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Eating Disorders Related to Emotion and Psychology

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutrition and Public Health".

Deadline for manuscript submissions: closed (25 September 2024) | Viewed by 14005

Special Issue Editors


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Guest Editor
1. ACUTE Center for Eating Disorders, Denver, CO 80204, USA
2. Department of Medicine, School of Medicine, University of Colorado, Aurora, CO 80045, USA
3. Eating Recovery Center, Denver, CO 80230, USA
Interests: medical&psychological care; anorexia nervosa; eating disorders; nutrition; diet

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Guest Editor Assistant
1. Department of Medicine, University of Colorado School of Medicine, 13001 E 17th Pl, Aurora, CO 80045, USA
2. ACUTE Center for Eating Disorders at Denver Health, 723 Delaware Street, Denver, CO 80204, USA
Interests: medical&psychological care; anorexia nervosa; eating disorders; nutrition; diet

Special Issue Information

Dear Colleagues,

Eating disorders are diseases closely related to a person’s psychology and spirit. They can cause physiological changes in the body and affect nearly every organ system. Therefore, exploring the relationship between eating disorders and psychology is of great significance for prevention and treatment.

The focus of this Special Issue is to support a deeper understanding of eating disorders and their psychological and spiritual aspects. We welcome the submission of articles that provide new insights about restrictive eating attitudes, behaviors, and  binge eating, with a special focus on nutrition and dietary management. Original research articles and reviews are welcome.

Prof. Dr. Philip Mehler
Guest Editor

Dr. Dennis Gibson
Guest Editor Assistant

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Nutrients is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • anorexia nervosa
  • ARFID
  • bulimia
  • psychological
  • emotion
  • treatment targets
  • eating disorders
  • eat
  • diet

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Published Papers (4 papers)

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Research

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17 pages, 303 KiB  
Article
Food Neophobia and Avoidant/Restrictive Food Intake among Adults and Related Factors
by Agnieszka Białek-Dratwa, Wiktoria Staśkiewicz-Bartecka, Agata Kiciak, Aleksandra Wardyniec, Mateusz Grajek, Şule Aktaç, Zehra Margot Çelik, Güleren Sabuncular, Ayşe Hümeyra İslamoğlu and Oskar Kowalski
Nutrients 2024, 16(17), 2952; https://doi.org/10.3390/nu16172952 - 2 Sep 2024
Cited by 3 | Viewed by 3128
Abstract
Avoidant/restrictive food intake disorder (ARFID) includes age-inappropriate feeding behaviors in eating patterns, including food neophobia, defined as refusal or reluctance to eat new or unknown foods. This study aimed to assess the prevalence of ARFID and food neophobia among adults and determine the [...] Read more.
Avoidant/restrictive food intake disorder (ARFID) includes age-inappropriate feeding behaviors in eating patterns, including food neophobia, defined as refusal or reluctance to eat new or unknown foods. This study aimed to assess the prevalence of ARFID and food neophobia among adults and determine the related characteristics of these risks. The study used an anonymous survey questionnaire consisting of three parts as the research tool. The first part of the questionnaire was a metric and concerned socio-demographic data. The Food Neophobia Scale (FNS) and the Nine-Item Avoidance/Restrictive Food Disorder Screen Questionnaire (NIAS) were used to evaluate the eating disorders. The survey included 309 people (60.2% women, 39.8% men) aged 18–77 years. NIAS results indicated that 15.2% of the subjects showed food selectivity, and 11.0% had food anxiety. In the FNS assessment, 42.4% had a low risk of food neophobia, 38.2% a medium risk, and 19.4% a high risk. A higher risk of food neophobia correlated with higher NIAS scores, indicating a higher risk of ARFID (p = 0.00231). The NIAS score increased with the risk of food neophobia (p = 0.000). Respondents at low risk of neophobia were most likely to avoid several products (83.97%), while in the high-risk group, 56.67% did not want to eat a favorite food enriched with a new ingredient. A higher risk of neophobia was correlated with more food avoidance and adverse reactions to new foods (p = 0.000). A higher risk of food neophobia is strongly correlated with a higher risk of ARFID. Although demographics did not significantly impact NIAS results, some trends were noted, such as higher scores among older and underweight people. Those with a higher risk of food neophobia show more food avoidance and a greater reluctance to experiment with new ingredients. Public education should emphasize that eating disorders affect both sexes equally, with tailored interventions for high-risk groups such as the elderly, rural populations, and those with lower education. Health policies should promote access to nutrition education, psychological support, and diverse food options, while further research is needed to improve targeted interventions. Full article
(This article belongs to the Special Issue Eating Disorders Related to Emotion and Psychology)
15 pages, 539 KiB  
Article
How Dietary Choices and Nutritional Knowledge Relate to Eating Disorders and Body Esteem of Medical Students? A Single-Center Cross-Sectional Study
by Aureliusz Andrzej Kosendiak, Bartosz Bogusz Adamczak, Zofia Kuźnik and Szymon Makles
Nutrients 2024, 16(10), 1414; https://doi.org/10.3390/nu16101414 - 8 May 2024
Cited by 2 | Viewed by 2082
Abstract
Eating disorders and body image concerns are increasingly prevalent issues among young individuals, with medical students being particularly vulnerable due to heightened stress levels. This study enrolled 879 medical students to investigate these concerns. The KomPAN questionnaire was utilized to assess dietary habits [...] Read more.
Eating disorders and body image concerns are increasingly prevalent issues among young individuals, with medical students being particularly vulnerable due to heightened stress levels. This study enrolled 879 medical students to investigate these concerns. The KomPAN questionnaire was utilized to assess dietary habits and knowledge, the Body Esteem Scale (BES) to evaluate body satisfaction, and The Eating Attitudes Test (EAT-26) to identify eating disorders. A higher level of nutritional knowledge was found to be statistically significantly associated with attempts at excessive calorie restriction among women (β = 0.0864) and negatively among men (β = −0.2039). Moreover, it was negatively associated with self-control of food intake only among men (β = −0.2060). Furthermore, a higher BMI was associated with attempts of excessive calorie restriction in both women and men (β = 0.1052 and β = 0.1656, respectively) and negatively with self-control of food intake (β = −0.0813 and β = −0.1453, respectively). A higher BMI was associated with poorer body esteem across all variables in both genders, except for upper body strength among men. Nutritional knowledge did not correspond with any of these variables, while dietary quality was positively associated with physical condition in women and with physical condition, physical attractiveness, and upper body strength in men. Our study findings suggest that dietary interventions could be improved by considering gender-based behavioral differences and focusing on portion control for individuals with a higher BMI. Caution is warranted in extrapolating the results to the general population due to the specific nature of the study population. Full article
(This article belongs to the Special Issue Eating Disorders Related to Emotion and Psychology)
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Review

