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Pandemi Döneminde Bireylerin Sezgisel Yeme Davranışı, Depresyon ve Beden Kütle İndeksi Arasındaki İlişkinin Değerlendirilmesi

Yıl 2023, Cilt: 6 Sayı: 1, 11 - 21, 04.05.2023
https://doi.org/10.48124/husagbilder.1160327

Öz

Geçtiğimiz yıllarda tüm dünyayı etkisi altına alan Covid-19 salgını insanların sağlığında olduğu gibi yaşam koşullarında da bazı değişikliğe sebep olmuştur. Salgınla mücadelede uygulanan karantina, sosyal izolasyon ve evde kal önlemleri sonucu birçok insan sedanter yaşama geçmiştir. Bu çalışma, Covid-19 pandemi döneminde evden çalışmaya geçen bireylerde sezgisel yeme davranışı, depresyon ve beden kütle indeksi (BKİ) arasındaki ilişkiyi incelemek amacıyla yapıldı. Covid-19 pandemi döneminde evden çalışmaya geçen ve Türkiye’nin farklı illerinde yaşayan, yaşları 20-65 aralığında bulunan 158 gönüllü katılımcı ile gerçekleştirildi. Veriler anket yöntemiyle online ortamda, Temmuz 2021-Kasım 2021 tarihleri arasında toplandı. Ankette demografik sorular mevcut olup, sezgisel yeme durumu Sezgisel Yeme Ölçeği-2 (IES-2) ve depresyon durumu Beck Depresyon Envanteri (BDE) kullanılarak incelendi. Verilere ilişkin analizler IBM SPSS 25 programında gerçekleştirildi. Analizlerde tanımlayıcı istatistikler, Mann Whitney U Testi, Kruskal Testi ve Post Hoc Bonferroni Testi, Spearman korelasyonundan yararlanıldı. Ankete katılan bireylerin %70,3’ünün kadın %29,7’sinin erkek olduğu belirlendi. Sezgisel yeme ölçeği alt boyutlarından ‘açlık ve tokluk sinyallerine bağlı yemek’ ile katılımcıların BKİ değerleri arasında hesaplanan -0,248 korelasyon katsayısı ile istatistiksel olarak anlamlı, negatif yönlü bir ilişki bulundu (p<0,05). Sezgisel yeme ölçeğinin alt boyutlarından ‘vücut-besin seçim uyumu’ ile katılımcıların BKİ değerleri arasında hesaplanan -0,167 korelasyon katsayısı ile istatistiksel olarak anlamlı, negatif yönlü bir ilişki bulundu (p<0,05). Sezgisel yemenin alt boyutları ve toplam puanları ile beck depresyon ölçeğinden elde edilen puanlar arasında istatistiksel anlamda bir ilişki saptanmadı (p>0,05). Beck depresyon ölçeği ile BKİ arasında istatistiksel anlamda bir ilişki saptanmadı (p>0,05).

