Higher Emotional Eating Scores Research Articles

Relation of preconception eating behaviours to dietary pattern trajectories and gestational weight gain from preconception to late pregnancy

Studies examining preconception eating behaviours with longitudinal dietary patterns from preconception to late pregnancy as well as gestational weight gain (GWG) are limited. We derived dietary pattern trajectories from preconception to late-pregnancy, and related preconception eating behaviours to these trajectories and GWG. Preconception eating behaviours were assessed using the Three-Factor Eating Questionnaire measuring cognitive restraint (CR) – conscious restriction of food intake, emotional eating (EE) – overeating in response to negative emotions, and uncontrolled eating (UE) – overeating with a feeling of lack of control. Dietary intakes were measured at preconception, 20–21 and 34–36 weeks' gestation with food frequency questionnaires. Dietary patterns were determined using factor analysis, and trajectories derived using group-based trajectory modelling. Inadequate and excessive GWG were defined according to Institute of Medicine guidelines based on weights at preconception and the last antenatal visit (median: 38 weeks' gestation). Two dietary patterns were derived: ‘Fast Food, Fried Snacks and Desserts (FFD)’ and ‘Soup, Fish and Vegetables (SFV)’. Adherence trajectories from preconception to late-pregnancy were characterised as consistently high (“stable-high”) and low (“stable-low”). Women with higher UE scores had higher odds of being in the “stable-high” trajectory (n = 34) of the FFD pattern [Odds Ratio (OR): 1.25, 95% Confidence Interval (CI): 1.03, 1.51], compared to “stable-low” (n = 260). Percentages of women with inadequate, adequate or excessive GWG were 21.7% (n = 70), 25.8% (n = 83), and 52.5% (n = 169), respectively; women with higher EE scores had a higher likelihood of excessive GWG [Relative Risk Ratio (RRR): 1.35, 95% CI: 1.02, 1.80], but this association was attenuated after adjusting for preconception body mass index. Eating behaviour interventions to improve dietary patterns among pregnant women may need to start as early as preconception, incorporating strategies to manage UE.

Eating behavior modulates the sensitivity to the central effects of GLP-1 receptor agonist treatment: a secondary analysis of a randomized trial

AimsWe investigated if individuals with higher emotional eating scores are less sensitive to the effects of a GLP-1RA on central responses to food cues. Additionally, we investigated the associations of higher external and restraint eating scores with the sensitivity to the central effects of GLP-1RA. MethodsThis secondary analysis of a randomized crossover study in people with obesity and type 2 diabetes, consisted of two periods of 12-week treatment with liraglutide or insulin glargine. Using functional MRI, we assessed the relation between baseline eating behavior and the effects of the GLP-1RA liraglutide compared with insulin after 10 days and 12 weeks of treatment on brain responses to food cues. ResultsAfter 10 days, higher emotional eating scores were associated with less pronounced GLP-1RA induced reductions in brain responses to food pictures in the amygdala, insula and caudate nucleus. In addition, higher emotional eating scores tended to be associated with less pronounced GLP-1RA increases in brain responses to chocolate milk receipt in the caudate nucleus and insula. After 12 weeks, there were no significant associations between emotional eating scores and liraglutide-induced changes in brain responses to food cues. After 10 days, baseline external eating scores were associated with less pronounced GLP-1RA induced reductions in brain responses to food pictures in the insula, amygdala and orbitofrontal cortex. After 12 weeks, baseline restraint eating scores were associated with more GLP-1RA induced reductions in brain responses to food pictures in the insula and caudate nucleus, and with more GLP-1RA induced reductions in brain responses to the anticipation of chocolate milk in the caudate nucleus. ConclusionsOur findings indicate that individuals with higher baseline emotional eating scores are less sensitive to the central effect of GLP-1RA treatment. Additionally, external eating may also decrease, whereas restraint eating may increase the sensitivity to the treatment effects of GLP-1RAs. These insights may help to optimize treatment strategies for obesity and to select patient groups with better efficacy of GLP-1RA treatment.

