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Cited by 343Eating Disorders and BehaviorsNutrition, Health and Food BehaviorObesity, Physical Activity, Diet

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Depression, emotional eating and long-term weight changes: a population-based prospective study

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Konttinen, Hanna, van Strien, Tatjana, Männistö, Satu, Jousilahti, Pekka, Haukkala, Ari·2019·International Journal of Behavioral Nutrition and Physical Activity
DOI 10.1186/s12966-019-0791-8PMC PMC6427874
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Abstract

BACKGROUND: Emotional eating (i.e. eating in response to negative emotions) has been suggested to be one mechanism linking depression and subsequent development of obesity. However, studies have rarely examined this mediation effect in a prospective setting and its dependence on other factors linked to stress and its management. We used a population-based prospective cohort of adults and aimed to examine 1) whether emotional eating mediated the associations between depression and 7-year change in body mass index (BMI) and waist circumference (WC), and 2) whether gender, age, night sleep duration or physical activity moderated these associations. METHODS: Participants were Finnish 25- to 74-year-olds who attended the DILGOM study at baseline in 2007 and follow-up in 2014. At baseline (n = 5024), height, weight and WC were measured in a health examination. At follow-up (n = 3735), height, weight and WC were based on measured or self-reported information. Depression (Center for Epidemiological Studies - Depression Scale), emotional eating (Three-Factor Eating Questionnaire-R18), physical activity and night sleep duration were self-reported. Age- and gender-adjusted structural equation models with full information maximum likelihood estimator were used in the analyses. RESULTS: = 0.045). The effects of depression on change in BMI and WC were mediated by emotional eating. Night sleep duration moderated the associations of emotional eating, while age moderated the associations of depression. More specifically, emotional eating predicted higher BMI (P = 0.007 for the interaction) and WC (P = 0.026, respectively) gain in shorter sleepers (7 h or less), but not in longer sleepers (9 h or more). Depression predicted higher BMI (P < 0.001 for the interaction) and WC (P = 0.065, respectively) increase in younger participants, but not in older participants. CONCLUSIONS: Our findings offer support for the hypothesis that emotional eating is one behavioural mechanism between depression and development of obesity and abdominal obesity. Moreover, adults with a combination of shorter night sleep duration and higher emotional eating may be particularly vulnerable to weight gain. Future research should examine the clinical significance of our observations by tailoring weight management programs according to these characteristics.

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Fig. 1 Results from the mediation model between depression, emotional eating and 7-year change in BMI (n = 4986). Depression and emotional eating were modelled as latent factors. Change in BMI was modelled by regressing the measurement at follow-up on the baseline measurement. The model was also adjusted for age and gender (not shown in Figure). Unstandardized and standardized regression coefficients (with 95% bias-corrected bootstrap confidence intervals) are represented on the arrows. Note. Total effect = c + ab. Indirect effect = ab. Indirect effect of depression on 7-year change in BMI: β = 0.068; 95% CI = 0.026, 0.105; P = 0.001 and std. β = 0.025; 95% CI = 0.009, 0.038; P = 0.001
Fig. 1 Results from the mediation model between depression, emotional eating and 7-year change in BMI (n = 4986). Depression and emotional eating were modelled as latent factors. Change in BMI was modelled by regressing the measurement at follow-up on the baseline measurement. The model was also adjusted for age and gender (not shown in Figure). Unstandardized and standardized regression coefficients (with 95% bias-corrected bootstrap confidence intervals) are represented on the arrows. Note. Total effect = c + ab. Indirect effect = ab. Indirect effect of depression on 7-year change in BMI: β = 0.068; 95% CI = 0.026, 0.105; P = 0.001 and std. β = 0.025; 95% CI = 0.009, 0.038; P = 0.001CC BY · PubMed Central
Fig. 2 Results from the mediation model between depression, emotional eating and 7-year change in WC (n = 4985). Depression and emotional eating were modelled as latent factors. Change in WC was modelled by regressing the measurement at follow-up on the baseline measurement. The model was also adjusted for age and gender (not shown in Figure). Unstandardized and standardized regression coefficients (with 95% bias-corrected bootstrap confidence intervals) are represented on the arrows. Note. Total effect = c + ab. Indirect effect = ab. Indirect effect of depression on 7-year change in WC: β = 0.077; 95% CI = 0.041, 0.118; P < 0.001 and std. β = 0.028; 95% CI = 0.016, 0.043; P < 0.001
Fig. 2 Results from the mediation model between depression, emotional eating and 7-year change in WC (n = 4985). Depression and emotional eating were modelled as latent factors. Change in WC was modelled by regressing the measurement at follow-up on the baseline measurement. The model was also adjusted for age and gender (not shown in Figure). Unstandardized and standardized regression coefficients (with 95% bias-corrected bootstrap confidence intervals) are represented on the arrows. Note. Total effect = c + ab. Indirect effect = ab. Indirect effect of depression on 7-year change in WC: β = 0.077; 95% CI = 0.041, 0.118; P < 0.001 and std. β = 0.028; 95% CI = 0.016, 0.043; P < 0.001CC BY · PubMed Central

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Metadata

Authors
Konttinen, H., van Strien, T., Männistö, S., Jousilahti, P., & Haukkala, A.
Affiliations
  • University of Helsinki (FI)
  • Finnish Institute for Health and Welfare (FI)
Corresponding author
Konttinen, Hanna
ORCID
Venue
International Journal of Behavioral Nutrition and Physical Activity
Publisher
Springer Science and Business Media LLC
Published
2019-03-20
Volume
16
Issue
1
Pages
28-28
ISSN
1479-5868 (ISSN-L)
DOI
10.1186/s12966-019-0791-8
PMC
PMC6427874
OpenAlex
W2923007378
Cited by
341
References
67
Citations by year
2026: 47 · 2025: 69 · 2024: 57 · 2023: 52 · 2022: 54 · 2021: 33 · 2020: 25 · 2019: 4
FWCI
33.87
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Behavioral Nutrition and Physical Activity (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • VU Research Portal (publishedVersion, other-oa)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Työväentutkimus Vuosikirja (submittedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
  • STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
  • Radboud Repository (Radboud University) (submittedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Funders
  • European Union (Funding of Tatjana van Strien was provided by the European Union FP7 MoodFood Project ‘Multi-country collaborative project on the role of Diet, Food-related behaviour, and Obesity in the prevention of Depression’ (grant agreement no. 613598).)
  • Academy of Finland (265796 and 309157, 136895 and 263836, 118065, 118139 and 275033)
  • Emil Aaltosen Säätiö (Not applicable)
  • Yrjö Jahnssonin Säätiö (Not applicable)
  • Juho Vainion Säätiö (Not applicable)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords
depression, emotional eating, obesity, abdominal obesity, body mass index, waist circumference, weight gain, mediation, sleep duration, physical activity, age differences, gender differences
MeSH terms
Adult, Aged, Depression, Eating, Emotions, Feeding Behavior, Finland, Humans, Middle Aged, Prospective Studies, Surveys and Questionnaires, Weight Gain

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