Emotional Eating Behaviour With Physical Activity, Stress, and Depression in Women: A Cross-Sectional Study

Authors

  • Dita Yuliastrid Department of Health Education and Recreation, Faculty of Sports and Health Sciences, State University of Surabaya, Surabaya
    Indonesia
  • Anna Noordia Department of Health Education and Recreation, Faculty of Sports and Health Sciences, State University of Surabaya, Surabaya
    Indonesia
  • Indra Himawan Susanto Department of Sports Massage, Faculty of Sports and Health Sciences, State University of Surabaya, Surabaya
    Indonesia
  • Yetty Septiani Mustar Department of Health Education and Recreation, Faculty of Sports and Health Sciences, State University of Surabaya, Surabaya
    Indonesia
  • Anindya Mar’atus Sholikhah Department of Nutrition, Faculty of Sports and Health Sciences, State University of Surabaya, Surabaya
    Indonesia
  • Sunanto Nahdlatul Ulama University of Surabaya, Surabaya
    Indonesia
  • Septyaningrum Putri Purwoto STKIP PGRI Bangkalan, Bangkalan
    Indonesia

Abstract

Background. Emotional eating, defined as consuming food in response to negative emotions such as sadness, stress, or depression, affects over half of the population and is more prevalent among women, posing risks to both physical and mental health.

Aim. This study aimed to characterise emotional eating behaviour in women and examine its associations with sadness, stress, depression, and physical activity across different age groups.

Methods. Cross-sectional quantitative study was conducted with 250 women ranging from adolescence to older adulthood. Emotional eating was assessed using the Dutch Eating Behaviour Questionnaire, physical activity was measured using the International Physical Activity Questionnaire, perceived stress was evaluated with the Perceived Stress Scale, and depression was assessed using the Beck Depression Inventory.

Results. The majority of participants were aged 17–25 years (83.2%), students (75.6%), and had a normal body mass index (41.6%). Overall, 66% of participants exhibited moderate emotional eating, 42.4% reported moderate physical activity, 74.4% experienced moderate stress, and 38.8% were classified as non-depressed. Significant differences across age groups were observed for stress and depression (p < 0.05), while no significant differences were found for emotional eating and physical activity (p > 0.05). Correlation analyses indicated that emotional eating was not significantly associated with physical activity, but it was significantly associated with stress and depression (p < 0.05).

Conclusions. Emotional eating and physical activity do not vary significantly across female age groups, whereas stress and depression do. Emotional eating behaviour is significantly related to stress and depression but not to physical activity. These findings highlight the importance of addressing emotional and psychological factors when considering eating behaviours in women.

Keywords: emotional eating; physical activity; stress; depression; women

References

Albert, P. R. (2015). Why is depression more prevalent in women? Journal of Psychiatry and Neuroscience, 40(4), 219–221. https://doi.org/10.1503/jpn.150205 DOI: https://doi.org/10.1503/jpn.150205

Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996). Comparison of Beck Depression Inventories-IA and-II in psychiatric outpatients. Journal of Personality Assessment, 67(3), 588–597. https://doi.org/10.1207/s15327752jpa6703_13 DOI: https://doi.org/10.1207/s15327752jpa6703_13

Bemanian, M., Mæland, S., Blomhoff, R., Rabben, Å. K., Arnesen, E. K., Skogen, J. C., & Fadnes, L. T. (2021). Emotional eating in relation to worries and psychological distress amid the COVID-19 pandemic: A population-based survey on adults in Norway. International Journal of Environmental Research and Public Health, 18(1), 1–10. https://doi.org/10.3390/ijerph18010130 DOI: https://doi.org/10.3390/ijerph18010130

Bennett, J., Greene, G., & Schwartz-Barcott, D. (2013). Perceptions of emotional eating behavior. A qualitative study of college students. Appetite, 60(1), 187–192. https://doi.org/10.1016/j.appet.2012.09.023 DOI: https://doi.org/10.1016/j.appet.2012.09.023

Braden, A., Musher-eizenman, D., Watford, T., & Emley, E. (2018). Eating when depressed, anxious, bored, or happy: Are emotional eating types associated with unique psychological and physical health correlates? Appetite, 125, 410–417. https://doi.org/10.1016/j.appet.2018.02.022 DOI: https://doi.org/10.1016/j.appet.2018.02.022

Brytek-Matera, A. (2021). Negative affect and maladaptive eating behavior as a regulation strategy in normal-weight individuals: A narrative review. Sustainability, 13(24). https://doi.org/10.3390/su132413704 DOI: https://doi.org/10.3390/su132413704

