Akademik kaygının beslenme ve yeme davranışlarına yansımaları: genç yetişkinlerde sınav stresi ve beslenme arasındaki ilişki

Abstract

Amaç: Sınav kaygısı/stresi, yeme davranışlarını ve diyet kalitesini etkileyebilir. Bu çalışmanın amacı, genç yetişkinlerde sınav stresi ile yeme tutumları, davranışları ve diyet kalitesi arasındaki ilişkileri incelemektir. Yöntem: Bu çalışma, Nisan-Mayıs 2025 tarihleri ​​arasında çevrimiçi platformlar (Facebook, Instagram, WhatsApp vb.) üzerinden gönüllü örnekleme yöntemiyle 557 genç yetişkinle gerçekleştirilmiştir. Veri toplamak için kullanılan anket formu dört bölümden oluşmaktadır: sosyodemografik özellikleri kapsayan bir tanıtım bilgi formu, Westside Sınav Kaygısı Ölçeği, Yeme Tutumları Testi (EAT-26) ve Akdeniz Diyetine Uyum Taraması (MEDAS). Sonuç: Katılımcıların çoğu normal yeme tutumları (%74,3) ve orta düzeyde Akdeniz diyeti özellikleri (%57,6) sergilemiştir. Normal yeme davranışı gösterenlerle karşılaştırıldığında, anormal yeme davranışı gösterenlerin MEDAS puanları anlamlı derecede düşük (6,2±2,13 vs 6,9±2,36, p=0,003) ve anlamlı derecede yüksek Westside Sınav Kaygısı Envanteri puanları (33,0±9,30 vs 28,4±9,12, p<0,001) bulundu. Westside Sınav Kaygısı Envanteri puanı, EAT-26 puanı (r=0,29, p<0,001) ve vücut ağırlığı (r=0,10, p=0,01) ile anlamlı derecede pozitif korelasyon gösterdi. Sonuç: Anormal yeme davranışı düzeyi arttıkça sınav kaygısı da artmakta olup, sınav kaygısının anormal yeme davranışı ve vücut ağırlığı ile pozitif korelasyon gösterdiği bulundu.

Keywords

• Genç yetişkin
• sınav kaygısı
• yeme tutumları ve davranışları
• Akdeniz diyeti

Project Number

E-15466469-100-249264

Ethical Statement

Çalışma, Karamanoğlu Mehmetbey Üniversitesi Sağlık Bilimleri Bilimsel Araştırma ve Yayın Etiği Kurulu’nun izni (Tarih: 05.03.2025, Karar No: E-15466469-100-249264; 03-2025/31) ile yürütülmüştür.

Reflections of academic anxiety on diet and eating behaviors: the relationship between exam stress and nutrition in young adults

Abstract

Aims: Test anxiety/stress may influence eating behaviors and diet quality. The purpose of this study was to investigate the relationships between exam stress and eating attitudes, behaviors, and diet quality in young adults. Methods: This study was conducted with 557 young adults via a voluntary sampling method via online platforms (Facebook, Instagram, WhatsApp, etc.) between April and May 2025. The survey form used to collect data consisted of four sections: an introductory information form covering sociodemographic characteristics, the Westside Test Anxiety Scale, the Eating Attitudes Test (EAT-26), and the Mediterranean Diet Adherence Screener (MEDAS). Data analysis was performed with IBM SPSS Statistics 26.0 and AMOS 24. Independent samples t tests, one-way analysis of variance (ANOVA), Pearson correlation analysis and path analysis were used. Results: Most of the participants exhibited normal eating attitudes (74.3%) and moderate Mediterranean diet characteristics (57.6%). Compared with those with normal eating behaviors, those with abnormal eating behaviors had significantly lower MEDAS scores (6.2±2.13 vs. 6.9±2.36, p=0.003) and significantly higher Westside Test Anxiety Inventory scores (33.0±9.30 vs. 28.4±9.12, p<0.001). The Westside Test Anxiety Inventory score was significantly positively correlated with the EAT-26 score (r=0.29, p<0.001) and body weight (r=0.10, p=0.01). Test anxiety significantly predicted EAT-26 scores (β=0.292, p<0.001), and approximately 8.5% of the variance in eating attitudes and behaviors was explained by test anxiety level (R²=0.085). The effect of test anxiety on the MEDAS total score was not statistically significant (β=–0.055, p=0.195). Conclusion: As the level of test anxiety increased, abnormal eating behavior also increased, and test anxiety was positively correlated with abnormal eating behavior.

Keywords

• Young adult
• test anxiety
• eating attitudes and behaviors
• mediterranean diet

Project Number

E-15466469-100-249264

Ethical Statement

The study was carried out with the permission of the Karamanoğlu Mehmetbey University Health Sciences Scientific Research and Publication Ethics Committee (Date 05.03.2025, Decision No: E-15466469-100-249264; 03-2025/31).

