新冠疫情封校期间,九成法国女大学生情绪性暴食:一项横断面研究。

Emotional overeating affected nine in ten female students during the COVID-19 university closure: A cross-sectional study in France.

机构信息

INRAE, INSERM, CHU Rennes, Nutrition Metabolisms and Cancer, NuMeCan, Univ Rennes, Rennes, France.

EHESP, School of Public Health, Rennes, France.

出版信息

PLoS One. 2023 Aug 31;18(8):e0286439. doi: 10.1371/journal.pone.0286439. eCollection 2023.

Abstract

OBJECTIVES

To estimate the proportion of female university students reporting overeating (EO) in response to emotions during the COVID-19 university closures, and to investigate social and psychological factors associated with this response to stress.

DESIGN

Online survey gathered sociodemographic data, alcohol/drugs use disorders, boredom proneness and impulsivity using validated questionnaires, and EO using the Emotional Overeating Questionnaire (EOQ) assessing eating in response to six emotions (anxiety, sadness, loneliness, anger, fatigue, happiness), whose structure remains to be determined.

PARTICIPANTS

Sample of 302 female students from Rennes University, France.

MAIN OUTCOME MEASURE

Frequencies of emotional overeating.

ANALYSIS

The frequency of emotional overeating was expressed for each emotion as percentages. Exploratory Factor analyses (EFA) were used to determine EOQ structure and provide an index of all EOQ items used for further analysis. Linear regression models were used to explore relationships between EO and others covariates.

RESULTS

Nine in ten participants reported intermittent EO in the last 28 days, mostly during 6 to 12 days, in response to Anxiety (75.5%), Sadness (64.5%), Happiness (59.9%), Loneliness (57.9%), Tiredness (51.7%), and to a lesser extent to Anger (31.1%). EFA evidenced a one-factor latent variable reflecting "Distress-Induced Overeating" positively correlated with internal boredom proneness, tobacco use, attentional impulsivity, inability to resist emotional cues, and loss of control over food intake, and negatively with age and well-being. EO was unrelated to body mass index or substance abuse.

CONCLUSION AND IMPLICATIONS

Nine in ten female students reported emotional overeating during the COVID-19 university closure. This response to stress was related to eating tendencies typical of young women, but also to personality/behavioral patterns such as boredom and impulsivity proneness. Better understanding of the mechanisms underlying EO in response to stress and lack of external/social stimulation would improve preventive interventions.

摘要

目的

评估在 COVID-19 大学关闭期间,报告因情绪而过度进食(EO)的女大学生比例,并调查与这种应激反应相关的社会和心理因素。

设计

在线调查收集了社会人口统计学数据、酒精/药物使用障碍、无聊倾向性和冲动性,使用经过验证的问卷进行评估,以及使用情绪性过度进食问卷(EOQ)评估对六种情绪(焦虑、悲伤、孤独、愤怒、疲劳、快乐)的进食反应,其结构仍有待确定。

参与者

来自法国雷恩大学的 302 名女学生样本。

主要结果测量

情绪性过度进食的频率。

分析

以百分比表示每种情绪的情绪性过度进食频率。采用探索性因素分析(EFA)确定 EOQ 结构,并提供用于进一步分析的所有 EOQ 项目的指标。采用线性回归模型探索 EO 与其他协变量之间的关系。

结果

十分之九的参与者报告在过去 28 天内间歇性地 EO,主要在 6 至 12 天内,以应对焦虑(75.5%)、悲伤(64.5%)、快乐(59.9%)、孤独(57.9%)、疲劳(51.7%),而较少地应对愤怒(31.1%)。EFA 表明,一个潜在的单因素变量反映了“压力诱导的过度进食”,与内在的无聊倾向性、吸烟、注意力冲动、无法抵抗情绪线索以及对食物摄入失去控制呈正相关,与年龄和幸福感呈负相关。EO 与体重指数或物质滥用无关。

结论和意义

十分之九的女学生报告在 COVID-19 大学关闭期间情绪性过度进食。这种应激反应与年轻女性的进食倾向有关,但也与无聊和冲动倾向等个性/行为模式有关。更好地了解应激反应中 EO 的机制以及缺乏外部/社会刺激将改善预防干预措施。

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