Research Article
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Diyetisyene başvuran Türk kadınlarında tıkınırcasına yeme davranışının klinik önemi: Hedonik açlık, beslenme durumu ve diyet alışkanlıkları üzerine bir araştırma

Year 2023, Volume: 9 Issue: 4, 313 - 322, 08.10.2023
https://doi.org/10.3153/FH23028

Abstract

Diyetisyene başvuran kadınlarda tıkanırcasına yeme bozukluğunun saptanması ve bu durumun hedonik açlık ve obezite ile ilişkisinin incelenmesi amacıyla bu çalışma planlanmıştır. 19-50 yaş aralığındaki 400 yetişkin kadın değerlendirilmiştir. Tıkınırcasına yeme davranışı bozukluğunu incelemek için Edinburgh Bulimiya Araştırma Testi, hedonik açlık durumunu belirlemek için ise Besin Gücü Ölçeği kullanılmıştır. Katılımcıların %25.2’sinde tıkınırcasına yeme davranışı bozukluğu, %74.7’sinde ise hedonik açlık mevcuttur. Tıkınırcasına yeme davranışı bozukluğu olan kadınların büyük bir çoğunluğunda (%87.0) hedonik açlık durumu görülürken, tıkınırcasına yeme davranışı bozukluğu olmayan kadınların beden kütle indeksi değeri olan kadınlara göre anlamlı derecede daha düşüktür (25.3 ±5.12 kg/m2’ye karşı 27.0 ±5.46 kg/m2, p=0.005). Tıkınırcasına yeme davranışı bozukluğu olan kadınların olmayanlara göre daha sık diyete başladıkları (%87.1’e karşı %41,8), daha iştahlı oldukları (%78,2’e karşı %29.8) ve daha düzensiz öğün alışkanlıklarına sahip oldukları (%68.3’e karşı %41.3) bulunmuştur (p=0.001). Tıkınırcasına yeme davranışı bozukluğu olmayan kadınların %64.3’ünün 15 günde 1 kereden daha seyrek şekilde hazır/işlenmiş/paketli ürünleri tükettiği, tıkınırcasına yeme davranışı bozukluğu olan kadınların ise %57.5’inin haftada 1-4 kereden daha sık tükettikleri bulunmuştur (p=0.007). Tıkınırcasına yeme bozukluğu ile hedonik açlık ve beden kütle indeksi pozitif yönde anlamlı derecede ilişkilidir (sırasıyla r= 0.522, p=0,001; r= 0.234, p=0.001). Tıkınırcasına yeme bozukluğu, diyetisyene başvuran kadınların beslenme durumu ve besin tercihinde önemli bir faktördür.

