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European Journal of Nutrition

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01-02-2020 | Original Contribution

Dietary changes and its psychosocial moderators during the university examination period

Authors: Nathalie Michels, Tsun Man, Billie Vinck, Laura Verbeyst

Published in: European Journal of Nutrition | Issue 1/2020

Abstract

Purpose

Stress is thought to stimulate unhealthy dietary choices towards fat and sweet foods. Nevertheless, individual vulnerabilities might exist depending on psychological factors. We wanted to check dietary change during examination stress via a longitudinal study, while identifying risk groups via moderation by eating behavior (emotional/external/restrained), food choice motive, taste preference, reward/punishment sensitivity, impulsivity, coping strategies, sedentary behavior, social support, living in a student home and being a first-year student.

Methods

Before and after the examination period January 2017, 232 Flemish students completed online questionnaires on diet (food frequency questionnaire with diet quality index), the above mentioned psychological factors, perceived exam stress and some demographics.

Results

During the examination period, diet quality decreased: lower general diet quality index, lower fruit and vegetables intake, higher fast food intake and more difficulties to eat healthy. Based on significant time moderation, emotional eaters, external eaters, sweet/fat lovers, those with health as food choice motive, sensitive to reward or punishment, highly sedentary, non-first-year students and those with high stress reports were at higher risk for exam-induced diet deteriorations (partial η²: 017–0.071; highest effects for health as food choice motive and external eating). Most tested variables were also related to baseline dietary intake which was of rather low quality.

Conclusion

The overall stress-diet hypothesis was confirmed as students were vulnerable to diet deterioration during examination periods and high-risk groups were identified. Prevention strategies should integrate psychological and lifestyle aspects: stress management, nutritional education with techniques for self-effectiveness, awareness of eating-without-hunger and a health stimulating environment.

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Wardle J, Chida Y, Gibson EL, Whitaker KL, Steptoe A (2011) Stress and adiposity: a meta-analysis of longitudinal studies. Obesity (Silver Spring) 19(4):771–778. https://doi.org/10.1038/oby.2010.241 CrossRef

Gatineau M, Dent M (2011) Obesity and mental health. National Obesity Observatory, Oxford

Macht M (2008) How emotions affect eating: a five-way model. Appetite 50(1):1–11. https://doi.org/10.1016/j.appet.2007.07.002 CrossRefPubMed

Adam TC, Epel ES (2007) Stress, eating and the reward system. Physiol Behav 91(4):449–458. https://doi.org/10.1016/j.physbeh.2007.04.011 CrossRefPubMed

Dallman MF, Pecoraro N, Akana SF, La Fleur SE, Gomez F, Houshyar H, Bell ME, Bhatnagar S, Laugero KD, Manalo S (2003) Chronic stress and obesity: a new view of “comfort food”. Proc Natl Acad Sci USA 100(20):11696–11701. https://doi.org/10.1073/pnas.1934666100 CrossRefPubMedPubMedCentral

Torres SJ, Nowson CA (2007) Relationship between stress, eating behavior, and obesity. Nutrition 23(11–12):887–894. https://doi.org/10.1016/j.nut.2007.08.008 CrossRefPubMed

Epel E, Tomiyama AJ, Dallman MF (2012) Stress and reward neural networks, eating, and obesity. In: Brownell K, Gold M (eds) Handbook of food and addiction. p 462CrossRef

Maniam J, Morris MJ (2012) The link between stress and feeding behaviour. Neuropharmacology 63(1):97–110. https://doi.org/10.1016/j.neuropharm.2012.04.017 CrossRefPubMed

Scientific Institute of Public health (2015) health interview survey: reports. https://his.wiv-isp.be/SitePages/Reports.aspx

10.

Beiter R, Nash R, McCrady M, Rhoades D, Linscomb M, Clarahan M, Sammut S (2015) The prevalence and correlates of depression, anxiety, and stress in a sample of college students. J Affect Disord 173:90–96. https://doi.org/10.1016/j.jad.2014.10.054 CrossRefPubMed

11.

Robotham R, Julian C (2006) Stress and the higher education student: a critical review of the literature. J Further High Educ 30(2):107–117CrossRef

12.

Ekpenyong C, Daniel NE, Aribo N e (2013) Associations between academic stressors, reaction to stress, coping strategies and musculoskeletal disorders among college students. Ethiop J Health Sci 23(2):98–112PubMedPubMedCentral

13.

