Emotional Eating in Adults: The Role of Sociodemographics, Lifestyle Behaviors, and Self-Regulation-Findings from a U.S. National Study

Roni Elran Barak, Kerem Shuval, Qing Li, Reid Oetjen, Jeffrey Drope, Amy L Yaroch, Bob M Fennis, Matthew Harding, Roni Elran Barak, Kerem Shuval, Qing Li, Reid Oetjen, Jeffrey Drope, Amy L Yaroch, Bob M Fennis, Matthew Harding

Abstract

Background: Emotional eating, the tendency to overeat in response to negative emotions, has been linked to weight gain. However, scant evidence exists examining the prevalence and correlates of emotional eating among large samples of adults in the United States (U.S.). Hence, we examine the relationship among individual and socioeconomic factors, health behaviors, and self-regulation with emotional eating patterns among U.S. adults.

Methods: Cross-sectional analysis of 5863 Family Health Habits Survey participants. Multivariable, ordered, logistic regression was employed to examine the relationship between the frequency of the desire to eat when emotionally upset (never, rarely, sometimes, often, and very often) and the independent variables.

Results: Analysis reveals that 20.5% of the sample tended to emotionally eat often or very often. Being female, non-Hispanic White, and of younger age were all related to a higher likelihood of emotional eating. Additionally, inability to delay gratification (impatience) was related to an 18% increased likelihood (95% confidence interval (CI) 1.05-1.33) for emotional eating. Finally, emotional eating was significantly related to more frequent fast-food consumption.

Conclusions: Program planners might need to develop targeted interventions aimed at enhancing emotional regulation skills while addressing these less healthful behaviors (e.g., fast-food intake) with the goal of obesity and chronic disease prevention.

Keywords: emotional eating; lifestyle behaviors; self-regulation; sociodemographics.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Socioeconomic variables, Self-regulation, and emotional eating a: ordered logistic regression b. a Emotional eating is based on a survey item pertaining to the desire to eat when emotionally upset or stressed. b The circles represent odds ratios, and the range bars are the 95% confidence interval. When the horizontal line crosses the vertical line, the relationship is not statistically significant.
Figure 2
Figure 2
Self-rated health, obesity, lifestyle behaviors, and emotional eating: ordered logistic regression a,b. a The circles represent odds ratios, and the range bars are the 95% confidence interval. When the horizontal line crosses the vertical line, the relationship is not statistically significant. b The model adjusts for age, sex, race/ethnicity, marital status, annual household income, education, household size, and self-regulation.

