Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
COVID-19 Pandemisi Sürecinde Bireylerin Hedonik Açlık Durumları ile Besin Seçimleri Arasındaki İlişkinin Değerlendirilmesi: Analitik Kesitsel Çalışma
The Evaluation of the Relationship Between Hedonic Hunger and Food Choices of Individuals During the COVID-19 Pandemic: An Analytical Cross-Sectional Research
Burcu KAYACIa, Can ERGÜNa
aBahçeşehir Üniversitesi Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik Bölümü, İstanbul, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(4):954-62
doi: 10.5336/healthsci.2022-90419
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, pandemi döneminde evden çalışma yapan bireylerin pandemi öncesine kıyasla besin seçimleri arasındaki farkı ve hedonik açlık düzeyleri arasındaki ilişkiyi değerlendirmek amacıyla planlanmıştır. Gereç ve Yöntemler: Bu çalışma, e-anket yardımıyla 18-65 yaş aralığındaki, pandemiden dolayı evden çalışma yapan eğitim, bankacılık, sigorta-finans, bilgi teknolojileri, elektronik, haberleşme, basın-yayın ve medya, ticaret, danışmanlık gibi sektörlerde görev alan 384 bireyin katılımıyla gerçekleştirilmiştir. Oluşturulan anket formunda bireylerin genel bilgileri, beslenme alışkanlıkları, Besin Tüketim Sıklıkları ve Besin Gücü Ölçeği değerlendirilmiştir. Bulgular: Çalışmaya 232 (%60,4) kadın, 152 (%39,6) erkek olmak üzere toplam da 384 birey dâhil edilmiştir. Çalışmaya katılan bireylerin yarısında (%50) hedonik açlık durumu gözlenirken diğer yarısında (%50) hedonik açlık durumu gözlenmemiştir. Kadınların erkeklere oranlara hedonik açlık düzeyleri yüksek bulunmuştur. Öğün atlayan bireylerin hedonik açlık düzeylerinde anlamlı farklılık gözlenmezken (p>0,05); zayıflama diyeti uygulayan bireylerin uygulamayan bireylere kıyasla hedonik açlık seviyeleri daha yüksek bulunmuştur (p<0,05). Pandemi sırasında, süt ve süt ürünleri, pizza/pide/lahmacun, şeker/çikolata, kızartma/ cips, sütlü ve meyveli tatlılar, meşrubat, taze ve kuru meyveler, salata tüketim oranı artış gösterirken; et ve et ürünleri, makarna ve pilav, ekmek ve çeşitleri, hamur işleri, fast food ve kek/kurabiye/bisküvi tüketiminde azalma olduğu gözlenmiştir. Sonuç: Koronavirüs hastalığı- 2019 pandemi döneminde evden çalışma yapan bireylerin besin seçimi, evden uzak oldukları döneme göre farklılık göstermektedir. Bireyler bu dönemde sağlıklı besinlerden daha çok erişilebilirliğin kolay olduğu lezzetli besinlere yönelmektedir. Pandemi döneminde evden çalışan bireylerin yarısında hedonik açlık gözlenirken diğer yarısında hedonik açlık gözlemlenmemiştir. Bu yüzden pandemi döneminde bireylerin hedonik açlık düzeyleriyle ilgili daha fazla çalışmaya ihtiyaç vardır.

Anahtar Kelimeler: COVID-19; uzaktan çalışma; besin seçimi; yeme davranışı
ABSTRACT
 Objective: This study was planned to evaluate the difference between food choices and the relationship between hedonic hunger levels of individuals working from home during the pandemic period compared to the pre-pandemic period. Material and Methods: With the help of an e-survey, this study was carried out with the participation of 384 individuals aged between 18 and 65, working from home due to the pandemic, as teachers, bankers, insurers, and working in sectors such as information technologies, electronics, communication, press-broadcasting, media, commerce and consultancy. In the questionnaire form created, the general information of the individuals, their eating habits, the Frequency of Food Consumption and the Nutritional Power Scales were evaluated. Results: A total of 384 individuals, 60.4% of whom were women (n=232) and 39.6% were men (n=152), were included in the study. While hedonic hunger was observed in half (50%) of the individuals participating in the study, it was not observed in the other half (50%). Hedonic hunger levels of women were found to be higher than men. While no significant difference was observed in the hedonic hunger levels of individuals who skipped meals (p>0.05); Hedonic hunger levels were found to be higher in individuals who applied a weight loss diet compared to those who did not (p<0.05). During the pandemic, the consumption rate of milk and dairy products, pizza/pita bread/lahmacun, candy/chocolate, fries/chips, milk and fruit desserts, soft drinks, fresh or dried fruits and salads increased; It was observed that there was a decrease in consumption of meat and meat products, pasta, rice, bread types, pastries, fast-food and cake/cookies/biscuits. Conclusion: As a result, the food choice of individuals who work from home during the pandemic coronavirus disease-2019 differs according to the period they are away from home. In this period, individuals tend to prefer delicious foods with easy accessibility rather than healthy foods. While hedonic hunger was observed in half of the individuals working from home during the pandemic period, hedonic hunger was not observed in the other half. Therefore, more studies are needed on the hedonic hunger levels of individuals during the pandemic period.

