Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Emotional Eating Behavior and Obesity Status of Medical Students in a University in Ankara
Ankara'da Bir Üniversitede Tıp Öğrencilerinin Duygusal Yeme Davranışı ve Obezite Durumu
Nural ERZURUM ALIMa, Rahime Evra KARAKAYAa
aDepartment of Nutrition and Dietetics, Ankara Yıldırım Beyazıt University Faculty of Health Sciences, Ankara, TURKEY
Turkiye Klinikleri J Health Sci. 2021;6(4):695-702
doi: 10.5336/healthsci.2020-79394
Article Language: EN
Full Text
ABSTRACT
Objective: Emotions are the basic elements of daily life that direct physiological changes and the formation of behavior by influencing cognition. Nutritional behavior is mainly shaped by emotional status. Unstable emotional states of medical students due to social and psychological factors affect their nutritional behaviors. Medical students may cope with physical and emotional difficulties such as emotional eating behavior leading to obesity. The aim of this study is to determine the emotional eating behavior and obesity status of medical students. Material and Methods: Data about sociodemographic characteristics and nutritional habits were collected via a questionnaire by face to face interview method by a dietitian. Anthropometric measurements (body weight, height, waist circumference, hip circumference, waist/hip ratio, waist/height ratio) of 256 medical students which was calculated via power analysis were taken by a trained dietitian. Three-factor Eating Questionnaire-R18 (TFEQ-R18) and Emotional Appetite Questionnaire (EMAQ) scales were applied to assess the eating behavior. The analysis of the data was made in the SPSS Statistics 21 package program, and the obtained results were interpreted as the value p<0.05 was considered statistically significant. Results: This study consisted of 88 (34.4%) male and 168 (65.6%) female students. The prevalence of overweight and obesity among students were 18.0% and 3.9%, respectively. Negative EMAQ scores of overweight group [61.5 (29.0-126.0)] was higher than underweight group [47.0 (31.0- 97.0)] (p=0.007). There was no significant difference between underweight, normal weight, overweight and obese groups in terms of uncontrolled eating and emotional eating scores (p=0.311, p=0.185; respectively). Cognitive restraint scores of normal [37.5 (0.0-75.0)] and overweight groups [33.3 (8.3-62.5)] were higher than underweight group [20.8 (4.2-62.5)] (p=0.002). Conclusion: Medical students are at a high risk of obesity development. Health education programs and health promotion activities should be recommended to prevent obesity.

Keywords: Emotional eating; obesity; medical students
ÖZET
Amaç: Duygular, bilişi etkileyerek fizyolojik değişimlere ve davranış oluşumuna yön veren günlük yaşamın temel unsurlarıdır. Beslenme davranışı esas olarak duygusal durumla şekillenir. Tıp öğrencilerinin sosyal ve psikolojik faktörlere bağlı değişken duygu durumları beslenme davranışlarını etkileyebilmektedir. Tıp öğrencileri, obeziteye neden olan duygusal yeme davranışı gibi fiziksel ve duygusal zorluklarla karşılaşabilirler. Bu çalışmanın amacı, tıp öğrencilerinin duygusal yeme davranışı ve obezite durumlarını belirlemektir. Gereç ve Yöntemler: Sosyodemografik özellikler ve beslenme alışkanlıkları ile ilgili veriler, yüz yüze görüşme yöntemi ile diyetisyen tarafından anket aracılığıyla toplanmıştır. Power analiz sonucu belirlenen 256 tıp öğrencisinin antropometrik ölçümleri (vücut ağırlığı, boy uzunluğu, bel çevresi, kalça çevresi, bel/kalça oranı, bel/boy oranı) eğitimli bir diyetisyen tarafından alınmıştır. Üç Faktörlü Beslenme Anketi ve Duygusal İştah Anketi (DİA) ölçekleri yeme davranışını değerlendirmek için uygulanmıştır. Verilerin analizi, SPSS İstatistik 21 paket programında ya pılmış, p<0.05 değeri istatistiksel olarak anlamlı kabul edilmiştir.. Bulgular: Bu çalışma, 88 erkek (%34,4) ve 168 kız (%65,6) öğrenciden oluşmaktadır. Öğrenciler arasında fazla kiloluluk ve obezite görülme sıklığı sırasıyla %18,0 ve %3,9'dur. Fazla kilolu grubun olumsuz DİA puanı [61,5 (29,0-126,0)] zayıf olan gruba [47,0 (31,0-97,0)] göre daha yüksektir (p=0,007). Kontrolsüz yeme ve duygusal yeme puanları açısından zayıf, normal kilolu, fazla kilolu ve obez gruplar arasında anlamlı fark bulunmamıştır (sırasıyla p=0,311, p=0,185). Bilişsel yeme kısıtlaması puanı normal [37,5 (0,0- 75,0)] ve fazla kilolu [33,3 (8,3-62,5)] olan gruplarda zayıf gruba [20,8 (4,2-62,5)] göre daha yüksektir (p=0,002). Sonuç: Tıp öğrencileri, obezite gelişimi açısından yüksek risk altındadır. Obezitenin önlenmesi için sağlık eğitim programları ve sağlığı geliştirme faaliyetleri önerilmelidir.

