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Behavior, Psychology and Sociology

Relationship of perceived depression, stress, anxiety levels and hedonic hunger

International Journal of Obesity volume 47, pages 717–723 (2023)Cite this article

Subjects

Abstract

Background

This study was designed to explore relationship of perceived depression, anxiety and stress (DAS) levels and hedonic hunger in adults.

Methods

A cross-sectional survey included questions about some socio-demographic characteristics, Power of Food Scale (PFS-Tr) and Depression Anxiety Stress Scales (DASS-21) was sent via an online platform. Self-reported weight and height were also questioned. A total of 4112 adult volunteers between the ages of 18–65 years participated in this study. 72.3% of them were female.

Results

The prevalence of moderate to extremely severe depression, anxiety, and stress was reported as 31%, 34% and 13% respectively. Hedonic hunger and perceived DAS levels were higher in females (p < 0.001). Hedonic hunger was positively correlated with perceived DAS (p < 0.001). While body mass index (BMI) was positively associated with PFS-Tr total score, food available and food present; negatively associated with food tasted. Body mass index was negatively correlated with perceived DAS. Hedonic hunger and perceived DAS levels decreased with increasing age. Females were more prone to both hedonic hunger and perceived DAS. About one in three participants reported moderate to extremely severe levels of depression and anxiety. Greater perceived DAS levels are associated with hedonic hunger. Underweight individuals had higher levels of perceived DAS.

Conclusion

To our knowledge, this is the first study to examine the prevalence and predictors of perceived DAS levels and hedonic hunger in the Turkish adult population. The findings of the study suggest that the predictors such as age, sex and BMI are a part of psychological well-being and hedonic hunger.

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Fig. 1: Perceived depression, anxiety and stress levels of participants.

Data availability

The data that support the findings of this study are available from the corresponding author, TY, upon reasonable request.

References

  1. Aliasghari F, Nazm SA, Yasari S, Mahdavi R, Bonyadi M. Associations of the ANKK1 and DRD2 gene polymorphisms with overweight, obesity and hedonic hunger among women from the Northwest of Iran. Eat Weight Disord-Stud Anorexia, Bulimia Obes. 2021;26:305–12. https://doi.org/10.1007/s40519-020-00851-5

    Article  Google Scholar 

  2. Espel‐Huynh HM, Muratore AF, Lowe M. A narrative review of the construct of hedonic hunger and its measurement by the Power of Food Scale. Obes Sci Pract. 2018;4:238–49. https://doi.org/10.1002/osp4.161

    Article  PubMed  PubMed Central  Google Scholar 

  3. Özgür M, Uçar A. Evaluation of food addiction and night eating syndrome in university students living in Ankara. Ankara J Health Sci. 2018;7:10–21.

    Google Scholar 

  4. Monteleone P, Scognamiglio P, Monteleone AM, Perillo D, Canestrelli B, Maj M. Gastroenteric hormone responses to hedonic eating in healthy humans. Psychoneuroendocrinology. 2013;38:1435–41. https://doi.org/10.1016/j.psyneuen.2012.12.009

    Article  CAS  PubMed  Google Scholar 

  5. Berthoud H-R. The neurobiology of food intake in an obesogenic environment. Proc Nutr Soc. 2012;71:478–87. https://doi.org/10.1017/S0029665112000602

    Article  PubMed  PubMed Central  Google Scholar 

  6. Lee PC, Dixon JB. Food for thought: reward mechanisms and hedonic overeating in obesity. Curr Obes Rep. 2017;6:353–61. https://doi.org/10.1007/s13679-017-0280-9

    Article  PubMed  Google Scholar 

  7. Ray I, Bhattacharya A, De RK. OCDD: An obesity and co-morbid disease database. BioData Min. 2017;10:1–11. https://doi.org/10.1186/s13040-017-0153-5

    Article  CAS  Google Scholar 

  8. Rabiei S, Sedaghat F, Rastmanesh R. Is the hedonic hunger score associated with obesity in women? A brief communication. BMC Res Notes. 2019;12:1–4. https://doi.org/10.1186/s13104-019-4351-8