Sensory perception and food neophobia drive liking of functional plant‐based food enriched with winemaking by‐products

AbstractThe use of phenol compounds obtained from unripe grapes as antioxidant sustainable food ingredients is challenging due to their specific sensory attributes, such as sourness and astringency. The aim was to evaluate sensory attributes perception and consumers' liking for beetroot purees added with phenols from unripe grapes. According to hedonic responses, consumer clusters were identified and characterized for eating behavioral attitudes. Three hundred two subjects (56% women, 18–60 years old) evaluated sweet, sour, astringency, and overall flavor intensity of and liking for four beetroot puree samples added with increasing phenols concentrations (0–1.93 g/kg). Results showed that liking decreased with increasing phenols. Interestingly, samples with highest phenols concentration, characterized by sourness, and astringency, were preferred by a segment of consumers (39% of the group). This group was characterized by a low food neophobia and tended to have high emotional eating scores compared to consumers preferring samples without or with the lowest amount of extract. These results suggest that the development of functional phenol‐enriched products using winemaking by‐products is challenging due to their sensory properties that negatively influence consumers' acceptance. However, with appropriate segmentation strategies it is possible to identify specific consumer targets who could appreciate these new functional foods.Practical ApplicationsUnripe grapes can be used as a sustainable phenol source for the development of new highly antioxidant foods. Indeed, an addition till 1.9 g/kg, besides improving both the nutritional content of the food matrices, as well as promoting the reuse of winemaking by‐products, could be considered feasible from a sensory point of view. Specifically, new sustainable plant‐based food product, characterized by specific sensory attributes, could be target for specific groups of consumers to foster the transition to the consumption of food products developed using value‐added and sustainable ingredients.

Do sociodemographic factors and anthropometric measurements affect eating behavior patterns?

PurposeObesity is a chronic disease and it is very important to determine the underlying factors at the early stage. Disturbance in eating behaviors may predict the obesity risk.Design/methodology/approachIn the present study, it was aimed to investigate eating behavior of Turkish adults by using The Three-Factor Eating Questionnaire-R18 (TFEQ-R18) and to analyze the association between anthropometric measurements and socio-demographic factors.FindingsIndividuals composed of 698 males, aged 28.6 ± 10.3 years and 1,736 females, aged 25.1 ± 7.8 years. Demographic characteristics participants were obtained via a questionnaire. TFEQ-R18for assessing eating behavior was used. Results claim that the usage of TFEQ-R18 was appropriate for non-obese individuals (Cronbach’s α value 0.83 for underweight group (n = 180, 7.4%), 0.76 for normal group (n = 1604, 65.9%), 0.69 for overweight group (n = 492, 20.2%), 0.69 obese group (n = 158, 6.5%). Gender seems to effect emotional eating scores (p = 0.026) and employment status seem to affect all TFEQ-R18 sub-group dimensions (cognitive eating scores, p = 0.022, uncontrolled eating scores, p < 0.001, emotional eating scores, p < 0.001). Divorced individuals tend to have higher cognitive restraint scores (16.2 ± 3.7). Although, single people have higher emotional eating scores (7.5 ± 2.6) (p = 0.006). There is a positive correlation among waist–height ratio, waist and neck circumference and cognitive restraint and uncontrolled eating scores (p < 0.001). However, body weight and height correlate negatively with cognitive restraint scores (p < 0.001).Originality/valueAccording to the authors’ knowledge, this study gives brief results for the usage of TFEQ-R18 and the ability to predict eating behaviors in the general population.

Emotional reactivity, suppression of emotions and response inhibition in emotional eaters: A multi-method pilot study

ObjectiveEmotional eating has been associated with high emotional reactivity, suppression of negative emotions and inhibitory control difficulties. The current study aimed to address the association of these factors and their combined effect on emotional eating. Method: Twenty-eight participants conducted an emotional Go/Nogo task including pictures of neutral, negative and positive scenes and an additional emotion suppression condition. Electroencephalographic (EEG) activity was recorded continuously. Emotional eating and habitual emotion suppression were assessed through questionnaires. Emotional reactivity to affective pictures was measured through a visual analogue scale and the amplitude of the electrophysiological late positive potential (LPP). Inhibition parameters were assessed behaviorally (i.e., commission errors) and through event-related potentials of the EEG (i.e., N2/P3-amplitudes). ResultsThe trait questionnaire data revealed that emotional eating was not correlated with habitual emotion suppression. During the emotional Go/Nogo paradigm, higher emotional eating scores were positively related to higher LPP amplitudes in response to negative affective scenes. Inhibitory control capacities were not related to emotional eating while watching neutral or negative pictures, but higher emotional eating scores were associated with more commission errors when negative emotions were suppressed. DiscussionEmotional eating tendencies seem to be related to higher reactivity when confronted with negative affective information and inhibitory control deficits may arise especially when an effort is made to suppress these negative emotions. Therefore, a focus on adaptive emotion regulation in treatments of emotional eating seems to be important; solely targeting inhibitory control capacities may not be sufficient in order to help people with emotional eating to regulate their food intake.

Fight, Flight, - Or Grab a Bite! Trait Emotional and Restrained Eating Style Predicts Food Cue Responding Under Negative Emotions.

