Emotional eating in patients attending a specialist obesity treatment service

Wong, Lo; Stammers, Lauren; Чурилов, Леонид; Price, Sarah; Ekinci, Elif I; Sumithran, Priya

doi:10.1016/j.appet.2020.104708

Cited by 17 publications

(18 citation statements)

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“…This single-centre, cross-sectional study was completed at a tertiary referral hospital in Melbourne, Australia, within a specialist multidisciplinary obesity treatment service. A detailed description of the study design has previously been reported [ 4 ]. Briefly, a total of 387 patients attending the obesity treatment service between December 2018 and April 2019 completed the Emotional Eating Scale (EES) [ 7 ] over the phone or in-person.…”

Section: Methodsmentioning

confidence: 99%

“…Emotional eating—the tendency to eat in response to positive and/or negative emotions—is present in more than half of patients seeking specialist obesity treatment [ 4 ] and is particularly prevalent in women [ 5 ]. Women are also more likely to experience mood-related disorders and eating disorders [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…We have previously reported that emotional eating affects 58% of participants attending a public hospital specialist obesity treatment service in Australia [ 4 ]. The aims of the current analysis were to characterise the most common emotion(s) prompting an urge to eat, and to examine whether they differ according to sex.…”

Section: Introductionmentioning

confidence: 99%

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A Comparison of Emotional Triggers for Eating in Men and Women with Obesity

et al. 2022

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Objective: Emotional eating (EE) is prevalent in people seeking obesity treatment and is a contributor to poor weight loss outcomes. We aimed to delineate the emotions most associated with this type of eating, and whether they differ by sex in people undergoing obesity treatment. Methods: A cross-sectional study recruiting 387 adults from a hospital obesity management service. Emotional eating was measured using the Emotional Eating Scale (EES). Separate analyses included all participants, and those undergoing lifestyle interventions alone or in combination with obesity medication and/or bariatric surgery. Results: A total of 387 people (71% women) participated in the study (n = 187 receiving lifestyle modification alone; n = 200 in combination with additional treatments). Feeling ‘bored’ was most commonly and most strongly associated with the urge to eat, regardless of sex or treatment. Women had higher scores for total EES, for subscales of depression and anger, and individual feelings of ‘blue’, ‘sad’ and ‘upset’ compared to men. Conclusions: Understanding why certain emotions differentially trigger an urge to eat in men and women, and finding strategies to break the link between boredom and eating may enable better personalisation of lifestyle interventions for people with obesity.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Comparison of Emotional Triggers for Eating in Men and Women with Obesity

et al. 2022

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“…Emotional eating refers to the behaviour of eating in response to certain emotional triggers (especially negative emotions and stress) instead of our innate biological hunger (van Strien, 2018). More than half of the adults with obesity have been found to display characteristics of emotional eating (Péneau et al., 2013; Wong et al., 2020), increasing one's tendency to display dysfunctional eating behaviours such as binge‐eating and disinhibited/unrestrained eating (Escandón‐Nagel et al., 2018; Wiedemann et al., 2018). Such eating behaviours have in turn been associated with depression, weight gain, weight‐loss failure and weight regain (Braden et al., 2016; Risica et al., 2021).…”

Section: Introductionmentioning

confidence: 99%

Weight‐loss interventions for improving emotional eating among adults with high body mass index: A systematic review with meta‐analysis and meta‐regression

Chew

Lau

2022

Euro Eating Disorders Rev

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Objectives To evaluate the effectiveness of weight‐loss interventions on emotional eating among adults with high body mass index (BMI). Methods A systematic review, meta‐analysis and meta‐regression were performed on randomized controlled trials published from inception until 19 March 2021. Results Thirty‐one studies were included, representing 1203 participants with mean ages ranging from 21.8 to 57.3 years old and BMI 27.2–43.5 kg/m2. We found small‐to‐medium interventional effects on emotional eating (n = 18; Hedges' g = 0.22; p = 0.01, I2 = 61.7%), uncontrolled eating (n = 16; Hedges' g = 0.46; p < 0.001, I2 = 71.6%) and cognitive restraint (n = 18; Hedges' g = 0.42; p < 0.001, I2 = 75.8%). Small‐to‐medium interventional effects were only found for emotional eating (n = 8; Hedges' g = 0.45; p = 0.02, I2 = 74.3%) 3‐month post‐intervention, and on BMI (n = 4; Hedges' g = 0.43; p < 0.05, I2 = 33.4%) and weight (n = 6; Hedges' g = 0.36; p < 0.01, I2 < 10.4%) 12‐month post‐intervention. Age, male proportion, baseline BMI, attrition rate and intervention length were not significant moderators of the heterogeneity between studies. Conclusion Interventions improved emotional eating and weight loss along a year‐long trajectory.

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“…Although obesity is considered the result of a variety of interactions between several factors (genetic, socioeconomic, endocrine, metabolic and psychological) [20], empirical research suggests that EE is quite common among individuals with excess weight, who score higher on measures of EE than those individuals within the "normal" weight category [21,22]. EE affects more than half of people referred for obesity treatment [23]. In addition, EE has been positively related to BMI [12], and has been regarded as a risky behavior for obesity [24], and as a strong psychological predictor of weight gain [25], even in children and adolescents [26].…”

Section: Introductionmentioning

confidence: 99%

Factor Structure and Psychometric Properties of Emotional Eater Questionnaire (EEQ) in Spanish Colleges

Bernabéu

Carlos

Iglesias

2020

IJERPH

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Emotional eating (EE) patterns have been shown to play a relevant role in the development of overweight problems. However, there is a gap in research aimed at validating questionnaires to assess EE in specific populations. The aim of the study was to analyze factor structure and psychometric properties of Emotional Eater Questionnaire (EEQ) in Spanish universities. EEQ, state-anxiety subscale of STAI and a questionnaire about health habits were filled out by 295 students. Exploratory Factor Analysis (EFA) by using Unweight Least Squares (ULS) method was carried out. To determine factor numbers we used eigenvalues, parallel analysis, and goodness of fit statistics. Cronbach’s alpha and Spearman correlations were used to analyze reliability, convergent, and concurrent validity. The parallel analysis and goodness of fit statistics showed that unifactorial structure of seven items was the most appropriate what accounted for 57% of the variance. Internal consistency was good (α = 0.753), as well as convergent validity (r = 0.317; p < 0.001). Concurrent validity was significant for three of the five criteria (r = −0.224; p < 0.001 and r = −0.259; p < 0.001). The results suggest some differences in the structure of the psychometric assessment of EE in sub-clinical population in comparison with previous studies carried on with an overweight population, what could be relevant to obesity prevention.

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Emotional eating in patients attending a specialist obesity treatment service

Cited by 17 publications

References 50 publications

A Comparison of Emotional Triggers for Eating in Men and Women with Obesity

A Comparison of Emotional Triggers for Eating in Men and Women with Obesity

Weight‐loss interventions for improving emotional eating among adults with high body mass index: A systematic review with meta‐analysis and meta‐regression

Factor Structure and Psychometric Properties of Emotional Eater Questionnaire (EEQ) in Spanish Colleges

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