Vedhara K, Hyde J, Gilchrist ID, Tytherleigh M, Plummer S (2000) Acute stress, memory, attention and cortisol. Psychoneuroendocrino 25(6):535–549CrossRef

14.

Parletta N, Milte CM, Meyer BJ (2013) Nutritional modulation of cognitive function and mental health. J Nutr Biochem 24(5):725–743. https://doi.org/10.1016/j.jnutbio.2013.01.002 CrossRefPubMed

15.

Burrows T, Goldman S, Pursey K, Lim R (2017) Is there an association between dietary intake and academic achievement: a systematic review. J Hum Nutr Diet 30(2):117–140. https://doi.org/10.1111/jhn.12407 CrossRefPubMed

16.

Deforche B, Van Dyck D, Deliens T, De Bourdeaudhuij I (2015) Changes in weight, physical activity, sedentary behaviour and dietary intake during the transition to higher education: a prospective study. Int J Behav Nutr Phy. https://doi.org/10.1186/s12966-015-0173-9 CrossRef

17.

Deliens T, Clarys P, De Bourdeaudhuij I, Deforche B (2014) Determinants of eating behaviour in university students: a qualitative study using focus group discussions. BMC Public Health. https://doi.org/10.1186/1471-2458-14-53 CrossRefPubMedPubMedCentral

18.

Greeno CG, Wing RR (1994) Stress-induced eating. Psychol Bull 115(3):444–464. https://doi.org/10.1037//0033-2909.115.3.444 CrossRefPubMed

19.

Story M, Neumark-Sztainer D, French S (2002) Individual and environmental influences on adolescent eating behaviors. J Am Diet Assoc 102 (3):S40–S51. https://doi.org/10.1016/S0002-8223(02)90421-9 CrossRefPubMed

20.

Newman E, O’Connor DB, Conner M (2008) Attentional biases for food stimuli in external eaters: possible mechanism for stress-induced eating? Appetite 51(2):339–342. https://doi.org/10.1016/j.appet.2008.03.007 CrossRefPubMed

21.

Pollard TM, Steptoe A, Canaan L, Davies GJ, Wardle J (1995) Effects of academic examination stress on eating behavior and blood lipid levels. Int J Behav Med 2(4):299–320. https://doi.org/10.1207/s15327558ijbm0204_2 CrossRefPubMed

22.

Stevenson RJ (2017) Psychological correlates of habitual diet in healthy adults. Psychol Bull 143(1):53–90. https://doi.org/10.1037/bul0000065 CrossRefPubMed

23.

Stok FM, Renner B, Clarys P, Lien N, Lakerveld J, Deliens T (2018) Understanding eating behavior during the transition from adolescence to young adulthood: a literature review and perspective on future research directions. Nutrients. https://doi.org/10.3390/nu10060667 CrossRefPubMedPubMedCentral

24.

Huybrechts I, De Backer G, De Bacquer D, Maes L, De Henauw S (2009) Relative validity and reproducibility of a food-frequency questionnaire for estimating food intakes among flemish preschoolers. Int J Environ Res Public Health 6(1):382–399. https://doi.org/10.3390/ijerph6010382 CrossRefPubMedPubMedCentral

25.

VIGeZ (2006) De actieve voedingsdriehoek: een praktische voedings- en beweeggids (The active Food Pyramid: A practical guide to diet and physical activity). Vlaams Instituut voor Gezondheidspromotie en Ziektepreventie (VIGeZ), Brussels

26.

Huybrechts I, Vereecken C, De Bacquer D, Vandevijvere S, Van Oyen H, Maes L, Vanhauwaert E, Temme L, De Backer G, De Henauw S (2010) Reproducibility and validity of a diet quality index for children assessed using a FFQ. Brit J Nutr 104(1):135–144. https://doi.org/10.1017/S0007114510000231 CrossRefPubMed

27.

van Strien T, Frijters JER, Bergers GPA, Defares PB (1986) The Dutch Eating Behavior Questionnaire (Debq) for assessment of restrained, emotional, and external eating behavior. Int J Eat Disord 5(2):295–315CrossRef

28.

Franken IHA, Muris P, Rassin E (2005) Psychometric properties of the Dutch BIS/BAS Scales. J Psychopathol Behav 27(1):25–30. https://doi.org/10.1007/s10862-005-3262-2 CrossRef

29.

