Association of Obesity and Eating in the Absence of Hunger Among College Students in a Mexican-USA Border City

• Published in: Journal of community health 2014-06, Vol.39 (3), p.432-436
• Main Authors: Pérez-Morales, Eugenia, Jiménez-Cruz, Arturo, Alcántara-Jurado, Luis, Armendáriz-Anguiano, Ana, Bacardí-Gascón, Montserrat
• Format: Article
• Language: English
• Subjects: Adolescents; Anthropometry; Behavior Disorders; Body Composition; Body Mass Index; College students; Community and Environmental Psychology; Diet; Eating behavior; Eating Disorders; Eating Habits; Ethics; Factor Analysis; Fatigue; Feeding Behavior - psychology; Female; Females; Health; Health Promotion and Disease Prevention; Humans; Hunger; Male; Medicine; Medicine & Public Health; Mexico; Middle Schools; Nutrition research; Obesity; Obesity - psychology; ORIGINAL PAPER; Principal components analysis; Principals; Public Health; Questionnaires; Scientific Concepts; Sex Factors; Statistical Analysis; Students; Surveys and Questionnaires; Universities; Validity; Young Adult
• ISSN: 0094-5145; 1573-3610
• DOI: 10.1007/s10900-013-9791-9

Few studies have examined disinhibited eating behaviors in Mexico. However eating in the absence of hunger (EAH), defined as eating in response to the presence of palatable foods in the absence of physiological hunger, is one of the more frequently examined behaviors. The purpose of this study was to assess the association between obesity and EAH among college students in a large Mexican-USA border city. Two-hundred and one sophomore college students completed the EAH questionnaire (EAH-C). Weight and height were measured. To assess reproducibility a test–retest was conducted in a subset sample (n = 20). Test–retest correlations ranged from q = 0.44 to 0.86, p < 0.01. Data obtained from the EAH-C were subjected to a principal components analysis with a varimax rotation. The mean age of participants was 21.0 ± 2.0 years, 52 % were female. The prevalence of overweight and obesity was 29 and 14 % respectively. The internal validity was assessed by Cronbach’s alph. Internal consistency for all subscales was: external eating (α = 0.83), negative affect (α = 0.92) and fatigue/boredom (α = 0.86). Principal component analysis generated four subscales for the EAH-C: external eating, negative affect, fatigue and boredom. Comparing normal weight students versus obese students, normal weight students (57.1 %) had higher scores on boredom subscale than obese students (p < 0.008). Female students had higher scores in the negative affect subscale than the males (p < 0.001). We conclude that the EAH-C had internal consistent subscales with good convergent validity. In this study population we found no association between EAH and obesity.