References

    1. Hales C.M., Fryar C.D., Carroll M.D., Freedman D.S., Ogden C.L. Trends in Obesity and Severe Obesity Prevalence in US Youth and Adults by Sex and Age, 2007–2008 to 2015–2016. JAMA. 2018;319:1723–1725. doi: 10.1001/jama.2018.3060.
    1. Ng M., Fleming T., Robinson M., Thomson B., Graetz N., Margono C., Mullany E.C., Biryukov S., Abbafati C., Abera S.F. Global, Regional, and National Prevalence of Overweight and Obesity in Children and Adults during 1980–2013: A Systematic Analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384:766–781. doi: 10.1016/S0140-6736(14)60460-8.
    1. Trogdon J., Finkelstein E.A., Hylands T., Dellea P.S., Kamal-Bahl S. Indirect Costs of Obesity: A Review of the Current Literature. Obes. Rev. 2008;9:489–500. doi: 10.1111/j.1467-789X.2008.00472.x.
    1. World Health Organization Overweight and Obesity. [(accessed on 26 February 2020)]; Available online:
    1. Evers C., Marijn Stok F., de Ridder D.T.D. Feeding Your Feelings: Emotion Regulation Strategies and Emotional Eating. Personal. Soc. Psychol. Bull. 2010;36:792–804. doi: 10.1177/0146167210371383.
    1. Geliebter A., Aversa A. Emotional Eating in Overweight, Normal Weight, and Underweight Individuals. Eat. Behav. 2003;3:341–347. doi: 10.1016/S1471-0153(02)00100-9.
    1. Larsen J.K., Van Strien T., Eisinga R., Engels R.C.M.E. Gender Differences in the Association between Alexithymia and Emotional Eating in Obese Individuals. J. Psychosom. Res. 2006;60:237–243. doi: 10.1016/j.jpsychores.2005.07.006.
    1. Masheb R.M., Grilo C.M. Emotional Overeating and Its Associations with Eating Disorder Psychopathology among Overweight Patients with Binge Eating Disorder. Int. J. Eat. Disord. 2006:141–147. doi: 10.1002/eat.20221.
    1. Gianini L.M., White M.A., Masheb R.M. Eating Pathology, Emotion Regulation, and Emotional Overeating in Obese Adults with Binge Eating Disorder. Eat. Behav. 2013;14:309–313. doi: 10.1016/j.eatbeh.2013.05.008.
    1. Frayn M., Knäuper B. Emotional Eating and Weight in Adults: A Review. Curr. Psychol. 2018;37:924–933. doi: 10.1007/s12144-017-9577-9.
    1. Chua J.L., Touyz S., Hill A.J. Negative Mood-Induced Overeating in Obese Binge Eaters: An Experimental Study. Int. J. Obes. 2004;28:606–610. doi: 10.1038/sj.ijo.0802595.
    1. Haedt-Matt A.A., Keel P.K. Revisiting the Affect Regulation Model of Binge Eating: A Meta-Analysis of Studies Using Ecological Momentary Assessment. Psychol. Bull. 2011;137:660. doi: 10.1037/a0023660.
    1. Kaplan H.I., Kaplan H.S. The Psychosomatic Concept of Obesity. J. Nerv. Ment. Dis. 1957;125:181–201. doi: 10.1097/00005053-195704000-00004.
    1. Koenders P.G., van Strien T. Emotional Eating, Rather than Lifestyle Behavior, Drives Weight Gain in a Prospective Study in 1562 Employees. J. Occup. Environ. Med. 2011;53:1287–1293. doi: 10.1097/JOM.0b013e31823078a2.
    1. Van Strien T. Causes of Emotional Eating and Matched Treatment of Obesity. Curr. Diabetes Rep. 2018;18:35. doi: 10.1007/s11892-018-1000-x.
    1. Lazarevich I., Camacho M.E.I., del Consuelo Velázquez-Alva M., Zepeda M.Z. Relationship among Obesity, Depression, and Emotional Eating in Young Adults. Appetite. 2016;107:639–644. doi: 10.1016/j.appet.2016.09.011.
    1. Enkavi A.Z., Eisenberg I.W., Bissett P.G., Mazza G.L., MacKinnon D.P., Marsch L.A., Poldrack R.A. Large-Scale Analysis of Test–Retest Reliabilities of Self-Regulation Measures. Proc. Natl. Acad. Sci. USA. 2019;116:5472–5477. doi: 10.1073/pnas.1818430116.
