Emotional and Behavioral Components Related to Most Prevalent Eating Habits in Individuals with Obesity
DOI:
https://doi.org/10.15448/1980-8623.2024.1.42488Keywords:
obesity, eating behavior, emotional eating, eating habits.Abstract
The objective of this study was to assess the prevalence of behavioral and emotional issues among individuals with obesity, as well as aspects related to their eating habits. A cross-sectional survey was conducted with adults with obesity (n=72). Participants completed the Binge Eating Scale, the International Physical Activity Questionnaire, and a 3-day food diary. Body Mass Index (BMI) and waist and neck circumferences were also measured. Quantitative variables were described using means and standard deviations, while categorical variables were presented as absolute and relative frequencies. A significant correlation was observed between participants' mean BMI and both the Emotional Eating (EE) (p=0.003) and Eating Behavior (EB) (p=0.004) domains. Additionally, EB scores showed a strong correlation with both energy consumption (r=0.858) and caloric density (r=0.739). Daily consumption of processed meat was also significantly correlated with EE (p=0.049). High scores in both domains were associated with anthropometric measurements, a high-fat/low-fiber diet, and an increased risk of Binge Eating Disorder. These findings underscore the importance of incorporating qualitative, behavioral, and multidisciplinary approaches in obesity treatment to support both healthy weight management and mental well-being.
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References
Alvarenga, M. S., Negrão, A. B., & Philippi, S. T. (2003). Nutritional aspects of eating episodes followed by vomiting in Brazilian patients with bulimia nervosa. Eating and Weight Disorders, 8(2), 150-156. https://doi.org/10.1007/BF03325005 DOI: https://doi.org/10.1007/BF03325005
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5. ed.). https://doi.org/10.1176/appi.books.9780890425596 DOI: https://doi.org/10.1176/appi.books.9780890425596
Bahia, L. R., & Araújo, D. V. (2014) Impacto econômico da obesidade no Brasil. Revista HUPE, 13,13-7. https://doi.org/10.12957/rhupe.2014.9793 DOI: https://doi.org/10.12957/rhupe.2014.9793
Ben-Noun, L., Sohar, E., & Laor, A. (2001). Neck circumference as a simple screening measure for identifying overweight and obese patients. Obesity Research, 9(8), 470-477. https://doi.org/10.1038/oby.2001.61 DOI: https://doi.org/10.1038/oby.2001.61
Burgess, E. E., Turan, B., Lokken, K. L., Morse, A., & Boggiano, M. M. (2014). Profiling motives behind hedonic eating. Preliminary validation of the Palatable Eating Motives Scale. Appetite, 72, 66-72. https://doi.org/10.1016/j.appet.2013.09.016 DOI: https://doi.org/10.1016/j.appet.2013.09.016
Carvalho, M. C. V. S. (2012). Práticas e saberes na alimentação: natural, racional ou social? In M. T. Luz & N. F. Barros (org.), Racionalidades médicas e práticas integrativas em saúde, estudos teóricos e empíricos (pp. 425-442). https://lappis.org.br/site/wp-content/uploads/2021/07/racionalidades-medicas.pdf
Cauduro, G. N., Pacheco, J. T. B., & Paz, G. M. (2018). Avaliação e intervenção no transtorno da compulsão alimentar (TCA): uma revisão sistemática. Psico, 49(4), 384-394. https://doi.org/10.15448/1980-8623.2018.4.28385 DOI: https://doi.org/10.15448/1980-8623.2018.4.28385
Chapuis-de-Andrade, S., de Araujo, R. M., & Lara, D. R. (2017). Association of weight control behaviors with body mass index and weight-based self-evaluation. Revista Brasileira de Psiquiatria, 39(3), 237-243. https://doi.org/10.1590/1516-4446-2016-2038 DOI: https://doi.org/10.1590/1516-4446-2016-2038
