THE RELATIONSHIP BETWEEN EMOTIONAL EATING, MEAL SKIPPING AND UNHEALTHY FOOD CONSUMPTION PATTERN IN ADOLESCENT GIRLS
Introduction: Psychological problems can lead to emotional eating and meal skipping, which may impact unhealthy food consumption patterns. This study aimed to assess the interrelationship between emotional eating, meal skipping, and unhealthy food consumption pattern in adolescent girls. Method: This cross-sectional study included 122 samples of adolescent girls aged 13-15 years. The study was carried out in Tangerang, in June 2021. The data of emotional eating were measured by Emotional Eater Questionnaire (EEQ), meal skipping collected by self-reported questionnaire of daily eating frequency, and unhealthy food consumption patterns measured by Food Frequency Questionnaires (FFQ). Result: The results showed majority of emotional eater subjects more often consumed fatty foods (76.6%). It's also found that adolescents skipping breakfast were high in consumed sweet foods (66.0%), while those skipping lunch (63.6%) and dinner (54.5%) were found higher to consume fatty foods than others. In addition, multivariate regression analyses showed that simultaneously between the variables, only emotional eating variables had a significant relationship with unhealthy food consumption patterns (p-value = 0.002), while meal skipping variables were not significantly related. Conclusion: It can be concluded that emotional eating can affect unhealthy food consumption patterns among adolescent girls, while meal skipping did not show any meaningful effect.
Al-Musharaf, S., 2020. Prevalence awend predictors of emotional eating among healthy young saudi women during the COVID-19 pandemic. Nutrients, 12(10), pp.1–17. https://doi.org/10.3390/nu12102923
Alalwan, T.A., Hilal, S.J., Mahdi, A.M., et al., 2019. Emotional eating behavior among University of Bahrain students : a cross-sectional study Emotional eating behavior among University of Bahrain students. Arab Journal of Basic and Applied Sciences, 26(1), pp.424–432. https://doi.org/10.1080/25765299.2019.1655836
Bappenas, 2012. Kerangka Kebijakan Gerakan Nasional Percepatan Perbaikan Gizi dalam Rangka 1000 Hari Pertama Kehidupan. Badan Perencanaan Pembangunan Nasional, .
Basic Health Research, 2018. Laporan Nasional Riset Kesehatan Dasar Tahun 2018. Jakarta.
Bongers, P., Jansen, A., Havermans, R., et al., 2013. Happy eating: The underestimated role of overeating in a positive mood. Appetite, 67, pp.74–80. https://doi.org/10.1016/j.appet.2013.03.017
Bui, C., Lin, L., Wu, C., et al., 2021. Association between Emotional Eating and Frequency of Unhealthy Food Consumption among Taiwanese Adolescents. Nutrients, 13(2739), pp.1–15. https://doi.org/10.3390/nu13082739
Choi, J., 2020. Impact of stress levels on eating behaviors among college students. Nutrients, 12(5), pp.1–10. https://doi.org/10.3390/nu12051241
Dallman, M.F., 2010. Stress-induced obesity and the emotional nervous system. Trends Endocrinol Metab, 21(3), pp.159–165. https://doi.org/10.1016/j.tem.2009.10.004
Deshmukh-Taskar, P.R., Nicklas, T.A., O'Neil, C.E., et al., 2010. The Relationship of Breakfast Skipping and Type of Breakfast Consumption with Nutrient Intake and Weight Status in Children and Adolescents: The National Health and Nutrition Examination Survey 1999-2006. Journal of the American Dietetic Association, 110(6), pp.869–878. https://doi.org/10.1016/j.jada.2010.03.023
Evers, C., Stok, F. and de Ridder, D.T.D., 2010. Feeding your feelings: Emotion regulation strategies and emotional eating. Personality and Social Psychology Bulletin, 36(6), pp.792–804. https://doi.org/10.1177/0146167210371383
Garaulet, M., Canteras, M., Morales, E., et al., 2012. Validation of questionnaire on emotional eating for use in cases of obesity; the Emotional Eater Questionnaire (EEQ). Nutricion Hospitalaria, 27(2), pp.645–651. https://doi.org/10.3305/nh.2012.27.2.5659.
Jääskeläinen, A., Schwab, U., Kolehmainen, M., et al., 2013. Meal Frequencies Modify the Effect of Common Genetic Variants on Body Mass Index in Adolescents of the Northern Finland Birth Cohort 1986. PLoS ONE, 8(9), pp.1–7. https://doi.org/10.1371/journal.pone.0073802
Kim, H.Y., Lee, N.R., Lee, J.S., et al., 2012. Meal skipping relates to food choice, understanding of nutrition labeling, and prevalence of obesity in Korean fifth grade children. Nutrition Research and Practice, 6(4), pp.328–333. https://doi.org/10.4162/nrp.2012.6.4.328
Lee, G., Han, K. and Kim, H., 2017. Risk of mental health problems in adolescents skipping meals: The Korean National Health and Nutrition Examination Survey 2010 to 2012. Nursing Outlook, 65(4), pp.411–419. https://doi.org/10.1016/j.outlook.2017.01.007
Min, C., Noh, H., Kang, Y.S., et al., 2011. Skipping breakfast is associated with diet quality and metabolic syndrome risk factors of adults. Nutrition Research and Practice, 5(5), pp.455–463. https://doi.org/10.4162/nrp.2011.5.5.455
Ministry of Health RI, 2014. Pedoman Gizi Seimbang. Jakarta: Direktorat Jenderal Bina Gizi dan Kesehatan Ibu dan Anak.
