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心理健康和情绪化进食对体重指数的影响是相似还是不同?来自秘鲁青少年样本的证据。

Do mental wellbeing and emotional eating influence BMI similarly or differently? Evidence from a sample of Peruvian adolescents.

作者信息

Cuyan-Zumaeta Keisler, Javier-Aliaga David, Rodríguez-Vásquez Mery, Saintila Jacksaint

机构信息

Facultad de Ciencias de la Salud, Universidad Peruana Unión, Lima, Peru.

Research Group for Nutrition and Healthy Behaviors, Universidad Señor de Sipán, Chiclayo, Peru.

出版信息

Front Public Health. 2025 Apr 24;13:1564656. doi: 10.3389/fpubh.2025.1564656. eCollection 2025.

Abstract

BACKGROUND

The literature highlights that both mental wellbeing and emotional eating are closely related to BMI, but little is known about how these variables interact similarly or differently. Therefore, the aim of this study was to determine the predictive role of mental wellbeing and emotional eating on body mass index (BMI) in Peruvian adolescents.

METHODS

This research used a non-experimental and predictive design. The sample consisted of 270 students aged 12-18 years from a public educational institution in the province of Tocache, Peru. The sample was selected through non-probability purposive sampling. The study employed the Mental Health Inventory (R-MHI-5), the Emotional Eating Scale (EES), and BMI was calculated using Quetelet's formula.

RESULTS

Correlations revealed that mental wellbeing was negatively associated with BMI ( = -0.277,  < 0.001, 95% CI = [-0.384, -0.163]), whereas emotional eating was positively associated with BMI ( = 0.274,  < 0.001, 95% CI = [0.160, 0.381]). In the multiple regression analysis, Model 2 emerged as the most suitable (adjusted R = 0.112,  = 17.953,  < 0.001, BIC = 1,318), explaining 11.2% of the variance in BMI. Standardized coefficients indicated that mental wellbeing had a significant negative effect on BMI ( = -0.217, 95% CI = [-0.3353, -0.0997],  < 0.001), while emotional eating had a significant positive effect ( = 0.213, 95% CI = [0.0952, 0.3308],  < 0.001). Moreover, both coefficients showed similar magnitudes.

CONCLUSION

The findings of this study confirm that mental wellbeing and emotional eating exert opposing yet similarly sized influences on BMI in Peruvian adolescents. These results underscore the importance of addressing both variables equitably in interventions aimed at improving adolescents' nutritional status.

摘要

背景

文献强调心理健康和情绪化饮食都与体重指数密切相关,但对于这些变量如何相似或不同地相互作用知之甚少。因此,本研究的目的是确定心理健康和情绪化饮食对秘鲁青少年体重指数(BMI)的预测作用。

方法

本研究采用非实验性预测设计。样本包括来自秘鲁托卡切省一所公立教育机构的270名12 - 18岁学生。样本通过非概率目的抽样选取。本研究采用心理健康量表(R - MHI - 5)、情绪化饮食量表(EES),并使用凯特勒公式计算BMI。

结果

相关性分析显示,心理健康与BMI呈负相关( = -0.277, < 0.001,95%置信区间 = [-0.384, -0.163]),而情绪化饮食与BMI呈正相关( = 0.274, < 0.001,95%置信区间 = [0.160, 0.381])。在多元回归分析中,模型2最为合适(调整后R = 0.112, = 17.953, < 0.001,贝叶斯信息准则 = 1,318),解释了BMI变异的11.2%。标准化系数表明,心理健康对BMI有显著负向影响( = -0.217,95%置信区间 = [-0.3353, -0.0997], < 0.001),而情绪化饮食有显著正向影响( = 0.213,95%置信区间 = [0.0952, 0.3308], < 0.001)。此外,两个系数大小相似。

结论

本研究结果证实,心理健康和情绪化饮食对秘鲁青少年的BMI产生相反但大小相似的影响。这些结果强调了在旨在改善青少年营养状况的干预措施中公平对待这两个变量的重要性。

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