Emotional eating patterns in a sample of Mexican adolescents
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20240259Keywords:
Diet restrictions, Eating disorders, Emotional eating, Teenagers, AdolescentAbstract
Background: Eating patterns can be used to regulate emotions. Recent research has focused on emotional eating, aiming to determine the leading psychological causes of emotional eating based on the habits of a group of Mexican adolescent scholars that are between 15-17 years old (n=417).
Methods: Five mechanisms measured emotional aspects and eating patterns; they were analyzed with different statistical tools.
Results: There weren't significant gender differences in the feelings of emotional restlessness between boys and girls, nor the expected feelings of anxiety, anger, frustration, and depression. There weren't variations in the types of emotional eating between the normal weight (average weight) and overweight groups. Nevertheless, there was a significant relationship between emotional eating (negative feelings) and bulimic eating patterns, showing more dependency on eating after receiving stimuli related to eating, regardless of satiety and hunger. Negative moods and emotions appeared as a result of parents trying to have more control over eating. When having obesity, there was less oral intake control, which led to the risk of overweight/obesity. Finally, less parental control over eating slightly increased the risk of overweight/obesity. However, the most risk is associated to diet restrictions and worry about food caused by fear to be overweight.
Conclusions: Obesity in children and teenagers is a public health problem. Its prevention must be a priority; therefore, knowing and working on its risk factors is urgent.
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References
Thompson RA. Emotion Regulation: a theme in search of definition. Monogr Soc Res Child Dev. 1994;59(2-3):25-52.
Gross JJ. Emotion regulation: Taking stock and moving forward. Emotion. 2013;13(3):359-65.
Cofré A, Gallardo G, Maripillán L. Sepúlveda L, Parra M. Depresión, ansiedad y estado nutricional en adolescentes de la ciudad de Temuco. Revis Electrón Metodol Aplica. 2022;24(1):13-25.
Arbués E. Martínez B. Granada JM, Echaniz E, Pellicer B, Juárez R, Guerrero S, et al. Conducta alimentaria y su relación con el estrés, la ansiedad, la depresióny el insomnio en estudiantes universitarios. Nutr Hospital. 2019;36(6):1339-45.
Prefit AB, Cândea DM, Szentagotai-Tătar A. Emotion regulation across eating pathology: A meta-analysis. Appetite. 2019;143:104438.
Brockmeyer T, Skunde M, Wu M, Bresslein E, Rudofsky G, Herzog W, et al. Difficulties in emotion regulation across the spectrum of eating disorders. Compr Psychiatry. abril de 2014;55(3):565-71.
Dougherty EN, Murphy J, Hamlett S, George R, Badillo K, Johnson NK, et al. Emotion regulation flexibility and disordered eating. Eat Behav. 2020;39: 101428.
Evers C, Adriaanse M, de Ridder DTD, de Witt Huberts JC. Good mood food. Positive emotion as a neglected trigger for food intake. Appetite. 2013;68:1-7.
Meule A, Reichenberger J, Blechert J. Development and preliminary validation of the Salzburg Stress Eating Scale. Appetite. 2018;120:442-8.
Jalo E, Konttinen H, Vepsäläinen H, Chaput JP, Hu G, Maher C, et al. Emotional Eating, Health Behaviours, and Obesity in Children: A 12-Country Cross-Sectional Study. Nutrients. 2019;11(2):351.
Munkholm A, Olsen EM, Rask CU, Clemmensen L, Rimvall MK, Jeppesen P, et al. Eating behaviours in preadolescence are associated with body dissatisfaction and mental disorders – Results of the CCC2000 study. Appetite. 2016;101:46-54.
van Strien T, Oosterveld P. The children’s DEBQ for assessment of restrained, emotional, and external eating in 7- to 12-year-old children. Int J Eat Disord. 2008;41(1):72-81.
Jääskeläinen A, Nevanperä N, Remes J, Rahkonen F, Järvelin MR, Laitinen J. Stress-related eating, obesity and associated behavioural traits in adolescents: a prospective population-based cohort study. BMC Public Health. 2014;14(1):321.
Messerli-Bürgy N, Stülb K, Kakebeeke TH, Arhab A, Zysset AE, Leeger-Aschmann CS, et al. Emotional eating is related with temperament but not with stress biomarkers in preschool children. Appetite. 2018;120:256-64.
Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766-81.
Encuesta Nacional de Saludy Nutrición 2018. 2019. Available at: https://www.inegi.org.mx/contenidos/ programas/ensanut/2018/doc/ensanut_2018_presentacion_resultados.pdf. Accessed on 20 November 2023.
Ruvalcaba Ledezma JC. La obesidad, un verdadero problema de salud pública persistente en México. J Negat No Posit Results. 2018;(8):643-54.