Anahtar Kelimeler: Duygusal yeme; obezite; tıp öğrencileri
REFERENCES:
  1. World Health Organization [Internet]. © 2021 WHO [Cited: 02.01.2020]. Fact Sheet. Obesity and Overweight. Available from: [Link] 
  2. Al-Asadi JN. Perceived stress and eating habits among medical students. International Journal of Medicine and Pharmaceutical Sciences. 2014;4(3):81-90. [Link] 
  3. Gupta S, Ray TG, Saha I. Overweight, obesity and influence of stress on body weight among undergraduate medical students. Indian J Community Med. 2009;34(3):255-7. [Crossref] [PubMed] [PMC] 
  4. Goswami B. Prevalence of stress and its association with body weight among the Medical Students of Jorhat Medical College and Hospital, Jorhat. Internatıonal Journal of Scientific Study. 2017;4(11):1-3. [Link] 
  5. Evers C, Dingemans A, Junghans AF, Boevé A. Feeling bad or feeling good, does emotion affect your consumption of food? A meta-analysis of the experimental evidence. Neurosci Biobehav Rev. 2018;92:195-208. [Crossref] [PubMed] 
  6. Nolan LJ, Halperin LB, Geliebter A. Emotional Appetite Questionnaire. Construct validity and relationship with BMI. Appetite. 2010;54(2):314-9. [Crossref] [PubMed] [PMC] 
  7. Debeuf T, Verbeken S, Van Beveren ML, Michels N, Braet C. Stress and eating behavior: a daily diary study in youngsters. Front Psychol. 2018;9:2657. [Crossref] [PubMed] [PMC] 
  8. de Lauzon-Guillain B, Basdevant A, Romon M, Karlsson J, Borys JM, Charles MA; FLVS Study Group. Is restrained eating a risk factor for weight gain in a general population? Am J Clin Nutr. 2006;83(1):132-8. [Crossref] [PubMed] 
  9. Serin Y, Şanlıer N. Emotional eating, factors affecting food intake and basic nursing approaches. Journal of Psychiatric Nursing. 2018;9(2):135-46. [Link] 
  10. Reichenberger J, Schnepper R, Arend AK, Richard A, Voderholzer, U, Naab S, et al. Emotional eating across different eating disorders and the role of body mass, restriction, and binge eating. International Journal of Eating Disorders. 2021;54(5):773-84. [Crossref] [PubMed] [PMC] 
  11. Macht M, Simons G. Emotions and eating in everyday life. Appetite. 2000;35(1):65-71. [Crossref] [PubMed] 
  12. Diggins A, Woods-Giscombe C, Waters S. The association of perceived stress, contextualized stress, and emotional eating with body mass index in college-aged Black women. Eat Behav. 2015;19:188-92. [Crossref] [PubMed] 
  13. Ganasegeran K, Al-Dubai SA, Qureshi AM, Al-abed AA, Rizal AM, Aljunid SM. Social and psychological factors affecting eating habits among university students in a Malaysian medical school: a cross-sectional study. Nutrition Journal. 2012;11(1):48. [Crossref] [PubMed] [PMC] 
  14. Wilson SM, Darling KE, Fahrenkamp AJ, D'Auria AL, Sato AF. Predictors of emotional eating during adolescents' transition to college: does body mass index moderate the association between stress and emotional eating? J Am Coll Health. 2015;63(3):163-70. [Crossref] [PubMed] 
  15. Karlsson J, Persson LO, Sjöström L, Sullivan M. Psychometric properties and factor structure of the Three-Factor Eating Questionnaire (TFEQ) in obese men and women. Results from the Swedish Obese Subjects (SOS) study. Int J Obes Relat Metab Disord. 2000;24(12):1715-25. [Crossref] [PubMed] 
  16. Kıraç D, Kaspar EÇ, Avcılar T, Çakır K, Ulucan Ö, Kurtel K, et al. A new method for researching nutrition habits associated with obesity "Three Factor Nutrition Questionnaire". Clinical and Experimental Health Sciences. 2015;5(3):162-9. [Link] 
  17. Demirel B, Yavuz FK, Karadere ME, Şafak Y, Türkçapar MH. The Emotional Appetite Questionnaire (EMAQ)'s reliability and validity and relationship with body mass index and emotional schemas. Journal of Cognitive Behavioral Psychotherapy and Research. 2014;3(3):171-81. [Crossref] 