Calderón-Asenjo, R. E., Jalk-Muñoz, M. C., Calizaya-Milla, Y. E., Calizaya-Milla, S. E., Ramos-Vera, C., & Saintila, J. (2022). Association between emotional eating, sociodemographic characteristics, physical activity, sleep duration, and mental and physical health in young adults. Journal of Multidisciplinary Healthcare, 15, 2845–2859. https://doi.org/10.2147/JMDH.S391752 DOI: https://doi.org/10.2147/JMDH.S391752

Camilleri, G. M., Méjean, C., Kesse-Guyot, E., Andreeva, V. A., Bellisle, F., Hercberg, S., & Péneau, S. (2014). The associations between emotional eating and consumption of energy-dense snack foods are modified by sex and depressive symptomatology. Journal of Nutrition, 144(8), 1264–1273. https://doi.org/10.3945/jn.114.193177 DOI: https://doi.org/10.3945/jn.114.193177

Dakanalis, A., Clerici, M., Bartoli, F., Caslini, M., Crocamo, C., Riva, G., & Carrà, G. (2017). Risk and maintenance factors for young women’s DSM-5 eating disorders. Archives of Women’s Mental Health, 20(6), 721–731. https://doi.org/10.1007/s00737-017-0761-6 DOI: https://doi.org/10.1007/s00737-017-0761-6

Elran Barak, R., Shuval, K., Li, Q., Oetjen, R., Drope, J., Yaroch, A. L., Fennis, B. M., & Harding, M. (2021). Emotional eating in adults: The role of sociodemographics, lifestyle behaviors, and self-regulation—findings from a U.S. national study. International Journal of Environmental Research and Public Health, 18(4), 1744. https://doi.org/10.3390/ijerph18041744 DOI: https://doi.org/10.3390/ijerph18041744

Godet, A., Fortier, A., Bannier, E., Coquery, N., & Val-Laillet, D. (2022). Interactions between emotions and eating behaviors: Main issues, neuroimaging contributions, and innovative preventive or corrective strategies. Reviews in Endocrine and Metabolic Disorders, 23(4), 807–831. https://doi.org/10.1007/s11154-021-09700-x DOI: https://doi.org/10.1007/s11154-021-09700-x

IPAQ. (2004). Guidelines for data processing and analysis of the IPAQ-Short and Long Forms. Medicine & Science in Sports & Exercise.

Jarvig, L., Fjære, K. W., & Gammelgaard, L. G. (2012). Pharmaceutical interventions in hospital practice- care of the polypharmacy-patient upon hospitalisation. European Journal of Hospital Pharmacy. Science and Practice, 19(2), 231.2-231. https://doi.org/10.1136/ejhpharm-2012-000074.382 DOI: https://doi.org/10.1136/ejhpharm-2012-000074.382

Kajantie, E., & Phillips, D. I. W. (2006). The effects of sex and hormonal status on the physiological response to acute psychosocial stress. Psychoneuroendocrinology, 31(2), 151–178. https://doi.org/10.1016/j.psyneuen.2005.07.002 DOI: https://doi.org/10.1016/j.psyneuen.2005.07.002

Kaur, Dr. S., Arora, C., & Kaur, S. (2020). Effect of physical activity on perceived stress, sleep quality and subjective happiness during middle age. Saudi Journal of Humanities and Social Sciences, 5(12), 730–739. https://doi.org/10.36348/sjhss.2020.v05i12.004 DOI: https://doi.org/10.36348/sjhss.2020.v05i12.004

Konttinen, H. (2020). Emotional eating and obesity in adults: The role of depression, sleep and genes. Proceedings of the Nutrition Society, 79(3), 283–289. https://doi.org/10.1017/S0029665120000166 DOI: https://doi.org/10.1017/S0029665120000166

Konttinen, H., van Strien, T., Männistö, S., Jousilahti, P., & Haukkala, A. (2019). Depression, emotional eating and long-term weight changes: A population-based prospective study. International Journal of Behavioral Nutrition and Physical Activity, 16(28). https://doi.org/10.1186/s12966-019-0791-8 DOI: https://doi.org/10.1186/s12966-019-0791-8

Kundakovic, M., & Rocks, D. (2022). Sex hormone fluctuation and increased female risk for depression and anxiety disorders: From clinical evidence to molecular mechanisms. Frontiers in Neuroendocrinology, 66, 101010. https://doi.org/10.1016/j.yfrne.2022.101010 DOI: https://doi.org/10.1016/j.yfrne.2022.101010

Nuraini, M., Wati, E. K., & Sulistyaning, A. R. (2024). The correlation between physical activity, emotional eating, eating pattern, and genetic traits with obesity among female students. Journal of Nutrition College, 13(4), 338–346. https://doi.org/10.14710/jnc.v13i4.41560 DOI: https://doi.org/10.14710/jnc.v13i4.41560