Kaynakça

  • 1. Eskici G. COVID-19 pandemisi: karantina için beslenme önerileri. Anadolu kliniği tıp bilimleri dergisi. 2020 Ocak 25(1): 124-126.
  • 2. Hossain MM, Tasnim S, Sultana A, Faizah F, Mazumder H, Zou L, et al. Epidemiology of mental health problems in COVID-19: a review. 2020;9:636.
  • 3. Bhutani S, Cooper JA. COVID-19-Related Home Confinement in Adults: Weight Gain Risks and Opportunities. Obesity (Silver Spring). 2020 09;28(9):1576-7.
  • 4. Güngör G.A, Özdoğan Y. COVID-19, Pandemi sürecinin psikolojik etkileri ve duygusal yeme davranışı. Türkiye sağlık bilimleri ve araştırmaları dergisi. 2021; 4(2): 34-43.
  • 5. Avalos L. C, Tylka T. L. Exploring a model of intuitive eating with college women. Journal of Counseling Psychology. 2006; 53(4): 486–497.
  • 6. Köse G, Tayfur M, Birincioğlu İ, Dönmez A. Adaptation study of the mindful eating questionnare (MEQ) into Turkish. Journal of CognitiveBehavioral Psychotherapy and Research. 2006;5(3): 125-134.
  • 7. Tylka TL, Calogero RM, Daníelsdóttir S. Intuitive eating is connected to self-reported weight stability in community women and men. Eat Disord. 2020 May-Jun;28(3):256-64.
  • 8. Hawks S, Merrill R.M, Madanat H.N. The intuitive eating scale: development and preliminary validation. American Journal of Health Education. 2004;35(2): 90-99.
  • 9. Hazzard VM, Telke SE, Simone M, Anderson LM, Larson NI, Neumark-Sztainer D. Intuitive eating longitudinally predicts better psychological health and lower use of disordered eating behaviors. Eat Weight Disord. 2021 Feb;26(1):287-94.
  • 10. Neumark-Sztainer D. Intuitive eating longitudinally predicts better psychological health and lower use of disordered eating behaviors. Eat Weight Disord. 2021 Feb;26(1):287-94.
  • 11. Bas, M, Karaca K. E, Saglam D, Arıtıcı G, Cengiz E, Köksal S, et al. Turkish version of the Intuitive Eating Scale 2: Validity and reliability among university students. Appetite, 2017; 114: 391–397.
  • 12. Hisli, N. Beck Depresyon Envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Psikoloji dergisi. 1989; 7(23): 3-13.
  • 13. Choi E, Hui B, Wan E. Depression and anxiety in hong kong during COVID-19. International journal of environmental research and public health. 2020;17(10), 3740.
  • 14. Sidor A, Rzymski P. Dietary Choices and Habits during COVID-19 Lockdown: Experience from Poland. Nutrients. 2020 Jun 3;12(6):E1657.
  • 15. Erdoğan Yüce G, Muz G. COVID-19 pandemisinin yetişkinlerin diyet davranışları, fiziksel aktivite ve stres düzeyleri üzerine etkisi. Cukurova Med J. 2021; 283-291.
  • 16. Schoeller DA. The effect of holiday weight gain on body weight. Physiol Behav. 2014 Jul;134:66-9.
  • 17. Román N, Rigó A, Gajdos P, Tóth-Király I, Urbán R. Intuitive eating in light of other eating styles and motives: Experiences with construct validity and the Hungarian adaptation of the Intuitive Eating Scale-2. Body Image. 2021 Dec;39:30-9.
  • 18. Rodgers RF, White M, Berry R. Orthorexia nervosa, intuitive eating, and eating competence in female and male college students. Eat Weight Disord. 2021 Dec;26(8):2625-32.
  • 19. Horwath C, Hagmann D, Hartmann C. Intuitive eating and food intake in men and women: Results from the Swiss food panel study.2019;4(1);135:61-71.
  • 20. Richard A, Meule A, Georgii C, Voderholzer U, Cuntz U, Wilhelm FH, et al. Associations between interoceptive sensitivity, intuitive eating, and body mass index in patients with anorexia nervosa and normal-weight controls. Eur Eat Disord Rev. 2019 09;27(5):571-7.
  • 21. Denny KN, Loth K, Eisenberg ME, Neumark-Sztainer D. Intuitive eating in young adults. Who is doing it, and how is it related to disordered eating behaviors. Appetite. 2013 Jan;60(1):13-9.
  • 22. Tylka TL, Kroon Van Diest AM. The Intuitive Eating Scale-2: item refinement and psychometric evaluation with college women and men. J Couns Psychol. 2013 Jan;60(1):137-53.
  • 23. Ruzanska UA, Warschburger P. Intuitive eating mediates the relationship between self-regulation and BMI - Results from a cross-sectional study in a community sample. Eat Behav. 2019 04;33:23-9.
  • 24. Taş E, Kabaran S. Sezgisel yeme, duygusal yeme ve depresyon: antropometrik ölçümler üzerinde etkileri var mı. Sağlık ve Toplum. 2020 Eylül- Aralık (3).
  • 25. Kuseyri G, Kızıltan G. Üniversite öğrencilerinde yeme farkındalığı ve sezgisel yeme davranışının beslenme durumu üzerine etkisi. Başkent Üniversitesi, Sağlık Bilimleri Fakültesi. 2019;4(3): 202-219.
  • 26. Pahalı C., Bulut H., Omay O., Hızlı Sayar G. Psikiyatrik hastalıklar ve beden kitle indeksi ilişkisi. J Contemp Med, 2018; 326-332.
  • 27. Milaneschi Y, Simmons WK, van Rossum EFC, Penninx BW. Depression and obesity: evidence of shared biological mechanisms. Mol Psychiatry. 2019 01;24(1):18-33.
  • 28. Joseph PV, Davidson HR, Boulineaux CM, Fourie NH, Franks AT, Abey SK, et al. Eating Behavior, Stress, and Adiposity: Discordance Between Perception and Physiology. Biol Res Nurs. 2018 10;20(5):531-40.
  • 29. Faith MS, Matz PE, Jorge MA. Obesity-depression associations in the population. J Psychosom Res. 2002 Oct;53(4):935-42.
  • 30. Fuller NR, Burns J, Sainsbury A, Horsfield S, da Luz F, Zhang S, et al. Examining the association between depression and obesity during a weight management programme. Clin Obes. 2017 Dec;7(6):354-9.
  • 31. Yayan G., Karaca E. Sezgisel yeme davranışının vücut kompozisyonu ve bazı biyokimyasal parametreler üzerine etkisi. ACU Sağlık Bil Derg. 2019; 79-86.
  • 32. Van Dyke N, Drinkwater EJ. Review Article Relationships between intuitive eating and health indicators: literature review. Public Health Nutrition 2014;17:1757–66.
  • 33. Tylka L.T. Development and psychometric evaluation of a measure of intuitive eating. Journal of Counseling Psychology, 2006;53(2): 226-240.
  • 34. Linardon J, Tylka TL, Fuller-Tyszkiewicz M. Intuitive eating and its psychological correlates: A meta-analysis. 2021 07;54(7):1073-98.
  • 35. Dalen J, Smith BW, Shelley BM, Sloan AL, Leahigh L, Begay D. Pilot study: Mindful Eating and Living (MEAL): weight, eating behavior, and psychological outcomes associated with a mindfulness-based intervention for people with obesity. 2010 Dec;18(6):260-4.

