High perceived stress is associated with unfavorable eating behavior in overweight and obese Finns of working age

Elina Järvelä-Reijonen, Leila Karhunen, Essi Sairanen, Sanni Rantala, Jaana Laitinen, Sampsa Puttonen, Katri Peuhkuri, Maarit Hallikainen, Kristiina Juvonen, Tero Myllymäki, Tiina Föhr, Jussi Pihlajamäki, Riitta Korpela, Miikka Ermes, Raimo Lappalainen, Marjukka Kolehmainen

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Abstract

Stress-related eating may be a potential factor in the obesity epidemic. Rather little is known about how stress associates with eating behavior and food intake in overweight individuals in a free-living situation. Thus, the present study aims to investigate this question in psychologically distressed overweight and obese working-aged Finns. The study is a cross-sectional baseline analysis of a randomized controlled trial. Of the 339 study participants, those with all the needed data available (n = 297, 84% females) were included. The mean age was 48.9 y (SD = 7.6) and mean body mass index 31.3 kg/m2 (SD = 3.0). Perceived stress and eating behavior were assessed by self-reported questionnaires Perceived Stress Scale (PSS), Intuitive Eating Scale, the Three-Factor Eating Questionnaire, Health and Taste Attitude Scales and ecSatter Inventory. Diet and alcohol consumption were assessed by 48-h dietary recall, Index of Diet Quality, and AUDIT-C. Individuals reporting most perceived stress (i.e. in the highest PSS tertile) had less intuitive eating, more uncontrolled eating, and more emotional eating compared to those reporting less perceived stress (p <0.05). Moreover, individuals in the highest PSS tertile reported less cognitive restraint and less eating competence than those in the lowest tertile (p <0.05). Intake of whole grain products was the lowest among those in the highest PSS tertile (p <0.05). Otherwise the quality of diet and alcohol consumption did not differ among the PSS tertiles. In conclusion, high perceived stress was associated with the features of eating behavior that could in turn contribute to difficulties in weight management. Stress-related way of eating could thus form a potential risk factor for obesity. More research is needed to develop efficient methods for clinicians to assist in handling stress-related eating in the treatment of obese people.
Original languageEnglish
Pages (from-to)249-258
JournalAppetite
Volume103
DOIs
Publication statusPublished - 2016
MoE publication typeA1 Journal article-refereed

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Feeding Behavior
Eating
Diet
Alcohol Drinking
Obesity
Attitude to Health
Mental Competency
Body Mass Index
Randomized Controlled Trials
Cross-Sectional Studies
Weights and Measures
Equipment and Supplies

Keywords

  • perceived stress
  • eating behavior
  • intuitive eating
  • emotional eating
  • dietary intake
  • obesity

Cite this

Järvelä-Reijonen, E., Karhunen, L., Sairanen, E., Rantala, S., Laitinen, J., Puttonen, S., ... Kolehmainen, M. (2016). High perceived stress is associated with unfavorable eating behavior in overweight and obese Finns of working age. Appetite, 103, 249-258. https://doi.org/10.1016/j.appet.2016.04.023
Järvelä-Reijonen, Elina ; Karhunen, Leila ; Sairanen, Essi ; Rantala, Sanni ; Laitinen, Jaana ; Puttonen, Sampsa ; Peuhkuri, Katri ; Hallikainen, Maarit ; Juvonen, Kristiina ; Myllymäki, Tero ; Föhr, Tiina ; Pihlajamäki, Jussi ; Korpela, Riitta ; Ermes, Miikka ; Lappalainen, Raimo ; Kolehmainen, Marjukka. / High perceived stress is associated with unfavorable eating behavior in overweight and obese Finns of working age. In: Appetite. 2016 ; Vol. 103. pp. 249-258.
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abstract = "Stress-related eating may be a potential factor in the obesity epidemic. Rather little is known about how stress associates with eating behavior and food intake in overweight individuals in a free-living situation. Thus, the present study aims to investigate this question in psychologically distressed overweight and obese working-aged Finns. The study is a cross-sectional baseline analysis of a randomized controlled trial. Of the 339 study participants, those with all the needed data available (n = 297, 84{\%} females) were included. The mean age was 48.9 y (SD = 7.6) and mean body mass index 31.3 kg/m2 (SD = 3.0). Perceived stress and eating behavior were assessed by self-reported questionnaires Perceived Stress Scale (PSS), Intuitive Eating Scale, the Three-Factor Eating Questionnaire, Health and Taste Attitude Scales and ecSatter Inventory. Diet and alcohol consumption were assessed by 48-h dietary recall, Index of Diet Quality, and AUDIT-C. Individuals reporting most perceived stress (i.e. in the highest PSS tertile) had less intuitive eating, more uncontrolled eating, and more emotional eating compared to those reporting less perceived stress (p <0.05). Moreover, individuals in the highest PSS tertile reported less cognitive restraint and less eating competence than those in the lowest tertile (p <0.05). Intake of whole grain products was the lowest among those in the highest PSS tertile (p <0.05). Otherwise the quality of diet and alcohol consumption did not differ among the PSS tertiles. In conclusion, high perceived stress was associated with the features of eating behavior that could in turn contribute to difficulties in weight management. Stress-related way of eating could thus form a potential risk factor for obesity. More research is needed to develop efficient methods for clinicians to assist in handling stress-related eating in the treatment of obese people.",
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Järvelä-Reijonen, E, Karhunen, L, Sairanen, E, Rantala, S, Laitinen, J, Puttonen, S, Peuhkuri, K, Hallikainen, M, Juvonen, K, Myllymäki, T, Föhr, T, Pihlajamäki, J, Korpela, R, Ermes, M, Lappalainen, R & Kolehmainen, M 2016, 'High perceived stress is associated with unfavorable eating behavior in overweight and obese Finns of working age', Appetite, vol. 103, pp. 249-258. https://doi.org/10.1016/j.appet.2016.04.023

