Self-Perceived Health Status and Life Satisfaction Associated with Emotional Eating in Nursing and Medical Students: A Cross-Sectional Study in a Region of Peru
Abstract
1. Introduction
2. Materials and Methods
2.1. Design and Participants
2.2. Ethical Considerations
2.3. Covariates and Confounders
2.4. Statistical Analysis
3. Results
3.1. General Characteristics
3.2. Characteristics According to EmE
4. Discussion
4.1. Limitations and Future Perspectives
4.2. Public Health and Practical Implications
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
EmE | Emotional eating |
References
- Saintila, J.; Carranza-Cubas, S.P.; Santamaria-Acosta, O.F.A.; Serpa-Barrientos, A.; Ramos-Vera, C.; López-López, E.; Geraldo-Campos, L.A.; Calizaya-Milla, Y.E. Breakfast consumption, saturated fat intake, and body mass index among medical and non-medical students: A cross-sectional analysis. Sci. Rep. 2024, 14, 12608. [Google Scholar] [CrossRef] [PubMed]
- Reichenberger, J.; Schnepper, R.; Arend, A.K.; Blechert, J. Emotional eating in healthy individuals and patients with an eating disorder: Evidence from psychometric, experimental and naturalistic studies. Proc. Nutr. Soc. 2020, 79, 290–299. [Google Scholar] [CrossRef] [PubMed]
- Manchón, J.; Quiles, M.J.; Quiles, Y.; López-Roig, S. Positive and Negative Emotional Eating Are Not the Same—The Spanish Version of the Positive-Negative Emotional Eating Scale (PNEES). Front. Psychol. 2021, 12, 709570. [Google Scholar] [CrossRef] [PubMed]
- Cardi, V.; Leppanen, J.; Treasure, J. The effects of negative and positive mood induction on eating behaviour: A meta-analysis of laboratory studies in the healthy population and eating and weight disorders. Neurosci. Biobehav. Rev. 2015, 57, 299–309. [Google Scholar] [CrossRef]
- Fuente González, C.E.; Chávez-Servín, J.L.; de la Torre-Carbot, K.; Ronquillo González, D.; Aguilera Barreiro M de los, Á.; Ojeda Navarro, L.R. Relationship between Emotional Eating, Consumption of Hyperpalatable Energy-Dense Foods, and Indicators of Nutritional Status: A Systematic Review. J. Obes. 2022, 2022, 4243868. [Google Scholar] [CrossRef]
- Yönder Ertem, M.; Karakaş, M. Relationship between emotional eating and coping with stress of nursing students. Perspect. Psychiatr. Care 2021, 57, 433–442. [Google Scholar] [CrossRef]
- Chew, H.S.J.; Soong, R.Y.; Ang, W.H.D.; Ngooi, J.W.; Park, J.; Yong, J.Q.Y.O.; Goh, Y.S.S. The global prevalence of emotional eating in overweight and obese populations: A systematic review and meta-analysis. Br. J. Psychol. 2025, 116, 484–498. [Google Scholar] [CrossRef]
- Serban, D.M.; Banu, A.M.; Serban, C.L. Emotional Eating and Body Misperception Among Dental Students From Romania–Implications for Targeted Interventions. Health Sci. Rep. 2025, 8, e70451. [Google Scholar] [CrossRef]
- Ackuaku-Dogbe, E.; Abaidoo, B. Breakfast Eating Habits among Medical Students. Ghana Med. J. 2014, 48, 66. [Google Scholar] [CrossRef]
- Elsherif, E.S.; Al-Rakhawy, M.Y.; Fathy, H.; Adel, A.; Khalaf, O.O. Disordered eating behaviors among a sample of final-year medical students at Cairo University and its relationship with alexithymia and social cognition. Middle East Curr. Psychiatry 2025, 32, 4. [Google Scholar] [CrossRef]