References

  • Aliasghari, F., Nazm, S.A., Yasari, S., Mahdavi, R., Bonyadi, M. (2021). Associations of the ANKK1 and DRD2 gene polymorphisms with overweight, obesity and hedonic hunger among women from the Northwest of Iran. Eating Weight Disorders, 26, 305-312. https://doi.org/10.1007/s40519-020-00851-5
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
  • Ayyıldız, F., Ülker, İ., Yıldıran, H. (2021). Hedonik açlık ve yeme davranışı ilişkisinin farklı beden kütlelerine yansıması. Beslenme ve Diyet Dergisi, 49(2), 9-17. https://doi.org/10.33076/2021.BDD.1465
  • Baenas, I., Miranda-Olivos, R., Solé-Morata, N., Jiménez-Murcia, S., Fernández-Aranda, F. (2023). Neuroendocrinological factors in binge eating disorder: A narrative review. Psychoneuroendocrinology,150, 106030. https://doi.org/10.1016/j.psyneuen.2023.106030
  • Boswell, R.G., Potenza, M.N., Grilo, C.M. (2021). The neurobiology of binge-eating disorder compared with obesity: implications for differential therapeutics. Clinical Therapeutics, 43(1), 50-69. https://doi.org/10.1016/j.clinthera.2020.10.014
  • Burger, K.S., Sanders, A.J., Gilbert, J.R. (2016). Hedonic hunger is related to increased neural and perceptual responses to cues of palatable food and motivation to consume: evidence from 3 independent investigations. Journal of Nutrition,146(9), 1807-1812. https://doi.org/10.3945/jn.116.231431
  • Cappelleri, J.C., Bushmakin, A.G., Gerber, R.A., Leidy, N.K., Sexton, C.C., Karlsson, J., et al. (2009). Evaluating the Power of Food Scale in obese subjects and a general sample of individuals: development and measurement properties. International Journal of Obesity (Lond), 33(8), 913-922. https://doi.org/10.1038/ijo.2009.107
  • Cena, H., Calder, P.C. (2020). Defining a healthy diet: evidence for the role of contemporary dietary patterns in health and disease. Nutrients, 12(2), 334. https://doi.org/10.3390/nu12020334
  • Compare, A., Tasca, G.A. (2016). The rate and shape of change in binge eating episodes and weight: an effectiveness trial of emotionally focused group therapy for binge-eating disorder. Clinical Psychology & Psychotherapy, 23(1), 24-34. https://doi.org/10.1002/cpp.1932
  • Geliebter, A., Ochner, C.N., Aviram-Friedman, R. (2008). Appetite-related gut peptides in obesity and binge eating disorder. American Journal of Lifestyle Medicine, 2(4), 305-314. https://doi.org/10.1177/1559827608317358
  • Gissoni, N.B., dos Santos Quaresma, M.V.L. (2020). Short sleep duration and foodintake: an overview and analysis of the influence of the homeostatic and hedonic system. Nutrire, 45(1), 1-8. https://doi.org/10.1186/s41110-019-0111-8
  • Henderson, M., Freeman, C.P. (1987). A self-rating scale for bulimia. The 'BITE'. British Journal of Psychiatry, 150, 18-24. https://doi.org/10.1192/bjp.150.1.18
  • Horwath, C.C., Hagmann, D., Hartmann, C. (2020). The power of food: Self-control moderates the association of hedonic hunger with overeating, snacking frequency and palatable food intake. Eating Behaviors, 38, 101393. https://doi.org/10.1016/j.eatbeh.2020.101393
  • Kaur, K., Jensen, C.D. (2022). Does hedonic hunger predict eating behavior and body mass in adolescents with overweight or obesity? Children's Health Care, 51(2), 184-198. https://doi.org/10.1080/02739615.2021.1983435
  • Lutter, M., Nestler, E.J. (2009). Homeostatic and hedonic signals interact in the regulation of food intake. Journal of Nutrition, 139(3), 629-632. https://doi.org/10.3945/jn.108.097618
  • Manasse, S.M., Espel, H.M., Forman, E.M., Ruocco, A.C., Juarascio, A.S., Butryn, M.L., et al. (2015). The independent and interacting effects of hedonic hunger and executive function on binge eating. Appetite, 89, 16-21. https://doi.org/10.1016/j.appet.2015.01.013
  • Mancuso, C., Izquierdo, A., Slattery, M., Becker, K.R., Plessow, F., Thomas, J.J., Eddy, K.T. et al. (2020). Changes in appetite-regulating hormones following food intake are associated with changes in reported appetite and a measure of hedonic eating in girls and young women with anorexia nervosa. Psychoneuroendocrinology, 113, 104556. https://doi.org/10.1016/j.psyneuen.2019.104556
  • Marshall, A.L., Smith, B.J., Bauman, A.E., Kaur, S. (2005). Reliability and validity of a brief physical activity assessment for use by family doctors. British Journal of Sports Medicine, 39(5), 294-297. https://doi.org/10.1136/bjsm.2004.013771
  • Mason, T.B., Dunton, G.F., Gearhardt, A.N., Leventhal, A.M. (2020). Emotional disorder symptoms, anhedonia, and negative urgency as predictors of hedonic hunger in adolescents. Eating Behaviors, 36, 101343. https://doi.org/10.1016/j.eatbeh.2019.101343
  • Mead, B.R., Boyland, E.J., Christiansen, P., Halford, J.C.G., Jebb, S.A., Ahern, A.L. (2021). Associations between hedonic hunger and BMI during a two-year behavioural weight loss trial. PLoS ONE, 16(6), e0252110. https://doi.org/10.1371/journal.pone.0252110
  • Parker, M.N., Wilkinson, M.L., Hunt, R.A., Ortiz, A., Manasse, S.M., Juarascio, A.S. (2022). Eating expectancies and hedonic hunger among individuals with bulimia-spectrum eating disorders who plan binge-eating episodes. International Journal of Eating Disorders, 55(1), 120-124. https://doi.org/10.1002/eat.23628
  • Ribeiro, G., Camacho, M., Santos, O., Pontes, C., Torres, S., Oliveira-Maia, A.J. (2018). Association between hedonic hunger and body-mass index versus obesity status. Scientific Reports, 8(1), 5857. https://doi.org/10.1038/s41598-018-23988-x
  • Santoso, I., Wijana, S., Ismawati, A., Sunarharum, W.B. (2019). Relationship between hedonic hunger and health ınterest on habit and sodium intake patterns in food consumption. International Journal of Food Science, 2019, 9517140.
  • Singh, M. (2014). Mood, food, and obesity. Frontiers in Psychology, 5, 925. https://doi.org/10.1155/2019/9517140
  • Smethers, A.D., Rolls, B.J. (2018). Dietary management of obesity: cornerstones of healthy eating patterns. The Medical Clinics of North America, 102(1), 107-124. https://doi.org/10.1016/j.mcna.2017.08.009
  • Şarahman, C., Akçil Ok, M. (2019). Erişkin bireylerin hedonik açlık durumları ile aşırı besin isteği, dürtüsellik ve benlik saygısı durumları arasındaki ilişkinin incelenmesi. Geleneksel ve Tamamlayıcı Tıp Dergisi, 2(2), 71-82. https://doi.org/10.5336/jtracom.2019-66520
  • Taş, F., Gezer, C. (2022). The relationship of hedonic hunger with food addiction and obesity in university students. Eating and Weight Disorders, 27(7), 2835-2843. https://doi.org/10.1007/s40519-022-01436-0
  • Witt, A.A., Lowe, M.R. (2014). Hedonic hunger and binge eating among women with eating disorders. International Journal of Eating Disorders, 47(3), 273-280. https://doi.org/10.1002/eat.22171
  • World Health Organization (WHO) Global Database for Body Mass Index. The international classification of adult underweight, overweight and obesity according to BMI. Web: https://www.who.int/data/gho/data/themes/topics/topic-details/GHO/body-mass-index?introPage=intro_3.html (accessed: 28.02.2023)
  • Yang, Y., Conti, J., McMaster, C.M., Hay, P. (2021). Beyond refeeding: the effect of including a dietitian in eating disorder treatment. A systematic review. Nutrients, 13(12), 4490. https://doi.org/10.3390/nu13124490
  • Yousefi, R., Panahi Moghaddam, S.A., Salahi, H., Woods, R., Abolhasani, M., Eini-Zinab, H., et al. (2022). Food addiction and binge eating disorder in relation to dietary patterns and anthropometric measurements: a descriptive-analytic cross-sectional study in Iranian adults with obesity (published online ahead of print, 2022 Aug 17). Behavioral Medicine, 1-10. https://doi.org/10.1080/08964289.2022.2092442