    Article  Google Scholar 

  9. Lipsky L, Nansel T, Haynie D, Liu D, Eisenberg M, Simons-Morton B. Power of Food Scale in association with weight outcomes and dieting in a nationally representative cohort of US young adults. Appetite. 2016;105:385–91. https://doi.org/10.1016/j.appet.2016.06.012

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Witt AA, Raggio GA, Butryn ML, Lowe MR. Do hunger and exposure to food affect scores on a measure of hedonic hunger? An experimental study. Appetite. 2014;74:1–5. https://doi.org/10.1016/j.appet.2013.11.010

    Article  PubMed  Google Scholar 

  11. Rower HB, Olinto MTA, Gonçalves TR, Pattussi MP. The role of emotional states in fruit and vegetable consumption in Brazilian adults. Ciência Saúde Coletiva. 2017;22:489–97. https://doi.org/10.1590/1413-81232017222.00982016

    Article  Google Scholar 

  12. Tan CC, Chow CM. Stress and emotional eating: The mediating role of eating dysregulation. Pers Individ Diff. 2014;66:1–4. https://doi.org/10.1016/j.paid.2014.02.033

    Article  Google Scholar 

  13. Berthoud H-R. Metabolic and hedonic drives in the neural control of appetite: who is the boss? Curr Opin Neurobiol. 2011;21:888–96. https://doi.org/10.1016/j.conb.2011.09.004

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Mason TB, Dunton GF, Gearhardt AN, Leventhal AM. Emotional disorder symptoms, anhedonia, and negative urgency as predictors of hedonic hunger in adolescents. Eating Behav. 2020;36:101343 https://doi.org/10.1016/j.eatbeh.2019.101343

    Article  Google Scholar 

  15. Organization_WHO WH. Body mass index –BMI 2022 [Available from: https://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi.

  16. Lowe MR, Butryn ML, Didie ER, Annunziato RA, Thomas JG, Crerand CE, et al. The Power of Food Scale. A new measure of the psychological influence of the food environment. Appetite. 2009;53:114–8. https://doi.org/10.1016/j.appet.2009.05.016

    Article  PubMed  Google Scholar 

  17. Ulker I, Ayyildiz F, Yildiran H. Validation of the Turkish version of the power of food scale in adult population. Eat Weight Disord-Stud Anorexia, Bulimia Obes. 2021;26:1179–86. https://doi.org/10.1007/s40519-020-01019-x

    Article  Google Scholar 

  18. Lovibond S, Lovibond P. Manual for the depression anxiety stress scales. 2nd edn. Sydney: Psychology Foundation, 1995. Google Scholar. 1995:4–42.

  19. Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33:335–43. https://doi.org/10.1016/j.appet.2009.05.016

    Article  CAS  PubMed  Google Scholar 

  20. Sarıçam H. The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. 2018.

  21. Geo J, Krishnan JB, Benjamin M, Kallivayalil RA. First episode depression in women-a study of clinical characteristics through the female reproductive stages in a rural tertiary care center in Kerala. Kerala J Psychiatry. 2019;32:39–45. https://doi.org/10.30834/KJP.32.1.2019.178

    Article  Google Scholar 

  22. Goebert D, Thompson D, Takeshita J, Beach C, Bryson P, Ephgrave K, et al. Depressive symptoms in medical students and residents: a multischool study. Acad Med. 2009;84:236–41. https://doi.org/10.1097/ACM.0b013e31819391bb

    Article  PubMed  Google Scholar 

  23. Alexander JL, Dennerstein L, Kotz K, Richardson G. Women, anxiety and mood: a review of nomenclature, comorbidity and epidemiology. Expert Rev Neurotherapeutics. 2007;7:45–58. https://doi.org/10.1586/14737175.7.11s.S45

    Article  Google Scholar 

  24. Konttinen H. Emotional eating and obesity in adults: The role of depression, sleep and genes. Proc Nutr Soc. 2020;79:283–9. https://doi.org/10.1017/S0029665120000166

    Article  CAS  PubMed  Google Scholar 

  25. Yilmaz H, Köse G. How does emotional appetite and depression affect BMI and food consumption. Progr Nutr. 2020;22:e2020088 https://doi.org/10.23751/pn.v22i4.10750.

