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Stress and eating responses in adolescent females predisposed to obesity: A pilot and feasibility study. | LitMetric

Stress and eating responses in adolescent females predisposed to obesity: A pilot and feasibility study.

Appetite

Division of Behavioral Medicine Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH, 45229, USA; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, 45229, USA.

Published: December 2022

AI Article Synopsis

  • This study investigated the links between chronic stress, acute stress responses, and unhealthy eating habits in adolescent girls at risk for obesity.
  • The research involved 21 girls and their mothers, measuring stress levels through questionnaires, stress-inducing tasks, and analyzing responses like cortisol levels and eating behaviors.
  • Findings revealed that girls with high chronic stress had increased emotional eating and food cravings, alongside blunted cortisol reactions, indicating a connection between stress and unhealthy eating patterns.

Article Abstract

Objective: To explore how chronic stress, reactivity to acute stress, and obesogenic eating are linked in adolescent females predisposed to obesity.

Methods: Participants included 21 adolescent females (m = 14.57 years) and their biological mothers with obesity (body mass index [BMI] ≥ 30 kg/m). The pilot and feasibility study involved adolescent self-report of chronic stress, an acute stress-induction paradigm (Trier Social Stress Task, TSST), salivary cortisol collection to assess stress reactivity, and both subjective (self-report) and objective (snack buffet) measures of obesogenic eating.

Results: Adolescent females reporting high chronic stress were significantly more likely to engage in self-reported emotional and external eating and to have higher food cravings (p's < .05) compared to adolescents with low chronic stress. Effect size estimates suggested a blunting effect of cortisol in the high chronic stress group. Blunted cortisol reactivity significantly predicted higher self-reported food cravings for the high chronic stress group (p = .04). Associations among chronic stress, cortisol, and self-reported and objective obesogenic eating reflected medium to large effect sizes.

Conclusions: This study built on limited extant research on stress and eating to demonstrate that chronic stress was associated with self-reported obesogenic eating patterns in adolescent females predisposed to obesity. Different patterns of cortisol reactivity and eating emerged depending on chronic stress group (low versus high). Understanding these eating patterns in the context of chronic stress can inform interventions to reduce obesity risks in adolescence.

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Source
http://dx.doi.org/10.1016/j.appet.2022.106308DOI Listing

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