Coutlee CG, Politzer CS, Hoyle RH, Huettel SA (2014) An abbreviated impulsiveness scale (ABIS) constructed through confirmatory factor analysis of the BIS-11. Arch Sci Psychol 2(1):1–12. https://doi.org/10.1037/arc0000005 CrossRefPubMedPubMedCentral

30.

Garnefski N, Kraaij V (2006) Cognitive emotion regulation questionnaire—development of a short 18-item version (CERQ-short). Pers Indiv Differ 41(6):1045–1053. https://doi.org/10.1016/j.paid.2006.04.010 CrossRef

31.

Rosenberg DE, Norman GJ, Wagner N, Patrick K, Calfas KJ, Sallis JF (2010) Reliability and validity of the Sedentary Behavior Questionnaire (SBQ) for adults. J Phys Act Health 7(6):697–705CrossRefPubMed

32.

Zimet GD, Powell SS, Farley GK, Werkman S, Berkoff KA (1990) Psychometric characteristics of the multidimensional scale of perceived social support. J Pers Assess 55(3–4):610–617. https://doi.org/10.1207/s15327752jpa5503&%23x0026;4_17 CrossRefPubMed

33.

Aiken LS, West S (1991) Multiple regression: testing and interpreting interactions. Sage, Newbury Park

34.

Dawson JF (2014) Moderation in management research: what, why, when, and how. J Bus Psychol 29(1):1–19. https://doi.org/10.1007/s10869-013-9308-7 CrossRef

35.

Cohen J (1988) Statistical power analysis for the behavioral sciences. Lawrence Erlbaum Associates, New Jersey

36.

Michaud C, Kahn JP, Musse N, Burlet C, Nicolas JP, Mejean L (1990) Relationships between a critical life event and eating behavior in high-school-students. Stress Med 6(1):57–64. https://doi.org/10.1002/smi.2460060112 CrossRef

37.

Macht M, Haupt C, Ellgring H (2005) The perceived function of eating is changed during examination stress: a field study. Eat Behav 6(2):109–112. https://doi.org/10.1016/j.eatbeh.2004.09.001 CrossRefPubMed

38.

Heatherton TF, Baumeister RF (1991) Binge eating as escape from self-awareness. Psychol Bull 110(1):86–108CrossRefPubMed

39.

O’Connor DB, Jones F, Conner M, McMillan B, Ferguson E (2008) Effects of daily hassles and eating style on eating behavior. Health Psychol 27(1S):S20–S31. https://doi.org/10.1037/0278-6133.27.1.S20 CrossRefPubMed

40.

Oliver G, Wardle J, Gibson EL (2000) Stress and food choice: a laboratory study. Psychosom Med 62(6):853–865CrossRefPubMed

41.

Conner M, Fitter M, Fletcher W (1999) Stress and snacking: a diary study of daily hassles and between-meal snacking. Psychol Health 14(1):51–63. https://doi.org/10.1080/08870449908407313 CrossRef

42.

Zellner DA, Loaiza S, Gonzalez Z, Pita J, Morales J, Pecora D, Wolf A (2006) Food selection changes under stress. Physiol Behav 87(4):789–793. https://doi.org/10.1016/j.physbeh.2006.01.014 CrossRefPubMed

43.

Wardle J, Steptoe A, Oliver G, Lipsey Z (2000) Stress, dietary restraint and food intake. J Psychosom Res 48(2):195–202CrossRefPubMed

44.

Oliver G, Wardle J (1999) Perceived effects of stress on food choice. Physiol Behav 66(3):511–515CrossRefPubMed

45.

Polivy J, Herman CP, McFarlane T (1994) Effects of anxiety on eating: does palatability moderate distress-induced overeating in dieters? J Abnorm Psychol 103(3):505–510CrossRefPubMed

46.

Kandiah J, Yake M, Jones J, Meyer M (2006) Stress influences appetite and comfort food preferences in college women. Nutr Res 26(3):118–123. https://doi.org/10.1016/j.nutres.2005.11.010 CrossRef

47.

Guillaumie L, Godin G, Vezina-Im LA (2010) Psychosocial determinants of fruit and vegetable intake in adult population: a systematic review. Int J Behav Nutr Phys Act 7:12. https://doi.org/10.1186/1479-5868-7-12 CrossRefPubMedPubMedCentral

48.