    1. Pachucki M.C., Lovenheim M.F., Harding M. Within-Family Obesity Associations: Evaluation of Parent, Child, and Sibling Relationships. Am. J. Prev. Med. 2014;47:382–391. doi: 10.1016/j.amepre.2014.05.018.
    1. Shuval K., Stoklosa M., Pachucki M.C., Yaroch A.L., Drope J., Harding M. Economic Preferences and Fast Food Consumption in US Adults: Insights from Behavioral Economics. Prev. Med. 2016;93:204–210. doi: 10.1016/j.ypmed.2016.10.016.
    1. Schafer J.L., Graham J.W. Missing Data: Our View of the State of the Art. Psychol. Methods. 2002;7:147. doi: 10.1037/1082-989X.7.2.147.
    1. Shuval K., Drope J., Stoklosa M., Yaroch A.L., Pachucki M.C., Harding M. Time Preferences and Physical Activity: Insights from Behavioral Economics. Health Behav. Policy Rev. 2017;4:53–59. doi: 10.14485/HBPR.4.1.6.
    1. Craig C.L., Marshall A.L., Sjöström M., Bauman A.E., Booth M.L., Ainsworth B.E., Pratt M., Ekelund U.L.F., Yngve A., Sallis J.F. International Physical Activity Questionnaire: 12-Country Reliability and Validity. Med. Sci. Sports Exerc. 2003;35:1381–1395. doi: 10.1249/01.MSS.0000078924.61453.FB.
    1. Piercy K.L., Troiano R.P., Ballard R.M., Carlson S.A., Fulton J.E., Galuska D.A., George S.M., Olson R.D. The Physical Activity Guidelines for Americans. JAMA. 2018;320:2020–2028. doi: 10.1001/jama.2018.14854.
    1. Bowman S.A., Vinyard B.T. Fast Food Consumption of US Adults: Impact on Energy and Nutrient Intakes and Overweight Status. J. Am. Coll. Nutr. 2004;23:163–168. doi: 10.1080/07315724.2004.10719357.
    1. Odum A.L. Delay Discounting: I’m a k, You’re a k. J. Exp. Anal. Behav. 2011;96:427–439. doi: 10.1901/jeab.2011.96-423.
    1. de Oliveira A.C., Leonard T.C., Shuval K., Skinner C.S., Eckel C., Murdoch J.C. Economic Preferences and Obesity among a Low-Income African American Community. J. Econ. Behav. Organ. 2016;131:196–208. doi: 10.1016/j.jebo.2015.11.002.
    1. Leonard T., Shuval K., de Oliveira A., Skinner C.S., Eckel C., Murdoch J.C. Health Behavior and Behavioral Economics: Economic Preferences and Physical Activity Stages of Change in a Low-Income African-American Community. Am. J. Health Promot. 2013;27:211–221. doi: 10.4278/ajhp.110624-QUAN-264.
    1. Samuelson P.A. A Note on Measurement of Utility. Rev. Econ. Stud. 1937;4:155–161. doi: 10.2307/2967612.
    1. Stoklosa M., Shuval K., Drope J., Tchernis R., Pachucki M., Yaroch A., Harding M. The Intergenerational Transmission of Obesity: The Role of Time Preferences and Self-Control. Econ. Hum. Biol. 2018;28:92–106. doi: 10.1016/j.ehb.2017.12.004.
    1. Van Strien T., Frijters J.E.R., Bergers G.P.A., Defares P.B. The Dutch Eating Behavior Questionnaire (DEBQ) for Assessment of Restrained, Emotional, and External Eating Behavior. Int. J. Eat. Disord. 1986;5:295–315. doi: 10.1002/1098-108X(198602)5:2<295::AID-EAT2260050209>;2-T.
    1. Bocklisch F., Bocklisch S.F., Krems J.F. Sometimes, Often, and Always: Exploring the Vague Meanings of Frequency Expressions. Behav. Res. Methods. 2012;44:144–157. doi: 10.3758/s13428-011-0130-8.
    1. Reicks M., Degeneffe D., Rendahl A., Edge M.S., Meara B.O., Blevins G., Reicks M., Degeneffe D., Rendahl A., Edge M.S., et al. Associations Between Eating Occasion Characteristics and Age, Gender, Presence of Children and BMI Among US Adults. J. Am. Coll. Nutr. 2014;5724 doi: 10.1080/07315724.2014.887485.
    1. Airburn C.G., Harrison P.J. Eating Disorders. Lancet. 2003;361:407–416. doi: 10.1016/S0140-6736(03)12378-1.
    1. Centers for Disease Control and Prevention Obesity Is a Common, Serious, and Costly Disease. [(accessed on 6 June 2020)]; Available online: .