Tanofsky-Kraff M, Theim KR, Yanovski SZ, Bassett AM, Burns NP, Ranzenhofer LM, et al. Validation of the emotional eating scale adapted for use in children and adolescents (EES-C). Int J Eat Disord. 2007;40(3):232-40.
Trujillo-Hernández PE, Flores-Peña Y, Gomez-Melasio DA, Angel-García J, Lara-Reyes BJ. Análisis de las Propiedades Psicométricas de la Escala de Comer Emocional (Emotional Eating Scale [EES-C]) en Adolescentes Mexicanos. Rev Esp Nutr Humana Dietética. 2021;25(1):58-68.
Schacht M, Richter-Appelt H, Schulte-Markwort M, Hebebrand J, Schimmelmann BG. Eating pattern inventory for children: A new self-rating questionnaire for preadolescents. J Clin Psychol. 2006;62(10):1259-73.
Trujano P, de Gracia M, Nava C, Thomas M. Adaptation, validation and reliability of the Spanish version of eating pattern inventory for children EPIC-C in a sample of Mexican adolescents. Int J Community Med Public Health. 2021;8(11):5163.
Maloney MJ, Mcguire JB, Daniels SR. Reliability Testing of a Children’s Version of the Eating Attitude Test. J Am Acad Child Adolesc Psychiatry. 1988;27(5):541-3.
Garner DM, Olmsted MP, Bohr Y, Garfinkel PE. The Eating Attitudes Test: psychometric features and clinical correlates. Psychol Med. 1982;12(4):871-8.
de Gracia M, Marcó M, Trujano P. Factors associated with eating behavior in pre-adolescents. Psicothema. 2007;19(4):646-53.
Kovacs M. Inventario de depresión infantil. Madrid: TEA Publishers; 2004.
Allgaier AK, Frühe B, Pietsch K, Saravo B, Baethmann M, Schulte-Körne G. Is the Children’s Depression Inventory Short version a valid screening tool in pediatric care? A comparison to its full-length version. J Psychosom Res. 2012;73(5):369-74.
Miu AS, Yeager DS. Preventing Symptoms of Depression by Teaching Adolescents That People Can Change: Effects of a Brief Incremental Theory of Personality Intervention at 9-Month Follow-Up. Clin Psychol Sci. 2015;3(5):726-43.
del Barrio, V, Roa, M.L., Olmedo, M., Colodrón, F. Primera adaptación del CDI-S a población española. Rev Accion Psicológica. 2002;1(3):263-72.
Spielberger, Ch. Manual for the State-Trait Anxiety Inventory for Children. USA: Consulting Psychologists Press; 1973.
Buela-Casal, G., Guillén-Riquelme, A, Seisdedos, N. STAI, cuestionario de ansiedad estado-rasgo. Adaptación española. 8th ed. Madrid: TEA; 2011.
Cole TJ, Flegal KM, Nicholls D, Jackson AA. Body mass index cut offs to define thinness in children and adolescents: international survey. BMJ. 2007;335(7612):194.
Cohen J. Statistical Power Analysis. Curr Dir Psychol Sci. 1992;1(3):98-101.
Braet C, Claus L, Goossens L, Moens E, Van Vlierberghe L, Soetens B. Differences in Eating Style between Overweight and Normal-Weight Youngsters. J Health Psychol. 2008;13(6):733-43.
Peñate W, González-Loyola M, Oyanadel C. The Predictive Role of Affectivity, Self-Esteem and Social Support in Depression and Anxiety in Children and Adolescents. Int J Environ Res Public Health. 2020;17(19):6984.
Mason TB, Do B, Wang S, Dunton GF. Ecological momentary assessment of eating and dietary intake behaviors in children and adolescents: A systematic review of the literature. Appetite. 2020;144:104465.
Ranzenhofer LM, Engel SG, Crosby RD, Haigney M, Anderson M, McCaffery JM, et al. Real-time assessment of heart rate variability and loss of control eating in adolescent girls: A pilot study: Autonomic indices and loc eating in girls. Int J Eat Disord. 2016;49(2):197-201.
Goldschmidt AB, Smith KE, Crosby RD, Boyd HK, Dougherty E, Engel SG, et al. Ecological momentary assessment of maladaptive eating in children and adolescents with overweight or obesity. Int J Eat Disord. 2018;51(6):549-57.
Mason TB, O’Connor SG, Schembre SM, Huh J, Chu D, Dunton GF. Momentary affect, stress coping, and food intake in mother-child dyads. Health Psychol. 2019;38(3):238-47.
Dunton GF, Dzubur E, Huh J, Belcher BR, Maher JP, O’Connor S, et al. Daily Associations of Stress and Eating in Mother-Child Dyads. Health Educ Behav. 2017;44(3):365-9.
Shiffman S, Stone AA, Hufford MR. Ecological Momentary Assessment. Annu Rev Clin Psychol. 2008;4(1):1-32.