Keywords: COVID-19; distance work; food preferences; eating behavior
REFERENCES:
  1. Lowe MR, Butryn ML. Hedonic hunger: a new dimension of appetite? Physiol Behav. 2007;91(4):432-9. [Crossref]  [PubMed] 
  2. Lau BK, Cota D, Cristino L, Borgland SL. Endocannabinoid modulation of homeostatic and non-homeostatic feeding circuits. Neuropharmacology. 2017;124:38-51. [Crossref]  [PubMed] 
  3. Gündüz N, Akhalil M, Sevgi EN. Hedonik açlık [Hedonic hunger]. Izmir Democracy University Health Sciences Journal. 2020;3(1):80-96. [Link] 
  4. Yang D, Liu T, Williams KW. Motivation to eat-AgRP neurons and homeostatic need. Cell Metab. 2015;22(1):62-3. [Crossref]  [PubMed]  [PMC] 
  5. Köse S, Şanlıer N. Hedonik açlık ve obezite [Hedonic hunger and obesity: review]. Turkiye Klinikleri J Endocrin. 2015;10(1):16-23. [Crossref] 
  6. Bejarano CM, Cushing CC. Dietary motivation and hedonic hunger predict palatable food consumption: an intensive longitudinal study of adolescents. Ann Behav Med. 2018;52(9):773-86. [Crossref]  [PubMed] 
  7. Coccurello R, Maccarrone M. Hedonic eating and the "delicious circle": from lipid-derived mediators to brain dopamine and back. Front Neurosci. 2018;12:271. [Crossref]  [PubMed]  [PMC] 
  8. Schüz B, Schüz N, Ferguson SG. It's the power of food: individual differences in food cue responsiveness and snacking in everyday life. Int J Behav Nutr Phys Act. 2015;12:149. [Crossref]  [PubMed]  [PMC] 
  9. Polivy J, Herman C, Girz L. Learning to eat: the influence of food cues on what, when, and how much we eat. In: Schachtman TR, Reilly SS, eds. Associative Learning and Conditioning Theory: Human and Non-Human Applications. 1st ed. New York: Oxford University Press; 2011. p.1-42. [Crossref] 
  10. Theim KR, Brown JD, Juarascio AS, Malcolm RR, O'Neil PM. Relations of hedonic hunger and behavioral change to weight loss among adults in a behavioral weight loss program utilizing meal-replacement products. Behav Modif. 2013;37(6):790-805. [Crossref]  [PubMed] 
  11. Ribeiro G, Camacho M, Santos O, Pontes C, Torres S, Oliveira-Maia AJ. Association between hedonic hunger and body-mass index versus obesity status. Sci Rep. 2018;8(1):5857. [Crossref]  [PubMed]  [PMC] 
  12. Boggiano MM, Wenger LE, Turan B, Tatum MM, Sylvester MD, Morgan PR, et al. Real-time sampling of reasons for hedonic food consumption: further validation of the Palatable Eating Motives Scale. Front Psychol. 2015;6:744. [Crossref]  [PubMed]  [PMC] 
  13. Lowe MR, Arigo D, Butryn ML, Gilbert JR, Sarwer D, Stice E. Hedonic hunger prospectively predicts onset and maintenance of loss of control eating among college women. Health Psychol. 2016;35(3):238-44. [Crossref]  [PubMed]  [PMC] 
  14. Fernandes MF, Sharma S, Hryhorczuk C, Auguste S, Fulton S. Nutritional controls of food reward. Can J Diabetes. 2013;37(4):260-8. [Crossref]  [PubMed] 
  15. Davis C, Loxton NJ. A psycho-genetic study of hedonic responsiveness in relation to "food addiction". Nutrients. 2014;6(10):4338-53. [Crossref]  [PubMed]  [PMC] 