- Torres, C.P.; Kenny, I.; Espinoza, T.; Salazar Pérez, C.; Luigui Viteri-Condori, I.; Carhuancho Aguilar, J.; Taype Rondan, Á. Trastornos de la conducta alimentaria en estudiantes de medicina de una universidad de Perú. Rev. Cub. Salud Publica 2017, 43, 551–561. [Google Scholar]
- Mikolajczyk, R.T.; Brzoska, P.; Maier, C.; Ottova, V.; Meier, S.; Dudziak, U.; Ilieva, S.; El Ansari, W. Factors associated with self-rated health status in university students: A cross-sectional study in three European countries. BMC Public Health 2008, 8, 215. [Google Scholar] [CrossRef] [PubMed]
- Umami, A.; Paulik, E.; Molnár, R. International medical students’ acculturation and self-rated health status in Hungary: A cross-sectional study. BMC Public Health 2022, 22, 1941. [Google Scholar] [CrossRef] [PubMed]
- Lundberg, O.; Manderbacka, K. Assessing reliability of a measure of self-rated health. Scand. J. Soc. Med. 1996, 24, 218–224. [Google Scholar] [CrossRef] [PubMed]
- Umami, A.; Zsiros, V.; Maróti-Nagy, Á.; Máté, Z.; Sudalhar, S.; Molnár, R.; Paulik, E. Correction to: Healthcare-seeking of medical students: The effect of socio-demographic factors, health behaviour and health status—A cross-sectional study in Hungary. BMC Public Health 2024, 24, 1416. [Google Scholar] [CrossRef]
- Deindl, C.; Diehl, K.; Spallek, J.; Richter, M.; Schüttig, W.; Rattay, P.; Dragano, N.; Pischke, C.R. Self-rated health of university students in Germany–The importance of material, psychosocial, and behavioral factors and the parental socio-economic status. Front. Public Health 2023, 11, 1075142. [Google Scholar] [CrossRef]
- Santiago, S.; de Castro Castro, S.; de Brito, A.P.A.; Sanches, D.; Quintanilha, L.F.; de Miranda Avena, K.; Andrade, B.B. Stress and exhaustion among medical students: A prospective longitudinal study on the impact of the assessment period on medical education. BMC Med. Educ. 2024, 24, 630. [Google Scholar] [CrossRef]
- Liu, T.; Yang, X.; Guo, K.; Wang, W.; Li, J.; Liu, L. Evaluation of Health Behaviors and Self-rated Health Among Chinese Healthcare Students. J. Community Health 2020, 45, 1006–1016. [Google Scholar] [CrossRef]
- Jezewska-Zychowicz, M.; Wadolowska, L.; Kowalkowska, J.; Lonnie, M.; Czarnocinska, J.; Babicz-Zielinska, E. Perceived health and nutrition concerns as predictors of dietary patterns among polish females aged 13–21 years (GEBaHealth project). Nutrients 2017, 9, 613. [Google Scholar] [CrossRef]
- Hwang, H.J.; Choi, Y.J.; Hong, D. The Association between Self-Rated Health Status, Psychosocial Stress, Eating Behaviors, and Food Intake According to the Level of Sunlight Exposure in Korean Adults. Int. J. Environ. Res. Public Health 2022, 20, 262. [Google Scholar] [CrossRef]
- Osera, T.; Awai, M.; Kobayashi, M.; Tsutie, S.; Kurihara, N. Relationship between Self-Rated Health and Lifestyle and Food Habits in Japanese High School Students. Behav. Sci. 2017, 7, 71. [Google Scholar] [CrossRef]
- Diener, E.; Emmons, R.A.; Larsen, R.J.; Griffin, S. The Satisfaction With Life Scale. J. Pers. Assess. 1985, 49, 71–75. [Google Scholar] [CrossRef] [PubMed]
- Diener, E.; Inglehart, R.; Tay, L. Theory and Validity of Life Satisfaction Scales. Soc. Res. 2012, 112, 497–527. [Google Scholar] [CrossRef]
- Coccia, C.; Darling, C.A. Having the Time of Their Life: College Student Stress, Dating and Satisfaction with Life. Stress Health 2016, 32, 28–35. [Google Scholar] [CrossRef] [PubMed]