    1. Elran-Barak R. Self-Esteem, Weight Status, and Trying to Lose Weight during Young Adulthood: The Roles of Sex and Ethnicity/Race. Ethn. Dis. 2019;29:485–494. doi: 10.18865/ed.29.3.485.
    1. Perez M., Ohrt T.K., Hoek H.W. Prevalence and Treatment of Eating Disorders among Hispanics/Latino Americans in the United States. Curr. Opin. Psychiatry. 2016;29:378–382. doi: 10.1097/YCO.0000000000000277.
    1. Quick V.M., Byrd-Bredbenner C. Disordered Eating, Socio-Cultural Media Influencers, Body Image, and Psychological Factors among a Racially/Ethnically Diverse Population of College Women. Eat. Behav. 2014;15:37–41. doi: 10.1016/j.eatbeh.2013.10.005.
    1. Diggins A., Woods-Giscombe C., Waters S. The Association of Perceived Stress, Contextualized Stress, and Emotional Eating with Body Mass Index in College-Aged Black Women. Eat. Behav. 2015;19:188–192. doi: 10.1016/j.eatbeh.2015.09.006.
    1. Archibald P. Explaining the Minority Status Hypothesis: Development of the Cultural Resilience Life Stress Paradigm. Int. J. Psychol. Psychoanal. 2018;4:30. doi: 10.23937/2572-4037.1510030.
    1. Kozak A.T., Fought A. Beyond Alcohol and Drug Addiction. Does the Negative Trait of Low Distress Tolerance Have an Association with Overeating? Appetite. 2011;57:578–581. doi: 10.1016/j.appet.2011.07.008.
    1. Lluch A., Herbeth B., Mejean L., Siest G. Dietary Intakes, Eating Style and Overweight in the Stanislas Family Study. Int. J. Obes. 2000;24:1493–1499. doi: 10.1038/sj.ijo.0801425.
    1. Nguyen-Michel S.T., Unger J.B., Spruijt-Metz D. Dietary Correlates of Emotional Eating in Adolescence. Appetite. 2007;49:494–499. doi: 10.1016/j.appet.2007.03.005.
    1. Centers for Disease Control and Prevention Physical Activity for a Healthy Weight. [(accessed on 6 June 2020)]; Available online: .
    1. Ebneter D., Latner J., Rosewall J., Chisholm A. Impulsivity in Restrained Eaters: Emotional and External Eating Are Associated with Attentional and Motor Impulsivity. Eat. Weight Disord. Stud. Anorex. Bulim. Obes. 2012;17:e62–e65. doi: 10.1007/BF03325330.
    1. Konttinen H., Haukkala A., Sarlio-Lähteenkorva S., Silventoinen K., Jousilahti P. Eating Styles, Self-Control and Obesity Indicators. The Moderating Role of Obesity Status and Dieting History on Restrained Eating. Appetite. 2009;53:131–134. doi: 10.1016/j.appet.2009.05.001.
    1. Tangney J.P., Baumeister R.F., Boone A.L. High Self-control Predicts Good Adjustment, Less Pathology, Better Grades, and Interpersonal Success. J. Personal. 2004;72:271–324. doi: 10.1111/j.0022-3506.2004.00263.x.
    1. Salmon S.J., Fennis B.M., de Ridder D.T., Adriaanse M.A., De Vet E. Health on Impulse: When Low Self-Control Promotes Healthy Food Choices. Health Psychol. 2014;33:103. doi: 10.1037/a0031785.
    1. Hardisty D.J., Thompson K.F., Krantz D.H., Weber E.U. How to Measure Time Preferences: An Experimental Comparison of Three Methods. Judgm. Decis. Mak. 2013;8:236–249.
    1. Harrison G.W., Lau M.I., Williams M.B. Estimating Individual Discount Rates in Denmark: A Field Experiment. Am. Econ. Rev. 2002;92:1606–1617. doi: 10.1257/000282802762024674.
    1. Adams S.A., Matthews C.E., Ebbeling C.B., Moore C.G., Cunningham J.E., Fulton J., Hebert J.R. The Effect of Social Desirability and Social Approval on Self-Reports of Physical Activity. Am. J. Epidemiol. 2005;161:389–398. doi: 10.1093/aje/kwi054.
    1. Abramson J.H., Abramson Z. Making Sense of Data: A Self-Instruction Manual on the Interpretation of Epidemiological Data. Oxford University Press; Oxford, UK: 2001.

Source: PubMed

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