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Relationship Between Emotional Eating and Adherence to the Mediterranean Diet Based on Body Weight in University
Claudia Di Rosa1, Chiara Spiezia1, Ludovica Di Francesco1
1Research Unit of Food Science and Human Nutrition, Department of Sciences and Technologies for Sustainable Development and One Health, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Roma, Italy.
Abstract:
Background/Objectives: Emotional eating refers to the tendency to eat in response to emotions rather than physiological hunger and has been associated with changes in food choices and difficulties in dietary self-regulation. Whether emotional eating influences adherence to the Mediterranean diet remains unclear. This study aimed to examine the association between emotional eating and adherence to the Mediterranean diet. Methods: In this cross-sectional study, 245 adults completed the Emotional Eater Questionnaire (EEQ) and the MEDI-LITE questionnaire to assess adherence to the Mediterranean diet. Participants were classified into three emotional eating categories (NO EE, LEE, EE) and stratified by BMI (normal weight vs. overweight). Results: Higher EEQ scores were associated with greater disinhibition, stronger food preferences, and a higher sense of guilt in both BMI categories. However, adherence to the Mediterranean diet did not differ significantly across emotional eating groups, and overall MEDI-LITE scores were low in the entire sample. Correlations between emotional eating subscales and specific food groups were weak and did not show a consistent pattern. Conclusions: Emotional eating was associated with psychological and behavioral aspects of eating but was not related to adherence to the Mediterranean diet in this population. The uniformly low adherence to the Mediterranean diet may have attenuated potential associations. Further studies using more detailed dietary assessment tools and longitudinal designs are needed to clarify how emotional eating influences food choices over time.
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