Life Pattern and its Impact during the COVID-19 Outbreak in China. Am J Health Behav 2022; 46:218-230. [PMID: 35794758 DOI: 10.5993/ajhb.46.3.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Objectives: Our objective was to analyze changes in lifestyle patterns of Chinese college students at home during the COVID-19 outbreak. Methods: According to a structured online questionnaire covering socio- demographic information, anthropometric data, and changes in food intake, physical activity, and sleep during the COVID-19 outbreak, the relationships between the above data before and during the outbreak were analyzed. Results: Among the 781 participants, 38.5% had significantly increased their total food intake and 29.1% had significantly decreased their physical activity. Overall, 44% of participants reported weight gain. The average weight gain was 0.7±2.5 kg. The main causes of weight gain were increased food intake (p < .001), decreased physical activity (p < .01), and an excessive increase or reduction in sleep duration (p < .024). Conclusion: During the COVID-19 outbreak, college students' food intake was found to be increased and physical activity decreased; sleep duration was irregular, and all these factors influenced weight gain.
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Affiliation(s)
- Yu Ji
- Yu Ji, Department of Medicine, Xinglin College, Nantong University, Nantong China
| | - Youpeng Shi
- Youpeng Shi, Department of Medicine, Xinglin College, Nantong University, Nantong, China
| | - Jie Zhou
- Jie Zhou, Department of Medicine, Xinglin College, Nantong University, Nantong, China
| | - Xiyue Li
- Xiyue Li, Department of Medicine, Xinglin College, Nantong University, Nantong, China
| | - Ruoyu Qin
- Ruoyu Qin, Department of Medicine, Xinglin College, Nantong University, Nantong, China
| | - Qi Zhu
- Qi Zhu, Department of Medicine, Xinglin College, Nantong University, Nantong, China and Department of Preventive Medicine, School of Public Health, Nantong University, Nantong, China;,
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Lee A, Keung VMW, Lau VTC, Cheung CKM, Lo ASC. Impact of COVID-19 on Life of Students: Case Study in Hong Kong. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:10483. [PMID: 34639783 PMCID: PMC8508172 DOI: 10.3390/ijerph181910483] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 09/29/2021] [Accepted: 09/30/2021] [Indexed: 12/29/2022]
Abstract
COVID-19 has an impact on the day-to-day life of students, with school closure and detrimental effects on health and well-being that cannot be underestimated. A study collected data reflecting the health and well-being of secondary school students entering a programme entitled "Healthy Life Planning: Assist Students to Acquire and Practice Health Knowledge and Skills" (ASAP study) in September and October 2019 before the outbreak of COVID-19. Follow-up data were collected in June and July 2020, over half a year since the spread of COVID-19, which facilitated analyses of its impact on the health behaviours and well-being of young people. Comparative analyses between baseline and the follow-up period were conducted on weight status, sleep pattern and quality, pattern of sedentary lifestyle, pattern of physical activity, attitudes and perceived barriers for exercise, and hand hygiene. Attitudes toward precautionary measures and influenza vaccination, self-reported changes in hygiene practices, exercise habits and eating habits were analysed. Although hygiene habits and risk perceptions among young people have improved in many aspects, the level of physical activity has declined as well as the beliefs and attitudes on increasing time on electronic media and change in sleep hygiene. Attitudes and beliefs towards influenza vaccination have declined, which would reflect the slow increase in the uptake rate of COVID-19 vaccination. Health education should equip students with the knowledge and skills to cultivate beliefs and attitudes to face health challenges.
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Affiliation(s)
- Albert Lee
- Centre for Health Education and Health Promotion, The Chinese University of Hong Kong, 4/Floor, Lek Yuen Health Centre, Shatin, Hong Kong, China; (V.M.W.K.); (V.T.C.L.); (C.K.M.C.); (A.S.C.L.)
- School of Public Health, Prince of Wales Hospital, Shatin, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, 4/Floor, School of Public Health, Prince of Wales Hospital, Shatin, Hong Kong, China
| | - Vera M. W. Keung
- Centre for Health Education and Health Promotion, The Chinese University of Hong Kong, 4/Floor, Lek Yuen Health Centre, Shatin, Hong Kong, China; (V.M.W.K.); (V.T.C.L.); (C.K.M.C.); (A.S.C.L.)
| | - Vincent T. C. Lau
- Centre for Health Education and Health Promotion, The Chinese University of Hong Kong, 4/Floor, Lek Yuen Health Centre, Shatin, Hong Kong, China; (V.M.W.K.); (V.T.C.L.); (C.K.M.C.); (A.S.C.L.)
| | - Calvin K. M. Cheung
- Centre for Health Education and Health Promotion, The Chinese University of Hong Kong, 4/Floor, Lek Yuen Health Centre, Shatin, Hong Kong, China; (V.M.W.K.); (V.T.C.L.); (C.K.M.C.); (A.S.C.L.)
| | - Amelia S. C. Lo
- Centre for Health Education and Health Promotion, The Chinese University of Hong Kong, 4/Floor, Lek Yuen Health Centre, Shatin, Hong Kong, China; (V.M.W.K.); (V.T.C.L.); (C.K.M.C.); (A.S.C.L.)
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