Published date: Jan 11 2018

Journal Title: KnE Life Sciences

Issue title: The 1st International Conference on Global Health

Pages: 8-17

DOI: 10.18502/kls.v4i1.1361

Nindhita Priscillia Muharrani

Engkus Kusdinar Achmadkusdinar@ui.ac.idDepartment of Nutrition Study, Universitas Indonesia, Depok, Indonesia

Trini Sudiarti

ABSTRACT: Continuous weight gain increases the risk of coronary heart disease. This research was a six-week prospective cohort study aimed at identifying the effects of restrained, external, and emotional eating styles on weight gain by controlling energy intake, physical activity, and socioeconomic status. A total of 40 female students were assessed at three points within a six-week period. Eating styles were assessed using a self-administered questionnaire based on restrained, externality, and psychosomatic theories. There was a significant weight gain of 0.32 kg on average among female students. Twenty-five percent of respondents experienced changes in eating style, while the rest were consistent with one eating style. A significant effect on weight gain was found only in external eating before and after being controlled by energy intake (p<0.05). This indicates that external eating, rather than emotional eating and restrained eating, drives weight gain among female college students. This study also found that the proportion of restrained eating was higher in students with normal weight than in those who were overweight, whereas emotional eating was higher in underweight students than overweight students, and external eating was higher in underweight students than obese students. In conclusion, external eating may cause weight gain, yet restrained and emotional eating are not necessarily effective ways to control weight either. Therapies to stop the weight gain epidemic are urgently needed.

[1] Anderson D, J Shapiro and J Lundgren. 2003. “The freshman year of college as a critical period for weight gain: an initial evaluation”. Eating Behaviour 4: 363 – 367.

[2] Baecke, J, J Burema, J Frijters. 1982. “A short questionnaire for the measurement of habitual physical activity in epidemiological studies.” American Journal of Clinical Nutrition 36(5): 936 – 942.

[3] Clark, Nancy. 1998. “Nutrition support programs for young adult athletes.” International Journal of Sport Nutrition 8: 416 – 425.

[4] Crombie, AP, Illich, J, G Dutton, D Abood. 2009. “The freshman weight gain phenomenon revisited.”Nutr Rev 67 (2): 83 – 94.

[5] Dam, van R. and J Seidell. 2007. “Carbohydrate intake and obesity.” European Journal of Clinical Nutrition 61: 75 – 99.

[6] Deshpande, S, M Basil and D Basil. 2009. “Factors Influencing Healthy Eating Habits Among College Students: An Application of the Health Belief Model.” Health Marketing Quarterly 26: 145-164.

[7] Dovey, Terry. 2010. “Eating Behaviour.” United Kingdom: Open University Press.

[8] Drewnowski, A., Candace L Kurth, and Dean Krahn. 1994. “Body weight and dieting in adolescence: Impact of socioeconomic status.” International Journal of Eating Disorders 16 (1): 61–65.

[9] Geliebter, Allan and Angela Aversa. 2003. “Emotional eating in overweight, normal weight, and underweight individuals.” Elsevier 3: 341 – 347.

[10] Gibbs, B., L Kinzel, Pettee K Gabriel, Y Chang, and L Kuller. 2012. “Short-and longterm eating habit modification predict weight change in overweight: results from the woman study.” Journal Academy of Nutrition and Dietetics, 112 (9): 1347 – 1355.

[11] Halberstadt, J., T Van Strien, E Vet, I Eekhout, C Braet, and J Seidell. 2016. “The association of eating styles with weight change after an intensive combined lifestyle intervention for children and adolescents with severe obesity.” Appetite 99: 82 – 90.

[12] Herman, P, and J Polivy. 1980. “The boundary model for the regulation of eating.” Journal of Abnormal Psychology 84: 66-72.

[13] Kaplan and Kaplan. 1957. “The psychosomatic concept of obesity.” Journal Nerv Mental Disorder 125 (2): 181 – 201.

[14] Keski-Rahkonen A., Bulik CM, K Pietilainen, R Rose, Kaprio J, and A Rissanen. 2007. “Eating styles, overweight and obesity in young adult twins.” European Journal of Clinical Nutrition 61: 822–829.

[15] Koenders and Van Strien. 2011. “Emotional Eating, Rather Than Lifestyle Behavior, Drivers Weight Gain in a Prospective Study in 1562 Employees.” Journal of Occupational and Environmental Medicine 53: (11).

