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      Associations between body mass index and episodic memory for recent eating, mindful eating, and cognitive distraction: A cross‐sectional study

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          Abstract

          Objectives

          Eating while distracted has been associated with a higher body mass index (BMI), whereas mindful eating and episodic memory for recent eating have shown the opposite pattern. This pre‐registered, global study ( https://osf.io/rdjzk) compared the relative association between these variables (and four “positive controls”: restraint, disinhibition, emotional eating, plate clearing) and self‐reported BMI. The timing of data collection (April–May 2020) during the SARS‐CoV‐2 pandemic enabled an investigation of the impact of stay‐at‐home restrictions imposed on the UK population on the measures of eating behavior.

          Methods

          An online survey was completed, including: (i) demographic data (e.g., self‐reported BMI), (ii) Likert ratings assessing episodic memory for recent eating, mindful eating, cognitive distraction, restrained eating, emotional eating, disinhibition and plate clearing over the last 12 months and the last 7 days (during the first UK COVID‐19 lockdown), and (iii) the Mindful Eating Questionnaire (MEQ).

          Results

          A large adult sample participated ( N = 846; mean (SD) age = 33.0 (14.3) years; mean (SD) BMI = 24.6 (5.6) kg/m 2). Mindful eating (MEQ‐total score) was associated with a lower self‐reported BMI ( β = −0.12; 95% CI = −0.20, −0.04; p = 0.004), whereas disinhibited eating was associated with a higher self‐reported BMI ( β = 0.30; 95% CI = 0.21, 0.38; p < 0.001). In UK participants ( n = 520), consistent changes in eating behavior during lockdown were not found. For those that did experience change, decreases were reported in; emotional eating, disinhibited eating, focusing on taste during a meal (a measure of mindful eating), and using a smart phone while eating.

          Conclusions

          These findings provide evidence in a large global sample for associations between BMI and (i) mindful eating, and (ii) disinhibited eating. Future research should evaluate whether mindful eating demonstrates a prospective association with body weight and should consider mechanisms of action.

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          Most cited references67

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          What is coefficient alpha? An examination of theory and applications.

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            Obesity, eating behavior and physical activity during COVID-19 lockdown: A study of UK adults

            Eating, physical activity and other weight-related lifestyle behaviors may have been impacted by the COVID-19 crisis and people with obesity may be disproportionately affected. We examined weight-related behaviors and weight management barriers among UK adults during the COVID-19 social lockdown. During April–May of the 2020 COVID-19 social lockdown, UK adults (N = 2002) completed an online survey including measures relating to physical activity, diet quality, overeating and how mental/physical health had been affected by lockdown. Participants also reported on perceived changes in weight-related behaviors and whether they had experienced barriers to weight management, compared to before the lockdown. A large number of participants reported negative changes in eating and physical activity behavior (e.g. 56% reported snacking more frequently) and experiencing barriers to weight management (e.g. problems with motivation and control around food) compared to before lockdown. These trends were particularly pronounced among participants with higher BMI. During lockdown, higher BMI was associated with lower levels of physical activity and diet quality, and a greater reported frequency of overeating. Reporting a decline in mental health because of the COVID-19 crisis was not associated with higher BMI, but was predictive of greater overeating and lower physical activity in lockdown. The COVID-19 crisis may have had a disproportionately large and negative influence on weight-related behaviors among adults with higher BMI.
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              The impact of COVID‐19 stay‐at‐home orders on health behaviors in adults

              Abstract Objective Stay‐at‐home orders in response to the COVID‐19 pandemic have forced abrupt changes to daily routines. This study assessed lifestyle changes across different BMI classifications in response to the global pandemic. Methods The online survey targeting adults was distributed in April 2020 and collected information on dietary behaviors, physical activity, and mental health. All questions were presented as “before” and “since” the COVID‐19 pandemic. Results In total, 7,753 participants were included. The sample included 32.2% of individuals with normal weight, 32.1% overweight, and 34.0% had obesity. During the pandemic, overall scores for healthy eating increased (p<0.001), due to less eating out and increased cooking (p<0.001). Sedentary leisure behaviors increased while time spent in physical activity (absolute time and intensity‐adjusted) declined (p<0.001). Anxiety scores increased 8.78±0.21 during the pandemic and the magnitude of increase was significantly greater in people with obesity (p≤0.01). Weight gain was reported in 27.5% of the total sample compared to 33.4% in participants with obesity. Conclusions The COVID‐19 pandemic produced significant health effects, well beyond the virus itself. Government mandates together with fear of contracting the virus have significantly impacted lifestyle behaviors alongside declines in mental health. These deleterious impacts have disproportionally affected individuals with obesity.
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                Author and article information

                Contributors
                Elanor.Hinton@bristol.ac.uk
                Journal
                Obes Sci Pract
                Obes Sci Pract
                10.1002/(ISSN)2055-2238
                OSP4
                Obesity Science & Practice
                John Wiley and Sons Inc. (Hoboken )
                2055-2238
                04 January 2024
                February 2024
                : 10
                : 1 ( doiID: 10.1002/osp4.v10.1 )
                : e728
                Affiliations
                [ 1 ] NIHR Bristol Biomedical Research Centre Diet and Physical Activity Theme University of Bristol Bristol UK
                [ 2 ] Nutrition and Behaviour Unit School of Psychological Science University of Bristol Bristol UK
                Author notes
                [*] [* ] Correspondence

                Elanor C. Hinton, NIHR Bristol Biomedical Research Centre Diet and Physical Activity Theme, University of Bristol, Bristol, UK.

                Email: Elanor.Hinton@ 123456bristol.ac.uk

                Author information
                https://orcid.org/0000-0003-2793-8552
                Article
                OSP4728
                10.1002/osp4.728
                10768738
                533d6618-2315-49a9-8655-ce7e6f161def
                © 2024 The Authors. Obesity Science & Practice published by World Obesity and The Obesity Society and John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 14 November 2023
                : 30 June 2023
                : 01 December 2023
                Page count
                Figures: 0, Tables: 5, Pages: 12, Words: 8725
                Categories
                Original Article
                Original Article
                Custom metadata
                2.0
                February 2024
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.3.6 mode:remove_FC converted:05.01.2024

                adults,appetite,body mass index,cognitive distraction,eating behaviors,episodic memory for recent eating,mindful eating,psychology

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