References

1. Deb S, Strodl E, Sun H. Academic stress, parental pressure, anxiety and mental health among Indian high school students. Int J Psychol Behav Sci. 2015;5(1):26-34. doi:10.5923/j.ijpbs.20150501.04
2. Zheng G, Zhang Q, Ran G. The association between academic stress and test anxiety in college students: the mediating role of regulatory emotional self-efficacy and the moderating role of parental expectations. Front Psychol. 2023;14:1008679. doi:10.3389/fpsyg.2023.1008679
3. Sun Y, Lv K, Xie W, Wang Y. The effectiveness of brief mindfulness training in reducing test anxiety among high school students. BMC Psychology. 2025;13(1):1-9. doi:10.1186/s40359-025-02553-y
4. Mudarra-García N, Pérez-Mudarra M, Ortuño-Soriano I, et al. Impact of exams on diet, physical activity, and body composition in university students. Nutrients. 2025;17(11):1929. doi:10.3390/nu17111929
5. Muslu M, Gözübek Ç, Karlı K, Bozali H. Üniversite sınavına hazırlanan lise öğrencilerinin yaşadığı beslenme sorunlarının saptanması. GÜSBD. 2024;13(1):128-138. doi:10.37989/gumussagbil.1271157
6. Caso D, Miriam C, Rosa F, Mark C. Unhealthy eating and academic stress: the moderating effect of eating style and BMI. Health Psychology Open. 2020;7(2). doi:10.1177/2055102920975274
7. Ibraimi Z, Voca S, Nuhii N, Murtezani A. Impact of stress and anxiety on dietary habits and academic performance among pharmacy students. Progr Nutr. 2025;27(1):16836. doi:10.23751/pn.v27i1.16836
8. Hill D, Conner M, Clancy F, et al. Stress and eating behaviours in healthy adults: a systematic review and meta-analysis. Health Psychol Rev. 2022;16(2):280-304. doi:10.1080/17437199.2021.1923406

