Association between Mindful Eating and Obesity, Nutritional Status among 6th Grade Medical School Students

Abstract

Association between Mindful Eating and Obesity, Nutritional Status among 6th Grade Medical School Students

Abstract

Purpose: This study aimed to determine the association between mindful eating, obesity, and nutritional status (low diet quality) among 6th-grade students at Dokuz Eylül University Medical School. Material and Methods: The population of this cross-sectional study consisted of 303 interns studying at the Dokuz Eylül Medical School, for the year 2020-2021. No sample selection was made, and an attempt was made to reach the entire population. The dependent variable was presence of obesity determined by the body mass index and low diet quality determined by the Mediterranean Diet Quality Scale (KIDMED). The Independent variable was mindful eating determined by the Mindful Eating Questionnaire (MEQ-30). Possible confounding factors include socio-demografic characteristics, health status, dietary behaviour, the presence of obesity in the family, physical activity status. The data were collected through an online survey form. The percentage distributions of the descriptive variables were presented with mean±standard deviations, Chi- Square and Multiple Logistic Regression Analysis were used in order to determine casuality. Results: The mean age of the 245 interns reached was 23.9±1.2 years (range 22-30), 42.9% of whom were women . The mean total YFO-30 scores were 98.3±11.3. The frequency of obesity was 4.1%. In this study, 44.9% of the students had low diet quality. According to the Logistic Regression Analysis the risk of being overweight or obese was significantly higher 3.4 (OR:3.44 [95%CI:1.06-11.16] p= 0.039) times in those aged 26 and over, 10.7 (OR:10.70 [95%CI:4.50- 25.47] p<0.001) times in males, 2.5 (OR:2.53 [95%CI: 1.27-5.03] p=0.008) times in those with obese individuals in the family; the risk of low diet quality is meaningfully higher 2,1 (OR:2.08 [95%CI:1.16-3.74] p=0.014) times in males, 3.0 (OR:2.95 [95%CI:1.22-7.17] p=0.005) times those whose income is lower than their expenses, 3.1 (OR:3.12 [95%CI:1.42- 6.87] p=0.005) times in those that are living with their friends. Conclusion: Frequency of obesity was low, low diet quality was high in 6th grade medical students. There was no significant relationship between mindful eating and low diet quality and obesity.

Keywords

• mindful eating
• obesity
• diet quality
• medical students

References

1. Elsafi SH, Al-Dossari RH, Al-Shaqi RA, Fakirah WE, Al-Dossari RF, Al-Sharif OJ, et al. Obesity-Related Knowledge and Practice Among the Healthcare Professions Students in Saudi Arabia. Diabetes Metab Syndr Obes. 2024:17;427-434.
2. Yıldız E, Özkan S. Üniversite öğrencilerinin beslenme alışkanlıklarının incelenmesi. Fırat Sağlık Hizmetleri Dergisi. 2017;6:87-104.
3. Anderson LM, Reilly EE, Schaumberg K, Dmochowski S, Anderson DA. Contributions of mindful eating, intuitive eating, and restraint to BMI, disordered eating, and meal consumption in college students. Eat Weight Disord. 2016;21:83-90.
4. Framson C, Kristal AR, Schenk JM, Littman AJ, Zeliadt S, Benitez D. Development and validation of the mindful eating questionnaire. J Am Diet Assoc. 2008;109:1439-44.
5. Beshara M, Hutchinson AD, Wilson C. Does mindfulness matter? Everyday mindfulness, mindful eating and self-reported serving size of energy dense foods among a sample of South Australian adults. Appetite. 2013;67:25-9.
6. Alberts HJ, Thewissen R, Raes L. Dealing with problematic eating behaviour. The effects of a mindfulness-based intervention on eating behaviour, food cravings, dichotomous thinking and body image concern. Appetite. 2012;58:847-51.
7. Lyzwinski LN, Caffery L, Bambling M, Edirippulige S. The Mindfulness App Trial for Weight, Weight-Related Behaviors, and Stress in University Students: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2019;7:e12210.
8. Moor KR, Scott AJ, McIntosh WD. Mindful Eating and Its Relationship to Body Mass Index and Physical Activity Among University Students. Mindfulness. 2013;4:269-74.

