scholarly journals Disorganized attachment predicts body mass index via uncontrolled eating

2019 ◽  
Author(s):  
Laura L. Wilkinson ◽  
Angela C Rowe ◽  
Abigail Millings

Background/Objectives: Previous research has demonstrated relationships between attachment orientations (expectations of ourselves and others in interpersonal relationships), eating behaviours and obesity. However, such research has been limited to investigations of ‘organised’ forms of attachment orientation (reflecting coherent and predictable patterns of behaviour). Theoretically, aberrant eating behaviours and body mass index, should also be related to ‘disorganised attachment.’ Subjects: Here we test these relationships for the first time in a general population. Secondary data analyses of a pre-existing dataset were conducted (N = 537).Methods used: Questionnaire measures of organised (avoidant and anxious) and disorganised attachment were included alongside eating behaviour measures (emotional eating, uncontrolled eating and cognitive restraint) and body mass index (BMI). Results: Parallel multiple mediation analysis (PROCESS) showed that uncontrolled eating (but not emotional eating or cognitive restraint) significantly mediated a relationship between disorganised attachment and body mass index (significant indirect relationship; LLCI = .02 ULCI = .16) when both attachment anxiety and avoidance were included as covariates. Conclusions: We suggest that the mechanism underpinning this indirect relationship is a form of maladaptive affect regulation, but that the behavioural motivators differ from those observed in attachment anxious individuals. Rather than eating being a premeditated strategy used by individuals high in disorganised attachment to manage emotion, opportunities to eat are simply taken as they present themselves. An extended theoretical model is presented that incorporates, for the first time, both organized and disorganized forms of attachment orientation into our understanding of eating behavior.

2019 ◽  
Author(s):  
◽  
Hanan Abdella

Obesity is a complicated condition which occurs due to interactions between many contributing physiological, psychological and genetic factors. Age, sex and body mass index (BMI) are also important in the interaction with obesity-related factors leading to a rise in this epidemic. Knowledge about the interactions that happen between these factors provides a basis for the development of body mass-reducing interventions for people with obesity. Eating behaviours affect caloric intake and are implicated in the development of obesity. Three types of eating behaviours namely; 1) cognitive restraint, 2) emotional eating and 3) uncontrolled eating have been studied for associations with obesity in various populations. Food cravings refer to an irresistible urge to eat a specific type of food which has been implied to contribute to a loss of control over eating. The experience of food cravings is related to higher BMI and obesity. Motivation to exercise is also an important factor that influences people´s eating habits as shown in previous studies. A taxonomy where motivation is organised in the form of a continuum that covers the different degrees of self-determination of behaviour, from the non-self-determined, to the self-determined, established three types of motivation (amotivation, extrinsic motivation and intrinsic motivation) and a series of behavioural regulation stages (amotivation, external regulation, introjected regulation, identified regulation and intrinsic regulation). Problems with emotional regulation may contribute to the development and maintenance of abnormal eating behaviour. Alexithymia is defined as an inability to describe and/or recognise one's own emotions and is considered a common feature in eating disorders. Alexithymia is likely to be associated with problems in modulating affect and with difficulties in the interpersonal and social realm. The programme of research as part of this PhD was conducted on 424 volunteers from Sheffield Hallam University students and staff, and there were 183 participants of weight-loss interventions. Eating behaviours were measured using the revised Three-Factor Eating Questionnaire (TFEQ-R18); food cravings were measured by the food cravings inventory (FCI), motivation for exercise using the Behavioural Regulation in Exercise Questionnaire-2 (BREQ-2) and alexithymia was measured by The Toronto Alexithymia Scale (TAS 20). DNA samples were genotyped using the TaqMan method for the rs9939609 polymorphism in the obesity-associated gene FTO. Questionnaire data were analysed for associations between the TFEQ-R18 and FCI, BREQ2 and TAS20 subscales for the whole study group, and the group divided by sex, genotype, age (≤ 25 years vs > 25 years) and BMI (<30kg/m² and ≥30kg/m²). Regression and mediation analyses were used to explore the relationships between BMI, eating behaviours, food cravings, motivation to exercise and alexithymia. The key findings from each of the experimental chapters in this thesis is 1) Increased cognitive restraint was associated with decreased food craving scores in the ≤ 25 years group; in this group the association between BMI and reduced food cravings was mediated by cognitive restraint indicating that in this age group individuals use cognitive restraint to control their food cravings. 2) Motivation to exercise interacts with eating behaviours and high motivation to exercise is associated with low BMI, people with obesity were less motivated than non-obese, emotional eating is the mediator between external regulations and high BMI. 3) There is a positive relationship between BMI and alexithymia in females, but in contrast there is an inverse relationship in men. The relationship between BMI and alexithymia was stronger in the AA+ AT genotype group than TT genotype. Uncontrolled eating and emotional eating mediate the effect of alexithymia on BMI and this is different between males and females and between genotype groups; particularly in females with the risk genotype, alexithymia were associated with high uncontrolled eating and emotional eating and so higher BMI. Males and/or people with the TT genotype are less at risk of this influence of alexithymia on BMI. These findings will help in the treatment of obesity by informing personal intervention programmes for each person according to his or her situation.