    Article  CAS  Google Scholar 

  26. Macht M, Simons G. Emotional eating. Emotion regulation and well-being: Springer; 2011: 281–95. https://doi.org/10.1007/978-1-4419-6953-8_17

  27. Wang H, Li J. Positive perfectionism, negative perfectionism, and emotional eating: The mediating role of stress. Eating Behaviors. 2017;26:45–9. https://doi.org/10.1016/j.eatbeh.2016.12.012

    Article  PubMed  Google Scholar 

  28. Zellner DA, Loaiza S, Gonzalez Z, Pita J, Morales J, Pecora D, et al. Food selection changes under stress. Physiol Behav. 2006;87:789–93. https://doi.org/10.1016/j.physbeh.2006.01.014

    Article  CAS  PubMed  Google Scholar 

  29. De Cock N, Van Lippevelde W, Vervoort L, Vangeel J, Maes L, Eggermont S, et al. Sensitivity to reward is associated with snack and sugar-sweetened beverage consumption in adolescents. Eur J Nutr. 2016;55:1623–32. https://doi.org/10.1007/s00394-015-0981-3

    Article  CAS  PubMed  Google Scholar 

  30. Ewoldt J. The relationship between age, gender, and hedonic hunger. J of Student Research. 2012;11:331–43.

    Google Scholar 

  31. Şarahman C, Ok AM. Investigation of the relationship between hedonic status of adult individuals and food craving, impulsivity and self-esteem status. J Tradit Complem Med. 2019;2:71–82. https://doi.org/10.5336/jtracom.2019-66520

    Article  Google Scholar 

  32. Gregersen N, Møller B, Raben A, Kristensen S, Holm L, Flint A, et al. Determinants of appetite ratings: the role of age, gender, BMI, physical activity, smoking habits, and diet/weight concern. Food &. Nutr Res. 2011;55:7028 https://doi.org/10.3402/fnr.v55i0.7028

    Article  Google Scholar 

  33. Frank S, Laharnar N, Kullmann S, Veit R, Canova C, Hegner YL, et al. Processing of food pictures: influence of hunger, gender and calorie content. Brain Res. 2010;1350:159–66. https://doi.org/10.1016/j.brainres.2010.04.030

    Article  CAS  PubMed  Google Scholar 

  34. Uher R, Treasure J, Heining M, Brammer MJ, Campbell IC. Cerebral processing of food-related stimuli: effects of fasting and gender. Behav Brain Res. 2006;169:111–9. https://doi.org/10.1016/j.bbr.2005.12.008

    Article  CAS  PubMed  Google Scholar 

  35. Laitinen J, Ek E, Sovio U. Stress-related eating and drinking behavior and body mass index and predictors of this behavior. Preventive Med. 2002;34:29–39. https://doi.org/10.1006/pmed.2001.0948

    Article  Google Scholar 

  36. Uçar A, Türker PF. Determination of hedonic hunger and mindful eating in high school students and its relationship with nutritional status. Baskent Univ Faculty of Health Sci J. 2021;6:165–78.

    Google Scholar 

  37. Ziauddeen H, Alonso-Alonso M, Hill JO, Kelley M, Khan NA. Obesity and the neurocognitive basis of food reward and the control of intake. Adv Nutr. 2015;6:474–86. https://doi.org/10.3945/an.115.008268

    Article  PubMed  PubMed Central  Google Scholar 

  38. van den Akker K, Schyns G, Jansen A. Altered appetitive conditioning in overweight and obese women. Behav Res Ther. 2017;99:78–88. https://doi.org/10.1016/j.brat.2017.09.006

    Article  PubMed  Google Scholar 

  39. Chmurzynska A, Mlodzik-Czyzewska MA, Radziejewska A, Wiebe DJ. Hedonic hunger is associated with intake of certain high-fat food types and BMI in 20-to 40-year-old adults. J Nutr. 2021;151:820–5. https://doi.org/10.1093/jn/nxaa434