Clifford, D., Ozier, A., Bundros, J., Moore, J., Kreiser, A., & Morris, M. N. (2015). Impact of non-diet approaches on attitudes, behaviors, and health outcomes: a systematic review. Journal of Nutrition Education and Behavior, 47(2), 143-155.e1. https://doi.org/10.1016/j.jneb.2014.12.002 DOI: https://doi.org/10.1016/j.jneb.2014.12.002
Diez Garcia, R. W. (2003). Reflexos da globalização na cultura alimentar: considerações sobre as mudanças na alimentação urbana. Revista de Nutrição, 16, 483-492. https://doi.org/10.1590/S1415-52732003000400011 DOI: https://doi.org/10.1590/S1415-52732003000400011
Escrivá-Martínez, T., Galiana, L., Rodríguez-Arias, M., & Baños, R. M. (2019). The Binge Eating Scale: Structural Equation Competitive Models, Invariance Measurement Between Sexes, and Relationships With Food Addiction, Impulsivity, Binge Drinking, and Body Mass Index. Frontiers in Psychology, 10, 530. https://doi.org/10.3389/fpsyg.2019.00530 DOI: https://doi.org/10.3389/fpsyg.2019.00530
Executive summary of the clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. (1998). Archives of Internal Medicine, 158(17), 1855-1867. https://doi.org/10.1001/archinte.158.17.1855 DOI: https://doi.org/10.1001/archinte.158.17.1855
Fernandes, M. E., Rezende, D. A., Reis, J. M. L. (2007). Mídia e classes subalternas. Revista Eletrônica de Comunicação, 2(1). https://periodicos.unifacef.com.br/index.php/rec/article/view/436
Finucane, M. M., Stevens, G. A., Cowan, M. J., Danaei, G., Lin, J. K., Paciorek, C. J., Singh, G. M., Gutierrez, H. R., Lu, Y., Bahalim, A. N., Farzadfar, F., Riley, L. M., Ezzati, M., & Global Burden of Metabolic Risk Factors of Chronic Diseases Collaborating Group (Body Mass Index) (2011). National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9·1 million participants. Lancet, 377(9765), 557-567. https://doi.org/10.1016/S0140-6736(10)62037-5 DOI: https://doi.org/10.1016/S0140-6736(10)62037-5
Freitas, S., Lopes, C. S., Coutinho, W., & Appolinario, J. C. (2001). Translation and adaptation into Portuguese of the Binge-Eating Scale. Brazilian Journal of Psychiatry, 23(4), 215-220. https://doi.org/10.1590/S1516-44462001000400008 DOI: https://doi.org/10.1590/S1516-44462001000400008
Geliebter, A., & Aversa, A. (2003). Emotional eating in overweight, normal weight, and underweight individuals. Eating Behaviors, 3(4), 341-347. https://doi.org/10.1016/s1471-0153(02)00100-9 DOI: https://doi.org/10.1016/S1471-0153(02)00100-9
Haedt-Matt, A. A., Keel, P. K., Racine, S. E., Burt, S. A., Hu, J. Y., Boker, S., Neale, M., & Klump, K. L. (2014). Do emotional eating urges regulate affect? Concurrent and prospective associations and implications for risk models of binge eating. The International Journal of Eating Disorders, 47(8), 874-877. https://doi.org/10.1002/eat.22247 DOI: https://doi.org/10.1002/eat.22247
Herbert, B. M., & Pollatos, O. (2012). The body in the mind: On the relationship between interoception and embodiment. Topics in Cognitive Science, 4(4), 692-704. https://doi.org/10.1111/j.1756-8765.2012.01189.x DOI: https://doi.org/10.1111/j.1756-8765.2012.01189.x
Khalsa, S. S., & Lapidus, R. C. (2016). Can interoception improve the pragmatic search for biomarkers in psychiatry? Frontiers in Psychiatry, 7, 121. https://doi.org/10.3389/fpsyt.2016.00121 DOI: https://doi.org/10.3389/fpsyt.2016.00121
Klotz-Silva, J., Prado, S. D., & Seixas, C. M. (2016). Comportamento alimentar no campo da Alimentação e Nutrição: do que estamos falando? Physis, 26, 1103-1123. https://doi.org/10.1590/S0103-73312016000400003 DOI: https://doi.org/10.1590/s0103-73312016000400003