9. Chao AM, Jastreboff AM, White MA, Grilo CM, Sinha R. Stress, cortisol, and other appetite-related hormones: prospective prediction of 6-month changes in food cravings and weight. Obesity (Silver Spring). 2017;25(4):713-720. doi:10.1002/oby.21790
10. Wheatley SD, Whitaker MJ. Why do people overeat? Hunger, psychological eating and type 2 diabetes. Pr Diabetes 2019;36(4):136-139e. doi:10.1002/pdi.2232.
11. Ata B, Kutsal Mergen E, Açikgöz Pinar A. Stres düzeyi, hedonik açlık ve duygusal yeme obezite üzerinde etkili mi?. Hacettepe Univ Sağlık Bilimleri Fak Derg. 2023;10(3):695-708. doi:10.21020/husbfd.1312040
12. Trigueros R, Padilla AM, Aguilar-Parra JM, Rocamora P, Morales-Gázquez MJ, López-Liria R. The influence of emotional intelligence on resilience, test anxiety, academic stress and the Mediterranean Diet. A study with university students. Int J Environ Res Public Health. 2020;17(6):2071. Published 2020 Mar 20. doi:10.3390/ijerph17062071
13. Bayes J, Schloss J, Sibbritt D. Effects of polyphenols in a Mediterranean Diet on symptoms of depression: a systematic literature review. Adv Nutr. 2020;11(3):602-615. doi:10.1093/advances/nmz117
14. Gallagher KA, Sonneville KR, Hazzard VM, Carson TL, Needham BL. Evaluating gender bias in an eating disorder risk assessment questionnaire for athletes. Eat Disord. 2021;29(1):29-41. doi:10.1080/1064 0266.2019.1613846
15. Alfaro-González S, Garrido-Miguel M, Pascual-Morena C, et al. The association between adherence to the Mediterranean diet and depression and anxiety symptoms in university students: the mediating role of lean mass and the muscle strength index. Nutrients. 2025;17(2):346. doi:10.33 90/nu17020346
16. Reinhardt U, Cheng T. The world health report 2000-Health systems: improving performance. Bull World Health Organ. 2000;78(8):1064.
17. Driscoll, R. Westside Test anxiety scale validation. Online submission 2007.
18. Totan T, Yavuz Y. Westside sınav kaygısı ölçeğinin Türkçe formunun geçerlik ve güvenirlik çalışması. Mehmet Akif Ersoy Univ Eğit Fak Derg (Online). 2009; 9(17):95-109.
19. Garner DM, Olmsted MP, Bohr Y, Garfinkel PE. The eating attitudes test: psychometric features and clinical correlates. Psychol Med. 1982;12 (4):871-878. doi:10.1017/ S0033291700049163
20. Erguney-Okumus FE, Sertel-Berk HO. Yeme tutum testi kısa formunun (YTT-26) üniversite örnekleminde Türkçeye uyarlanması ve psikometrik özelliklerinin değerlendirilmesi. Psikoloji Çalışmaları. 2020;40(1):57-78. doi: 10.26650/SP2019-0039
21. Pehlivanoğlu EFÖ, Balcıoğlu H, Ünlüoğlu İ. Akdeniz diyeti bağlılık ölçeği’nin Türkçe’ye uyarlanması geçerlilik ve güvenilirliği. Osmangazi Tıp Derg. 2020;42(2): 160-164. doi: 10.20515/otd. 504188
22. AlHamlan AW, AlDhafiri DA, AlHajr NA. et al. The impact of academic stress on the lifestyle of university students in Kuwait. BMC Public Health. 2025;25:2338. doi:10.1186/s12889-025-23569-4
23. AlJaber MI, Alwehaibi AI, Algaeed HA, Arafah AM, Binsebayel OA. Effect of academic stressors on eating habits among medical students in Riyadh, Saudi Arabia. J Family Med Prim Care. 2019;8(2):390-400. doi: 10.4103/jfmpc.jfmpc_455_18
24. Ramírez-Goerke MI, Tornero-Aguilera JF, Martín-Rodríguez A, Clemente-Suárez VJ. The effect of anxiety and nutritional habits on the body distortion of athletes. Nutrients. 2025; 17(4):682. doi:10.3390/nu 17040682
25. Suna G, Seremet Kürklü N, Kamarlı Altun H. Exam stress in dietetics freshmen: changes in stress, sleep quality, and nutritional status. İKÇÜ SBFD. 2022; 7(1), 9-15
26. AL Dalaeen A, Batarseh N, Al Bashabsheh Z, ALjeradat BG, Batarseh D, Karablieh A. Stress levels and eating behavior among university students in Jordan: across sectional study. J Edu Health Promot. 2024;13:285. doi: 10.4103/jehp.jehp_168_24
27. Can YS, Iles Smith H, Chalabianloo N, et al. How to relax in stressful situations: a smart stress reduction system. Healthcare (Basel). 2020;8: 200. doi: 10.3390/healthcare8020100
28. Çelikel Tasci S, Akçil Ok M. The Effect of test anxiety on hedonic hunger and nutritional status in university students. Res J Biol Sci. 2024;19:1-6. doi:10.59218/makrjbs.2024.1.1.6
29. Alduraywish S, Alburikan A, Alotaibi M, et al. Association between academic stress during exam period, dietary behavior and bowel symptoms among medical students in Saudi Arabia. Clin Epidemiol Global Health. 2023;22:101318. doi:10.1016/j.cegh.2023.101318
30. Magni O, Detopoulou P, Fappa E, et al. Eating attitudes, stress, anxiety, and depression in dietetic students and association with body mass index and body fat percent: a cross-sectional study. Diseases. 2024;12(5):108. doi:10.3390/diseases12050108
31. Nadeem T, Gul B, Chhapra R, Mahr F, Pirani S, Asad N. Eating disorders in medical and nursing students of a private university: relationship with depression, anxiety, and stress. J Coll Physicians Surg Pak. 2023;33(7):823-825. doi:10.29271/jcpsp.2023.07.823
32. Sporea C, Morcov MV, Vasile CI, et al. The Interplay between stress and eating attitudes: a cross-sectional study among romanian physical therapy students. J Clin Med. 2025;14(5):1755. doi:10.3390/jcm14051755
33. Westwater ML, Mancini F, Shapleske J, et al. Dissociable hormonal profiles for psychopathology and stress in anorexia and bulimia nervosa. Psychol Med. 2021;51: 2814-2824. doi:10.1017/S0033291720001440
34. Tantawy SA, Karamat NI, Sulaiman Al Gannas RS, Abdulrahman Khadem S, Kamel DM. Exploring the relationship between body mass index and anxiety status among Ahlia University students. Maced J Med Sci. 2020;8(B):20-25. doi:10.3889/oamjms.2020.3226
35. Taher TMJ, Aljama M, Tariq HAZ, Salih AJ, Sarray FTR. The association between stress levels and body mass index among university students. Maaen J Med Sci. 2024;3(1):3. doi:10.55810/2789-9136.1037
36. Ünal G, Özenoğlu A. Association of mediterranean diet with sleep quality, depression, anxiety, stress, and body mass index in university students: a cross-sectional study. Nutr Health. 2025;31(2):659-666. doi: 10.1177/02601060231207666
37. AL-Basri HS, Fallows S. The Mediterranean diet is not related to depression, anxiety, and stress among young university students in the UK: a cross-sectional study. Global Psychıatry Arch. 2023;6(2):37-50. doi:10.52095/gpa.2023.5941.1065
38. Mikolajczyk RT, Ansari WE, Maxwell AE. Food consumption frequency and perceived stress and depressive symptoms among students in three European countries. Nutr J. 2009;8(1):31. doi:10.1186/1475-2891-8-31
39. Aytaç M, Bayram S. The effect of test anxiety on nutritional habits, anthropometric measurements, and gastrointestinal symptoms in adolescents. J Am Nutr Assoc. 2024;3:1-7. doi:10.1080/27697061.2024.2431 270