  18. World Health Organization. Waist circumference and waist-hip ratio: Report of a WHO expert consultation, Geneva: WHO Press; 2011. [Link] 
  19. Ashwell M, Gibson S. A proposal for a primary screening tool: 'Keep your waist circumference to less than half your height'. BMC Med. 2014;12:207. [Crossref] [PubMed] [PMC] 
  20. WHO. Body Mass Index Classification. Accessed Feb 3rd, 2020. Available at: [Link] 
  21. Terebessy A, Czeglédi E, Balla BC, Horváth F, Balázs P. Medical students' health behaviour and self-reported mental health status by their country of origin: a cross-sectional study. BMC Psychiatry. 2016;16:171. [Crossref] [PubMed] [PMC] 
  22. Locke AE, Kahali B, Berndt SI, Justice AE, Pers TH, Day FR, et al. Genetic studies of body mass index yield new insights for obesity biology. Nature. 2015;518(7538):197-206. [PubMed] [PMC] 
  23. Tayem YI, Yaseen NA, Khader WT, Abu Rajab LO, Ramahi AB, Saleh MH. Prevalence and risk factors of obesity and hypertension among students at a central university in the West Bank. Libyan J Med. 2012;7. [Crossref] [PubMed] [PMC] 
  24. Naim Z, Anwar K, Rahman A, Zuliani N. Physical inactivity among medical and non-medical students: a cross sectional study. International Journal of Public Health and Clinical Sciences. 2016;3(5):48-58. [Link] 
  25. Asghar A, Masood Shah A, Ali Hussain A, Tahir A, Asghar H. Frequency of Pre-obesity and Obesity in Medical Students of Karachi and the Predisposing Lifestyle Habits. Cureus. 2019;11(1):e3948. [Crossref] [PubMed] [PMC] 
  26. Niranjan A, Kumar M, Adhikari P, Saxena M. Prevalence and determinants of overweight and obesity among undergraduate medical students of Shyam Shah Medical College, Rewa. International Journal of Medical Science and Public Health. 2016;5(11):2410-5. [Crossref] 
  27. Zalewska M, Maciorkowska E. Selected nutritional habits of teenagers associated with overweight and obesity. PeerJ. 2017;5:e3681. [Crossref] [PubMed] [PMC] 
  28. Yılmaz Y, Vural E, Toprak DE, Gurdeniz E. The relationship between medical education and eating habits along with mental condition in medical students. Erciyes Medical Journal. 2014;36(2):75-81. [Crossref] 
  29. Singh M. Mood, food, and obesity. Front Psychol. 2014;5:925. [Crossref] [PubMed] [PMC] 
  30. Bennett J, Greene G, Schwartz-Barcott D. Perceptions of emotional eating behavior. A qualitative study of college students. Appetite. 2013;60(1):187-92. [Crossref] [PubMed] 
  31. Lazarevich I, Irigoyen Camacho ME, Velázquez-Alva MDC, Zepeda Zepeda M. Relationship among obesity, depression, and emotional eating in young adults. Appetite. 2016;107:639-44. [Crossref] [PubMed] 
  32. Geliebter A, Aversa A. Emotional eating in overweight, normal weight, and underweight individuals. Eat Behav. 2003;3(4):341-7. [Crossref] [PubMed] 
  33. Alalwan TA, Hilal SJ, Mahdi AM, Ahmed MA, Mandeel QA. Emotional eating behavior among University of Bahrain students: a cross-sectional study. Arab Journal of Basic and Applied Sciences. 2019;26(1):424-32. [Crossref] 
  34. Yousif MM, Kaddam LA, Humeda HS. Correlation between physical activity, eating behavior and obesity among Sudanese medical students Sudan. BMC Nutr. 2019;5:6. [Crossref] [PubMed] [PMC] 
  35. Thomas T. An investigation of the association of BMI and body fat percentage to eating behaviors as measured by the three factor eating questionnaire-R18 in University students. Jamaica: The University of the West Indies; 2010. [Link] 

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