Eertmans A, Baeyens F, Van den Bergh O (2001) Food likes and their relative importance in human eating behavior: review and preliminary suggestions for health promotion. Health Educ Res 16(4):443–456. https://doi.org/10.1093/her/16.4.443 CrossRefPubMed

49.

Shannon C, Story M, Fulkerson JA, French SA (2002) Factors in the school cafeteria influencing food choices by high school students. J School Health 72(6):229–234. https://doi.org/10.1111/j.1746-1561.2002.tb07335.x CrossRefPubMed

50.

Corr PJ (2008) Reinforcement sensitivity theory (RST): Introduction. In: The reinforcement sensitivity theory of personality. Cambridge University Press, CambridgeCrossRef

51.

Stice E, Burger KS, Yokum S (2013) Relative ability of fat and sugar tastes to activate reward, gustatory, and somatosensory regions. Am J Clin Nutr 98(6):1377–1384. https://doi.org/10.3945/ajcn.113.069443 CrossRefPubMedPubMedCentral

52.

Davis C, Strachan S, Berkson M (2004) Sensitivity to reward: implications for overeating and overweight. Appetite 42(2):131–138. https://doi.org/10.1016/j.appet.2003.07.004 CrossRefPubMed

53.

Tapper K, Pothos EM, Lawrence AD (2010) Feast your eyes: hunger and trait reward drive predict attentional bias for food cues. Emotion 10(6):949–954. https://doi.org/10.1037/a0020305 CrossRefPubMed

54.

Voigt DC, Dillard JP, Braddock KH, Anderson JW, Sopory P, Stephenson MT (2009) Carver and White’s (1994) BIS/BAS scales and their relationship to risky health behaviours. Pers Indiv Differ 47(2):89–93. https://doi.org/10.1016/j.paid.2009.02.003 CrossRef

55.

Tapper K, Baker L, Jiga-Boy G, Haddock G, Maio GR (2015) Sensitivity to reward and punishment: Associations with diet, alcohol consumption, and smoking. Pers Indiv Differ 72:79–84. https://doi.org/10.1016/j.paid.2014.08.025 CrossRef

56.

Tice DM, Bratslavsky E, Baumeister RF (2001) Emotional distress regulation takes precedence over impulse control: if you feel bad, do it! J Pers Soc Psychol 80(1):53–67CrossRefPubMed

57.

Lyke JA, Spinella M (2004) Associations among aspects of impulsivity and eating factors in a nonclinical sample. Int J Eat Disord 36(2):229–233. https://doi.org/10.1002/eat.20025 CrossRefPubMed

58.

Pivarunas B, Conner BT (2015) Impulsivity and emotion dysregulation as predictors of food addiction. Eat Behav 19:9–14. https://doi.org/10.1016/j.eatbeh.2015.06.007 CrossRefPubMed

59.

Folkman S, Lazarus RS (1985) If it changes it must be a process—study of emotion and coping during 3 stages of a college-examination. J Pers Soc Psychol 48(1):150–170. https://doi.org/10.1037//0022-3514.48.1.150 CrossRefPubMed

60.

Evers C, Marijn Stok F, de Ridder DT (2010) Feeding your feelings: emotion regulation strategies and emotional eating. Pers Soc Psychol Bull 36(6):792–804. https://doi.org/10.1177/0146167210371383 CrossRefPubMed

61.

Spoor STP, Bekker MH, Van Strien T, van Heck GL (2007) Relations between negative affect, coping, and emotional eating. Appetite 48(3):368–376. https://doi.org/10.1016/j.appet.2006.10.005 CrossRefPubMed

62.

Vandewalle J, Moens E, Beyers W, Braet C (2016) Can we link emotional eating with the emotion regulation skills of adolescents? Psychol Health 31(7):857–872. https://doi.org/10.1080/08870446.2016.1149586 CrossRefPubMed

63.

Forman EM, Hoffman KL, Juarascio AS, Butryn ML, Herbert JD (2013) Comparison of acceptance-based and standard cognitive-based coping strategies for craving sweets in overweight and obese women. Eat Behav 14(1):64–68. https://doi.org/10.1016/j.eatbeh.2012.10.016 CrossRefPubMed

64.

Aparicio E, Canals J, Arija V, De Henauw S, Michels N (2016) The role of emotion regulation in childhood obesity: implications for prevention and treatment. Nutr Res Rev 29(1):17–29. https://doi.org/10.1017/S0954422415000153 CrossRefPubMed

65.