Clinical significance of binge eating behavior in Turkish women who applied to a dietician: A research on hedonic hunger, nutritional status and dietary habits

Year 2023, Volume: 9 Issue: 4, 313 - 322, 08.10.2023
https://doi.org/10.3153/FH23028

Abstract

It is conducted to detect binge eating disorder in women who apply to a dietitian and to examine its relationship with hedonic hunger and obesity. This study was conducted with 400 adult women aged 19-50 years. Bulimic Investigatory Test Edinburgh was used to examine binge eating disorder, and The Power of Food Scale was used to determine hedonic hunger status. 25.2% of the participants had binge eating disorder and 74.7% had hedonic hunger. While most women with binge eating disorder (87.0%) have hedonic hunger, women without binge eating disorder have a significantly lower body mass index (25.3 ±5.12 kg/m2 vs 27.0±5.46 kg/m2, p=0.005). It was found that women with binge eating disorder diet more frequently (87.1% vs. 41.8%), have more appetite (78.2% vs. 29.8%), and have more irregular meals than those without binge eating disorder (68.3% vs. 41.3% (p=0.001). While 64.3% of women without binge eating disorder consume processed/packaged products less than once in 15 days, 57.5% consume more than 1-4 times a week (p=0.007). Binge eating disorder positively and significantly correlated with hedonic hunger and body mass index (r= 0.522, p=0.001; r= 0.234, p=0.001, respectively). Binge eating disorder is an important factor in the nutritional status and food preference of women who apply to a dietitian.