- Wach, F.S.; Karbach, J.; Ruffing, S.; Brünken, R.; Spinath, F.M. University Students’ Satisfaction with their Academic Studies: Personality and Motivation Matter. Front. Psychol. 2016, 7, 55. [Google Scholar] [CrossRef]
- Machul, M.; Bieniak, M.; Chałdaś-Majdańska, J.; Bąk, J.; Chrzan-Rodak, A.; Mazurek, P.; Pawłowski, P.; Makuch-Kuśmierz, D.; Obuchowska, A.; Bartoszek, A.; et al. Lifestyle Practices, Satisfaction with Life and the Level of Perceived Stress of Polish and Foreign Medical Students Studying in Poland. Int. J. Environ. Res. Public Health 2020, 17, 4445. [Google Scholar] [CrossRef]
- Wang, Q.; Sun, W.; Wu, H. Associations between academic burnout, resilience and life satisfaction among medical students: A three-wave longitudinal study. BMC Med. Educ. 2022, 22, 248. [Google Scholar] [CrossRef]
- Haider, S.I.; Ahmed, F.; Pasha, H.; Pasha, H.; Farheen, N.; Zahid, M.T. Life satisfaction, resilience and coping mechanisms among medical students during COVID-19. PLoS ONE 2022, 17, 0275319. [Google Scholar] [CrossRef]
- Sze, K.Y.P.; Lee, E.K.P.; Chan, R.H.W.; Kim, J.H. Prevalence of negative emotional eating and its associated psychosocial factors among urban Chinese undergraduates in Hong Kong: A cross-sectional study. BMC Public Health 2021, 21, 583. [Google Scholar] [CrossRef]
- Gürkan, K.P.; Aydoğdu, N.G.; Dokuzcan, D.A.; Yalçinkaya, A. The effects of nurses’ perceived stress and life satisfaction on their emotional eating behaviors. Perspect. Psychiatr. Care 2021, 58, 1048–1054. [Google Scholar] [CrossRef]
- Badura-Brzoza, K.; Dębski, P.; Główczyński, P.; Dębska-Janus, M.; Gorczyca, P. Life Satisfaction and Perceived Stress versus Health Promoting Behavior among Medical Students during the COVID-19 Pandemic. Int. J. Environ. Res. Public Health 2022, 19, 6706. [Google Scholar] [CrossRef] [PubMed]
- Sun, C.; Zhu, Z.; Zhang, P.; Wang, L.; Zhang, Q.; Guo, Y.; Guo, L.; Li, Y.; Wang, P.; Hu, B.; et al. Exploring the interconnections of anxiety, depression, sleep problems and health-promoting lifestyles among Chinese university students: A comprehensive network approach. Front. Psychiatry 2024, 15, 1402680. [Google Scholar] [CrossRef] [PubMed]
- Alfaro-González, S.; Garrido-Miguel, M.; Pascual-Morena, C.; Pozuelo-Carrascosa, D.P.; Fernández-Rodríguez, R.; Martínez-Hortelano, J.A.; Mesas, A.E.; Martínez-Vizcaíno, V. The Association Between Adherence to the Mediterranean Diet and Depression and Anxiety Symptoms in University Students: The Mediating Role of Lean Mass and the Muscle Strength Index. Nutrients 2025, 17, 346. [Google Scholar] [CrossRef] [PubMed]
- Ashizawa, R.; Hamaoka, K.; Honda, H.; Yoshimoto, Y. Correlation between psychological stress and depressive symptoms among Japanese university students: A cross-sectional analysis. J. Phys. Ther. Sci. 2024, 36, 656–661. [Google Scholar] [CrossRef]
- Alexatou, O.; Papadopoulou, S.K.; Mentzelou, M.; Deligiannidou, G.E.; Dakanalis, A.; Giaginis, C. Exploring the Impact of Emotional Eating Among University Students: A Literature Review. Med. Sci. 2025, 13, 56. [Google Scholar] [CrossRef]
- Soper. Free A-Priori Sample Size Calculator for Multiple Regression—Free Statistics Calculators. 2025. Available online: https://www.danielsoper.com/statcalc/calculator.aspx?id=1 (accessed on 20 July 2025).
