Associations between Emotional Eating and Metabolic Risk Factors at Adolescents with Obesity


  • Fatma Kubra Sayin Department of Nutrition and Dietetics, University of Necmettin Erbakan, Health Science Faculty, Konya, Turkey
  • Muammer Buyukinan Department of Pediatric Endocrinology and Metabolism, University of Health Sciences, Konya Training and Research Hospital, Konya, Turkey
  • Derya Arslan Department of Biochemistry, University of Health Sciences, Konya Training and Research Hospital, Konya, Turkey
  • Cigdem Damla Deniz Department of Pediatric Cardiology, University of Health Sciences, Konya Training and Research Hospital, Konya, Turkey



Emotional eating, uncontrolled eating, obesity in adolescents, metabolic risk factors.


Purpose: This study aimed to determine whether emotional eating (EE) and uncontrolled eating (UCE) scores affect the metabolic risk factors in obese adolescents.

Methods: A sample of 100 adolescents have BMI-SDS between 1.41 and 2.83 (aged 12-17 years) was selected. EE and UCE scores were estimated using the TFEQ21. The association of EE and UCE with anthropometric data, lipid profile, glucose profile, liver enzymes, and inflammation factors was assessed in boys and girls.

Results: Using Spearman rank correlation, EE scores significantly correlated with uric acid (r = 0.393 and P = 0.001), CRP (r = 0.273 and P = 0.017), TG (r = 0.317 and P = 0.001), TC (r = 0.258 and P = 0.019) and VAI (r = 0.276 and P = 0.034). Also UCE scores were showed positive correlation with CRP (r = 0.257 and P = 0.024).

Conclusion: In conclusion, interrelationships tend to exist between EE and triglyceride, uric acid, visceral adiposity index, and CRP levels among obese adolescents.


Macht M. How emotions affect eating: A five-way model. Appetite 2008; 50 (1): 1-11. DOI:

De Lauzon-Guillain B, Basdevant A, Romon M, Karlsson J, Borys JM, Charles MA. Is restrained eating a risk factor for weight gain in a general population?. Am J Clin Nutr 2008; 83: 132-8. DOI:

Hays NP, Bathalon GP, McCrory MA, Roubenoff R, Lipman R, Roberts SB. Eating behavior correlates of adult weight gain and obesity in healthy women aged 55-65 y. Am J Clin Nutr 2002; 75: 476-83. DOI:

Keskitalo K, Tuorila H, Spectorc TD, Cherkasc LF, Knaapila A, Kaprio J, Silventoinen K, Perola M. The Three-Factor Eating Questionnaire, body mass index and responses to sweet and salty fatty foods: a twin study of genetic and environmental associations. Am J Clin Nutr 2008; 88: 263-71.

Konttinen H, Mannisto S, Sarlio-Lahteenlorva S, Silventoinen K, Haukkala A. Emotional eating and physical activity self-efficacy as pathways in the association between depressive symptoms and adiposity indicators. Am J Clin Nutr 2010; 92: 1031-9. DOI:

Hainer V, Kunesova M, Bellisle F, Parizkova J, Braunerova R, Wagenknecht M, Lajka J, Hill M, Stunkard A. The Eating Inventory, body adiposity and prevalence of diseases in a quota sample of Czech adults. Int J Obes (Lond) 2006; 30: 830-836. DOI:

Cartwright M, Wardle J, Steggles N, Simon AE, Croker H, Jarvis MJ. Stress and dietary practices in adolescents. Health Psychol 2003; 22: 362-369. DOI:

Michels N, Sioen I, Braet C, Eiben G, Hebestreit A, Huybrechts I, Vanaelst B, Vyncke K, De Henauw S. Stress, emotional eating behavior and dietary patterns in children. Appetite 2012; 59: 762-769. DOI:

Nguyen-Michel ST, Unger JB, Spruijt-Metz D. Dietary Correlates of Emotional Eating in Adolescence. Appetite 2007; 49(2): 494-499. DOI:

Chapoterera, JB, Maradzika C, Marume A, Zikiti A. Determinants of Dietary Patterns and Obesity among Secondary School Adolescents in Harare, Zimbabwe. J Child Health and Nutrition 2016; 144-158. DOI:

Pinhas-Hamiel O, Levy-Shraga Y. Eating disorders in adolescents with type 2 and type 1 diabetes. Curr Diab Rep 2013; 13: 289-97. DOI:

Stunkard AJ, Messick S. The three-factor eating questionnaire to measure dietary restraint, disinhibition, and hunger. J Psychosom Res 1985; 29: 71-83. DOI:

Karakuş SS, Yıldırım H, Büyüköztürk Ş. Adaptation of three-factor eating questionnaire (TFEQ-R21) into Turkish culture: A validity and reliability study. TAF Prev Med Bull 2016; 15: 229-35. DOI:

Neyzi O, Bundak R, Gokcay G, et al. Reference values for weight, height, head circumference, and body mass index in Turkish children. J Clin Res Pediatr Endocrinol 2015; 7: 280-293. DOI:

Amato MC, Giordano C, Galia M, et al. AlkaMeSy Study Group. Visceral Adiposity Index: a reliable indicator of visceral fat function associated with cardiometabolic risk. Diabetes Care 2010; 33: 920-2. DOI:

Cappelleri JC, Bushmakin AG, Gerber RA, Leidy NK, Sexton CC, Lowe MR, et al. Psychometric analysis of the Three-Factor Eating Questionnaire-R21: results from a large, diverse sample of obese and non-obese participants. Int J Obes 2009; 33: 611-620. DOI:

Schuetzman M, Richter-Appelt H, Schulte-Markwort M, Schimmelmann GE. Associations among the perceived parent-child relationship, eating behavior, and body weight in preadolescents. J of Pediatr Psychol 2009; 33: 772-782. DOI:

Snoek HM, Engels RC, Janssens JM, van Strien T. Parental behavior and adolescents’ emotional eating. Appetite 2007; 49: 223-30. DOI:

Carnell S,Benson L, Pryor K, Driggin E. Appetitive traits from infancy to adolescence: using behavioral and neural measures to investigate obesity risk. Physiol Behav 2013; 121: 79-88. DOI:

Löffler A, Luck T, Then FS, Sikorski C, Kovacs P, Böttcher Y, Breitfeld J, Tönjes A, Horstmann A, Löffler M et al. Eating behaviour in the general population: An analysis of the factor structure of the German version of the three-factor-eating-questionnaire (TFEQ) and its association with the body mass index. PLoS ONE 2015; 31(10): 1-11. DOI:

Croker H, Cooke L, Wardle J. Appetitive behaviors of child-ren attending obesity treatment. Appetite 2011; 57: 525-529. DOI:

Braet C, Van Strien T. Assessment of emotional, externally induced, and restrained eating behaviour in nine to twelve-year-old obese and non-obese children. Behavior Research and Therapy 1997; 35(9): 863-873. DOI:

Amato MC, Giordano C, Pitrone M, Galluzzo A. Cut-off points of the visceral adiposity index (VAI) identifying a visceral adipose dysfunction associated with cardiometabolic risk in a Caucasian Sicilian population. Lipids Health Dis 2011; 10: 183-190. DOI:

Bozorgmanesh M, Hadaegh F, Azizi F. Predictive performance of the visceral adiposity index for a visceral adiposity-related risk: type 2 diabetes. Lipids Health Dis 2011; 10: 88-96. DOI:

Mohammadreza B, Farzad H, Davoud K, Fereidoun Prof AF. Prognostic significance of the complex “Visceral Adiposity Index” vs. simple anthropometric measures: Tehran lipid and glucose study. Cardiovasc Diabetol 2012; 11: 20-25. DOI:

Shoelson SE, Herrero L, Naaz A. Obesity, Inflammation, and Insulin Resistance. Gastroenterology 2007; 132: 2169-2180. DOI:

Facchini F, Chen YD, Hollenbeck CB, et al. Relationship between resistance to insulin-mediated glucose uptake, urinary uric acid clearance, and plasma uric acid concentration. J Am Med Assoc 1991; 266: 3008-3011. DOI:

Lauzon B, Romon M, Deschamps V, Lafay L, Borys JM, Karlsson J, Ducimetiere P, Charles MA. The Three-Factor Eating Questionnaire- R18 is able to distinguish among different eating patterns in a general population. J Nutr 2004; 134: 2372-80. DOI:

Lauzon-Guillain B, Romon M, Musher-Eizenman D, Heude B, Basdevant A, Charles MA. Cognitive restraint, uncontrolled eating and emotional eating: correlations between parent and adolescent. Matern Child Nutr 2009; 5: 171-8. DOI:

Keskitalo K, Tuorila H, Spector TD, Cherkas LF, Knaapila A, Kaprio J, Silventoinen K, Perola M. The Three-Factor Eating Questionnaire, body mass index, and responses to sweet and salty fatty foods: a twin a twin study of genetic and environmental associations. Am J Clin Nutr 2008; 88(2): 263-71. DOI:

Camilleri GM, Mejean C, Kesse-Guyot E, Andreeva VA, Bellisle F, Hercberg S, et al. The associations between emotional eating and consumption of energy-dense snack foods are modified by sex and depressive symptomatology. The Journal of nutrition 2014; 144: 1264-1273. DOI:

Lazarevich I, Camacho MEI, Velazquez-Alva MC, Zepeda MZ. Relationship among obesity, depression and emotional eating in young adults. Appetite 2016; 107: 639-644. DOI:

Wood SMW, Schembre SM, He Q, Engelmann JM, Ames SL, Bechara A. Emotional eating and routine restraint scores are associated with activity in brain regions involved in urge and self-control. Physiology & Behavior 2016; 165: 405-412. DOI:

Brogan A, Hevey D. Eating styles in the morbidly obese: restraint eating, but not emotional and external eating, predicts dietary behavior. Psychology & Health 2013; 28: 714-725. DOI:

Kruger R, De Bray JG, Beck KL, Conlon CA, Stonehouse W. Exploring the Relationship between Body Composition and Eating Behavior Using the Three Factor Eating Questionnaire (TFEQ) in Young New Zealand Women. Nutrients 2016; 8(7): 386. DOI:




How to Cite

Sayin, F. K., Buyukinan, M., Arslan, D., & Deniz, C. D. (2020). Associations between Emotional Eating and Metabolic Risk Factors at Adolescents with Obesity. International Journal of Child Health and Nutrition, 9(3), 93–99.



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