2020 ◽  
Vol 44 (1) ◽  
Author(s):  
Awoyemi Abayomi Awofala ◽  
Olusegun Emmanuel Ogundele ◽  
Khalid Olajide Adekoya

Abstract Background A disturbance in eating behaviour (EB) is the hallmark of patients with eating disorders, and depicts a complex interaction of environmental, psychological and biological factors. In the present study, we propose a model of association of genetic susceptibility—represented by adiponectin (ADIPOQ) gene—with eating behavioural and psychological traits. Results Evaluation of the distribution of a polymorphism of the ADIPOQ (rs1501299 G > T) with respect to three EB factors involving cognitive restraint, uncontrolled eating and emotional eating revealed that T-allele in rs1501299 was associated with a decreased susceptibility to emotional EB in codominant (e.g., GG vs. TT) (beta-coefficient [β] = 2.39, 95% Confidence interval [CI] = − 4.02, − 0.76; p value [p] = 0.02), recessive (GG + GT vs. TT) (β = − 2.77, 95% CI = − 3.65, − 0.69; p = 0.005) and additive (GG = 0, GT = 1, TT = 2) (β = − 1.02, 95% CI = − 1.80, − 0.24; p = 0.01) models of inheritance. The presence of the T-allele was not significantly associated with psychological factors involving depression, anxiety and stress. Finally, none of the psychological traits significantly predicted any of the EB factors after controlling for age, body weight and gender. Conclusions Our data suggest that genetic variant in ADIPOQ locus may influence human emotional eating behaviour.


Nutrients ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 377 ◽  
Author(s):  
Hanan Abdella ◽  
Hameida El Farssi ◽  
David Broom ◽  
Dawn Hadden ◽  
Caroline Dalton

Previous studies indicate that eating behaviours and food cravings are associated with increased BMI and obesity. However, the interaction between these behaviours and other variables such as age, sex, BMI and genetics is complex. This study aimed to investigate the relationships between eating behaviours and food cravings, and to examine the influence of age, sex, body mass index (BMI) and fat mass and obesity-associated (FTO) genotype on these relationships. A total of 475 participants (252 female, 223 male, BMI: 25.82 ± 6.14 kg/m2, age: 30.65 ± 14.20 years) completed the revised 18-question version of the Three Factor Eating Questionnaire (TFEQ-R18) to assess cognitive restraint, uncontrolled eating and emotional eating, and the Food Cravings Inventory (FCI) to assess cravings for fatty food, sweet food, carbohydrates and fast food. DNA samples were genotyped for the rs9939609 polymorphism in the obesity-linked gene FTO. Questionnaire data was analysed for associations between the TFEQ-R18 and FCI subscales for the whole study group, and the group divided by sex, genotype and age (≤25 years versus >25 years). Finally, mediation analysis was used to explore the relationships between BMI, cognitive restraint and food cravings. FTO AA + AT genotype was associated with increased BMI, but not with differences in eating behavior scores or food craving scores; age was associated with increased BMI and decreases in food craving scores in which this effect was stronger in women compared to men. Increased cognitive restraint was associated with decreased food craving scores in the ≤25 years group. Mediation analysis demonstrated that in this group the association between BMI and reduced food cravings was mediated by cognitive restraint indicating that in this age group individuals use cognitive restraint to control their food cravings. The positive correlation between age and BMI confirms previous results but the findings of this study show that age, sex, FTO genotype and BMI have an influence on the relationships between eating behaviours and food cravings and that these variables interact.