9. Mason AE, Epel ES, Kristeller J, Moran PJ, Dallman M, Lustig RH, et al. Effects of a mindfulness-based intervention on mindful eating, sweets consumption, and fasting glucose levels in obese adults: data from the SHINE randomized controlled trial. J Behav Med. 2016;39:201–13.
10. Mantzios M, Giannou K. Group vs. single mindfulness meditation: exploring avoidance, impulsivity, and weight management in two separate mindfulness meditation settings. Appl Psychol Health Well Being. 2014;6:173-91.
11. Dülger H, Mayda AS. Bartın Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu Öğrencilerinde Beslenme Alışkanlıkları ve Obezite Prevalansı. SABD. 2017;6:173-7.
12. World Health Organization. Obesity: preventing and managing the global epidemic . WHO Tech Rep Ser. 2000;894:1–253.
13. Serra-Majem L, Ribas L, Ngo J, Ortega RM, García A, Pérez-Rodrigo C, et al. Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. J Public Health Nutr. 2004;7:931-5.
14. Akar Şahingöz S, Özgen L, Yalçın E. Akdeniz Diyet Kalitesi Ölçeğinin (Mediterranean Diet Quality– KIDMED) Geçerlik ve Güvenirlik Çalışması. Bildiri sunulmuştur: 5. Uluslararası Avrasya Doğal Beslenme, Sağlıklı Yaşam ve Spor Kongresi; 25-27 Haziran 2020; Ankara, Türkiye.
15. Köse G. Üniversite öğrencilerinin yeme farkındalığının üzerine bir çalışma [doktora tezi]. Ankara: Başkent Üniversitesi Sağlık Bilimleri Enstitüsü; 2017.
16. Barışkan H, Karakoç Kumsar A. Prevalence of abdominal obesity and levels of eating awareness among health sciences faculty students. Koç Univ Nurs J. 2020;17(2):162-9.
17. Karataş YF. Assessment of mindful eating status of Osmaniye Korkut Ata University students of health school [Master’s thesis]. Ankara: Başkent University; 2020.
18. Peltzer K, Pengpid S, Samuels TA, Özcan NK, Mantilla C, Rahamefy OH, et al. Prevalence Overweight/Obesity and Its Associated Factors among University Students from 22 Countries. IJERPH. 2014;11:7425-41.
19. Yılmaz, A., & Erten, S. F. Tıp Fakültesi Öğrencilerinde Obezite Durumu ve İlişkili Faktörler. Selçuk Tıp Dergisi. 2021;37(2):51-58.
20. Şahin H, Aykut M, Öztürk A, Yılmaz M, Gün İ, Çelik N, Sağıroğlu M, Ergün E, Durmuş H. Obezite prevalansı ve ilişkili faktörler: Kayseri tıp fakültesi öğrencileri üzerine bir çalışma. J Clin Pract Res. 2015;37(2):51-8.
21. Baydemir C, Özgür EG, Balcı S. Evaluation of adherence to Mediterranean diet in medical students at Kocaeli University, Turkey. JIMR. 2018;46:1585-94.
22. Garipağaoğlu M, Eliuz B, Esin K, Çağatay P, Nalbant H, Solakoğlu Z.Evaluation of nutritional status of first-year medical students, IstanbulMed J 2012; 13(1): 1-8.
23. Ayhan DE, Günaydın E, Gönlüaçık E, Arslan U, Çetinkaya F, Asımı H,et al. The characteristics and related factors of the students’ of Uludag University Medical Faculty, Uludağ Üniversitesi Tıp Fakültesi Dergisi 2012; 38(2): 97-104.
24. Taylor MB, Daiss S, Krietsch K. Associations among self-compassion, mindful eating, eating disorder symptomatology, and body mass index in college students. Transl Issues Psychol Sci. 2015;1(3):229–238.
25. Bach-Faig A, Berry EM, Lairon D, Reguant J, Trichopoulou A, Dernini S, et al. Mediterranean diet pyramid today. Science and cultural updates. Public Health Nutr. 2011;14:2274–84
26. Bayram SŞ, Aktaş N. Selçuk Üniversitesi Öğrencilerinin Akdeniz Diyet Kalitelerinin Değerlendirilmesi. Bes. Diy. Derg. 2020;48(3):65-75.
27. Şendağ Sağır G. Üniversite öğrencilerinin beslenme durumlarının Akdeniz diyet kalite indeksi ile değerlendirilmesi [Yüksek Lisans Tezi]. Gaziantep: Hasan Kalyoncu Üniversitesi; 2019.
28. Franchini C, Biasini B, Sogari G, et al. Adherence to the Mediterranean Diet and its association with sustainable dietary behaviors, sociodemographic factors, and lifestyle: a cross-sectional study in US University students. Nutr J. 2024;23:56.
29. Maria Fiore, Caterina Ledda, Venerando Rapisarda, Elena Sentina, Cristina Mauceri, Placido D’Agati. et al. Medical school fails to improve Mediterranean diet adherence among medical students. Eur J Public Health. 2015;25(6):1019-23.
30. Rosi A, Scazzina F, Giampieri F, et al. Adherence to the Mediterranean diet in 5 Mediterranean countries: A descriptive analysis of the DELICIOUS project. Mediterranean Journal of Nutrition and Metabolism. 2024;17(4):323-334.
31. Amini M, Aminorroaya A, Mansournia MA, Sadeghi M, Khosravi A, Rezaei S, et al. Association of smoking with general and abdominal obesity: evidence from a cohort study in west of Iran. Int J Environ Res Public Health. 2021;18(5):2715.
32. Barbosa JB, dos Santos AM, Barbosa MM, Barbosa MM, de Carvalho CA, Fonseca PC, et al. Metabolic syndrome, insulin resistance and other cardiovascular risk factors in university students. Cien Saude Colet. 2016;21:1123-36.