Ministry of National Development Planning, 2013. Kerangka Kebijakan Gerakan Nasional Percepatan Perbaikan Gizi dalam Rangka 1000 Hari Pertama Kehidupan. Jakarta: The Ministry of National Development Republic of Indonesia.
Mirhadyan, L., Moradi Latreyi, S., Pasha, A., et al., 2020. Junk Food Consumption and its Associated Factors in High School Students in
Rasht in 2017. Journal of Research Development in Nursing and Midwifery, 17(1), pp.52–66. https://doi.org/10.29252/jgbfnm.17.1.52
Nguyen-Rodriguez, S.T., Unger, J.B. and Spruijt-Metz, D., 2010. Psychological Determinants of Emotional Eating in Adolescence. Eating Disorders, 17(3), pp.1–11. https://doi.org/10.1038/jid.2014.371
Pendergast, F.J., Livingstone, K.M., Worsley, A., et al., 2016. Correlates of meal skipping in young adults: A systematic review. International Journal of Behavioral Nutrition and Physical Activity, 13(1), pp.1–15. https://doi.org/10.1186/s12966-016-0451-1
Rachmawati, Y., Anantanyu, S. and Kusnandar, K., 2019. Emotional eating, snacking behavior and nutritional status among adolescents. International Journal of Public Health Science (IJPHS), 8(4), p.413. https://doi.org/10.11591/ijphs.v8i4.20398
Di Renzo, L., Gualtieri, P., Pivari, F., et al., 2020. Eating habits and lifestyle changes during COVID-19 lockdown: An Italian survey. Journal of Translational Medicine, 18(1), pp.1–15. https://doi.org/10.1186/s12967-020-02399-5
Rodrigues, P.R.M., Luiz, R.R., Monteiro, L.S., et al., 2017. Adolescents' unhealthy eating habits are associated with meal skipping. Nutrition, 42, pp.114-120. https://doi.org/10.1016/j.nut.2017.03.011
Rouhani-Tonekaboni, N., Seyedi-Andi, S.J. and Haghi, M., 2018. Factors Affecting Fast Food Consumption Behaviors of Female Students in North of Iran: Application of Theory of Planned Behavior. Caspian Journal of Health Research, 3(3), pp.75–79. https://doi.org/10.29252/cjhr.3.3.75
Sirajuddin, Surmita and Astuti, T., 2018. Survey Konsumsi Pangan. 1st ed. Jakarta: Pusat Pendidikan Sumber Daya Manusia Kesehatan.
SPRING and Save the Children, 2018. Engaging Adolescents to Accelerate Progress on the First 1,000 Days.
Van Strien, T., Cebolla, A., Etchemendy, E., et al., 2013. Emotional eating and food intake after sadness and joy. Appetite, 66, pp.20–25. https://doi.org/10.1016/j.appet.2013.02.016
Van Strien, T. and Ouwens, M.A., 2007. Effects of distress, alexithymia and impulsivity on eating. Eating Behaviors, 8(2), pp.251–257. https://doi.org/10.1016/j.eatbeh.2006.06.004
Tan, C.C. and Chow, C.M., 2014. Stress and emotional eating: The mediating role of eating dysregulation. Personality and Individual Differences, 66, pp.1–4. https://doi.org/10.1016/j.paid.2014.02.033
United Nations Children's Fund, 2021. Social and behaviour change communication strategy: improving adolescent nutrition in indonesia. Jakarta: UNICEF.
Wadolowska, L., Hamulka, J., Kowalkowska, J., et al., 2019. Skipping breakfast and a meal at school: its correlates in adiposity context. report from the ABC of healthy eating study of polish teenagers. Nutrients, 11(7), pp.1–19. https://doi.org/10.3390/nu11071563
Wang, S., Schwartz, M.B., Shebl, F.M., et al., 2017. School breakfast and body mass index: a longitudinal observational study of middle school students. Pediatric Obesity, 12(3), pp.213–220. https://doi.org/10.1111/ijpo.12127
WHO, 2006. Adolescent nutrition: a review of the situation in selected south-east asian countries. World Health Organization. https://doi.org/10.4274/tpa.46.34
WHO, 2014. Adolescent pregnancy. [online] World Health Organization. Geneva..
WHO, 2019. Healthy diet. [online] Cairo: WHO Regional Office for The Eastern Mediterranean.
WHO, 2020. Overweight and obesity. World Health Organization. https://doi.org/10.1016/B978-0-443-10233-2.50073-0
Yamamoto, R., Tomi, R., Shinzawa, M., et al., 2021. Associations of skipping breakfast, lunch, and dinner with weight gain and overweight/obesity in university students: A retrospective cohort study. Nutrients, 13(1), pp.1–14. https://doi.org/10.3390/nu13010271
Zeballos, E. and Todd, J.E., 2020. The effects of skipping a meal on daily energy intake and diet quality. Public Health Nutrition, 23(18), pp.3346–3355. https://doi.org/10.1017/S1368980020000683
Zhou, S.J., Zhang, L.G., Wang, L.L., et al., 2020. Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. European Child and Adolescent Psychiatry, 29(6), pp.749–758. https://doi.org/10.1007/s00787-020-01541-4
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