Universidad de Buenos Aires (UBA), Facultad de Medicina, Escuela de Nutrición, Buenos Aires, Argentina.
Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina.
J Am Coll Nutr. 2020 Mar-Apr;39(3):200-205. doi: 10.1080/07315724.2019.1633970. Epub 2019 Aug 1.
During menopause there appear hormonal changes that have an impact on physiological aspects, such as weight gain, and psychological ones, such as the presence of anxiety, which could affect eating behavior. The study objective is to assess the association between anxiety level and eating behavior as well nutritional status in adult woman. A descriptive, observational, cross-sectional study was conducted on women (aged 40-65 years). A sociodemographic and lifestyle survey was performed. Anxiety was determined by the State-Trait Anxiety Inventory (STAI) and eating behavior (EB) through the Three Factor Food Questionnaire (TEFQ-R18). Nutritional status was measured considering body mass index (BMI) and waist circumference (WC). Statistical analysis was performed through SPSS 19.0. One hundred twenty-eight women were included, 20.3% at the premenopausal stage and 79.7% at the postmenopausal stage. No association was found between biological stage and nutritional status ( = 0.61) or WC ( = 0.57). State anxiety was experienced by 26.6% of the women and trait anxiety by 53.9% of them; there were no significant differences according to biological stage or nutritional status. The median values of emotional eating (EE), uncontrolled eating (UE), and cognitive restraint eating (CRE) were 5.0 (4.0-7.0), 16.0 (13.0-21.0) and 14.0 (10.0-17.0), respectively, being higher in premenopausal women, whereas there were no significant differences on biological stage. Clinically detectable state anxiety was associated with EE ( = 0.035), UE ( = 0.002), and CRE ( = 0.004), and trait anxiety only with UE ( = 0.016) and EE ( = 0.001). However, anxiety and nutritional status were not related. Anxiety was associated to eating behavior, although it was not related to nutritional status.
在绝经期，会出现影响生理方面（如体重增加）和心理方面（如焦虑存在）的激素变化，这可能会影响饮食行为。本研究旨在评估焦虑水平与成年女性的饮食行为和营养状况之间的关系。这是一项描述性、观察性、横断面研究，研究对象为 40-65 岁的女性。进行了社会人口统计学和生活方式调查。使用状态-特质焦虑量表（STAI）和三因素饮食问卷（TEFQ-R18）来确定焦虑和饮食行为（EB）。营养状况通过体重指数（BMI）和腰围（WC）来衡量。使用 SPSS 19.0 进行统计分析。共纳入 128 名女性，其中 20.3%处于绝经前阶段，79.7%处于绝经后阶段。生物阶段与营养状况（ = 0.61）或 WC（ = 0.57）之间无相关性。26.6%的女性存在状态焦虑，53.9%的女性存在特质焦虑；但这些数据与生物阶段或营养状况均无显著差异。情感性进食（EE）、失控性进食（UE）和认知约束性进食（CRE）的中位数分别为 5.0（4.0-7.0）、16.0（13.0-21.0）和 14.0（10.0-17.0），绝经前女性的这些数据更高，但生物阶段之间无显著差异。临床上可检测到的状态焦虑与 EE（ = 0.035）、UE（ = 0.002）和 CRE（ = 0.004）相关，特质焦虑仅与 UE（ = 0.016）和 EE（ = 0.001）相关。然而，焦虑和营养状况之间没有关系。焦虑与饮食行为有关，尽管它与营养状况无关。