Hoare E, Milton K, Foster C, Allender S (2016) The associations between sedentary behaviour and mental health among adolescents: a systematic review. Int J Behav Nutr Phy. https://doi.org/10.1186/s12966-016-0432-4 CrossRef

66.

Delfino LD, Silva DAD, Tebar WR, Zanuto EF, Codogno JS, Fernandes RA, Christofaro DG (2018) Screen time by different devices in adolescents: association with physical inactivity domains and eating habits. J Sport Med Phys Fit 58(3):318–325. https://doi.org/10.23736/S0022-4707.17.06980-8 CrossRef

67.

Dohle S, Hartmann C, Keller C (2014) Physical activity as a moderator of the association between emotional eating and BMI: Evidence from the Swiss Food Panel (vol 29, pg 1062, 2014). Psychol Health 29(9):Ii-Ii. https://doi.org/10.1080/08870446.2014.921419 CrossRef

68.

DeBoer LB, Tart CD, Presnell KE, Powers MB, Baldwin AS, Smits JAJ (2012) Physical activity as a moderator of the association between anxiety sensitivity and binge eating. Eat Behav 13(3):194–201. https://doi.org/10.1016/j.eatbeh.2012.01.009 CrossRefPubMedPubMedCentral

69.

Cohen S (2004) Social relationships and health. Am Psychol 59(8):676–684. https://doi.org/10.1037/0003-066X.59.8.676 CrossRefPubMed

70.

Steptoe A, Wardle J, Pollard TM, Canaan L, Davies GJ (1996) Stress, social support and health-related behavior: a study of smoking, alcohol consumption and physical exercise. J Psychosom Res 41(2):171–180CrossRefPubMed

71.

El Ansari W, Stock C, Mikolajczyk RT (2012) Relationships between food consumption and living arrangements among university students in four European countries—a cross-sectional study. Nutr J. https://doi.org/10.1186/1475-2891-11-28 CrossRefPubMedPubMedCentral

72.

Gallego J, Aguilar-Parra JM, Cangas AJ, Langer AI, Manas I (2015) Effect of a mindfulness program on stress, anxiety and depression in university students. Span J Psychol 17:E109. https://doi.org/10.1017/sjp.2014.102 CrossRefPubMed

73.

Moss SB, Smith PO (2007) Wellness and impairment content in schools of medicine curricula in the United States and Canada. Med Educ Online 12(1):4459. https://doi.org/10.3402/meo.v12i.4459 CrossRefPubMed

74.

Tsatsoulis A, Fountoulakis S (2006) The protective role of exercise on stress system dysregulation and comorbidities. Ann N Y Acad Sci 1083:196–213. https://doi.org/10.1196/annals.1367.020 CrossRefPubMed

75.

Deliens T, Van Crombruggen R, Verbruggen S, De Bourdeaudhuij I, Deforche B, Clarys P (2016) Dietary interventions among university students: a systematic review. Appetite 105:14–26. https://doi.org/10.1016/j.appet.2016.05.003 CrossRefPubMed

76.

O’Reilly GA, Cook L, Spruijt-Metz D, Black DS (2014) Mindfulness-based interventions for obesity-related eating behaviours: a literature review. Obes Rev 15(6):453–461. https://doi.org/10.1111/obr.12156 CrossRefPubMedPubMedCentral

77.

Wansink B, Cheney MM, Chan N (2003) Exploring comfort food preferences across age and gender. Physiol Behav 79(4–5):739–747CrossRefPubMed

78.

Becker JB, Berkley KJ, Geary N, Hampson E, Herman JP, Young EA (2008) Sex differences in the brain: from genes to behavior. Oxford University Press, New York

79.

Newman E, O’Connor DB, Conner M (2007) Daily hassles and eating behaviour: the role of cortisol reactivity status. Psychoneuroendocrino 32(2):125–132. https://doi.org/10.1016/j.psyneuen.2006.11.006 CrossRef

Title: Dietary changes and its psychosocial moderators during the university examination period
Authors: Nathalie Michels
Tsun Man
Billie Vinck
Laura Verbeyst
Publication date: 01-02-2020
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Nutrition / Issue 1/2020
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI: https://doi.org/10.1007/s00394-019-01906-9

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