- Garaulet, M.; Canteras, M.; Morales, E.; López-Guimera, G.; Sánchez-Carracedo, D.; Corbalán-Tutau, M.D. Validation of a questionnaire on emotional eating for use in cases of obesity; the Emotional Eater Questionnaire (EEQ). Nutr. Hosp. 2012, 27, 645–651. [Google Scholar]
- Farhangi, M.A. Night Eating Syndrome and Its Relationship with Emotional Eating, Sleep Quality and Nutritional Status Among Adolescents’ Boys. Community Ment. Health J. 2019, 55, 1411–1418. [Google Scholar] [CrossRef]
- Atienza, F.; Pons, D.; Balaguer, I.; García-Merita, M. Propiedades psicométricas de la Escala de Satisfacción con la Vida en adolescentes. Psicothema 2000, 12, 314–319. [Google Scholar]
- Caycho-Rodríguez, T.; Ventura-León, J.; García Cadena, C.H.; Barboza-Palomino, M.; Arias Gallegos, W.L.; Domínguez-Vergara, J. Evidencia psicométrica de la escala de satisfacción de Diener con la vida en ancianos peruanos. Rev. Cienc. Salud 2018, 16, 488–506. [Google Scholar]
- Malatskey, L.; Essa-Hadad, J.; Willis, T.A.; Rudolf, M.C.J. Leading Healthy Lives: Lifestyle Medicine for Medical Students. Am. J. Lifestyle Med. 2017, 13, 213. [Google Scholar] [CrossRef]
- Péneau, S.; Ménard, E.; Méjean, C.; Bellisle, F.; Hercberg, S. Sex and dieting modify the association between emotional eating and weight status. Am. J. Clin. Nutr. 2013, 97, 1307–1313. [Google Scholar] [CrossRef]
- van Strien, T.; van der Zwaluw, C.S.; Engels, R.C.M.E. Emotional eating in adolescents: A gene (SLC6A4/5-HTT)—Depressive feelings interaction analysis. J. Psychiatr. Res. 2010, 44, 1035–1042. [Google Scholar] [CrossRef]
- Mahon, C.; Hevey, D. Processing Body Image on Social Media: Gender Differences in Adolescent Boys’ and Girls’ Agency and Active Coping. Front. Psychol. 2021, 12, 626763. [Google Scholar] [CrossRef] [PubMed]
- Malloy, J.A.; Kazenbroot-Phillips, H.; Roy, R. Associations Between Body Image, Eating Behaviors, and Diet Quality Among Young Women in New Zealand: The Role of Social Media. Nutrients 2024, 16, 3517. [Google Scholar] [CrossRef] [PubMed]
- Saintila, J.; Soriano-Moreno, A.N.; Basauri-Delgado, M.; Carranza-Cubas, S.P.; López-Gonzales, J.L.; Oblitas-Guerrero, S.M.; Calizaya-Milla, Y.E. Sex differences in social network addiction and emotional eating among adolescents in a Peruvian region: A cross-sectional analysis. J. Eat. Disord. 2024, 12, 168. [Google Scholar] [CrossRef] [PubMed]
- Utter, J.; Denny, S.; Peiris-John, R.; Moselen, E.; Dyson, B.; Clark, T. Family Meals and Adolescent Emotional Well-Being: Findings From a National Study. J. Nutr. Educ. Behav. 2017, 49, 67–72.e1. [Google Scholar] [CrossRef]
- Caramenti, M.; Castiglioni, I. Determinants of Self-Perceived Health: The Importance of Physical Well-Being but Also of Mental Health and Cognitive Functioning. Behav. Sci. 2022, 12, 498. [Google Scholar] [CrossRef]
