Maladaptive eating behaviors and health-related quality of life in Spanish children.

Appetite

CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Madrid, Spain; Cardiovascular Risk and Nutrition Research Group, Hospital del Mar Research Institute, Barcelona, Spain. Electronic address:

Published: December 2024

AI Article Synopsis

  • * A study involving 690 boys and 681 girls aged 8-10 from Catalonia aimed to explore the effects of external, emotional, and restrained eating on HRQoL over a follow-up period of about 14.65 months.
  • * The findings revealed that both external and emotional eating behaviors negatively impacted HRQoL at follow-up, with a composite score of maladaptive eating showing a stronger negative association than individual behaviors.

Article Abstract

In children, assessing health-related quality of life (HRQoL) and identifying the factors that can influence it are essential to understanding their overall health and well-being. Although eating disorders in children have been associated with reduced HRQoL, the impact of maladaptive eating behaviors, such as external eating, emotional eating and restrained eating, on children's HRQoL has not yet been prospectively explored. Therefore, the aim of this study was to determine whether external, emotional and restrained eating at baseline was associated with HRQoL in children after 14.65 months (95% CI: 14.57-14.73) of follow-up. The study involved 690 boys and 681 girls aged between 8 and 10 years, recruited from primary schools in Catalonia (Spain). To assess the relationship between external, emotional and restrained eating behaviors at baseline and HRQoL at follow-up, the Dutch Eating Behavior and KIDSCREEN-10 questionnaires were used, respectively. After adjusting for sex, age, intervention allocation group, school, maternal education, zBMI and physical activity, external and emotional eating behaviors at baseline were negatively associated with HRQoL at follow-up (p < 0.01). These associations were attenuated after final adjustment for HRQoL at baseline. Furthermore, a composite score of maladaptive eating behaviors at baseline was created by summing the individual scores for emotional, restrained and external eating behaviors. This composite score showed a significant inverse association with HRQoL at follow-up, even after adjusting for baseline HRQoL (p = 0.024). In conclusion, external and emotional eating behaviors seems to negatively affect HRQoL prospectively in Spanish children. The composite score of maladaptive eating behaviors showed a stronger inverse association with HRQoL than each eating behavior individually. TRIAL REGISTRATION NUMBER: ISRCTN registry: ISRCTN68403446; Date of registration, August 01, 2014 'Retrospectively registered'.

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http://dx.doi.org/10.1016/j.appet.2024.107702DOI Listing

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