Impact of eating behavior on obesity among medical students in a university in Wuhan City
ZANG Yan1, RONG Shuang1, CHEN Fang2, LI Wenfang1, TAN Ting1, SHI Longhua1
1. Academy of Nutrition and Health/ Hubei Provincial Key Laboratory of Occupational Hazard Identification and Control/School of Public Health, Wuhan University of Science and Technology, Wuhan, Hubei 430065, China; 2. The Second Clinical College of Wuhan University of Science and Technology, Wuhan, Hubei 430065, China
Abstract：Objective To explore the influence of dietary behavior on obesity amongst medical students in a university in Wuhan City, and to provide a basis for guiding college students to change poor eating behavior and reducing the risk of obesity. Methods A cluster random sampling method was used to select medical students from a university in Wuhan City from September to December 2020. Body composition analyzer was employed to measure obesity indexes like body mass index (BMI), percentage body fat (PBF) and waist circumference (WC). The Three-Factor Eating Questionnaire was applied to investigating the scores of awareness of behaviors like cognitive restraint of eating (CR), uncontrolled eating (UE) and emotional eating (EE) among college students. Multiple linear regression and logistic regression were used for analyzing the association between eating behavior and obesity. Results A total of 1,079 subjects were enrolled into this study. The obesity rates based on diagnosing obesity in accordance with BMI, PBF and WC were 5.28%, 18.63% and 19.27% respectively. CR, UE and EE scores were all higher infemale students than male ones. Correlation analysis revealed that CR was positively correlated with BMI, PBF and WC, and EE was positively related to PBF. Moreover, CR was associated with the increased risk of obesity diagnosed based on PBF in male and female students and the general population. EE was associated with the increased risk of obesity diagnosed based on PBF and WC in female students (OR=1.105, 95%CI:1.013-1.205, OR=1.657, 95%CI:1.011-2.726). CR was associated with the increased risk of obesity diagnosed based on WC in male students (OR=1.240, 95%CI:1.035-1.285). Conclusion The prevalence rate of obesity among the college students is high, and the obesity problem diagnosed based on PBF and WC is prominent. CR and EE may increase the risk of suffering from obesity.
臧艳, 荣爽, 陈芳, 李文芳, 谭婷, 石龙华. 武汉市某高校医学生饮食行为对其肥胖的影响[J]. 实用预防医学, 2024, 31(4): 397-401.
ZANG Yan, RONG Shuang, CHEN Fang, LI Wenfang, TAN Ting, SHI Longhua. Impact of eating behavior on obesity among medical students in a university in Wuhan City. , 2024, 31(4): 397-401.
[1] Pan XF, Wang LM, Pan A. Epidemiology and determinants of obesity in China[J].Lancet Diabetes Endocrinol, 2021, 9(6):373-392. [2] 彭玥, 郭梦雨, 任海龙. 西藏地区大学生超重及肥胖现状分析[J].西藏医药, 2023, 44(1):91-93. [3] 习雪慧. 超重和肥胖大学生体育锻炼行为特征及影响因素研究[D].