Kaner Gülşah, Yurtdaş-Depboylu Gamze, Çalık Gamze, Yalçın Tuba, Nalçakan Tutku
Izmir Katip Celebi University, Faculty of Health Sciences, Departments of Nutrition and Dietetics, Balatçık Mahallesi Havaalanı Şosesi No: 33/2 Balatçık, Çiğli, Izmir35620, Turkey.
Public Health Nutr. 2023 Mar;26(3):674-683. doi: 10.1017/S1368980022002579. Epub 2022 Dec 1.
This study aimed to (1) evaluate the prevalence and predictors of perceived depression, anxiety, stress (DAS) levels and emotional eating behaviours and (2) determine the correlations between DAS levels and emotional eating behaviours during the pandemic.
An online cross-sectional study included questions about demographic and anthropometric characteristics, dietary habits, Emotional Appetite Questionnaire (EMAQ) and Depression Anxiety Stress Scales. The snowball sampling method was used.
Türkiye.
The study population was 2002 adults aged ≥18 years.
The mean age was 27·1 ± 9·52 years (72·1 % females and 27·9 % males). The prevalence of moderate to severe DAS was reported as 27·8 %, 30·5 % and 30·7 %, respectively. Skipping meals (OR = 1·32, 95 % CI (1·14, 1·49)) was associated with depression. Weight gain (OR = 1·43, 95 % CI (1·19, 1·66); OR = 1·30, 95 % CI (1·14, 1·49); OR = 1·39, 95 % CI (1·14, 1·64)), weight loss (OR = 1·45, 95 % CI (1·20, 1·70); OR = 1·37, 95 % CI (1·11, 1·62); OR = 1·46, 95 % CI (1·20, 1·72)), exercising at least 150 min/week (OR = 0·64, 95 % CI (0·46, 0·83); OR = 0·73, 95 % CI (0·55, 0·92); OR = 0·83, 95 % CI (0·63, 1·02)), and maintaining an adequate and balanced diet (OR = 0·52, 95 % CI (0·33, 0·71); OR = 0·53, 95 % CI (0·34, 0·73); OR = 0·63, 95 % CI (-0·15, 0·35)) were associated with DAS, respectively. BMI ( = 0·169, < 0·001), weight ( = 0·152, < 0·001), number of snacks ( = 0·102, = 0·011), depression ( = 0·060, = 0·007), anxiety ( = 0·061, = 0·006) and stress ( = 0·073, = 0·001) levels were positively correlated with EMAQ-negative scores.
Approximately one out of every three participants reported moderate to severe DAS levels. Emotional eating was significantly correlated with perceived DAS. The predictors obtained in the study suggest that a healthy diet and lifestyle behaviours are part of psychological well-being and emotional eating.
本研究旨在（1）评估感知到的抑郁、焦虑、压力（DAS）水平及情绪化饮食行为的患病率和预测因素，以及（2）确定疫情期间DAS水平与情绪化饮食行为之间的相关性。
一项在线横断面研究，包括有关人口统计学和人体测量学特征、饮食习惯、情绪食欲问卷（EMAQ）和抑郁焦虑压力量表的问题。采用滚雪球抽样方法。
土耳其。
研究人群为2002名年龄≥18岁的成年人。
平均年龄为27.1±9.52岁（女性占72.1%，男性占27.9%）。据报告，中度至重度DAS的患病率分别为27.8%、30.5%和30.7%。不吃正餐（比值比=1.32，95%置信区间（1.14，1.49））与抑郁相关。体重增加（比值比=1.43，95%置信区间（1.19，1.66）；比值比=1.30，95%置信区间（1.14，1.49）；比值比=1.39，95%置信区间（1.14，1.64））、体重减轻（比值比=1.45，95%置信区间（1.20，1.70）；比值比=1.37，95%置信区间（1.11，1.62）；比值比=1.46，95%置信区间（1.20，1.72））、每周至少锻炼150分钟（比值比=0.64，95%置信区间（0.46，0.83）；比值比=0.73，95%置信区间（0.55，0.92）；比值比=0.83，95%置信区间（0.63，1.02））以及保持充足且均衡的饮食（比值比=0.52，95%置信区间（0.33，0.71）；比值比=0.53，95%置信区间（0.34，0.73）；比值比=0.63，95%置信区间（-0.15，0.35））分别与DAS相关。体重指数（r=0.169，P<0.001）、体重（r=0.152，P<0.001）、零食数量（r=0.102，P=0.011）、抑郁（r=0.060，P=0.007）、焦虑（r=0.061，P=0.006）和压力（r=0.073，P=0.001）水平与EMAQ阴性评分呈正相关。
约每三名参与者中就有一人报告中度至重度DAS水平。情绪化饮食与感知到的DAS显著相关。研究中获得的预测因素表明，健康的饮食和生活方式行为是心理健康和情绪化饮食的一部分。
