Health Care Department. Universidad Autónoma Metropolitana-Xochimilco.
Nutr Hosp. 2023 Aug 28;40(4):784-791. doi: 10.20960/nh.04493.
Objective: to evaluate the association between depression symptoms and frequency of unhealthy food consumption, and to explore the mediation effect of emotional eating in this relationship in college men. Method: a cross-sectional study was performed on 764 men at a public university in Mexico City. To assess emotional eating (EE), a validated Spanish-language version of the Eating and Appraisal Due to Emotions and Stress Questionnaire (EADES) was applied. Depression symptoms were evaluated using the scale elaborated by the Center for Epidemiologic Studies (CES-D) and a Questionnaire of Frequency of Food Consumption was used to measure frequency of food consumption. Path and mediation analysis were applied. Results: one-fifth (20.42 %) of college men reported depression symptoms (CES-D ≥ 16). Students with depression symptoms had a higher mean EE score (p < 0.001), a higher frequency of fried food (p = 0.049), sweetened beverages (p = 0.050), and sweet foods consumption (p = 0.005) than students with low CES-D score. According to the mediation analysis, the effect of depression symptoms on the frequency of sweet foods consumption was partially mediated by EE (23.11 % of the total effect). Conclusion: the prevalence of depression symptoms was high. EE is an important mediator in the relationship between depression symptoms and the consumption of sweet foods. Understanding the manifestation of eating behaviors in men and their relationship with depression symptoms may help clinicians and health authorities develop treatment and prevention programs aimed to decrease the risk of obesity and eating disorders.
评估抑郁症状与不健康食物消费频率之间的关联，并探讨情绪性进食在这种关系中的中介作用。方法：在墨西哥城一所公立大学对 764 名男性进行了一项横断面研究。为了评估情绪性进食（EE），使用了经过验证的西班牙语版饮食和情绪及压力评估问卷（EADES）。使用由流行病学研究中心（CES-D）制定的量表评估抑郁症状，使用食物消费频率问卷来测量食物消费频率。应用路径和中介分析。结果：五分之一（20.42%）的大学生报告有抑郁症状（CES-D≥16）。有抑郁症状的学生的 EE 得分更高（p<0.001），食用油炸食品（p=0.049）、加糖饮料（p=0.050）和甜食的频率更高（p=0.005）。根据中介分析，抑郁症状对甜食消费频率的影响部分通过 EE 起中介作用（总效应的 23.11%）。结论：抑郁症状的患病率很高。EE 是抑郁症状与甜食消费之间关系的一个重要中介因素。了解男性饮食行为的表现及其与抑郁症状的关系，可能有助于临床医生和卫生当局制定治疗和预防计划，以降低肥胖和饮食失调的风险。
