Türk Öykü Peren, Tosun Özgür, Dağdelen Selçuk, Buyuktuncer Zehra
Ankara Yıldırım Beyazıt University, Faculty of Health Sciences, Department of Nutrition and Dietetics, Dumlupinar, Ankara, Turkey; Hacettepe University, School of Medicine, Department of Endocrinology and Metabolism, Sihhiye, Ankara, Turkey.
Near East University, Faculty of Medicine, Department of Biostatistics, Nicosia / TRNC, Mersin 10, Turkey.
Physiol Behav. 2025 Mar 15;291:114798. doi: 10.1016/j.physbeh.2024.114798. Epub 2025 Jan 2.
This study aimed to examine the relationship between eating behavior, nutritional status and mental health. It is a cross-sectional study conducted on a sample of 360 healthy individuals aged 19-64 years. The General Health Questionnaire (GHQ-12) was used to evaluate mental health and the Three-Factor Eating Scale (TFEQ-R21) was used to assess eating behavior. The Healthy Eating Index-2015 (HEI-2015) score was calculated from participants' 24 h food recalls as an indicator of diet quality. The mean age of the participants was 26.0 ± 8.40 years, and 50.6 % were female. Multivariate logistic regression model was performed. A statistically significant relationship was found between the participants' GHQ-12 score and both their emotional eating and uncontrolled eating scores (p < 0.001 for each). It was determined that individuals who had high levels of emotional eating and uncontrolled eating behaviors, along with higher dietary protein and lipid intake, and lower intake of long-chain fatty acids, were at a higher risk of mental health deterioration, according to the established model (R2 = 0.214). Dietary energy and nutrient intakes such as niacin, vitamin B12, folic acid, phosphorus, iron, sodium and carotene, as well as diet quality and BMI were not associated with mental health according to the model in this study. Eating behavior is associated with mental well-being, and nutritional status may be one of the underlying factors contributing to this association.
本研究旨在探讨饮食行为、营养状况与心理健康之间的关系。这是一项横断面研究，对360名年龄在19 - 64岁的健康个体进行了抽样调查。使用一般健康问卷（GHQ - 12）评估心理健康，使用三因素饮食量表（TFEQ - R21）评估饮食行为。根据参与者24小时饮食回忆计算健康饮食指数 - 2015（HEI - 2015）得分，作为饮食质量的指标。参与者的平均年龄为26.0±8.40岁，50.6%为女性。进行了多变量逻辑回归模型分析。发现参与者的GHQ - 12得分与他们的情绪化饮食得分和无节制饮食得分之间存在统计学显著关系（每项p < 0.001）。根据建立的模型（R2 = 0.214）确定，情绪化饮食和无节制饮食行为水平较高、膳食蛋白质和脂质摄入量较高以及长链脂肪酸摄入量较低的个体，心理健康恶化风险较高。根据本研究中的模型，膳食能量和营养素摄入量，如烟酸、维生素B12、叶酸、磷、铁、钠和胡萝卜素，以及饮食质量和BMI与心理健康无关。饮食行为与心理健康相关，营养状况可能是促成这种关联的潜在因素之一。