Konttinen, H., Männistö, S., Sarlio-Lähteenkorva, S., Silventoinen, K., & Haukkala, A. (2010). Emotional eating, depressive symptoms and self-reported food consumption. A population-based study. Appetite, 54(3), 473-479. https://doi.org/10.1016/j.appet.2010.01.014 DOI: https://doi.org/10.1016/j.appet.2010.01.014
Konttinen, H., van Strien, T., Männistö, S., Jousilahti, P., & Haukkala, A. (2019). Depression, emotional eating and long-term weight changes: a population-based prospective study. The International Journal of Behavioral Nutrition and Physical Activity, 16(1), 28. https://doi.org/10.1186/s12966-019-0791-8 DOI: https://doi.org/10.1186/s12966-019-0791-8
Leite, P. B., Dâmaso, A. R., Poli, V. S., Sanches, R. B., Silva, S., Fidalgo, J., Nascimento, M. A., de Oliveira, C., & Caranti, D. A. (2017). Long-term interdisciplinary therapy decreases symptoms of binge eating disorder and prevalence of metabolic syndrome in adults with obesity. Nutrition Research, 40, 57-64. https://doi.org/10.1016/j.nutres.2017.03.006 DOI: https://doi.org/10.1016/j.nutres.2017.03.006
Lowe, M. R., & Butryn, M. L. (2007). Hedonic hunger: A new dimension of appetite? Physiology & Behavior, 91(4), 432-439. https://doi.org/10.1016/j.physbeh.2007.04.006 DOI: https://doi.org/10.1016/j.physbeh.2007.04.006
Matos, M. I. R., Aranha, L. S., Faria, N. A., Ferreira, S. R. G., Bacaltchuck, J., & Zanella, M. T. (2002). Binge eating disorder, anxiety, depression, and body image in grade III obesity patients. Brazilian Journal of Psychiatry, 24(4):165-169. https://doi.org/10.1590/S1516-44462002000400004 DOI: https://doi.org/10.1590/S1516-44462002000400004
Matsudo, S., Araújo, T., Matsudo, V., Andrade, D., Andrade, E., Oliveira, L. C., & Braggion, G. (2001). Questionário Internacional de Atividade Física (IPAQ): Estudo de validade e reprodutibilidade no Brasil. Revista Brasileira de Atividade Física & Saúde, 6(2), 5-18. https://doi.org/10.12820/rbafs.v.6n2p5-18
Ministério da Saúde. (2006). VIGITEL Brasil 2006: Vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. http://bvsms.saude. gov.br/bvs/publicacoes/relatorio_vigitel_2006_marco_2007.pdf
Ministério da Saúde. (2019). VIGITEL Brasil 2006: Vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. https://bvsms.saude.gov.br/bvs/publicacoes/vigitel_brasil_2019_vigilancia_fatores_risco.pdf.
Padovani, R. A., Amaya-Fárfan, J., Colugnati, F. A. B., Domene, S. M. A. (2006). Dietary reference intakes: aplicabilidade das tabelas em estudos nutricionais. Revista de Nutrição, 19(6), 741-760. https://doi.org/10.1590/S1415-52732006000600010 DOI: https://doi.org/10.1590/S1415-52732006000600010
Qasim, A., Turcotte, M., de Souza, R. J., Samaan, M. C., Champredon, D., Dushoff, J., Speakman, J. R., & Meyre, D. (2018). On the origin of obesity: identifying the biological, environmental and cultural drivers of genetic risk among human populations. Obesity reviews: an official journal of the International Association for the Study of Obesity, 19(2), 121-149. https://doi.org/10.1111/obr.12625 DOI: https://doi.org/10.1111/obr.12625
Ramos, M., Stein, L. M. (2000). Desenvolvimento do comportamento alimentar infantil. Jornal da Pediatria, 76(3), 229-237. http://189.28.128.100/nutricao/docs/Enpacs/pesquisaArtigos/desenvolvimento_do_comportamento_alimentar_infantil_ramos_2000.pdf
Roehrig, M., Masheb, R. M., White, M. A., & Grilo, C. M. (2009). The metabolic syndrome and behavioral correlates in obese patients with binge eating disorder. Obesity, 17(3), 481-486. https://doi.org/10.1038/oby.2008.560 DOI: https://doi.org/10.1038/oby.2008.560