  16. Domenico C, Maurizio V. WHO Declares COVID-19 a Pandemic. Acta Biomed. 2020;91(1):157-60.
  17. Kalligeros M, Shehadeh F, Mylona EK, Benitez G, Beckwith CG, Chan PA, et al. Association of obesity with disease severity among patients with coronavirus disease 2019. Obesity (Silver Spring). 2020;28(7):1200-4. [Crossref]  [PubMed]  [PMC] 
  18. WHO. Food and nutrition tips during self-quarantine. 2020. Erişim Tarihi: 05/10/2022 [Link] 
  19. Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, et al. Effects of COVID-19 home confinement on eating behaviour and physical activity: results of the ECLB-COVID19 international online survey. Nutrients. 2020;12(6):1583. [PubMed]  [PMC] 
  20. Onwuegbuzie A, Collins K. A typology of mixed methods sampling designs in social science research. The Qualitative Report. 2007;12(2):281-316. [Crossref] 
  21. Cappelleri JC, Bushmakin AG, Gerber RA, Leidy NK, Sexton CC, Karlsson J, et al. Evaluating the Power of Food Scale in obese subjects and a general sample of individuals: development and measurement properties. Int J Obes (Lond). 2009;33(8):913-22. [Crossref]  [PubMed] 
  22. Lowe MR, Butryn ML, Didie ER, Annunziato RA, Thomas JG, Crerand CE, et al. The Power of Food Scale. A new measure of the psychological influence of the food environment. Appetite. 2009;53(1):114-8. [Crossref]  [PubMed] 
  23. Espel-Huynh HM, Muratore AF, Lowe MR. A narrative review of the construct of hedonic hunger and its measurement by the Power of Food Scale. Obes Sci Pract. 2018;4(3):238-49. [Crossref]  [PubMed]  [PMC] 
  24. Akçil Ok M, Hayzaran M. Validation of the Turkish version Power of the Food Scale (PFS) for determining hedonic hunger status and correlate between PFS and body mass index. Mal J Nutr. 2020;26(3):369-77. [Crossref] 
  25. Ewoldt J. The relationship between age, gender, and hedonic hunger [Master of science thesis]. Menomonie: Wisconsin-Stout University; 2011. Cited: April 7, 2022. Available from: [Link] 
  26. Lipsky LM, Nansel TR, Haynie DL, Liu D, Eisenberg MH, Simons-Morton B. Power of Food Scale in association with weight outcomes and dieting in a nationally representative cohort of U.S. young adults. Appetite. 2016;105:385-91. [Crossref]  [PubMed]  [PMC] 
  27. Alfawaz H, Amer OE, Aljumah AA, Aldisi DA, Enani MA, Aljohani NJ, et al. Effects of home quarantine during COVID-19 lockdown on physical activity and dietary habits of adults in Saudi Arabia. Sci Rep. 2021;11(1):5904. [Crossref]  [PubMed]  [PMC] 
  28. Stroebe W, Papies EK, Aarts H. From homeostatic to hedonic theories of eating: Self-regulatory failure in food-rich environments. Applied Psychology. 2008;57(s1):172-93. [Crossref] 
  29. Sato K, Kobayashi S, Yamaguchi M, Sakata R, Sasaki Y, Murayama C, et al. Working from home and dietary changes during the COVID-19 pandemic: a longitudinal study of health app (CALO mama) users. Appetite. 2021;165:105323. [Crossref]  [PubMed] 
  30. Sidor A, Rzymski P. Dietary choices and habits during COVID-19 lockdown: experience from Poland. Nutrients. 2020;12(6):1657. [Crossref]  [PubMed]  [PMC] 
  31. Rodríguez-Pérez C, Molina-Montes E, Verardo V, Artacho R, García-Villanova B, Guerra-Hernández EJ, et al. Changes in dietary behaviours during the COVID-19 outbreak confinement in the Spanish COVIDiet Study. Nutrients. 2020;12(6):1730. [Crossref]  [PubMed]  [PMC] 

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