Association Between Nutrition Patterns and Metabolic and Psychological State Among Young Adults.

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2025-05-22 DOI:10.1002/erv.3209

Geovanny Genaro Reivan Ortiz, Roser Granero, María Pilar Aranda-Ramírez, María Alejandra Aguirre-Quezada

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引用次数: 0

Abstract

Background-objectives: Obesity is an increasing global public health problem with severe correlated chronic diseases (physical and mental disorders). The aim of this study is to identify nutrient patterns among young adults who are overweight or obese based on their dietary intake, and to explore the associations between nutrient patterns and sociodemographic and clinical variables (anthropometric, cardiometabolic, and psychological).

Methods: A voluntary response (non-random) sample involving N = 188 overweight and obese university students (men and women, with a mean age of 20.8 years [SD = 2.6]) was recruited. Pregnancy, endocrine-genetic disorders, weight-loss diet and use of treatments that could affect endocrine parameters were defined as exclusion criteria.

Results: Three nutritional patterns were identified, that explained 69% of the total variance: (a) NP1, characterised by a high intake of minerals and vitamins; (b) NP2, characterised by a high intake of carbohydrates; and (c) NP3, characterised by a high intake of fats and sodium. Higher mean scores in NP1 were related to female gender (p = 0.015), while higher NP1 and NP2 levels were associated to divorced/separated marital status (p = 0.007 and p = 0.041, respectively). Path analysis revealed a direct relationship between being within metabolically unhealthy obesity (MUO) levels and higher levels of anxiety (standardised coefficient St.Coeff = 0.14, p = 0.049), depression (St.Coeff = 0.17, p = 0.014) and stress (St.Coeff = 0.13, p = 0.048). In addition, the metabolic risk profile (the classification into MUO vs. MHO) achieved a mediational link between the factor scores for NP1 and a worse psychological state.

Discussion: This study provides empirical knowledge to design more effective prevention and treatment plans for young adults who are overweight or obese, considering the impact nutritional patterns have on metabolic and psychopathological distress.

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青少年营养模式与代谢和心理状态的关系

背景目的：肥胖是一个日益严重的全球公共卫生问题，伴有严重的相关慢性疾病（身体和精神障碍）。本研究的目的是根据饮食摄入确定超重或肥胖的年轻人的营养模式，并探讨营养模式与社会人口学和临床变量（人体测量学、心脏代谢学和心理学）之间的关系。方法：采用自愿响应（非随机）抽样，共纳入N = 188名超重和肥胖大学生（男女均有，平均年龄20.8岁[SD = 2.6]）。怀孕、内分泌遗传疾病、减肥饮食和使用可能影响内分泌参数的治疗被定义为排除标准。结果：确定了三种营养模式，解释了总方差的69%:(a) NP1，其特征是大量摄入矿物质和维生素；(b) NP2，特点是大量摄入碳水化合物；(c) NP3，其特点是高脂肪和高钠摄入量。较高的NP1平均得分与女性有关（p = 0.015），而较高的NP1和NP2水平与离婚或分居的婚姻状况有关（p = 0.007和p = 0.041）。通径分析显示，代谢不健康肥胖（MUO）水平与较高水平的焦虑（标准化系数St.Coeff = 0.14, p = 0.049）、抑郁（St.Coeff = 0.17, p = 0.014）和压力（St.Coeff = 0.13, p = 0.048）之间存在直接关系。此外，代谢风险谱（分为MUO和MHO）在NP1因子得分和更差的心理状态之间实现了中介联系。讨论：本研究为考虑营养模式对代谢和精神病理困扰的影响，为超重或肥胖的年轻人设计更有效的预防和治疗方案提供了经验知识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.