In today’s society, obesity rates are rising as food intake is no longer only a response to physiological hunger signals that ensure survival. Eating can represent a reward, a response to boredom, or stress reduction and emotion regulation. While most people decrease food intake in response to stress or negative emotions, some do the opposite. Yet, it is unclear who shows emotional overeating under which circumstances. Emotion regulation theories describe emotional overeating as a learned strategy to down-regulate negative emotions. Cognitive theories, by contrast, attribute emotional overeating to perceived diet breaches in individuals who chronically attempt to diet. After consuming “forbidden foods”, they eat more than individuals who do not restrict their food intake. This laboratory study investigated emotional overeating by exposing individuals to a personalized emotion induction while showing images of palatable foods. Outcome variables indexed cue reactivity to food images through picture ratings (valence, desire to eat), facial expressions (electromyography of the corrugator supercilii muscle), and brain reactivity by detecting event-related potentials (ERPs) by means of electroencephalography (EEG). The influence of emotion condition (negative, neutral) and individual differences (self-reported trait emotional and restrained eating) on outcome variables was assessed. Valence ratings and appetitive reactions of the corrugator muscle to food pictures showed a relative increase in the negative condition for individuals with higher emotional eating scores, with the opposite pattern in lower scores. Desire to eat ratings showed a similar pattern in individuals who showed a strong response to the emotion induction manipulation, indicative of a dose-response relationship. Although no differences between conditions were found for ratings or corrugator activity with restrained eating as a predictor, an ERP at P300 showed increased activation when viewing food compared to objects in the negative condition. Findings support emotion regulation theories: Emotional eaters showed an appetitive reaction in rating patterns and corrugator activity. EEG findings (increased P300) suggest a motivated attention toward food in restrained eaters, which supports cognitive theories. However, this did not translate to other variables, which might demonstrate successful restraint. Future studies may follow up on these findings by investigating eating disorders with emotion regulation difficulties.

Emotional Eating Partially Mediates the Relationship Between Food Insecurity and Obesity in Latina Women Residing in the Northeast U.S.

Abstract Objectives To examine the mediating role of emotional eating (EE) in the association between food insecurity (FI) and obesity in U.S. Latina women. Methods This study had a cross-sectional design. Participants were Latina women (n = 297) recruited from a community health center serving a large portion of the Latino population in Lawrence, Massachusetts. FI was measured with the 6-item USDA Household Food Security Scale. EE was measured with the Three Factor Eating Questionnaire R18-V2. Measured height and weight were used to calculate BMI; obesity was defined as BMI &amp;gt; 30.0 kg/m2. Covariates included: age, education, marital status, physical activity and country of birth. Mediation was tested using the Baron and Kenny method and the mediated proportion was calculated. Analyses included multivariable logistic regression and linear regression. Results Women were on average 46 ± 5 years. The majority were Dominicans (73%), born outside of the U.S. (78%), and with an education level of high school or less (70%). Overall, 36% of women experienced FI. Compared to food secure women, FI women were more likely to be obese (42% vs. 58%; P = 0.01), and had higher emotional eating scores (2.02 vs. 1.78; P = 0.03). In adjusted models, FI was associated with higher odds of obesity (Step 1 = OR: 1.78; 95% CI: 1.08–2.94) and higher EE scores (Step 2 = 0.23; 95% CI: 0.009–0.45). In turn, EE was associated with higher odds of obesity (Step 3 = OR: 1.81; 95% CI: 1.37–2.41). When EE was included in the main effects model, FI was only marginally significantly associated with obesity (Step 4 = OR: 1.62; 95% CI: 0.96–2.72) and EE explained 22% of the association between FI and obesity. Conclusions The association between FI and obesity is partially mediated by EE in Latina women. Longitudinal studies are needed to confirm our findings and to determine whether EE is an important intervention target to decrease obesity in this vulnerable group. Funding Sources Research reported in this abstract was supported by the National Institutes of Health, National Institute of Mental Health, National Institute of Minority Health and Health Disparities and Centers for Disease Control and Prevention.

Development and validation of the Child Three-Factor Eating Questionnaire (CTFEQr17).

