Department of Nursing, Physiotherapy and Occupational Therapy, Ciudad Real Faculty of Nursing, University of Castilla-La Mancha, 13071 Ciudad Real, Spain.
Nutrients. 2021 Apr 18;13(4):1352. doi: 10.3390/nu13041352.
The prevalence of overweight and obesity is increasing in our society, with a complex, multifactorial origin, and associated with greater morbidity and mortality in the population. Food addiction (FA) is a common disorder in overweight/obese people, which appears to be increasingly common in young people. This study analyzed food addiction in a group of young university students and to examine its association with body composition, quality of sleep, adherence to the Mediterranean diet, physical activity/sedentary habits, tobacco or alcohol consumption, and health status. A total of 536 undergraduate nursing students participated in a questionnaire that included the Yale Food Addiction Scale (YFAS 2.0). Up to 6.4% of the students presented FA. Statistically significant associations were observed in the variables for sleep quality odds ratio (OR) 4.8 (95% confidence interval (CI): 1.66-13.87), anxiety/depression OR 8.71 (95% CI: 3.93-19.27), body mass index (BMI) OR 8.32 (95% CI: 3.81-18.15) and sedentary lifestyle OR 2.33 (95% CI: 1.09-5.01). A predictive model was developed after binary logistic regression (area under the ROC curve 0.84 (95% CI: 0.77-0.91). Students with FA presented higher BMI values, worse sleep quality, anxiety or depression problems, and more time spent in sedentary behaviors.
超重和肥胖的患病率在我们的社会中不断增加，其具有复杂的多因素起源，并与人群中更高的发病率和死亡率相关。食物成瘾（FA）是超重/肥胖人群中的一种常见疾病，似乎在年轻人中越来越普遍。本研究分析了一组年轻大学生的食物成瘾情况，并研究了其与身体成分、睡眠质量、对地中海饮食的依从性、体力活动/久坐习惯、吸烟或饮酒以及健康状况的关系。共有 536 名护理专业的大学生参与了问卷调查，其中包括耶鲁食物成瘾量表（YFAS 2.0）。多达 6.4%的学生存在食物成瘾。在睡眠质量（优势比（OR）4.8（95%置信区间（CI）：1.66-13.87）、焦虑/抑郁（OR 8.71（95% CI：3.93-19.27）、体重指数（BMI）（OR 8.32（95% CI：3.81-18.15）和久坐的生活方式（OR 2.33（95% CI：1.09-5.01）方面观察到了统计学上的显著关联。经过二元逻辑回归后建立了预测模型（ROC 曲线下面积为 0.84（95% CI：0.77-0.91）。有食物成瘾的学生 BMI 值更高，睡眠质量更差，存在焦虑或抑郁问题，并且久坐行为的时间更多。
