Exercise & Training

Associations Between Restrained, Emotional, and External Eating Behaviors and Obesity Among Saudi Adults: A Cross-Sectional Study.

TL;DR

BMI status appears to be associated with specific eating styles, particularly unhealthy eating behaviors, with participants with obesity exhibiting higher emotional eating scores and external eating more prevalent among underweight participants.

Key Findings

Females demonstrated significantly higher restrained eating scores compared with males.

  • β = -0.14; 95% CI: -0.24, -0.04; p = 0.008
  • The study included 405 males and 592 females aged ≥ 18 years residing in Saudi Arabia
  • Mean age of participants was 37.05 ± 13.39 years
  • Eating behaviors were assessed using the validated Dutch Eating Behavior Questionnaire (DEBQ)

Participants with obesity exhibited higher emotional eating scores compared to other BMI categories.

  • Regression models were used to assess associations between eating styles, categorical BMI, and body fatness
  • Approximately one-third of Saudi adults have obesity according to background data cited
  • The DEBQ measures restrained, emotional, and external eating styles
  • Total sample was 997 adults

External eating was more prevalent among underweight participants.

  • This association was identified through regression models examining eating styles and categorical BMI
  • External eating is one of three eating styles measured by the Dutch Eating Behavior Questionnaire (DEBQ)
  • The finding suggests different eating behavioral profiles across the BMI spectrum

Body fatness was significantly associated with emotional and external eating but not with restrained eating.

  • Both emotional and external eating showed significant associations with body fatness measures
  • Restrained eating did not show a significant association with body fatness
  • This distinction suggests that body fatness and BMI status may differentially relate to specific eating styles
  • Anthropometric measures were self-reported via questionnaire

Significant gender differences were observed in BMI, body fatness, and physical activity levels among Saudi adult participants.

  • The cross-sectional study included 997 adults (405 males and 592 females)
  • Data were collected using a self-administered questionnaire covering sociodemographic characteristics, anthropometric measures, and health status
  • Regression models were used to examine gender differences in mean eating style scores
  • Gender differences extended across multiple health indicators beyond eating behavior alone

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Citation

Almaghrabi M, Bawajeeh A, Shatwan I, Malibary M, Alzhrani S, Alamoudi N, et al.. (2026). Associations Between Restrained, Emotional, and External Eating Behaviors and Obesity Among Saudi Adults: A Cross-Sectional Study.. Nutrients. https://doi.org/10.3390/nu18040631