2020 ◽  
Author(s):  
Jung Ha Park ◽  
Ju Young Kim ◽  
So Hye Kim ◽  
Jung Hyun Kim ◽  
Young Mi Park ◽  
...  

Abstract Background Obese individuals have a number of dietary behaviours that might contribute to their weight-related health risks. However, obesity defined solely by body mass index may not reflect the true heterogeneity of the obese population. The aims of this study were to classify the dietary behaviours of obese individuals into subgroups and to explore the relationship between their patterns of dietary behaviour and cardiometabolic risk factors. Methods The study participants were 259 patients who visited an outpatient weight management clinic at a tertiary hospital and underwent a dietary behaviour assessment between January 2014 and February 2019. Dietary behaviours were assessed in three domains with nine categories, including choice of food (frequent eating out, instant/fast/takeaway food), eating behaviour (irregular meals, frequent snacking, including eating at night, emotional eating, and overeating/binge eating), and nutrient intake (high fat/high calorie foods, salty food, and poorly balanced diet). Latent class analysis (LCA) was used to classify the subjects according to these nine categories of dietary behaviour. Associations between latent class and metabolic syndrome were assessed in a logistic regression model. Results Based on their dietary behaviour, the subjects were classified into three LCA-driven classes, including a referent class of healthy eaters (n=118), a class of emotional eaters (n=53), and a class of irregular unhealthy eaters (n=88). Compared with the referent class, emotional eaters had a significantly higher body mass index (beta=3.40, P<0.001) and metabolic syndrome (odds ratio 2.88, 95% confidence interval 1.16–7.13). Conclusions Our finding of three LCA-driven obesity phenotypes could be useful for assessment and management of obesity and metabolic syndrome. The association between higher BMI and metabolic syndrome was stronger in emotional eaters than in healthy eaters and irregular unhealthy eaters. Emotional eaters might benefit from emotional regulation strategies.


2019 ◽  
Vol 56 (2) ◽  
pp. 145
Author(s):  
Shipra Gupta ◽  
Deeksha Kapur

Body image and self-perception about weight, irrespective of their actual body mass index, may predispose young females to disordered eating behaviour. A study was conducted to determine body image disturbance, weight perception and body mass index among female college students in Delhi having normal and disordered eating behaviours. The study sample comprised 734 female under-graduate students between 18-21 years from women’s colleges of Delhi University. An interview-cum-questionnaire schedule was used to assess the general profile of subjects and perceptions about their body weight. Adapted Eating Attitudes Test (EAT)-26 and Body Shape Questionnaire (BSQ)-8c was used to determine disordered eating behaviour and body image disturbance among the subjects respectively. Body Mass Index of the subjects was also computed. Findings revealed a significant difference in self-perception about body weight among subjects showing normal and disordered eating behaviours. Higher percentage of subjects from disordered eating group perceived themselves to be either overweight or obese as compared to subjects from normal eating behaviour group.Significantly higher BSQ-8c scores and Body Mass Index were also observed among subjects having disordered eating behaviour. The study indicated that poor body image, self-perception about body weight being high as well as high body mass index played a significant role in occurrence of disordered eating behaviour among female college students in Delhi.The study depicted the urgent need to have appropriate health and nutrition education programmes for female college students to improve their perceptions about body shape and weight to further prevent the occurrence of disordered eating behaviour among them and make them less vulnerable to consequent nutritional problems.


