Evaluation of perceived depression, anxiety, stress levels and emotional eating behaviours and their predictors among adults during the COVID-19 pandemic

Abstract Objective: This study aimed to (1) evaluate the prevalence and predictors of perceived depression, anxiety, stress (DAS) levels and emotional eating behaviours and (2) determine the correlations between DAS levels and emotional eating behaviours during the pandemic. Design: An online cr...

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Main Authors: Gülşah Kaner, Gamze Yurtdaş-Depboylu, Gamze Çalık, Tuba Yalçın, Tutku Nalçakan
Format: Article
Language:English
Published: Cambridge University Press 2023-03-01
Series:Public Health Nutrition
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S1368980022002579/type/journal_article
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author Gülşah Kaner
Gamze Yurtdaş-Depboylu
Gamze Çalık
Tuba Yalçın
Tutku Nalçakan
author_facet Gülşah Kaner
Gamze Yurtdaş-Depboylu
Gamze Çalık
Tuba Yalçın
Tutku Nalçakan
author_sort Gülşah Kaner
collection DOAJ
description Abstract Objective: This study aimed to (1) evaluate the prevalence and predictors of perceived depression, anxiety, stress (DAS) levels and emotional eating behaviours and (2) determine the correlations between DAS levels and emotional eating behaviours during the pandemic. Design: An online cross-sectional study included questions about demographic and anthropometric characteristics, dietary habits, Emotional Appetite Questionnaire (EMAQ) and Depression Anxiety Stress Scales. The snowball sampling method was used. Setting: Türkiye. Participants: The study population was 2002 adults aged ≥18 years. Result: The mean age was 27·1 ± 9·52 years (72·1 % females and 27·9 % males). The prevalence of moderate to severe DAS was reported as 27·8 %, 30·5 % and 30·7 %, respectively. Skipping meals (OR = 1·32, 95 % CI (1·14, 1·49)) was associated with depression. Weight gain (OR = 1·43, 95 % CI (1·19, 1·66); OR = 1·30, 95 % CI (1·14, 1·49); OR = 1·39, 95 % CI (1·14, 1·64)), weight loss (OR = 1·45, 95 % CI (1·20, 1·70); OR = 1·37, 95 % CI (1·11, 1·62); OR = 1·46, 95 % CI (1·20, 1·72)), exercising at least 150 min/week (OR = 0·64, 95 % CI (0·46, 0·83); OR = 0·73, 95 % CI (0·55, 0·92); OR = 0·83, 95 % CI (0·63, 1·02)), and maintaining an adequate and balanced diet (OR = 0·52, 95 % CI (0·33, 0·71); OR = 0·53, 95 % CI (0·34, 0·73); OR = 0·63, 95 % CI (-0·15, 0·35)) were associated with DAS, respectively. BMI (r = 0·169, P < 0·001), weight (r = 0·152, P < 0·001), number of snacks (r = 0·102, P = 0·011), depression (r = 0·060, P = 0·007), anxiety (r = 0·061, P = 0·006) and stress (r = 0·073, P = 0·001) levels were positively correlated with EMAQ-negative scores. Conclusion: Approximately one out of every three participants reported moderate to severe DAS levels. Emotional eating was significantly correlated with perceived DAS. The predictors obtained in the study suggest that a healthy diet and lifestyle behaviours are part of psychological well-being and emotional eating.
