How obesity relates to socio-economic status: identification of eating behavior mediators
Abstract
Background Socio-economic status (SES) is a strong determinant of eating behavior and the obesity risk. Objective To determine which eating and lifestyle behaviors mediate the association between SES and obesity. Methods We performed a case-control study of 318 obese people and 371 non-obese people in northern France. Ten eating behavior traits were assessed using the Three-Factor Eating Questionnaire Revised 21-Item and an eating attitude questionnaire (on plate size, the number of servings, reasons for stopping eating and the frequency of eating standing up, eating in front of the television set (TV) and eating at night). The SES score (in three categories) was based on occupation, education and income categories. Mediation analysis was performed using the test of joint significance and the difference of coefficients test. Results The age- and gender-adjusted obesity risk was higher for individuals in the low-SES groups (odds ratio (OR) (95% confidence interval (CI)=1.82 (1.48-2.24), P Conclusion Our results highlighted a number of obesogenic behaviors among socially disadvantaged participants: large plate size, uncontrolled eating and eating at night were significant mediators of the relationship between SES and the obesity risk.
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Lower SES has been associated with increased prevalence of risk factors, such as hypertension, hyperlipidemia, obesity, smoking and physical activity.
“Additionally, lower SES has been associated with increased prevalence of risk factors, such as hypertension, hyperlipidemia, obesity, smoking and physical activity [8], [9], [10], [11], [12].”
From Income disparity and utilization of cardiovascular preventive care services among U.S. adults (2021) · cites this paper as [10]
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References 34 · Cited by 67
- Authors
- Pigeyre, M., Rousseaux, J., Trouiller, P., Dumont, J., Goumidi, L., Bonte, D., Dumont, M.-P., Chmielewski, A., Duhamel, A., Amouyel, P., Dallongeville, J., Romon, M., & Meirhaeghe, A.
- Affiliations
- Université de Lille (FR)
- Inserm (FR)
- Institut Pasteur de Lille (FR)
- Corresponding author
- Meirhaeghe, A
- Venue
- International Journal of Obesity
- Published
- 2016-07-05
- Volume
- 40
- Issue
- 11
- Pages
- 1794-1801
- ISSN
- 0307-0565 (ISSN-L)
- 1476-5497
- OpenAlex
- W2475091282
- Cited by
- 67
- References
- 34
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 11 · 2023: 3 · 2022: 8 · 2021: 16 · 2020: 8 · 2019: 6 · 2018: 4 · 2017: 1
- FWCI
- 3.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Obesity (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- obesity, socioeconomic status, dietary habits, mediation analysis, plate size, night eating, uncontrolled eating, emotional eating, cognitive restraint, social deprivation
- MeSH terms
- Adult, Educational Status, Feeding Behavior, Female, France, Health Surveys, Humans, Income, Life Style, Male, Middle Aged, Obesity, Occupations, Surveys and Questionnaires, Social Class, Television, Odds Ratio, Case-Control Studies, Portion Size
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