BACKGROUND:In civilians, overweight and obesity are associated with emotional eating behaviors such as eating in response to stress, but this association has not been examined in Soldiers, a population with unique stressors. This cross-sectional study examined the relationship between perceived stress (PS), emotional eating (EE), and outcomes of body mass index (BMI), and failing Army body composition (BC) standards among Soldiers. METHODS:Soldiers (N = 1460, 83% male, 23.5 ± 5.2 years old) completed validated surveys on PS, EE, and adherence with military BC standards. Conditional process models and mediation models tested gender as a moderator and EE as a mediator of associations between PS and BMI and PS and BC failure, respectively. RESULTS:Higher PS was associated with more frequent self-reported EE behaviors (p < 0.001), higher BMI (p < 0.001), and BC failure (p < 0.001). BMI significantly increased with frequency of reported EE behaviors (p < 0.001). Gender was not a statistically significant moderator in the relationship between PS, EE, and, BMI (p = 0.83) or BC failure (p = 0.57). PS appears to affect BMI indirectly through EE behaviors (c' = 0.03, 95% CI: 0.02, 0.04). PS may affect BC failure directly (c' = 1.04, 95% CI: 1.01, 1.08) and indirectly (ab = 1.02, 95% CI: 1.01, 1.03) through EE as a mediator. CONCLUSIONS:EE behaviors may mediate the positive association between PS, BMI, and BC failure. Prospective investigation is warranted to better understand the role of EE in health-related outcomes among Soldiers and populations in high stress professions.

译文

背景:在平民中,超重和肥胖与情绪饮食行为有关,例如因压力而进食,但是这种联系尚未在具有独特压力源的士兵中进行检验。这项横断面研究检查了士兵之间的感知压力(PS),情感饮食(EE)和体重指数(BMI)的结果以及陆军身体成分(BC)标准不合格之间的关系。
方法:士兵(N = 1460,男性83%,23.5±5.2岁)完成了关于PS,EE和遵守军事BC标准的有效调查。条件过程模型和中介模型分别测试了性别作为PS和BMI与PS和BC失败之间的关联的主持人和EE。
结果:较高的PS与更频繁的自我报告的EE行为(p <0.001),较高的BMI(p <0.001)和BC衰竭(p <0.001)相关。 BMI随报告的EE行为频率显着增加(p <0.001)。在PS,EE和BMI(p = 0.83)或BC衰竭(p = 0.57)之间的关系中,性别不是统计学显着的调节剂。 PS似乎通过EE行为间接影响BMI(c'= 0.03,95%CI:0.02,0.04)。 PS可能通过EE作为介体直接影响BC失败(c'= 1.04,95%CI:1.01,1.08),间接影响(ab = 1.02,95%CI:1.01,1.03)。
结论:EE行为可能介导PS,BMI和BC衰竭之间的正相关。有必要进行前瞻性调查,以更好地了解EE在高压力职业的士兵和人群中与健康相关的结果中的作用。

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