High perceived stress is associated with unfavorable eating behavior in overweight and obese Finns of working age. / Järvelä-Reijonen, Elina; Karhunen, Leila; Sairanen, Essi; Rantala, Sanni; Laitinen, Jaana; Puttonen, Sampsa; Peuhkuri, Katri; Hallikainen, Maarit; Juvonen, Kristiina; Myllymäki, Tero; Föhr, Tiina; Pihlajamäki, Jussi; Korpela, Riitta; Ermes, Miikka; Lappalainen, Raimo; Kolehmainen, Marjukka.

In: Appetite, Vol. 103, 2016, p. 249-258.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - High perceived stress is associated with unfavorable eating behavior in overweight and obese Finns of working age

AU - Järvelä-Reijonen, Elina

AU - Karhunen, Leila

AU - Sairanen, Essi

AU - Rantala, Sanni

AU - Laitinen, Jaana

AU - Puttonen, Sampsa

AU - Peuhkuri, Katri

AU - Hallikainen, Maarit

AU - Juvonen, Kristiina

AU - Myllymäki, Tero

AU - Föhr, Tiina

AU - Pihlajamäki, Jussi

AU - Korpela, Riitta

AU - Ermes, Miikka

AU - Lappalainen, Raimo

AU - Kolehmainen, Marjukka

PY - 2016

Y1 - 2016

N2 - Stress-related eating may be a potential factor in the obesity epidemic. Rather little is known about how stress associates with eating behavior and food intake in overweight individuals in a free-living situation. Thus, the present study aims to investigate this question in psychologically distressed overweight and obese working-aged Finns. The study is a cross-sectional baseline analysis of a randomized controlled trial. Of the 339 study participants, those with all the needed data available (n = 297, 84% females) were included. The mean age was 48.9 y (SD = 7.6) and mean body mass index 31.3 kg/m2 (SD = 3.0). Perceived stress and eating behavior were assessed by self-reported questionnaires Perceived Stress Scale (PSS), Intuitive Eating Scale, the Three-Factor Eating Questionnaire, Health and Taste Attitude Scales and ecSatter Inventory. Diet and alcohol consumption were assessed by 48-h dietary recall, Index of Diet Quality, and AUDIT-C. Individuals reporting most perceived stress (i.e. in the highest PSS tertile) had less intuitive eating, more uncontrolled eating, and more emotional eating compared to those reporting less perceived stress (p <0.05). Moreover, individuals in the highest PSS tertile reported less cognitive restraint and less eating competence than those in the lowest tertile (p <0.05). Intake of whole grain products was the lowest among those in the highest PSS tertile (p <0.05). Otherwise the quality of diet and alcohol consumption did not differ among the PSS tertiles. In conclusion, high perceived stress was associated with the features of eating behavior that could in turn contribute to difficulties in weight management. Stress-related way of eating could thus form a potential risk factor for obesity. More research is needed to develop efficient methods for clinicians to assist in handling stress-related eating in the treatment of obese people.

AB - Stress-related eating may be a potential factor in the obesity epidemic. Rather little is known about how stress associates with eating behavior and food intake in overweight individuals in a free-living situation. Thus, the present study aims to investigate this question in psychologically distressed overweight and obese working-aged Finns. The study is a cross-sectional baseline analysis of a randomized controlled trial. Of the 339 study participants, those with all the needed data available (n = 297, 84% females) were included. The mean age was 48.9 y (SD = 7.6) and mean body mass index 31.3 kg/m2 (SD = 3.0). Perceived stress and eating behavior were assessed by self-reported questionnaires Perceived Stress Scale (PSS), Intuitive Eating Scale, the Three-Factor Eating Questionnaire, Health and Taste Attitude Scales and ecSatter Inventory. Diet and alcohol consumption were assessed by 48-h dietary recall, Index of Diet Quality, and AUDIT-C. Individuals reporting most perceived stress (i.e. in the highest PSS tertile) had less intuitive eating, more uncontrolled eating, and more emotional eating compared to those reporting less perceived stress (p <0.05). Moreover, individuals in the highest PSS tertile reported less cognitive restraint and less eating competence than those in the lowest tertile (p <0.05). Intake of whole grain products was the lowest among those in the highest PSS tertile (p <0.05). Otherwise the quality of diet and alcohol consumption did not differ among the PSS tertiles. In conclusion, high perceived stress was associated with the features of eating behavior that could in turn contribute to difficulties in weight management. Stress-related way of eating could thus form a potential risk factor for obesity. More research is needed to develop efficient methods for clinicians to assist in handling stress-related eating in the treatment of obese people.

KW - perceived stress

KW - eating behavior

KW - intuitive eating

KW - emotional eating

KW - dietary intake

KW - obesity

U2 - 10.1016/j.appet.2016.04.023

DO - 10.1016/j.appet.2016.04.023

M3 - Article

VL - 103

SP - 249

EP - 258

JO - Appetite

JF - Appetite

SN - 0195-6663

ER -