Maladaptive eating behaviors and health-related quality of life in Spanish children

IF 4.6 2区医学 Q1 BEHAVIORAL SCIENCES Appetite Pub Date : 2024-10-04 DOI:10.1016/j.appet.2024.107702

Charlotte Juton , Genís Según , Paula Berruezo , Silvia Torres , Paula Lecegui , Luis Rajmil , Fernando Fernández-Aranda , Montserrat Fíto , Santiago F. Gómez , Helmut Schröder

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Abstract

In children, assessing health-related quality of life (HRQoL) and identifying the factors that can influence it are essential to understanding their overall health and well-being. Although eating disorders in children have been associated with reduced HRQoL, the impact of maladaptive eating behaviors, such as external eating, emotional eating and restrained eating, on children's HRQoL has not yet been prospectively explored. Therefore, the aim of this study was to determine whether external, emotional and restrained eating at baseline was associated with HRQoL in children after 14.65 months (95% CI: 14.57–14.73) of follow-up. The study involved 690 boys and 681 girls aged between 8 and 10 years, recruited from primary schools in Catalonia (Spain). To assess the relationship between external, emotional and restrained eating behaviors at baseline and HRQoL at follow-up, the Dutch Eating Behavior and KIDSCREEN-10 questionnaires were used, respectively. After adjusting for sex, age, intervention allocation group, school, maternal education, zBMI and physical activity, external and emotional eating behaviors at baseline were negatively associated with HRQoL at follow-up (p < 0.01). These associations were attenuated after final adjustment for HRQoL at baseline. Furthermore, a composite score of maladaptive eating behaviors at baseline was created by summing the individual scores for emotional, restrained and external eating behaviors. This composite score showed a significant inverse association with HRQoL at follow-up, even after adjusting for baseline HRQoL (p = 0.024). In conclusion, external and emotional eating behaviors seems to negatively affect HRQoL prospectively in Spanish children. The composite score of maladaptive eating behaviors showed a stronger inverse association with HRQoL than each eating behavior individually.

Trial registration number

ISRCTN registry: ISRCTN68403446; Date of registration, August 01, 2014 ′Retrospectively registered'.

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西班牙儿童的不良饮食行为和与健康相关的生活质量。

对于儿童来说，评估与健康相关的生活质量（HRQoL）并确定影响因素对于了解他们的整体健康和福祉至关重要。虽然儿童进食障碍与 HRQoL 的降低有关，但尚未对外食、情绪化进食和克制性进食等适应不良的进食行为对儿童 HRQoL 的影响进行前瞻性探讨。因此，本研究旨在确定基线时的外食、情绪化进食和克制性进食是否与随访 14.65 个月（95% CI：14.57 - 14.73）后儿童的 HRQoL 相关。这项研究从西班牙加泰罗尼亚地区的小学招募了 690 名 8 至 10 岁的男孩和 681 名女孩。为了评估基线时的外食行为、情绪化饮食行为和克制饮食行为与随访时的 HRQoL 之间的关系，研究分别使用了荷兰饮食行为问卷和 KIDSCREEN-10 问卷。在对性别、年龄、干预分配组、学校、母亲教育程度、zBMI 和体育活动进行调整后，基线时的外在和情绪化饮食行为与随访时的 HRQoL 呈负相关（p

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来源期刊

Appetite 医学-行为科学

CiteScore

9.10

自引率

11.10%

发文量

566

审稿时长

13.4 weeks

期刊介绍： Appetite is an international research journal specializing in cultural, social, psychological, sensory and physiological influences on the selection and intake of foods and drinks. It covers normal and disordered eating and drinking and welcomes studies of both human and non-human animal behaviour toward food. Appetite publishes research reports, reviews and commentaries. Thematic special issues appear regularly. From time to time the journal carries abstracts from professional meetings. Submissions to Appetite are expected to be based primarily on observations directly related to the selection and intake of foods and drinks; papers that are primarily focused on topics such as nutrition or obesity will not be considered unless they specifically make a novel scientific contribution to the understanding of appetite in line with the journal's aims and scope.