    Article  PubMed  Google Scholar 

  40. Ayyıldız F, Ülker İ, Yıldıran H. Reflection of the relationship between hedonic hunger and eating behavior on different body masses. J Nutr Dietetics. 2021;49:9–17. https://doi.org/10.33076/2021.BDD.1465

    Article  Google Scholar 

  41. Ribeiro G, Camacho M, Santos O, Pontes C, Torres S, Oliveira-Maia AJ. Association between hedonic hunger and body-mass index versus obesity status. Scientific Rep. 2018;8:1–9. https://doi.org/10.1038/s41598-018-23988-x

    Article  CAS  Google Scholar 

  42. Milaneschi Y, Simmons WK, van Rossum EF, Penninx BW. Depression and obesity: Evidence of shared biological mechanisms. Mol Psychiatry. 2019;24:18–33. https://doi.org/10.1038/s41380-018-0017-5

    Article  CAS  PubMed  Google Scholar 

  43. Fulton S, Décarie-Spain L, Fioramonti X, Guiard B, Nakajima S. The menace of obesity to depression and anxiety prevalence. Trends Endocrinol Metabol. 2022;33:18–35. https://doi.org/10.1016/j.tem.2021.10.005

    Article  CAS  Google Scholar 

  44. Barcın-Güzeldere HK, Devrim-Lanpir A. The association between body mass index, emotional eating and perceived stress during COVID-19 partial quarantine in healthy adults. Public Health Nutr. 2022;25:43–50. https://doi.org/10.1017/S1368980021002974

    Article  PubMed  Google Scholar 

  45. Yau YH, Potenza MN. Stress and eating behaviors. Minerva Endocrinologica. 2013;38:255.

    CAS  PubMed  PubMed Central  Google Scholar 

  46. Köse S, Şanlıer N. Hedonic hunger and obesity. Turkiye Klinikleri. J Endocrinol. 2015;10:16–25. https://doi.org/10.5336/endocrin.2014-41443

    Article  Google Scholar 

  47. Mojet J, Christ-Hazelhof E, Heidema J. Taste perception with age: Pleasantness and its relationships with threshold sensitivity and supra-threshold intensity of five taste qualities. Food Quality Preference. 2005;16:413–23. https://doi.org/10.1016/j.foodqual.2004.08.001

    Article  Google Scholar 

  48. Jorm AF. Does old age reduce the risk of anxiety and depression? A review of epidemiological studies across the adult life span. Psychol Med. 2000;30:11–22. https://doi.org/10.1017/S0033291799001452

    Article  CAS  PubMed  Google Scholar 

  49. Wood BM, Nicholas MK, Blyth F, Asghari A, Gibson S. The utility of the short version of the Depression Anxiety Stress Scales (DASS-21) in elderly patients with persistent pain: does age make a difference? Pain Med. 2010;11:1780–90. https://doi.org/10.1111/j.1526-4637.2010.01005.x

    Article  PubMed  Google Scholar 

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Acknowledgements

We thank to all participants for their support.

Author information

Authors and Affiliations

  1. İzmir Katip Çelebi University Faculty of Health Sciences Department of Nutrition and Dietetics, İzmir, Türkiye

    Tuba Yalçın

  2. Gazi University Faculty of Health Sciences Department of Nutrition and Dietetics, Ankara, Türkiye

    Feride Ayyıldız

  3. Ankara University Faculty of Health Sciences Department of Nutrition and Dietetics, Ankara, Türkiye

    Mustafa Volkan Yılmaz & Esma Asil

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Contributions

YT, AF, YMV, and AE were responsible for the study design. YT, and AF were responsible for data collection. YT, and AF were responsible for data analysis. The first draft of the manuscript was written by YT which was subsequently revised based on the input from all authors. All authors read and approved the final version of the manuscript.

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Correspondence to Tuba Yalçın.

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Yalçın, T., Ayyıldız, F., Yılmaz, M.V. et al. Relationship of perceived depression, stress, anxiety levels and hedonic hunger. Int J Obes 47, 717–723 (2023). https://doi.org/10.1038/s41366-023-01315-3

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