Evaluation of the Relationship Between Individuals' Intuitive Eating Behavior, Depression and Body Mass Index during the Pandemic Period

Yıl 2023, Cilt: 6 Sayı: 1, 11 - 21, 04.05.2023
https://doi.org/10.48124/husagbilder.1160327

Öz

The Covid-19 epidemic, which has affected the whole world in the past years, has caused some changes in people's health as well as in their living conditions. As a result of the quarantine, social isolation and stay at home measures applied in the fight against the epidemic, many people have switched to sedentary life. This study was conducted to examine the relationship between intuitive eating behavior, depression and body mass index (BMI) in individuals who switched to working from home during the Covid-19 pandemic period. It was carried out with 158 volunteer participants aged between 20-65, who switched to working from home during the Covid-19 pandemic period and living in different provinces of Turkey. The data were collected online by survey method, between July 2021 and November 2021. There were demographic questions in the questionnaire, and intuitive eating was evaluated using the Intuitive Eating Inventory-2 (IES-2) and depression using the Beck Depression Inventory (BDI). Analysis of the data was carried out in IBM SPSS 25 program. Descriptive statistics, Mann Whitney U Test, Kruskal Test and Post Hoc Bonferroni Test, Spearman correlation were used in the analysis. It was determined that 70.3% of the individuals participating in the survey were female and 29.7% male. A statistically significant, negative correlation was found with the -0.248 correlation coefficient calculated between the sub-dimensions of the intuitive eating scale, 'eating based on hunger and satiety signals' and the BMI values of the participants (p<0.05). A statistically significant, negative correlation was found with the -0.167 correlation coefficient calculated between the sub-dimensions of the intuitive eating scale, 'body-food choice fit' and the BMI values of the participants (p<0.05). There was no statistically significant relationship between the sub-dimensions and total scores of intuitive eating and the scores obtained from the beck depression scale (p>0.05). There was no statistically significant relationship between Beck depression scale and BMI (p>0.05).