2020 ◽  
Vol 9 (2) ◽  
pp. 307-318
Author(s):  
Yun Fei Tan ◽  
See Kwong Goh ◽  
See Wan Yan

Understanding the causes of obesity epidemic requires examination of what contributes to preference of palatable foods. Using a sensorial-consumer approach, this research examined the relationship between the sensation of the hedonic liking of fat with psychological and weight profiles. The study began with preliminary testing of the hedonic ratings of 24 food items (12 low fat (LF), 12 high fat(HF)) and completion of the Three Factor Eating Questionnaire (TFEQ-R18) investigating cognitive restraint, uncontrolled eating and emotional eating aspects. Eight (8) out of the twelve (12) food pairs that had discriminating characteristics were selected, for inclusion in the study, by 347 panellists. Results showed that overweight individuals had significantly lower liking towards LF sensation (4.27±2.13, p= 0.001) but significantly higher liking towards HF sensation (5.26±2.33, p= 0.001), compared to normal BMI individuals who had a significantly higher liking towards LF sensation (5.69±2.35, p= 0.001) but significantly lower liking towards HF sensation (4.17±2.40, p= 0.001). The Pearson product-moment correlation revealed similar trends on the association between liking of fat sensation and eating behaviour regardless of weight statuses. Specifically, cognitive restrainers were found to prefer the LF sensation while HF sensation were more favoured among uncontrolled and emotional eaters. This highlights the importance of investigating the combined effect of psychological aspects of eating behaviour and weight profiles towards liking of fat sensation.


2021 ◽  
pp. 1-23
Author(s):  
HK Barcın-Güzeldere ◽  
A Devrim-Lanpir

Abstract Objective: We investigated emotional eating behaviours and perceived stress during COVID-19 partial quarantine according to BMI levels in healthy adults. Design: Cross-sectional study. Setting: An online survey included demographic variables, eating attitude-related questions, Emotional Eater Questionnaire (EEQ), and Perceived Stress Score-14 (PSS-14) was sent via online data collection platform. Self-reported weight, height and weight changes during the quarantine were also collected. Participants: A total of 506 people age between 20-65 years who were partially quarantined due to COVID-19 participated in this study. Results: Body mass index (BMI) was positively correlated with EEQ (r= 0,205, p=0,001). However, BMI was negatively linked with PSS-14 during COVID-19 (r= −0,125, p=0,001), indicating that participants with lower BMI had higher perceived stress during COVID-19. Participants gained weight during the lockdown situation (+1.20 ± 1.70 kg in men; +0.91 ± 1.40 kg in women). EEQ and PSS-14 scores of women found to be significantly higher than men (9.39 ± 5.37 in men vs. 11.17 ± 5.85 in women for EEQ; 24.67 ± 8.32 in men, vs. 27.99 ± 7.34 in women for PSS-14. Obese participants consumed sweetened and carbonated drinks two-fold more in those compared to other participants. Conclusion: These findings suggest that partial quarantine may be closely related to emotional eating and weight gain, and participants with higher BMI showed more emotional eating behaviours. Therefore, certain precautions should be considered beforehand in order not to cause long-term eating disorder problems.


Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3622
Author(s):  
Joanna Kowalkowska ◽  
Rui Poínhos

