Ljubičić Marija, Matek Sarić Marijana, Sorić Tamara, Sarić Ana, Klarin Ivo, Dželalija Boris, Medić Alan, Dilber Ivo, Rumbak Ivana, Ranilović Jasmina, Papageorgiou Maria, Szűcs Viktória, Vittadini Elena, Klava Dace, Frez Muñoz Lucia, Korzeniowska Małgorzata, Tarcea Monica, Djekić Ilija, Černelič Bizjak Maša, Guiné Raquel
Department of Health Studies, University of Zadar, Zadar, Croatia.
Psychiatric Hospital Ugljan, Ugljan, Croatia.
PLoS One. 2025 May 14;20(5):e0322454. doi: 10.1371/journal.pone.0322454. eCollection 2025.
Consuming unhealthy foods in emotional states can increase body mass index (BMI), contribute to becoming overweight, and lead to the development of chronic diseases. This study aims to investigate the associations between BMI, emotional motivation for food consumption, and health outcomes.
"The Motivations for Food Choices" (EATMOT) questionnaire was used to assess the emotional components of food consumption in 9,036 individuals from 12 European countries. The multivariate analysis included linear and logistic regression to examine associations between variables.
Regression models confirmed associations between BMI, emotional motivation for food consumption (β = 0.13; p < 0.001), obesity (β = 0.35; p < 0.001), diabetes mellitus, and hypertension (β = 0.04; p < 0.001 for both). Using food as a coping mechanism for stress contributed to an increase in BMI [OR = 1.31 (95% CI 1.14-1.51); p < 0.001]. Emotional consolation was associated with a higher likelihood of an increased BMI [OR = 1.22 (95% CI 1.03-1.44); p = 0.020] and obesity [OR = 1.47 (95% CI 1.06-2.06); p = 0.022]. Participants with obesity had a greater likelihood of developing noncommunicable diseases, such as cardiovascular diseases [OR = 2.18 (95% CI 1.45-3.28); p < 0.001], diabetes mellitus [OR = 2.02 (95% CI 1.31-3.12); p = 0.001], hypercholesterolemia [OR = 1.62 (95% CI 1.13-2.32); p = 0.009], hypertension [OR = 1.85 (95% CI 1.36-2.52); p < 0.001], and gastric disorders [OR = 1.81 (95% CI 1.16-2.85); p = 0.010].
These results underscore the need for targeted public health interventions that address emotional eating behaviors and promote healthier coping strategies to mitigate the risk of obesity and related health complications.
在情绪状态下食用不健康食品会增加体重指数(BMI),导致超重,并引发慢性病。本研究旨在调查BMI、食物消费的情感动机与健康结果之间的关联。
使用“食物选择动机”(EATMOT)问卷评估来自12个欧洲国家的9036名个体食物消费的情感成分。多变量分析包括线性回归和逻辑回归,以检验变量之间的关联。
回归模型证实了BMI、食物消费的情感动机(β = 0.13;p < 0.001)、肥胖(β = 0.35;p < 0.001)、糖尿病和高血压(两者β = 0.04;p < 0.001)之间的关联。将食物作为应对压力的机制会导致BMI升高[比值比(OR)= 1.31(95%置信区间1.14 - 1.51);p < 0.001]。情感慰藉与BMI升高[OR = 1.22(95%置信区间1.03 - 1.44);p = 0.020]和肥胖[OR = 1.47(95%置信区间1.06 - 2.06);p = 0.022]的较高可能性相关。肥胖参与者患心血管疾病[OR = 2.18(95%置信区间1.45 - 3.28);p < 0.001]、糖尿病[OR = 2.02(95%置信区间1.31 - 3.12);p = 0.001]、高胆固醇血症[OR = 1.62(95%置信区间1.13 - 2.32);p = 0.009]、高血压[OR = 1.85(95%置信区间1.36 - 2.52);p < 0.001]和胃部疾病[OR = 1.81(95%置信区间1.16 - 2.85);p = 0.010]等非传染性疾病的可能性更大。
这些结果强调了有针对性的公共卫生干预措施的必要性,这些措施应解决情绪化饮食行为,并推广更健康的应对策略,以降低肥胖及相关健康并发症的风险。