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19 pages, 1387 KiB  
Review
Tackling Cravings in Medical Weight Management: An Update on Pathophysiology and an Integrated Approach to Treatment
by Naomi Kakoschke, Belinda A. Henry, Michael A. Cowley and Kevin Lee
Nutrients 2024, 16(19), 3238; https://doi.org/10.3390/nu16193238 - 25 Sep 2024
Cited by 1 | Viewed by 2842
Abstract
Background/Objectives: Food cravings involve a strong drive to consume palatable foods irrespective of nutritional status. Importantly, cravings contribute substantially to the obesity epidemic. Managing hunger alone is insufficient for weight management as this relates only to homeostatic eating and does not address [...] Read more.
Background/Objectives: Food cravings involve a strong drive to consume palatable foods irrespective of nutritional status. Importantly, cravings contribute substantially to the obesity epidemic. Managing hunger alone is insufficient for weight management as this relates only to homeostatic eating and does not address the complex aetiology of hedonic eating and its crucial role in food cravings. Medical weight management clinics and anti-obesity medication trials do not routinely identify and address food cravings. Methods: We conducted a narrative review of the literature consisting of 115 peer-reviewed articles (original articles and reviews). We included articles focused on food craving pathophysiology, assessment, and management strategies providing contrasts against the current medical model of weight management seen in obesity pharmacotherapy trials as well as the current standard of practise. Results: We outline the neurohormonal and psychological drivers of cravings, which lead to a spectrum of eating behaviours, from comfort food eating to binge eating disorders. We provide an overview of ways of identification and measurement options, including their strengths and weaknesses, and an overview of management strategies and their cravings control efficacy, spanning lifestyle modifications like nutrition and sleep, psychological therapies (i.e., cognitive behavioural therapy [CBT], acceptance-based therapies such as mindfulness) and, last but not least, medications that not only are approved for weight reduction but reduce cravings. Finally, based on these findings, we provide a proposed integrated and iterative model that is able to evolve and adapt to the individual over time in tackling cravings for long-term weight loss maintenance. Conclusions: The findings emphasise the importance of cravings management and provide a synthesis on how cravings can be identified in a medical weight management setting, which can be practically implemented in an integrated iterative model spanning anti-obesity medications that have craving control data to evidence-based lifestyle and psychological interventions. Full article
(This article belongs to the Special Issue Eating Disorders Related to Emotion and Psychology)
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Other

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20 pages, 756 KiB  
Systematic Review
Athlete Body Image and Eating Disorders: A Systematic Review of Their Association and Influencing Factors
by Qingqing Li, Hansen Li, Guodong Zhang, Yang Cao and Yun Li
Nutrients 2024, 16(16), 2686; https://doi.org/10.3390/nu16162686 - 13 Aug 2024
Cited by 4 | Viewed by 5359
Abstract
Body image and eating disorders pose significant challenges to the overall health of athletes. However, divergent findings exist regarding the potential association between athletes’ body image and eating disorders. This systematic review aims to examine the relationship between these two variables and identify [...] Read more.
Body image and eating disorders pose significant challenges to the overall health of athletes. However, divergent findings exist regarding the potential association between athletes’ body image and eating disorders. This systematic review aims to examine the relationship between these two variables and identify the modifiers of the association, such as gender, age, race, and exercise type. A search was conducted in five databases (Web of Science, PubMed, APA PsycINFO, ProQuest, and EBSCO), aiming to identify studies on athletes and involved body image and eating disorders in their conclusions. Ultimately, thirty-one studies were included for systematic evaluation. The results of the studies indicate that the relationship between athletes’ body image and eating disorders is complex and inconclusive. In some types of sports, eating disorders can occur even when athletes are satisfied with their body image. Furthermore, female athletes, particularly young female athletes, and athletes involved in sports associated with leanness are more prone to eating disorders and body dissatisfaction. Due to limited resources in this type of research, there is a lack of comprehensive inclusivity across sports disciplines, genders, races, and levels of sports proficiency, which warrants further research. Full article
(This article belongs to the Special Issue Eating Disorders Related to Emotion and Psychology)
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