Executive function, perceived stress and eating behaviours among Chinese young adults.

Journal: Stress and health : journal of the International Society for the Investigation of Stress

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Affiliated Institutions:  Division of Behavioural Sciences, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China. Hospital-Acquired Infection Control Department, Affiliated Foshan Hospital of Southern Medical University, Foshan, Guangdong, China. School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China. Department of Early Childhood Education, The Education University of Hong Kong, Hong Kong, China.

Abstract summary 

Young adults in a transitional period may experience more stress and, hence, suffer from an increased risk of unhealthy eating. Executive function (EF) involves not only inhibitory control and mental flexibility (the 'cool' facet) to facilitate resistance to immediate temptations, but also affective decision making (the 'hot' facet) that helps to regulate emotional eating. The effects of different facets of EF and their interactions with perceived stress on eating behaviours remained underexplored. In this study, 594 young adults in their graduation year of post-secondary education were included. We used latent profile analysis to identify major patterns of eating behaviours and analysed their associations with perceived stress, and both the 'cool' and 'hot' facets of EF using multinominal logistic regression models. Latent profile analysis identified three clusters of eating patterns: non-approaching moderate eaters (N = 312, 52.5%), approaching eaters (N = 229, 38.6%), and approaching-and-avoidant eaters (N = 53, 8.9%). Logistic regression models found that the approaching-and-avoidant eating pattern was associated with higher perceived stress (OR = 3.16, p value = 0.007) and poorer affective decision-making (OR = 0.97, p value = 0.006). Stratified analysis further revealed that higher perceived stress was significantly associated with approaching-and-avoidant eating only among individuals with poorer affective decision-making. These findings suggest that individuals with poorer emotional regulation may face greater difficulties in regulating eating behaviours when experiencing higher stress. Interventions for people with a mixed pattern of approaching-and-avoidance eating should focus on providing support to regulate emotion-related eating.

Authors & Co-authors:  Chen Lam Yuan Dong Yang Chan Liao

Study Outcome 

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Statistics
Citations :  Arbuthnott, K., & Frank, J. (2000). Trail making test, part B as a measure of executive control: Validation using a set‐switching paradigm. Journal of Clinical and Experimental Neuropsychology, 22(4), 518–528. https://doi.org/10.1076/1380‐3395(200008)22:4;1‐0;ft518
Authors :  7
Identifiers
Doi : 10.1002/smi.3397
SSN : 1532-2998
Study Population
Male,Female
Mesh Terms
Other Terms
affective decision‐making;eating behaviour;executive function;perceived stress;young adults
Study Design
Study Approach
Country of Study
Publication Country
England