Paans, N. P. G., Bot, M., van Strien, T., Brouwer, I. A., Visser, M., & Penninx, B. W. J. H. (2018). Eating styles in major depressive disorder: Results from a large-scale study. Journal of Psychiatric Research, 97, 38–46. https://doi.org/10.1016/j.jpsychires.2017.11.003 DOI: https://doi.org/10.1016/j.jpsychires.2017.11.003

Pedersen, B. K., & Saltin, B. (2015). Exercise as medicine – Evidence for prescribing exercise as therapy in 26 different chronic diseases. Scandinavian Journal of Medicine and Science in Sports, 25, 1–72. https://doi.org/10.1111/sms.12581 DOI: https://doi.org/10.1111/sms.12581

Penninx, B. W. J. H., Milaneschi, Y., Lamers, F., & Vogelzangs, N. (2013). Understanding the somatic consequences of depression: Biological mechanisms and the role of depression symptom profile. BMC Medicine, 11(1), 129. https://doi.org/10.1186/1741-7015-11-129 DOI: https://doi.org/10.1186/1741-7015-11-129

Pilipović-Spasojević, O., Ponorac, N., & Spremo, M. (2020). Correlation of physical activity with stress, depression and anxiety in female students. Scripta Medica (Banja Luka), 51(4), 244–251. https://doi.org/10.5937/scriptamed51-27863 DOI: https://doi.org/10.5937/scriptamed51-27863

Reicks, M., Degeneffe, D., Rendahl, A., Edge, M. S., Burns, K., O’Meara, B., & Blevins, G. (2014). Associations between eating occasion characteristics and age, gender, presence of children and BMI Among U.S. adults. Journal of the American College of Nutrition, 33(4), 315–327. https://doi.org/10.1080/07315724.2014.887485 DOI: https://doi.org/10.1080/07315724.2014.887485

Roberts, S. B., & Dallal, G. E. (2005). Energy requirements and aging. Public Health Nutrition, 8(7A), 1028–1036. https://doi.org/10.1079/phn2005794 DOI: https://doi.org/10.1079/PHN2005794

Sambal, H., Bohon, C., & Weinbach, N. (2021). The effect of mood on food versus non-food interference among females who are high and low on emotional eating. Journal of Eating Disorders, 9(1), 140. https://doi.org/10.1186/s40337-021-00497-3 DOI: https://doi.org/10.1186/s40337-021-00497-3

Stewart, J. (2001). PSS: Perceived Stress Scale.

Tan, C. C., & Chow, C. M. (2014). Stress and emotional eating: The mediating role of eating dysregulation. Personality and Individual Differences, 66, 1–4. https://doi.org/10.1016/j.paid.2014.02.033 DOI: https://doi.org/10.1016/j.paid.2014.02.033

Torres, S. J., & Nowson, C. A. (2007). Relationship between stress, eating behavior, and obesity. Nutrition, 23(11–12), 887–894. https://doi.org/10.1016/j.nut.2007.08.008 DOI: https://doi.org/10.1016/j.nut.2007.08.008

van Strien, T., Frijters, J. E. R., Bergers, G. P. A., & Defares, P. B. (1986). The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. International Journal of Eating Disorders, 5(2), 295–315. https://doi.org/10.1002/1098-108X(198602)5:2<295::AID-EAT2260050209>3.0.CO;2-T DOI: https://doi.org/10.1002/1098-108X(198602)5:2<295::AID-EAT2260050209>3.0.CO;2-T

van Strien, T., Konttinen, H., Homberg, J. R., Engels, R. C. M. E., & Winkens, L. H. H. (2016). Emotional eating as a mediator between depression and weight gain. Appetite, 100, 216–224. https://doi.org/10.1016/j.appet.2016.02.034 DOI: https://doi.org/10.1016/j.appet.2016.02.034

Wang, H., He, X., Tang, Y., Tang, J., & Yang, J. (2023). Unveiling the links between physical activity, self-identity, social anxiety, and emotional eating among overweight and obese young adults. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1255548 DOI: https://doi.org/10.3389/fpsyg.2023.1255548

Zhou, J., Chen, Y., Ji, S., Qu, J., Bu, Y., Li, W., Zhou, Z., Wang, X., Fu, X., & Liu, Y. (2024). Sleep quality and emotional eating in college students: A moderated mediation model of depression and physical activity levels. Journal of Eating Disorders, 12(1), 155. https://doi.org/10.1186/s40337-024-01107-8 DOI: https://doi.org/10.1186/s40337-024-01107-8

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2025-12-11

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Emotional Eating Behaviour With Physical Activity, Stress, and Depression in Women: A Cross-Sectional Study. (2025). Reabilitacijos Mokslai: Slauga, Kineziterapija, Ergoterapija, 2(33), 71-81. https://doi.org/10.33607/rmske.v2i33.1740