To develop and validate a child and adolescent version of the Three-Factor Eating Questionnaire (CTFEQr17) and to assess its psychometric properties and factor structure. We also examined associations between the CTFEQr17 and BMI and food preferences. A two-phase approach was utilized, employing both qualitative and quantitative methodologies. Primary and secondary schools, UK. In phase 1, seventy-six children (thirty-nine boys; mean age 12·3 (sd 1·4) years) were interviewed to ascertain their understanding of the original TFEQr21 and to develop accessible and understandable items to create the CTFEQr17. In phase 2, 433 children (230 boys; mean age 12·0 (sd 1·7) years) completed the CTFEQr17 and a food preference questionnaire, a sub-sample (n 253; 131 boys) had their height and weight measured, and forty-five children (twenty-three boys) were interviewed to determine their understanding of the CTFEQr17. The CTFEQr17 showed good internal consistency (Cronbach's α=0·85) and the three-factor structure was retained: cognitive restraint (CR), uncontrolled eating (UE) and emotional eating (EE). Qualitative data demonstrated a high level of understanding of the questionnaire (95 %). High CR was found to be significantly associated with a higher body weight, BMI and BMI percentile. High UE and EE scores were related to a preference for high-fat savoury and high-fat sweet foods. The relationships between CTFEQr17, anthropometry and food preferences were stronger for girls than boys. The CTFEQr17 is a psychometrically sound questionnaire for use in children and adolescents, and associated with anthropometric and food preference measures.

P.6.f.005 - Higher emotional eating scores before a nutritional treatment in patients with obesity moderates the development of binge eating disorder

Binge-like eating behavior (BLE) has been characterized as an eating disorder in which subjects have an enhanced intake of food, mainly fats. However, intake of fats and carbohydrates may have differential effects on motivation. Previously it was shown that BLE produces an increase in operant responding for vegetable shortening, but others were unable to replicate the finding using sucrose as the reinforcer. Our aim was to determine if BLE behavior induced with a cafeteria-like diet (CaLD) with several options with fat content would produce an increment in performance. Male Wistar rats were trained under an exponential progressive ratio schedule of sucrose reinforcement; thereafter, the limited access model was used to induce BLE using CaLD options. Finally, subjects were tested for increments in break points (BPs) in the progressive ratio schedule. Rats with intermittent access to CaLD options showed a clear BLE with an escalation in their intake; however they showed compensatory decrements of chow intake that rendered a similar body weight gain to a continuous access group. Although we were unable to observe an increase in BPs after BLE we were able to observe a protection against the decrements of BP previously observed with sugar. Different mechanisms for processing high fat and high carbohydrate reinforcers are variables worth exploring to gain a better understanding of BLE behavior in rodent models.

‘I ate too much so I must have been sad’: Emotions as a confabulated reason for overeating

BackgroundEmotional eating (i.e., overeating in response to negative affect) is a commonly accepted explanation for eating behaviors that are not in line with personal eating-norms. However, the empirical evidence for a causal link between self-reported emotional eating and overeating is mixed. The present study tested an alternative hypothesis stating that high emotional eating scores are indicative of a susceptibility to use negative affect as a confabulated, post-hoc reason to explain overeating. MethodsFemale students (N = 46) participated in a ‘taste-test’ and came back to the lab a day later to receive feedback that they either ate too much (norm-violation condition) or an acceptable amount of food (control condition), whereafter emotional eating was assessed. Negative affect was measured several times throughout the study. ResultsIn the norm-violation condition, participants with high emotional eating scores retrospectively rated their affect prior to eating as more negative than participants with low emotional eating scores. In the control condition, no effect of emotional score on affect ratings was found. DiscussionFor some individuals emotional eating scores may represent a tendency to retrospectively attribute overeating to negative affect. This could explain the lack of consistent findings for a link between self-reported emotional eating and overeating.

Perceived stress and anhedonia predict short-and long-term weight change, respectively, in healthy adults

ObjectivePerceived stress; emotional eating; anhedonia; depression and dietary restraint, hunger, and disinhibition have been studied as risk factors for obesity. However, the majority of studies have been cross-sectional and the directionality of these relationships remains unclear. In this longitudinal study, we assess their impact on future weight change. MethodsPsychological predictors of weight change in short- (6month) and long-term (>1year) periods were studied in 65 lean and obese individuals in two cohorts. Subjects participated in studies of food intake and metabolism that did not include any type of medication or weight loss interventions. They completed psychological questionnaires at baseline and weight change was monitored at follow-up visits. ResultsAt six months, perceived stress predicted weight gain (r2=0.23, P=0.02). There was a significant interaction (r2=.38, P=0.009) between perceived stress and positive emotional eating, such that higher scores in both predicted greater weight gain, while those with low stress but high emotional eating scores lost weight. For long-term, higher anhedonia scores predicted weight gain (r2=0.24, P=0.04). Depression moderated these effects such that higher scores in both predicted weight gain but higher depression and lower anhedonia scores predicted weight loss. ConclusionThere are different behavioral determinants for short- and long-term weight change. Targeting perceived stress may help with short-term weight loss while depression and anhedonia may be better targets for long-term weight regulation.