[16] Lavie and Milani. 2003. “Obesity and cardiovascular disease: the Hippocrates paradox?.” Journal of American College of Cardiology 42 (4): 677 – 679.

[17] Lluch, A., B Herbeth, L Mejean, and G Siest. 2000. “Dietary intakes, eating style and overweight in Stanislas Family Study.” International Journal of Obesity 24: 1493- 1499.

[18] Lowe, M., R Annunziato, J Markowitz, E Didie, D Bellace, L Riddell, C Maille, S McKinney, E Stice. 2005. “Multiple types of dieting prospectively predict weight gain during the freshman year of college.” Appetite 47: 83 – 90.

[19] Lowe, M and A Levina. 2005. “Eating motives and the controversy over dieting: eating less than needed versus less than wanted.” Obes Res 13 (5): 797 – 806.

[20] Nguyen-Rodriguez, Selena, U Jennifer, and S Donna. 2009. “Psychological Determinants of Emotional Eating in Adolescence.” Eating Disorder 17 (3): 211-224.

[21] Muharrani, Nindhita. 2016. “Preliminary survey of overweight prevalence among college students at Faculty of Public Health, Universitas Indonesia in 2016.” Undergraduate thesis, Universitas Indonesia.

[22] O’Rahilly, Stephen and S. Farooqi. 2006. “Genetics of Obesity.” Phil Trans R Soc 361: 1095-1105

[23] Peraturan Menteri Kesehatan Republik Indonesia. 2014. Pedoman Gizi Seimbang. Yogyakarta: Ministry of Health, Republic of Indonesia.

[24] Popkess-Vawter, S., C Bandau and J Straub. 1998. “Unpleasant emotional triggers to overeating and related intervention strategies for overweight and obese women weight cyclers.” Applied Nursing Reasearch 11: 69 – 76.

[25] Renee, Jill. 2007. “Written Emotional Expression: Effects on Weight Loss and Maintenance.” ProQuest: University of Kansas.

[26] Riset Kesehatan Dasar (RISKESDAS). 2013. Riset Kesehatan Dasar: RISKESDAS 2013. Badan Penelitian dan Pengembangan Kesehatan, Kementrian Kesehatan RI.

[27] Schachter, S. and J Rodin. 1974.”Obese humans and rats.” Washington, DC: Erlbaum/Halsted.

[28] Snoek, Harriette M., et al. 2007. Emotional, external, restrained eating and overweight in Dutch adolescents. Scandinavian Journal of Psychology, 48, 23-32.

[29] Song, Yun-Mi, Kayoung L, and J Sung. 2013. “Eating behaviors and weight over time in a prospective study: the Healthy Twin Study.” Asia Pacific Journal of Clinical Nutrition 23 (1): 76-83.

[30] Sung, J, K Lee, and Y Song. 2009. “Relationship of eating behavior to long-term weight change and body mass index: The Healthy Twin Study.” Eating Weight Disorder 14: 2-3

[31] Wardle, J, L Marshland, Y Sheikh, M Quinn, I Fedoroff, and J Ogden. 1992. “Eating style and eating behavior in Adolescents. Appetite 18: 167 – 183.

[32] Vainik, U, L Dube, J Lu, and Fellows. 2015. “Personality and situation predictors of consistent eating patterns.” PLOS ONE 10 (12).

[33] Van Strien, T, C Herman, and M Verheijden. 2008. “Eating style, overeating, and overweight in a representative Dutch Sample. Does External Eating Play a Role?” Appetite 52: 380-387.

[34] Van Strien, T, C Herman, and M Verheijden. 2012 ““Eating style, overeating and weight gain. A prospective 2-year follow up study in a representative dutch sample.” Appetite 59: 782 – 789.

[35] Vella – Zarb, R. and F Elgar. 2009. “The ‘freshman 5’: a meta-analysis of weight gain in the freshman year of college.” Journal of American College Health 58 (2): 161 – 166.

[36] WHO. 2015. Obesity and overweight, World Health Organization. Available from http://www/who.int/mediacentre/factsheets/fs311/en [Accessed February 12, 2015].

[37] Wing, R. and J Hill. 2001. “Successful weight loss maintenance.” Annu Rev Nutr 21: 323 – 341.