From plate to mind: Coexistence of food addiction, anxiety and obesity in children
DOI:
https://doi.org/10.62827/nb.v23i3.3026Keywords:
Feeding behavior; food addiction; anxiety; nutritional status; pediatric obesity.Abstract
Introduction: Overweight children and adolescents are susceptible to addictive eating behavior. Objective: To verify the correlations between symptoms of food addiction, anxiety and nutritional status in children aged between 8 and 12 years. Methods: The sample consisted of children from three public schools. Data collection involved anthropometric assessment with measurement of weight and height, calculation of body mass index (BMI) to classify nutritional status according to Z scores. The hedonic assessment scale for food preference, disorder scale was applied. related to childhood anxiety (SCARED) and the Yale Food Addiction Scale for Children (YFAS-C). All statistical tests were two-tailed and the significance level was set at P<0.05. Results: 115 children participated, 63 girls, with an average age of 9.9 years. General symptoms of anxiety disorder were presented by 38.3% (n=44), with a higher frequency of anxiety in those who were overweight or obese (60%, n=32) (P=0.041). Using the YFAS-C scale, 28 children (24.3%) showed symptoms of food addiction, with “withdrawal” (71.3%, n=20) being the most common. It was observed that 17 children (60.7%) presented concomitant symptoms of food addiction and anxiety (P= 0.001), and 15 children (27.8%) presented addictive eating behavior, anxiogenic symptoms and overweight or obesity, suggesting coexistence of these disorders. A moderate correlation was observed between the YFAS-C scores and the BMI (r= 0.320; P<0.001) and the SCARED score (r= 0.479; P<0.001). The presence of addictive symptoms was related to a greater preference for ultra-processed foods (P= 0.024). Conclusion: The coexistence of food addiction, anxiety disorder and overweight/obesity in children has been described.
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