‘Dis-comfort eating’: An investigation into the use of food as a coping strategy for the management of chronic pain

O'Loughlin, Imogen; Newton‐John, Toby

doi:10.1016/j.appet.2019.05.027

Cited by 23 publications

(30 citation statements)

References 102 publications

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“…However, significant differences in energy intake and degree of heaviness were not observed between the emotional eating behaviour groups in this study. Perhaps the severity of the current condition was an insufficient stressor—a key mediator in the chronic pain–emotional eating behaviour model [ 34 ]. For instance, our athletes engaged in sport-specific training, were supported by experts in physical and medical sport therapies, travelled, and competed in important international events of the season.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the dissimilarities in physical disability and/or consequences to quality of life may explain the differences in dietary intake response. Alternatively, there could be a reporting bias for food choices, given that an increase in energy intake is disproportionally related to consumption of sugary foods [ 34 ]. Regardless, the lack of association between the chronic pain–emotional eating model and physique characteristics suggests that the risk of excessive energy intake may not translate to these athletes who are training and competing with injuries.…”

Section: Discussionmentioning

confidence: 99%

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Elite Male Volleyball Players Are at Risk of Insufficient Energy and Carbohydrate Intake

Sesbreno

Dziedzic²,

Sygo³

et al. 2021

Nutrients

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Elite Male Volleyball Players Are at Risk of Insufficient Energy and Carbohydrate Intake

Sesbreno

Dziedzic²,

Sygo³

et al. 2021

Nutrients

View full text Add to dashboard Cite

show abstract

“… 14 Eating high-sugar nutrient-dense foods confers analgesic effects and enhances pain tolerance in both animals and humans. 29 As such, people with chronic pain may “comfort eat” to cope with their pain. This maladaptive behavior seems to be an indirect effect driven by stress, distress tolerance, and pain catastrophizing rather than the presence of pain itself.…”

Section: Discussionmentioning

confidence: 99%

“…This maladaptive behavior seems to be an indirect effect driven by stress, distress tolerance, and pain catastrophizing rather than the presence of pain itself. 29 …”

Section: Discussionmentioning

confidence: 99%

Association of chronic spinal pain with diet quality

Zick

Murphy

Colacino

2020

PR9

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“…A variety of factors may contribute to the development of disordered eating among youth with chronic pain. First, a sedentary lifestyle due to pain combined with the use of food as a coping mechanism for pain may result in weight gain and new concerns regarding body weight and body image [7][8][9]. Second, co-morbid mood disorders (e.g.…”

Section: Introductionmentioning

confidence: 99%

Disordered eating among adolescents with chronic pain: the experience of a pediatric rheumatology subspecialty pain clinic

et al. 2021

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Background Disordered eating and chronic pain often co-occur in adolescents, but the relationship between these conditions is not well understood. We aimed to determine the prevalence of and to identify the clinical characteristics associated with the presence of disordered eating among adolescents with chronic musculoskeletal pain (CMP) presenting to a pediatric rheumatology subspecialty pain clinic. Methods This was a retrospective cohort study of pediatric patients presenting to a pediatric rheumatology subspecialty pain clinic for an initial consultation from March 2018 to March 2019. We complemented data from an existing patient registry with secondary chart review for patients identified with disordered eating. We compared patient characteristics based on the presence or absence of disordered eating among adolescents with CMP. Logistic regression modeling was used to determine factors associated with disordered eating. Results Of the 228 patients who were seen for an initial consultation in the pain clinic in 1 year, 51 (22.4%) had disordered eating. Only eight (15.7%) of the 51 patients identified with disordered eating had a previously documented formal eating disorder diagnosis. Through multivariate logistic regression modeling, we found that disordered eating was associated with older age, higher functional disability, presence of abdominal pain, presence of gastrointestinal comorbidities, and presence of anxiety (all p < 0.05). Conclusions Adolescents with chronic pain, especially those who experience gastrointestinal issues, anxiety, and greater functional disability, should be evaluated for disordered eating by the treating clinician in order to ensure timely and appropriate treatment.

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‘Dis-comfort eating’: An investigation into the use of food as a coping strategy for the management of chronic pain

Cited by 23 publications

References 102 publications

Elite Male Volleyball Players Are at Risk of Insufficient Energy and Carbohydrate Intake

Elite Male Volleyball Players Are at Risk of Insufficient Energy and Carbohydrate Intake

Association of chronic spinal pain with diet quality

Disordered eating among adolescents with chronic pain: the experience of a pediatric rheumatology subspecialty pain clinic

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