- Shatwan, M.; Alzharani, M.A. Association between perceived stress, emotional eating, and adherence to healthy eating patterns among Saudi college students: A cross-sectional study. J. Health Popul. Nutr. 2024, 43, 144. [Google Scholar] [CrossRef]
- Ha, O.R.; Lim, S.L. The role of emotion in eating behavior and decisions. Front. Psychol. 2023, 14, 1265074. [Google Scholar] [CrossRef]
- Huang, J.; Wang, C.; Zhang HBin Zheng, H.; Huang, T.; Di, J.Z. Neuroimaging and neuroendocrine insights into food cravings and appetite interventions in obesity. Psychoradiology 2023, 3, kkad023. [Google Scholar] [CrossRef]
- Mitri, R.N.; El-Ali, Z.; Dankar, M. Emotional eating and mental health of nurses working in Lebanese hospitals during the double crisis. J. Nutr. Sci. 2024, 13, e56. [Google Scholar] [CrossRef]
- Cohn, M.A.; Fredrickson, B.L.; Brown, S.L.; Mikels, J.A.; Conway, A.M. Happiness Unpacked: Positive Emotions Increase Life Satisfaction by Building Resilience. Emotion 2009, 9, 361. [Google Scholar] [CrossRef]
- Kim, E.S.; Delaney, S.W.; Tay, L.; Chen, Y.; Diener, E.; Vanderweele, T.J. Life Satisfaction and Subsequent Physical, Behavioral, and Psychosocial Health in Older Adults. Milbank Q. 2021, 99, 209. [Google Scholar] [CrossRef]
- Kornienko, D.S.; Rudnova, N.A. Exploring the Associations between Happiness, Life-satisfaction, Anxiety, and Emotional Regulation among Adults during the Early Stage of the COVID-19 Pandemic in Russia. Psychol. Russ. 2023, 16, 99. [Google Scholar] [CrossRef]
- Isaac, D.M.; Lefèvre, C. Life satisfaction and emotional regulation in aging: Temporal perspective and effect of gender. Geriatr. Psychol. Neuropsychiatr. Vieil. 2024, 22, 209–216. [Google Scholar] [CrossRef]
Characteristic | N = 1213 |
---|---|
Sex | |
Female | 1014 (83.6%) |
Male | 199 (16.4%) |
Age (years) (M ± SD) | 22.7 (4.6) |
Age range (years) | |
<30 | 1114 (91.8%) |
30+ | 99 (8.2%) |
Country of origin | |
Peru | 1146 (94.5%) |
Foreign | 67 (5.5%) |
Marital status | |
Single | 703 (58.0%) |
Living with partner | 510 (42.0%) |
Educational level of parents | |
Basic | 259 (21.4%) |
Technical | 169 (13.9%) |
University | 785 (64.7%) |
Self-rated health | |
Low | 207 (17.1%) |
Medium | 485 (40.0%) |
High | 521 (43.0%) |
Life satisfaction score (M ± SD) | 25.3 (5.8) |
Life satisfaction | |
Low | 161 (13.3%) |
Medium | 302 (24.9%) |
High | 750 (61.8%) |
EmE score (M ± SD) | 10.3 (6.3) |
EmE | |
No | 289 (23.8%) |
Yes | 924 (76.2%) |
EmE | |||
---|---|---|---|
Characteristic | No N = 289 | Yes N = 924 | p-Value * |
Sex | <0.001 | ||
Female | 223 (22.0%) | 791 (78.0%) | |
Male | 66 (33.2%) | 133 (66.8%) | |
Age (years) (M ± SD) | 22.9 (4.8) | 22.6 (4.5) | 0.718 |
Age range (years) | 0.552 | ||
<30 | 263 (23.6%) | 851 (76.4%) | |
30+ | 26 (26.3%) | 73 (73.7%) | |
Country of origin | 0.242 | ||
Peru | 277 (24.2%) | 869 (75.8%) | |
Foreign | 12 (17.9%) | 55 (82.1%) | |
Marital status | 0.374 | ||
Single | 174 (24.8%) | 529 (75.2%) | |