杭州:杭州师范大学, 2020. [4] Caballero B. Humans against obesity: who will win? [J].Adv Nutr, 2019, 10(1): S4-S9. [5] Okorodudu DO,Jumean MF,Montori VM,et al. Diagnostic performance of body mass index to identify obesity as defined by body adiposity: a systematic review and meta-analysis[J].Int J Obes (Lond), 2010, 34(5):791-799. [6] Xi B, Zong X, Kelishadi R, et al. International waist circumference percentile cutoffs for central obesity in children and adolescents aged 6 to 18 years[J].J Clin Endocrinol Metab, 2020, 105(4):e1569-e1583. [7] Van ST. Causes of emotional eating and matched treatment of obesity[J].Curr Diab Rep, 2018, 18(6):35. [8] Afari N, Gasperi M, Dochat C, et al. Genetic and environmental influences on posttraumatic stress disorder symptoms and disinhibited eating behaviors[J]. Eat Disord, 2021, 29(3):226-244. [9] Pacheco LS, Blanco E, Burrows R, et al. Eating behavior and body composition in Chilean young adults[J].Appetite, 2021, 156:104857. [10] 上官万成. 华中科技大学学生体脂率与BMI的相关研究—基于生物电阻抗身体成分测试法[D].武汉:华中科技大学, 2010. [11] Abdella HM, El FH, Broom DR, et al. Eating behaviours and food cravings; influence of age, sex, BMI and FTO genotype[J].Nutrients, 2019, 11(2):377. [12] Cleland C, Ferguson S, Ellis G, et al. Validity of the International Physical Activity Questionnaire (IPAQ) for assessingmoderate-to-vigorous physical activity and sedentary behaviour of older adults in the United Kingdom[J].BMC Med Res Methodol, 2018, 18(1):176. [13] Farah NM, Saw YT, Mohd RHF. Self-reported sleep quality using the Malay version of the Pittsburgh Sleep Quality Index (PSQI-M) in Malaysian adults[J].Int J Environ Res Public Health, 2019, 16(23):47-50. [14] Fang WH, Yang JR, Lin CY, et al. Accuracy augmentation of body composition measurement by bioelectrical impedance analyzer in elderly population[J].Medicine (Baltimore), 2020, 99(7):e19103. [15] 中华医学会内分泌学分会肥胖学组. 中国成人肥胖症防治专家共识[J].中华内分泌代谢杂志, 2011, 27(9):711-717. [16] 孙洁莹, 张学桐, 王竹影. 基于加速度计客观测量的老年人体力活动、久坐行为与腰围的关系[J].中国老年学杂志, 2020, 40(1):197-200. [17] 杨兴鑫, 李咏兰. 基于身体质量指数、腰臀比和体脂率的蒙古族肥胖研究[J].天津师范大学学报(自然科学版), 2020, 40(2):75-80. [18] 郑美惠,熊家豪,段宏波,等. 长沙市岳麓区18~64岁居民膳食模式与超重/肥胖的相关性研究[J].实用预防医学, 2023,30(6):659-663. [19] 范锦勤, 张向群, 付丽明, 等. 不同运动方式对隐性肥胖女大学生体成分的影响[J].中国学校卫生, 2016, 37(3):354-357. [20] Zhu Y,Wang Z,Maruyama H,et al. Body fat percentage and normal-weight obesity in the Chinese population: development of a simple evaluation indicator using anthropometric measurements[J].Int J Environ Res Public Health, 2022, 19(7):4238. [21] 王广宇. 大学生睡眠质量对不同肥胖指标的影响研究[D].太原:太原理工大学, 2019. [22] Dutton GR, Kim Y, Jacobs DR, et al. 25-year weight gain in a racially balanced sample of U.S.adults: the CARDIA study[J].Obesity, 2016, 24(9):1962-1968. [23] Werthmann J, Field M, Roefs A, et al. Attention bias for chocolate increases chocolate consumption--an attention bias modification study[J].J Behav Ther Exp Psychiatry, 2014, 45(1):136-143. [24] 王劭睿, 陈红. 为何越减越肥?—限制性饮食者过度进食的心理机制及影响因素[J].心理科学进展, 2019, 27(2):322-328. [25] 雷欲华. 营养知识、身体意象与女大学生低体重关系的研究--以武汉科技大学女大学生为例[D].武汉:武汉科技大学, 2020. [26] 薛晓钰. 青年群体成人依恋、身体意象和异常进食行为的关系探究[D].上海:上海师范大学, 2021. [27] Hantsoo L, Epperson CN. Anxiety disorders among women: a female lifespan approach[J].Focus (Am Psychiatr Publ), 2017, 15(2):162-172. [28] Savage JS,Hohman EE,McNitt KM,et al. Uncontrolled eating during pregnancy predicts fetal growth: the healthy mom zone trial[J].Nutrients, 2019, 11(4):899. [29] Marra M,Sammarco R,De LA,et al. Assessment of body composition in health and disease using bioelectrical impedance analysis (BIA) and dual energy X-ray absorptiometry (DXA): a critical overview[J].Contrast Media Mol Imaging, 2019, 2019:3548284. [30] 侯光海. 状态无聊对限制性饮食者情绪性进食行为的影响研究[D].芜湖:安徽师范大学, 2019.
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