Melanocortin-4 Receptor Gene Variation Is Associated with Eating Behavior in Chilean Adults

Background/Aims: To evaluate the association between allelic variants of melanocortin receptors -3 and -4 (MC3R and MC4R, respectively) and leptin receptor (LEPR) genes with body mass index (BMI) and eating behavior. Methods: We selected 344 Chilean adults (57.8% women; age 39.1 ± 6.6 years) with a wide variation in BMI (30.3 ± 6.3 kg/m²). The Three-Factor Eating Questionnaire-R18 that measures uncontrolled eating (UE), emotional eating (EE) and cognitive restraint scores was adapted, validated and assessed for association with BMI. Genotypes were determined by polymerase chain reaction followed by restriction fragment length polymorphism techniques and Taqman assays. Results: Higher EE scores were found in obese vs. non-obese in both men (p = 0.01) and women (p < 0.001). UE scores were significantly associated with BMI only in women (p = 0.002). No significant differences in eating behavior scores or BMI were found by LEPR (rs1137101, rs8179183 and rs1137100 polymorphisms) or MC3R (rs3746619 and rs3827103). Carriers of the C allele for MC4R rs17782313 showed significantly higher scores of UE compared to non-carriers (2.3 ± 0.8 vs. 2.0 ± 0.7; p = 0.02). Additionally, we also report a monogenic case of obesity carrying the pathogenic mutation 449C>T (Thr150Ile) in MC4R gene with no apparent alterations in eating behavior scores. Conclusions: UE scores were higher in C-allele carriers of MC4R-rs17782313 compared to non-carriers.

Psychometric properties of Spanish version of the Three-Factor Eating Questionnaire-R18 (Tfeq-Sp) and its relationship with some eating- and body image-related variables.

The aims of this study were to analyze the psychometric properties of the Spanish version of the Three-Factor Eating Questionnaire-R18 (TFEQ-SP), as well as determine its validity by evaluating the relationship of the TFEQ-SP with different parameters related to body mass index, weight perception, perception of physical fitness, self-esteem, and food intake, as well as with weight control-related variables. A total of 281 participants (aged 18.38 ± 6.31) were studied. The factor analysis yielded three factors: cognitive restraint (CR), uncontrolled eating (UE), and emotional eating (EE). The internal consistency of the TFEQ-SP was determined by means of Cronbach’s α coefficient, with values ranging between 0.75 and 0.87. Higher scores on CR were found in women (p < 0.5), overweight/obese participants (p < 0.001), participants with lower self-esteem (p < 0.05), participants who overestimated their weight (p < 0.001), participants who weighed themselves frequently (p < 0.001) and those who were about to go on a diet (p < 0.001). Higher EE scores were found in participants with lower self-esteem scores (p < 0.05), among participants with a poorer perception of their physical fitness (p < 0.01) and when participants were about to diet (p < 0.05). Higher scores on UE were observed in case of poorer perception of physical fitness (p < 0.05). The validation study of the TFEQ-SP meets the requirements for measuring the three different facets of eating behavior: CR, UE, and EE.

The Influence of Worries on Emotional Eating, Weight Concerns, and Body Mass Index in Latina Female Youth

To investigate the effect of worries on weight concerns, emotional eating, and body mass index (BMI) percentile in an ethnically diverse sample of female youth. This study used baseline and follow-up data from a brief school-based physical activity intervention trial involving minority female youth. Partial correlations adjusted for intervention status, age, and ethnicity were used to assess the relationships between emotional eating, weight concerns, and BMI percentile at follow-up. Multilevel modeling was used to analyze the relationships between baseline worries and follow-up emotional eating, weight concerns, and BMI percentile. Additional analysis assessed whether emotional eating mediated and/or moderated the relationship between baseline worries and follow-up BMI. Data were analyzed using SAS version 9.1. The sample consisted of 404 minority females (67.1% Latina; mean age = 12.5 ± .6; 60.6% were of normal weight). Weight concerns were positively correlated with emotional eating and BMI percentile (p < .001 for both). At follow-up, baseline worries significantly predicted emotional eating (p = .027) and weight concerns (p < .001) but not BMI percentile (p = .183). Emotional eating did not mediate the relationship between baseline worries and follow-up BMI percentile; however, it did moderate the relationship between baseline worries and follow-up BMI percentile (p = .003). In this sample, worries were associated with psychosocial variables but not with BMI percentile. Reducing worries in those with high emotional eating scores may influence future weight gain among Latina females.