Kaynakça

  • 1. Eskici G. COVID-19 pandemisi: karantina için beslenme önerileri. Anadolu kliniği tıp bilimleri dergisi. 2020 Ocak 25(1): 124-126.
  • 2. Hossain MM, Tasnim S, Sultana A, Faizah F, Mazumder H, Zou L, et al. Epidemiology of mental health problems in COVID-19: a review. 2020;9:636.
  • 3. Bhutani S, Cooper JA. COVID-19-Related Home Confinement in Adults: Weight Gain Risks and Opportunities. Obesity (Silver Spring). 2020 09;28(9):1576-7.
  • 4. Güngör G.A, Özdoğan Y. COVID-19, Pandemi sürecinin psikolojik etkileri ve duygusal yeme davranışı. Türkiye sağlık bilimleri ve araştırmaları dergisi. 2021; 4(2): 34-43.
  • 5. Avalos L. C, Tylka T. L. Exploring a model of intuitive eating with college women. Journal of Counseling Psychology. 2006; 53(4): 486–497.
  • 6. Köse G, Tayfur M, Birincioğlu İ, Dönmez A. Adaptation study of the mindful eating questionnare (MEQ) into Turkish. Journal of CognitiveBehavioral Psychotherapy and Research. 2006;5(3): 125-134.
  • 7. Tylka TL, Calogero RM, Daníelsdóttir S. Intuitive eating is connected to self-reported weight stability in community women and men. Eat Disord. 2020 May-Jun;28(3):256-64.
  • 8. Hawks S, Merrill R.M, Madanat H.N. The intuitive eating scale: development and preliminary validation. American Journal of Health Education. 2004;35(2): 90-99.
  • 9. Hazzard VM, Telke SE, Simone M, Anderson LM, Larson NI, Neumark-Sztainer D. Intuitive eating longitudinally predicts better psychological health and lower use of disordered eating behaviors. Eat Weight Disord. 2021 Feb;26(1):287-94.
  • 10. Neumark-Sztainer D. Intuitive eating longitudinally predicts better psychological health and lower use of disordered eating behaviors. Eat Weight Disord. 2021 Feb;26(1):287-94.
  • 11. Bas, M, Karaca K. E, Saglam D, Arıtıcı G, Cengiz E, Köksal S, et al. Turkish version of the Intuitive Eating Scale 2: Validity and reliability among university students. Appetite, 2017; 114: 391–397.
  • 12. Hisli, N. Beck Depresyon Envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Psikoloji dergisi. 1989; 7(23): 3-13.
  • 13. Choi E, Hui B, Wan E. Depression and anxiety in hong kong during COVID-19. International journal of environmental research and public health. 2020;17(10), 3740.
  • 14. Sidor A, Rzymski P. Dietary Choices and Habits during COVID-19 Lockdown: Experience from Poland. Nutrients. 2020 Jun 3;12(6):E1657.
  • 15. Erdoğan Yüce G, Muz G. COVID-19 pandemisinin yetişkinlerin diyet davranışları, fiziksel aktivite ve stres düzeyleri üzerine etkisi. Cukurova Med J. 2021; 283-291.
  • 16. Schoeller DA. The effect of holiday weight gain on body weight. Physiol Behav. 2014 Jul;134:66-9.
  • 17. Román N, Rigó A, Gajdos P, Tóth-Király I, Urbán R. Intuitive eating in light of other eating styles and motives: Experiences with construct validity and the Hungarian adaptation of the Intuitive Eating Scale-2. Body Image. 2021 Dec;39:30-9.
  • 18. Rodgers RF, White M, Berry R. Orthorexia nervosa, intuitive eating, and eating competence in female and male college students. Eat Weight Disord. 2021 Dec;26(8):2625-32.
  • 19. Horwath C, Hagmann D, Hartmann C. Intuitive eating and food intake in men and women: Results from the Swiss food panel study.2019;4(1);135:61-71.