References

  • Aliasghari, F., Nazm, S.A., Yasari, S., Mahdavi, R., Bonyadi, M. (2021). Associations of the ANKK1 and DRD2 gene polymorphisms with overweight, obesity and hedonic hunger among women from the Northwest of Iran. Eating Weight Disorders, 26, 305-312. https://doi.org/10.1007/s40519-020-00851-5
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
  • Ayyıldız, F., Ülker, İ., Yıldıran, H. (2021). Hedonik açlık ve yeme davranışı ilişkisinin farklı beden kütlelerine yansıması. Beslenme ve Diyet Dergisi, 49(2), 9-17. https://doi.org/10.33076/2021.BDD.1465
  • Baenas, I., Miranda-Olivos, R., Solé-Morata, N., Jiménez-Murcia, S., Fernández-Aranda, F. (2023). Neuroendocrinological factors in binge eating disorder: A narrative review. Psychoneuroendocrinology,150, 106030. https://doi.org/10.1016/j.psyneuen.2023.106030
  • Boswell, R.G., Potenza, M.N., Grilo, C.M. (2021). The neurobiology of binge-eating disorder compared with obesity: implications for differential therapeutics. Clinical Therapeutics, 43(1), 50-69. https://doi.org/10.1016/j.clinthera.2020.10.014
  • Burger, K.S., Sanders, A.J., Gilbert, J.R. (2016). Hedonic hunger is related to increased neural and perceptual responses to cues of palatable food and motivation to consume: evidence from 3 independent investigations. Journal of Nutrition,146(9), 1807-1812. https://doi.org/10.3945/jn.116.231431
  • Cappelleri, J.C., Bushmakin, A.G., Gerber, R.A., Leidy, N.K., Sexton, C.C., Karlsson, J., et al. (2009). Evaluating the Power of Food Scale in obese subjects and a general sample of individuals: development and measurement properties. International Journal of Obesity (Lond), 33(8), 913-922. https://doi.org/10.1038/ijo.2009.107
  • Cena, H., Calder, P.C. (2020). Defining a healthy diet: evidence for the role of contemporary dietary patterns in health and disease. Nutrients, 12(2), 334. https://doi.org/10.3390/nu12020334
  • Compare, A., Tasca, G.A. (2016). The rate and shape of change in binge eating episodes and weight: an effectiveness trial of emotionally focused group therapy for binge-eating disorder. Clinical Psychology & Psychotherapy, 23(1), 24-34. https://doi.org/10.1002/cpp.1932
  • Geliebter, A., Ochner, C.N., Aviram-Friedman, R. (2008). Appetite-related gut peptides in obesity and binge eating disorder. American Journal of Lifestyle Medicine, 2(4), 305-314. https://doi.org/10.1177/1559827608317358
  • Gissoni, N.B., dos Santos Quaresma, M.V.L. (2020). Short sleep duration and foodintake: an overview and analysis of the influence of the homeostatic and hedonic system. Nutrire, 45(1), 1-8. https://doi.org/10.1186/s41110-019-0111-8
  • Henderson, M., Freeman, C.P. (1987). A self-rating scale for bulimia. The 'BITE'. British Journal of Psychiatry, 150, 18-24. https://doi.org/10.1192/bjp.150.1.18
  • Horwath, C.C., Hagmann, D., Hartmann, C. (2020). The power of food: Self-control moderates the association of hedonic hunger with overeating, snacking frequency and palatable food intake. Eating Behaviors, 38, 101393. https://doi.org/10.1016/j.eatbeh.2020.101393
  • Kaur, K., Jensen, C.D. (2022). Does hedonic hunger predict eating behavior and body mass in adolescents with overweight or obesity? Children's Health Care, 51(2), 184-198. https://doi.org/10.1080/02739615.2021.1983435
  • Lutter, M., Nestler, E.J. (2009). Homeostatic and hedonic signals interact in the regulation of food intake. Journal of Nutrition, 139(3), 629-632. https://doi.org/10.3945/jn.108.097618
  • Manasse, S.M., Espel, H.M., Forman, E.M., Ruocco, A.C., Juarascio, A.S., Butryn, M.L., et al. (2015). The independent and interacting effects of hedonic hunger and executive function on binge eating. Appetite, 89, 16-21. https://doi.org/10.1016/j.appet.2015.01.013
  • Mancuso, C., Izquierdo, A., Slattery, M., Becker, K.R., Plessow, F., Thomas, J.J., Eddy, K.T. et al. (2020). Changes in appetite-regulating hormones following food intake are associated with changes in reported appetite and a measure of hedonic eating in girls and young women with anorexia nervosa. Psychoneuroendocrinology, 113, 104556. https://doi.org/10.1016/j.psyneuen.2019.104556
