Mediation Effect of Depression on the Association between Food Addiction and Body Image in Individuals with Obesity

Usta, Esra; Pehlivan, Mevlüt

doi:10.18521/ktd.897251

Cited by 3 publications

(2 citation statements)

References 32 publications

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“… Kiyici et al (2020) showed that of 224 patients with obesity seeking weight loss treatment, 32.1% met the criteria for FA and the prevalence of depression was significantly higher (61.1%) in patients with FA compared to those without. Interestingly, the study by Usta & Pehlivan (2021) found that depressive symptoms mediated the association between FA symptoms and BMI in people with obesity. The result of the meta-analysis by de Sousa Fernandes et al (2020) showed that, among individuals with overweight/obesity, FA was present in those with the highest BMI levels.…”

Section: Discussionmentioning

confidence: 99%

Food addiction and the physical and mental health status of adults with overweight and obesity

Zielińska,

Łuszczki,

Szymańska

et al. 2024

PeerJ

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Background Overweight and obesity now affect more than a third of the world’s population. They are strongly associated with somatic diseases, in particular increasing the risk of many metabolic and cardiovascular diseases, but also with mental disorders. In particular, there is a strong association between obesity and depression. As a result, more attention is paid to the neurobiological, behavioural, and psychological mechanisms involved in eating. One of these is food addiction (FA). Research comparing lifestyle elements, physical and mental health problems of excess body weight and individuals with FA is limited and has focused on younger people, mainly students. There is also a lack of studies that relate actual metabolic parameters to FA. To better understand the problem of FA also in older adults, it is important to understand the specific relationships between these variables. Methods A cross-sectional survey was conducted with 172 adults with overweight and obesity (82% female) aged 23–85 years. The mean age of all subjects was M = 59.97 years (SD = 11.93), the mean BMI was M = 32.05 kg/m2 (SD = 4.84), and the mean body fat was M = 39.12% (SD = 6.48). The following questionnaires were used: Food Frequency Questionnaire-6 (FFQ-6), Global Physical Activity Questionnaire (GPAQ), Three Factor Eating Questionnaire-R18 (TFEQ-R18), Yale Food Addiction Scale 2. 0 (YFAS 2.0), Zung Self-Rating Depression Scale (SDS). Body composition, anthropometry, fasting glucose, lipid profile, and blood pressure were measured. Results A total of 22.7% of participants with overweight and obesity had symptoms of depression according to the SDS, and 18.6% met the criteria for FA according to YFAS 2.0. FA was statistically significantly more common among people up to 50 years. BMI, body fat mass, diastolic blood pressure and sedentary behaviour were statistically significantly higher in people with FA symptoms. Those who were sedentary for 301–450 min per day were significantly more likely to have depressive symptoms, and those who were sedentary for more than 450 min per day were significantly more likely to have FA symptoms. Conclusions Our findings complement the current literature on FA, particularly in older adults and metabolic parameters, and suggest further research directions. Although our cross-sectional study design does not allow causal interpretations, increasing physical activity appears to be particularly important in the management of people with overweight or obesity and FA. This may be even more important than for people with depression alone, but future research is needed to explore these relationships further.

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Section: Discussionmentioning

confidence: 99%

Food addiction and the physical and mental health status of adults with overweight and obesity

Zielińska,

Łuszczki,

Szymańska

et al. 2024

PeerJ

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show abstract

“…Along these lines, other study reported that body shame increases as the severity of food addiction [ 33 ]. Contradictorily, Usta and Pehlivan (2021) [ 34 ] found no direct pathway between body dissatisfaction and food addiction. Thus, the present findings contribute to shedding some light on the controversial focus on body satisfaction as a buffer factor in the development of food addiction.…”

Section: Discussionmentioning

confidence: 99%

Food Addiction Problems in College Students: The Relationship between Weight-Related Variables, Eating Habits, and Food Choices

Gonçalves

Félix

Martins

et al. 2022

IJERPH

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The concept of food addiction, characterized by a strong urge to overeat highly palatable foods, has gained increased research attention over the last decade. College students are a recognized risk group for manifesting an eating pathology and weight gain due to the changes in eating habits experienced during this period. However, there is a gap in the literature connecting food addiction with eating and weight variables in this population. Thus, the present study aims to characterize food addiction in a sample of college students and enlighten the relationship between food addiction, weight-variables, eating habits, and food choices in this population. A sample of 194 college students (89.2% females) aged between 18 and 32 years old (M = 20.85, SD = 2.78) completed a set of self-reported online questionnaires on Google Forms. Namely, a Sociodemographic and Anthropometric Questionnaire, a questionnaire on Food Choices Characterization, the Eating Habits Scale, and the Portuguese Yale Food Addiction Scale 2.0. Thirty (22.2%) participants presented food addiction problems. The logistic regression models utilized suggest that participants in the group with food addiction problems are more likely to seek clinical help to control weight, to consider that they should eat less food high in sugar, and to report lower food adequacy. In sum, this finding highlighted a connection between food addiction, weight dissatisfaction, eating habits, and food choices in college students, a population at risk for developing and retaining eating pathologies. Further research is essential to evaluate and implement interventions regarding food addiction, weight dissatisfaction, eating habits, and food choices in college students.

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Relationship Between BMI, Self‐Rated Depression, and Food Addiction—A Cross‐Sectional Study of Adults in Postpandemic Poland

Zielińska,

Łuszczki,

Bartosiewicz

et al. 2024

Depression and Anxiety

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Depression and obesity are two diseases that have a profound impact on global health. The relationship between obesity and depression is strongly comorbid, tending to exacerbate metabolic and depressive symptoms. Research also shows that there are complex interactions between obesity, depression symptoms, and food addiction (FA). The aim of the study was to investigate the relationship between body mass index (BMI), self‐rated depression, and FA. The study sample consisted of 735 subjects (90.2% female, MBMI = 27.58 kg/m2, standard deviation (SD)BMI = 6.58 kg/m2) aged 18–70 years (M = 39.01, SD = 14.07). The prevalence of FA symptoms was measured using the Yale Food Addiction Scale 2.0 and self‐rated depression was assessed using the Zung Self‐Rating Depression Scale. The prevalence of FA in the group was 41% and self‐rated depression was present in 34.1% of the participants. It was found that the higher the BMI of the subjects, the higher the severity of FA, but the BMI was not significantly correlated with the severity of depression. In addition, the greater the severity of self‐rated depression, the greater the severity of FA. This correlation was stronger for men than for women in the 18–30 and 31–45 age groups. The severity of self‐rated depression and FA was significantly higher in people with an eating disorders. This study adds to the growing body of evidence suggesting that the presence and severity of FA are associated with the severity of self‐rated depression, particularly in younger adults. In addition, people with a high BMI, indicating obesity, are more likely to have FA, especially severe FA.

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Mediation Effect of Depression on the Association between Food Addiction and Body Image in Individuals with Obesity

Cited by 3 publications

References 32 publications

Food addiction and the physical and mental health status of adults with overweight and obesity

Food addiction and the physical and mental health status of adults with overweight and obesity

Food Addiction Problems in College Students: The Relationship between Weight-Related Variables, Eating Habits, and Food Choices

Relationship Between BMI, Self‐Rated Depression, and Food Addiction—A Cross‐Sectional Study of Adults in Postpandemic Poland

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