Rubino, F., Puhl, R. M., Cummings, D. E., Eckel, R. H., Ryan, D. H., Mechanick, J. I., Nadglowski, J., Ramos Salas, X., Schauer, P. R., Twenefour, D., Apovian, C. M., Aronne, L. J., Batterham, R. L., Berthoud, H. R., Boza, C., Busetto, L., Dicker, D., De Groot, M., Eisenberg, . . . Dixon, J. B. (2020). Joint international consensus statement for ending stigma of obesity. Nature Medicine, 26(4), 485-497. https://doi.org/10.1038/s41591-020-0803-x DOI: https://doi.org/10.1038/s41591-020-0803-x
Smith, A. M., & Owen, N. (1992). Associations of social status and health-related beliefs with dietary fat and fiber densities. Preventive Medicine, 21(6), 735-745. https://doi.org/10.1016/0091-7435(92)90080-2 DOI: https://doi.org/10.1016/0091-7435(92)90080-2
Stice, E., Spoor, S., Bohon, C., Veldhuizen, M. G., & Small, D. M. (2008). Relation of reward from food intake and anticipated food intake to obesity: A functional magnetic resonance imaging study. Journal of Abnormal Psychology, 117(4), 924-935. https://doi.org/10.1037/a0013600 DOI: https://doi.org/10.1037/a0013600
Swinburn, B. A., Sacks, G., Hall, K. D., McPherson, K., Finegood, D. T., Moodie, M. L., & Gortmaker, S. L. (2011). The global obesity pandemic: shaped by global drivers and local environments. Lancet, 378(9793), 804-814. https://doi.org/10.1016/S0140-6736(11)60813-1 DOI: https://doi.org/10.1016/S0140-6736(11)60813-1
Teixeira, P. J., Carraça, E. V., Marques, M. M., Rutter, H., Oppert, J. M., De Bourdeaudhuij, I., Lakerveld, J., & Brug, J. (2015). Successful behavior change in obesity interventions in adults: a systematic review of self-regulation mediators. BMC Medicine, 13, 84. https://doi.org/10.1186/s12916-015-0323-6 DOI: https://doi.org/10.1186/s12916-015-0323-6
Toral N., Slater, B. (2007). Transtheoretical model approach in eating behavior. Ciência & Saúde Coletiva, 12(6), 1641-1650. https://doi.org/10.1590/S1413-81232007000600025 DOI: https://doi.org/10.1590/S1413-81232007000600025
Torres, S., Sales, C., Guerra, M. P., Simões, M. P., Pinto, M., & Vieira, F. M. (2020). Emotion-Focused Cognitive Behavioral Therapy in Comorbid Obesity With Binge Eating Disorder: A Pilot Study of Feasibility and Long-Term Outcomes. Frontiers in Psychology, 11, 343. https://doi.org/10.3389/fpsyg.2020.00343 DOI: https://doi.org/10.3389/fpsyg.2020.00343
van Strien T. (2018). Causes of Emotional Eating and Matched Treatment of Obesity. Current Diabetes Reports, 18(6), 35. https://doi.org/10.1007/s11892-018-1000-x DOI: https://doi.org/10.1007/s11892-018-1000-x
Viana, V. (2002). Psicologia, saúde e nutrição: contributo para o estudo do comportamento alimentar. Análise Psicológica, 20(4), 611-624. https://doi.org/10.14417/ap.24 DOI: https://doi.org/10.14417/ap.24
Wang, Y. C., McPherson, K., Marsh, T., Gortmaker, S. L., & Brown, M. (2011). Health and economic burden of the projected obesity trends in the USA and the UK. Lancet, 378(9793), 815-825. https://doi.org/10.1016/S0140-6736(11)60814-3 DOI: https://doi.org/10.1016/S0140-6736(11)60814-3
Wharton, S., Lau, D. C. W., Vallis, E. M., Sharma, A. M., Biertho, L., Campbell-Scherer, D., Adamo, K., Alberga, A., Bell, R., Boulé, N., Boyling, E., Brown, J., Calam, B., Clarke, C., Crowshoe, L., Divalentino, D., Forhan, M., Freedhoff, Y., . . . Wicklum, S. (2020). Obesity in adults: a clinical practice guideline. Canadian Medical Association Journal, 192(31), E875-E891192. https://doi.org/10.1503/cmaj.191707 DOI: https://doi.org/10.1503/cmaj.191707
WHO Consultation on Obesity (1999: Geneva, Switzerland), & World Health Organization. (2000). Obesity: preventing and managing the global epidemic: report of a WHO consultation. World Health Organization. https://iris.who.int/handle/10665/42330
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