  • Marshall, A.L., Smith, B.J., Bauman, A.E., Kaur, S. (2005). Reliability and validity of a brief physical activity assessment for use by family doctors. British Journal of Sports Medicine, 39(5), 294-297. https://doi.org/10.1136/bjsm.2004.013771
  • Mason, T.B., Dunton, G.F., Gearhardt, A.N., Leventhal, A.M. (2020). Emotional disorder symptoms, anhedonia, and negative urgency as predictors of hedonic hunger in adolescents. Eating Behaviors, 36, 101343. https://doi.org/10.1016/j.eatbeh.2019.101343
  • Mead, B.R., Boyland, E.J., Christiansen, P., Halford, J.C.G., Jebb, S.A., Ahern, A.L. (2021). Associations between hedonic hunger and BMI during a two-year behavioural weight loss trial. PLoS ONE, 16(6), e0252110. https://doi.org/10.1371/journal.pone.0252110
  • Parker, M.N., Wilkinson, M.L., Hunt, R.A., Ortiz, A., Manasse, S.M., Juarascio, A.S. (2022). Eating expectancies and hedonic hunger among individuals with bulimia-spectrum eating disorders who plan binge-eating episodes. International Journal of Eating Disorders, 55(1), 120-124. https://doi.org/10.1002/eat.23628
  • Ribeiro, G., Camacho, M., Santos, O., Pontes, C., Torres, S., Oliveira-Maia, A.J. (2018). Association between hedonic hunger and body-mass index versus obesity status. Scientific Reports, 8(1), 5857. https://doi.org/10.1038/s41598-018-23988-x
  • Santoso, I., Wijana, S., Ismawati, A., Sunarharum, W.B. (2019). Relationship between hedonic hunger and health ınterest on habit and sodium intake patterns in food consumption. International Journal of Food Science, 2019, 9517140.
  • Singh, M. (2014). Mood, food, and obesity. Frontiers in Psychology, 5, 925. https://doi.org/10.1155/2019/9517140
  • Smethers, A.D., Rolls, B.J. (2018). Dietary management of obesity: cornerstones of healthy eating patterns. The Medical Clinics of North America, 102(1), 107-124. https://doi.org/10.1016/j.mcna.2017.08.009
  • Şarahman, C., Akçil Ok, M. (2019). Erişkin bireylerin hedonik açlık durumları ile aşırı besin isteği, dürtüsellik ve benlik saygısı durumları arasındaki ilişkinin incelenmesi. Geleneksel ve Tamamlayıcı Tıp Dergisi, 2(2), 71-82. https://doi.org/10.5336/jtracom.2019-66520
  • Taş, F., Gezer, C. (2022). The relationship of hedonic hunger with food addiction and obesity in university students. Eating and Weight Disorders, 27(7), 2835-2843. https://doi.org/10.1007/s40519-022-01436-0
  • Witt, A.A., Lowe, M.R. (2014). Hedonic hunger and binge eating among women with eating disorders. International Journal of Eating Disorders, 47(3), 273-280. https://doi.org/10.1002/eat.22171
  • World Health Organization (WHO) Global Database for Body Mass Index. The international classification of adult underweight, overweight and obesity according to BMI. Web: https://www.who.int/data/gho/data/themes/topics/topic-details/GHO/body-mass-index?introPage=intro_3.html (accessed: 28.02.2023)
  • Yang, Y., Conti, J., McMaster, C.M., Hay, P. (2021). Beyond refeeding: the effect of including a dietitian in eating disorder treatment. A systematic review. Nutrients, 13(12), 4490. https://doi.org/10.3390/nu13124490
  • Yousefi, R., Panahi Moghaddam, S.A., Salahi, H., Woods, R., Abolhasani, M., Eini-Zinab, H., et al. (2022). Food addiction and binge eating disorder in relation to dietary patterns and anthropometric measurements: a descriptive-analytic cross-sectional study in Iranian adults with obesity (published online ahead of print, 2022 Aug 17). Behavioral Medicine, 1-10. https://doi.org/10.1080/08964289.2022.2092442

Details

Primary Language Turkish
Subjects Nutritional Science, Public Health Nutrition, Clinical Nutrition
Journal Section Research Articles
Authors

Hande BAKIRHAN 0000-0001-9377-888X

Early Pub Date September 14, 2023
Publication Date October 8, 2023
Submission Date April 8, 2023
Published in Issue Year 2023Volume: 9 Issue: 4

Cite

APA BAKIRHAN, H. (2023). Diyetisyene başvuran Türk kadınlarında tıkınırcasına yeme davranışının klinik önemi: Hedonik açlık, beslenme durumu ve diyet alışkanlıkları üzerine bir araştırma. Food and Health, 9(4), 313-322. https://doi.org/10.3153/FH23028

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