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spelling doaj.art-5139d157930344b08aa80ac24359f5c92023-08-17T10:00:50ZengCambridge University PressPublic Health Nutrition1368-98001475-27272023-03-012667468310.1017/S1368980022002579Evaluation of perceived depression, anxiety, stress levels and emotional eating behaviours and their predictors among adults during the COVID-19 pandemicGülşah Kaner0Gamze Yurtdaş-Depboylu1Gamze Çalık2Tuba Yalçın3Tutku Nalçakan4Izmir Katip Celebi University, Faculty of Health Sciences, Departments of Nutrition and Dietetics, Balatçık Mahallesi Havaalanı Şosesi No: 33/2 Balatçık, Çiğli, Izmir 35620, TurkeyIzmir Katip Celebi University, Faculty of Health Sciences, Departments of Nutrition and Dietetics, Balatçık Mahallesi Havaalanı Şosesi No: 33/2 Balatçık, Çiğli, Izmir 35620, TurkeyIzmir Katip Celebi University, Faculty of Health Sciences, Departments of Nutrition and Dietetics, Balatçık Mahallesi Havaalanı Şosesi No: 33/2 Balatçık, Çiğli, Izmir 35620, TurkeyIzmir Katip Celebi University, Faculty of Health Sciences, Departments of Nutrition and Dietetics, Balatçık Mahallesi Havaalanı Şosesi No: 33/2 Balatçık, Çiğli, Izmir 35620, TurkeyIzmir Katip Celebi University, Faculty of Health Sciences, Departments of Nutrition and Dietetics, Balatçık Mahallesi Havaalanı Şosesi No: 33/2 Balatçık, Çiğli, Izmir 35620, Turkey Abstract Objective: This study aimed to (1) evaluate the prevalence and predictors of perceived depression, anxiety, stress (DAS) levels and emotional eating behaviours and (2) determine the correlations between DAS levels and emotional eating behaviours during the pandemic. Design: An online cross-sectional study included questions about demographic and anthropometric characteristics, dietary habits, Emotional Appetite Questionnaire (EMAQ) and Depression Anxiety Stress Scales. The snowball sampling method was used. Setting: Türkiye. Participants: The study population was 2002 adults aged ≥18 years. Result: The mean age was 27·1 ± 9·52 years (72·1 % females and 27·9 % males). The prevalence of moderate to severe DAS was reported as 27·8 %, 30·5 % and 30·7 %, respectively. Skipping meals (OR = 1·32, 95 % CI (1·14, 1·49)) was associated with depression. Weight gain (OR = 1·43, 95 % CI (1·19, 1·66); OR = 1·30, 95 % CI (1·14, 1·49); OR = 1·39, 95 % CI (1·14, 1·64)), weight loss (OR = 1·45, 95 % CI (1·20, 1·70); OR = 1·37, 95 % CI (1·11, 1·62); OR = 1·46, 95 % CI (1·20, 1·72)), exercising at least 150 min/week (OR = 0·64, 95 % CI (0·46, 0·83); OR = 0·73, 95 % CI (0·55, 0·92); OR = 0·83, 95 % CI (0·63, 1·02)), and maintaining an adequate and balanced diet (OR = 0·52, 95 % CI (0·33, 0·71); OR = 0·53, 95 % CI (0·34, 0·73); OR = 0·63, 95 % CI (-0·15, 0·35)) were associated with DAS, respectively. BMI (r = 0·169, P < 0·001), weight (r = 0·152, P < 0·001), number of snacks (r = 0·102, P = 0·011), depression (r = 0·060, P = 0·007), anxiety (r = 0·061, P = 0·006) and stress (r = 0·073, P = 0·001) levels were positively correlated with EMAQ-negative scores. Conclusion: Approximately one out of every three participants reported moderate to severe DAS levels. Emotional eating was significantly correlated with perceived DAS. The predictors obtained in the study suggest that a healthy diet and lifestyle behaviours are part of psychological well-being and emotional eating. https://www.cambridge.org/core/product/identifier/S1368980022002579/type/journal_articleCOVID-19AnxietyDepressionStressEmotional eating
spellingShingle Gülşah Kaner
Gamze Yurtdaş-Depboylu
Gamze Çalık
Tuba Yalçın
Tutku Nalçakan
Evaluation of perceived depression, anxiety, stress levels and emotional eating behaviours and their predictors among adults during the COVID-19 pandemic
Public Health Nutrition
COVID-19
Anxiety
Depression
Stress
Emotional eating
title Evaluation of perceived depression, anxiety, stress levels and emotional eating behaviours and their predictors among adults during the COVID-19 pandemic
title_full Evaluation of perceived depression, anxiety, stress levels and emotional eating behaviours and their predictors among adults during the COVID-19 pandemic
title_fullStr Evaluation of perceived depression, anxiety, stress levels and emotional eating behaviours and their predictors among adults during the COVID-19 pandemic
title_full_unstemmed Evaluation of perceived depression, anxiety, stress levels and emotional eating behaviours and their predictors among adults during the COVID-19 pandemic
title_short Evaluation of perceived depression, anxiety, stress levels and emotional eating behaviours and their predictors among adults during the COVID-19 pandemic
title_sort evaluation of perceived depression anxiety stress levels and emotional eating behaviours and their predictors among adults during the covid 19 pandemic
topic COVID-19
Anxiety
Depression
Stress
Emotional eating
url https://www.cambridge.org/core/product/identifier/S1368980022002579/type/journal_article
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