Department of Child and Adolescent Psychiatry, Ankara, Turkey.
Department of Biostatistics Hacettepe University Faculty of Medicine, Ankara, Turkey.
Child Obes. 2022 Jun;18(4):246-253. doi: 10.1089/chi.2021.0121. Epub 2021 Nov 16.
This study investigated the relationships among psychological well-being, mindful eating, and weight in adolescents. Data of this cross-sectional study were collected from students of three high schools. Various questionnaires regarding mindful eating, eating behavior, emotion regulation, self-esteem, coping, body attitude, depression, and anxiety were given. BMI percentile was calculated and four groups were detemined. Hacettepe University Non-Inventional Clinical Researches Review Board approved the study (GO 18/1116). Among 401 participants (59.1% girls), 16 adolescents (4.0%) were underweight, 295 (73.6%) were normal, 62 (15.5%) were overweight, and 28 (7.0%) were obese. Emotional and external eating were more common in girls. Restrictive eating was distinguishing between all adolescents, except ones with obesity and overweight. Adolescents with obesity perceived themselves as the least self-confident, attractive, and healthy, while the opposites were true for adolescents with normal weight. The groups that differed mostly from each other were normal weight and overweight. The psychological well-being of being overweight should not be underestimated. Emotional and external eating were correlated with low mindful eating, and gender differences were found in different aspects of mindful eating types. Calorie information and healthy eating interventions may be beneficial in boys, while interventions targeting to understand physical and emotional states may be beneficial in girls during the treatment of disordered eating behaviors.
这项研究调查了青少年的心理健康、正念饮食和体重之间的关系。本横断面研究的数据来自三所高中的学生。他们填写了关于正念饮食、饮食行为、情绪调节、自尊、应对方式、身体态度、抑郁和焦虑的各种问卷。还计算了 BMI 百分位并确定了四个组别。该研究得到了哈切特佩大学非常规临床研究审查委员会的批准(GO 18/1116)。在 401 名参与者(59.1%为女孩)中,有 16 名青少年(4.0%)体重不足,295 名(73.6%)体重正常,62 名(15.5%)超重,28 名(7.0%)肥胖。情绪性进食和外显性进食在女孩中更为常见。限制型进食可以区分所有青少年,除了肥胖和超重的青少年。肥胖的青少年认为自己最不自信、最不吸引人、最不健康,而体重正常的青少年则恰恰相反。差异最大的是体重正常和超重两组。超重青少年的心理健康不应被低估。情绪性进食和外显性进食与较低的正念饮食有关,而且在不同的正念饮食类型方面也存在性别差异。在治疗饮食失调行为时,针对男孩的干预措施可能侧重于提供卡路里信息和健康饮食,而针对女孩的干预措施可能侧重于帮助其了解身体和情绪状态。