Andrade Letícia, Balantekin Katherine N, Temple Jennifer L
Department of Community Health and Health Behavior, University at Buffalo, Buffalo, NY, USA; Center for Ingestive Behavior Research, University at Buffalo, Buffalo, NY, USA.
Department of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, NY, USA; Center for Ingestive Behavior Research, University at Buffalo, Buffalo, NY, USA.
Appetite. 2025 Nov 1;215:108241. doi: 10.1016/j.appet.2025.108241. Epub 2025 Jul 19.
Disordered eating is linked to various environmental and psychological factors, including food insecurity, stress, and emotional eating. This study investigates the associations among disordered eating, food insecurity, perceived stress, and emotional eating in adolescents, specifically focusing on parent-reported and adolescent-perceived food insecurity differences. The purpose of this study is to investigate the relationship between food insecurity, perceived stress, and emotional eating, and their impact on disordered eating. The study also examines potential interactions between stress, food insecurity, and emotional eating. 118 adolescents (11-14 years old) from low to moderate-income households participated in the University at Buffalo Eating Among Teens Study (UB-EATS), a 2-year prospective observational cohort study. Food insecurity status was analyzed through adolescent and parent/guardian survey responses. Disordered eating was measured by the Eating Disorder Examination Questionnaire (EDE-Q). Perceived stress was measured using the Perceived Stress Scale (PSS), and emotional eating was assessed using the Emotional Eating Scale (EES-C). General linear models (GLM) and linear regression analyses were conducted to evaluate the relationships among emotional eating, disordered eating, perceived stress, and food insecurity with variables such as BMI percentile, age, and sex, included as covariates. Adolescent-reported food insecurity, but not parent-reported food insecurity, was significantly associated with perceived stress, emotional eating, and disordered eating. Emotional eating was strongly associated with disordered eating, with stress moderating this relationship. These findings underscore the importance of addressing adolescent-perceived food insecurity and stress in interventions targeting disordered eating.
饮食失调与各种环境和心理因素有关，包括粮食不安全、压力和情绪化进食。本研究调查青少年饮食失调、粮食不安全、感知压力和情绪化进食之间的关联，特别关注父母报告的和青少年感知的粮食不安全差异。本研究的目的是调查粮食不安全、感知压力和情绪化进食之间的关系，以及它们对饮食失调的影响。该研究还考察了压力、粮食不安全和情绪化进食之间的潜在相互作用。118名来自低收入至中等收入家庭的青少年（11 - 14岁）参与了布法罗大学青少年饮食研究（UB - EATS），这是一项为期两年的前瞻性观察队列研究。通过青少年以及父母/监护人的调查回复来分析粮食不安全状况。饮食失调通过饮食失调检查问卷（EDE - Q）进行测量。感知压力使用感知压力量表（PSS）进行测量，情绪化进食使用情绪化进食量表（EES - C）进行评估。进行了一般线性模型（GLM）和线性回归分析，以评估情绪化进食、饮食失调、感知压力和粮食不安全与诸如BMI百分位数、年龄和性别等变量之间的关系，这些变量作为协变量纳入分析。青少年报告的粮食不安全，而非父母报告的粮食不安全，与感知压力、情绪化进食和饮食失调显著相关。情绪化进食与饮食失调密切相关，压力调节了这种关系。这些发现强调了在针对饮食失调的干预措施中解决青少年感知的粮食不安全和压力问题的重要性。