  • 20. Richard A, Meule A, Georgii C, Voderholzer U, Cuntz U, Wilhelm FH, et al. Associations between interoceptive sensitivity, intuitive eating, and body mass index in patients with anorexia nervosa and normal-weight controls. Eur Eat Disord Rev. 2019 09;27(5):571-7.
  • 21. Denny KN, Loth K, Eisenberg ME, Neumark-Sztainer D. Intuitive eating in young adults. Who is doing it, and how is it related to disordered eating behaviors. Appetite. 2013 Jan;60(1):13-9.
  • 22. Tylka TL, Kroon Van Diest AM. The Intuitive Eating Scale-2: item refinement and psychometric evaluation with college women and men. J Couns Psychol. 2013 Jan;60(1):137-53.
  • 23. Ruzanska UA, Warschburger P. Intuitive eating mediates the relationship between self-regulation and BMI - Results from a cross-sectional study in a community sample. Eat Behav. 2019 04;33:23-9.
  • 24. Taş E, Kabaran S. Sezgisel yeme, duygusal yeme ve depresyon: antropometrik ölçümler üzerinde etkileri var mı. Sağlık ve Toplum. 2020 Eylül- Aralık (3).
  • 25. Kuseyri G, Kızıltan G. Üniversite öğrencilerinde yeme farkındalığı ve sezgisel yeme davranışının beslenme durumu üzerine etkisi. Başkent Üniversitesi, Sağlık Bilimleri Fakültesi. 2019;4(3): 202-219.
  • 26. Pahalı C., Bulut H., Omay O., Hızlı Sayar G. Psikiyatrik hastalıklar ve beden kitle indeksi ilişkisi. J Contemp Med, 2018; 326-332.
  • 27. Milaneschi Y, Simmons WK, van Rossum EFC, Penninx BW. Depression and obesity: evidence of shared biological mechanisms. Mol Psychiatry. 2019 01;24(1):18-33.
  • 28. Joseph PV, Davidson HR, Boulineaux CM, Fourie NH, Franks AT, Abey SK, et al. Eating Behavior, Stress, and Adiposity: Discordance Between Perception and Physiology. Biol Res Nurs. 2018 10;20(5):531-40.
  • 29. Faith MS, Matz PE, Jorge MA. Obesity-depression associations in the population. J Psychosom Res. 2002 Oct;53(4):935-42.
  • 30. Fuller NR, Burns J, Sainsbury A, Horsfield S, da Luz F, Zhang S, et al. Examining the association between depression and obesity during a weight management programme. Clin Obes. 2017 Dec;7(6):354-9.
  • 31. Yayan G., Karaca E. Sezgisel yeme davranışının vücut kompozisyonu ve bazı biyokimyasal parametreler üzerine etkisi. ACU Sağlık Bil Derg. 2019; 79-86.
  • 32. Van Dyke N, Drinkwater EJ. Review Article Relationships between intuitive eating and health indicators: literature review. Public Health Nutrition 2014;17:1757–66.
  • 33. Tylka L.T. Development and psychometric evaluation of a measure of intuitive eating. Journal of Counseling Psychology, 2006;53(2): 226-240.
  • 34. Linardon J, Tylka TL, Fuller-Tyszkiewicz M. Intuitive eating and its psychological correlates: A meta-analysis. 2021 07;54(7):1073-98.
  • 35. Dalen J, Smith BW, Shelley BM, Sloan AL, Leahigh L, Begay D. Pilot study: Mindful Eating and Living (MEAL): weight, eating behavior, and psychological outcomes associated with a mindfulness-based intervention for people with obesity. 2010 Dec;18(6):260-4.
Toplam 35 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Dilmen Önal Bu kişi benim 0000-0001-7054-5186

Ceyda Okudu 0000-0001-9676-4045

Yayımlanma Tarihi 4 Mayıs 2023
Gönderilme Tarihi 10 Ağustos 2022
Kabul Tarihi 6 Mart 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 6 Sayı: 1

Kaynak Göster

Vancouver Önal D, Okudu C. Pandemi Döneminde Bireylerin Sezgisel Yeme Davranışı, Depresyon ve Beden Kütle İndeksi Arasındaki İlişkinin Değerlendirilmesi. Haliç Üniversitesi Sağlık Bilimleri Dergisi. 2023;6(1):11-2.