Eating behaviour is of particular interest for research focusing on body weight status. However, little is known about the relationships of certain factors, especially social desirability, with self-reported eating behaviour such as cognitive restraint, uncontrolled eating, and emotional eating among young adult males and females. This study aimed to evaluate the relationships between eating behaviour and age, socioeconomic status (SES), physical activity (PA), body mass index (BMI), waist-to-height ratio (WHtR), and social desirability among university students. A cross-sectional study was conducted among 353 university students (59.2% females). Eating behaviour was assessed using the 13-item Three-Factor Eating Questionnaire (TFEQ-13). SES and PA were determined using self-reporting, and the Marlowe–Crowne Social Desirability Scale assessed social desirability. BMI and WHtR were calculated based on measured parameters. Associations between self-reported eating behaviour and other variables were assessed using Pearson’s correlation coefficient and multivariate general linear models. Cognitive restraint was positively correlated with BMI and WHtR in both males (r = 0.174, P = 0.036 and r = 0.194, P = 0.020, respectively) and females (r = 0.239, P < 0.001 and r = 0.165, P = 0.017, respectively), and emotional eating was positively correlated with BMI among females (r = 0.184, P = 0.008). Social desirability was negatively correlated with uncontrolled eating (r = −0.287, P < 0.001) and emotional eating (r = −0.301, P < 0.001) among females. There were no significant correlations between eating behaviour and age or socioeconomic status (P > 0.05). Multivariate analysis showed that, among males, PA had a main effect on emotional eating (ηp2 = 0.044, F = 6.276, P = 0.013). Among females, cognitive restraint was positively associated with PA (ηp2 = 0.034, F = 7.127, P = 0.008) and BMI (ηp2 = 0.038, F = 7.959, P = 0.005), and emotional eating with BMI (ηp2 = 0.032, F = 6.638, P = 0.011). Social desirability had the highest main effect on eating behaviour among females, being negatively associated with uncontrolled eating (ηp2 = 0.077, F = 16.754, P < 0.001) and emotional eating (ηp2 = 0.082, F = 18.046, P < 0.001). This study showed that PA, BMI, WHtR, and social desirability were associated with self-reported eating behaviour among university students. Social desirability bias should be considered when evaluating uncontrolled eating and emotional eating among females.


Psico ◽  
2021 ◽  
Vol 52 (1) ◽  
pp. e35452
Author(s):  
Roberto Decker ◽  
Marcelle Matiazo Pinhatti ◽  
Thiago Gomes DeCastro ◽  
Lisiane Bizarro

Emotional Eating (EE) is defined as eating under the influence of negative emotions, and is associated with Eating Disorders, impulsivity, depression and weight gain. However, previous literature is not clear regarding how these variables explain EE. The present study aimed to identify predictors of EE and its relationship to impulsivity, depression, eating style, and weight status in young adults. Sex differences in eating style were examined, and differences in EE between obese/overweight and normal/underweight individuals were tested. Two-hundred college students completed online questionnaires assessing all variables. Low inhibitory control, depression symptoms, female sex, and higher body mass index significantly predicted scores on EE. Obese/overweight and female participants presented increased EE. Correlation analysis evidenced positive associations between EE, Uncontrolled Eating, body mass, and low inhibitory control. Results indicate that EE is related to psychological factors such as impulsivity and depression, and to biological factors, such as sex and body mass.


Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1435
Author(s):  
Erik Sesbreno ◽  
Christine E. Dziedzic ◽  
Jennifer Sygo ◽  
Denis P. Blondin ◽  
François Haman ◽  
...  

Elite volleyball athletes experience significant physical and psychological demands during the competitive season. The aim was to compare the dietary intake of male volleyball athletes with recommendations for sport and health, and to examine the association of physique traits and knee health on eating behaviours and of eating behaviours on reported dietary intake. Using a retrospective cross-sectional design, 22 male athletes from a national indoor volleyball program underwent anthropometric, dual-energy X-ray absorptiometry and resting metabolic rate testing, 4-day dietary intake and hematological analysis, and also completed the three-factor eating questionnaire–R18 for eating behaviours and the Victorian Institute of Sport Assessment—patellar tendon (VISA-P) questionnaire for knee health. Most players under-consumed energy compared to reference guidelines, secondary to under-consuming carbohydrate for exercise. The primary eating behaviour was cognitive restraint, which was associated with body mass index and ectomorphy. Emotional eating behaviour was associated with VISA-P. Differences in emotional and cognitive restraint eating behaviours did not impact dietary intake. The findings suggest that players are at risk of an impaired ability to adapt to and recover from training during an important segment of the competitive season. Future work should explore the presence of low energy availability in elite male volleyball players.


Sign in / Sign up

Export Citation Format

Share Document