Living with partner | 115 (22.5%) | 395 (77.5%) | |
Educational level of parents | 0.186 | ||
Basic | 66 (25.5%) | 193 (74.5%) | |
Technical | 31 (18.3%) | 138 (81.7%) | |
University | 192 (24.5%) | 593 (75.5%) | |
Self-rated health | <0.001 | ||
Low | 19 (9.2%) | 188 (90.8%) | |
Medium | 99 (20.4%) | 386 (79.6%) | |
High | 171 (32.8%) | 350 (67.2%) | |
Life satisfaction score (M ± SD) | 26.0 ± 6.3 | 25.1 ± 5.7 | <0.001 |
Life satisfaction | <0.001 | ||
Low | 31 (19.3%) | 130 (80.7%) | |
Medium | 46 (15.2%) | 256 (84.8%) | |
High | 212 (28.3%) | 538 (71.7%) |
Crude Regression | Adjusted Regression * | |||||
---|---|---|---|---|---|---|
Variable | PR | 95% CI | p-Value | PR | 95% CI | p-Value |
Self-rated health | ||||||
Low | ||||||
Medium | 0.88 | 0.82–0.93 | <0.001 | 0.88 | 0.83–0.94 | <0.001 |
High | 0.74 | 0.69–0.80 | <0.001 | 0.75 | 0.69–0.81 | <0.001 |
Life satisfaction | ||||||
Low | ||||||
Medium | 1.05 | 0.96–1.15 | 0.286 | 1.03 | 0.95–1.13 | 0.474 |
High | 0.89 | 0.81–0.97 | 0.008 | 0.88 | 0.80–0.96 | 0.003 |
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Saintila, J.; Valle-Chafloque, A.; Barreto-Espinoza, L.A.; López-López, E.; Gálvez-Díaz, N.D.C.; Lizarraga-De-Maguiña, I.G.; Cervera, N.A.B.; Oblitas-Guerrero, S.M.; Bernal-Corrales, F.d.C.; Távara, G.L. Self-Perceived Health Status and Life Satisfaction Associated with Emotional Eating in Nursing and Medical Students: A Cross-Sectional Study in a Region of Peru. Med. Sci. 2025, 13, 196. https://doi.org/10.3390/medsci13030196
Saintila J, Valle-Chafloque A, Barreto-Espinoza LA, López-López E, Gálvez-Díaz NDC, Lizarraga-De-Maguiña IG, Cervera NAB, Oblitas-Guerrero SM, Bernal-Corrales FdC, Távara GL. Self-Perceived Health Status and Life Satisfaction Associated with Emotional Eating in Nursing and Medical Students: A Cross-Sectional Study in a Region of Peru. Medical Sciences. 2025; 13(3):196. https://doi.org/10.3390/medsci13030196
Chicago/Turabian StyleSaintila, Jacksaint, Ana Valle-Chafloque, Luz A. Barreto-Espinoza, Elmer López-López, Norma Del Carmen Gálvez-Díaz, Isabel G. Lizarraga-De-Maguiña, Noemi Alejandrina Buenaño Cervera, Susan M. Oblitas-Guerrero, Fátima del Carmen Bernal-Corrales, and Giovanna Larraín Távara. 2025. "Self-Perceived Health Status and Life Satisfaction Associated with Emotional Eating in Nursing and Medical Students: A Cross-Sectional Study in a Region of Peru" Medical Sciences 13, no. 3: 196. https://doi.org/10.3390/medsci13030196
APA StyleSaintila, J., Valle-Chafloque, A., Barreto-Espinoza, L. A., López-López, E., Gálvez-Díaz, N. D. C., Lizarraga-De-Maguiña, I. G., Cervera, N. A. B., Oblitas-Guerrero, S. M., Bernal-Corrales, F. d. C., & Távara, G. L. (2025). Self-Perceived Health Status and Life Satisfaction Associated with Emotional Eating in Nursing and Medical Students: A Cross-Sectional Study in a Region of Peru. Medical Sciences, 13(3), 196. https://doi.org/10.3390/medsci13030196