Purpose: The aim of this study is to evaluate the hedonistic eating behaviors and adherence to the Mediterranean diet of individuals who exercise regularly.
Method: This study was conducted between June and September 2023. 200 individuals who exercised >150 minutes per week and continued this exercise for 3 months participated in the study. After the demographic questions in the first part of the survey, the Mediterranean Diet Adherence Scale (MEDAS) and the Nutrient Power Scale (PFS) were applied to the participants.
Results: As a result of our study, all subgroups of the food power scale were found to be greater than the cut-off value of 2.5. When the level of adherence to the Mediterranean diet increased, a statistically significant decrease was observed in terms of hedonistic eating sub-factors of food availability, food present and total score (p<0.05). A positive correlation was observed between the physical activity level and the total score of the MEDAS (p<0.05).
Conclusion: When the adherence to the Mediterranean Diet of individuals who exercise regularly was evaluated according to the cut-off point, it was found to be moderately adherent. It was also determined that the participants exhibited hedonistic eating behavior.
1- Chen PJ, Antonelli M. Conceptual models of food choice: influential factors related to foods, individual differences, and society. Foods. 2020;9(12):1898. https://doi.org/10.3390/foods9121898
2- Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases, Comprehensive Physiology. 2 (2) (2012) 1143–1211. https://doi.org/10.1002/cphy.c110025
3- Sallis JF, Bull F, Guthold R, et al. Progress in physical activity over the Olympic quadrennium, Lancet. 388 (10051) (2016) 1325–1336. https://doi.org/10.1016/S0140-6736(16)30581-5
4- Kelly P, Fitzsimons C, Baker G, Should we reframe how we think about physical activity and sedentary behaviour measurement? Validity and reliability reconsidered. International Journal of Behavioral Nutrition and Physical Activity. 13 (2016) 32. https://doi.org/10.1186/s12966-016-0351-4
5- Davis C, Bryan J, Hodgson J, Murphy K. Definition of the Mediterranean diet: a literature review. Nutrients. 2015;7(11):9139-9153. https://doi.org/10.3390/nu7115459
6- Baker ME, DeCesare KN, Johnson A, Kress KS, Inman CL, Weiss EP. Short-term Mediterranean diet improves endurance exercise performance: a randomized-sequence crossover trial. Journal of the American College of Nutrition. 2019;38(7):597-605. https://doi.org/10.1080/07315724.2019.1575480
7- Griffiths A, Matu J, Whyte E, Akin-Nibosun P, Clifford T, Stevenson E, Shannon OM. The Mediterranean dietary pattern for optimising health and performance in competitive athletes: A narrative review. British Journal of Nutrition. 2022;128(7):1285-1298. https://doi.org/10.1017/S0007114521004235
8- Ismail AMA, El-Azei, ASA, Saif HFAEA. Effect of aerobic exercise alone or combined with Mediterranean diet on dry eye in obese hypertensive elderly. Irish Journal of Medical Science. 2023;192(6), 3151-3161. https://doi.org/10.1007/s11845-023-03387-6
9- Key MN, Szabo-Reed AN. Impact of diet and exercise interventions on cognition and brain health in older adults: A narrative review. Nutrients. 2023;15(11), 2495. https://doi.org/10.3390/nu15112495
10- Berthoud HR. Metabolic and hedonic drives in the neural control of appetite: Who is the boss?. Current Opinion in Neurobiology. 2011;21(6):888-896. https://doi.org/10.1016/j.conb.2011.09.004
11- Ayyildız F, Ulker I, Yildiran H. Reflection of the Relationship Between Hedonic Hunger and Eating Behavior on Different Body Masses. Journal of Nutrition and Dietetics. 2021;49(2):9-17. https://doi.org/10.33076/2021.BDD.49.02.01
12- Lee PC, Dixon JB. Food for thought: Reward mechanisms and hedonic overeating on obesity. Current Obesity Reports. 2017;6:353-361. https://doi.org/10.1007/s13679-017-0274-6
13- Finlayson G. Food addiction and obesity: unnecessary medicalization of hedonic overeating. Nature Reviews Endocrinology. 2017;13(8):493-498. https://doi.org/10.1038/nrendo.2017.61
14- Akkaya KU, Uslu B, Ozcan BA. The relationship of hedonic hunger with depression and physical activity in students of faculty of health sciences. Topics in Clinical Nutrition. 2022;37(1), 33-40. https://doi.org/ 10.1097/TIN.0000000000000267
15- Pehlivanoglu E, Balcioglu H, Unluoglu I. Turkish Validation and Reliability of Mediterranean Diet Adherence Screener. Osmangazi Journal of Medicine. 2020;42(2):160-164. https://doi.org/10.20515/otd.662248
16- Ulker I, Ayyildiz F, Yildiran H. Validation of the Turkish version of the power of food scale in adult population. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2021;26:1179-1186. https://doi.org/10.1007/s40519-020-00997-y
17- Manzano-Carrasco S, Felipe JL, Sanchez-Sanchez J, Hernandez-Martin A, Gallardo L, Garcia-Unanue J. Weight status, adherence to the Mediterranean diet, and physical fitness in Spanish children and adolescents: The Active Health Study. Nutrients. 2020;12(6):1680.
18- Martín-Espinosa NM, Garrido-Miguel M, Martínez-Vizcaíno V, González-García A, Redondo-Tébar A, Cobo-Cuenca AI. The mediating and moderating effects of physical fitness of the relationship between adherence to the Mediterranean diet and health-related quality of life in university students. Nutrients. 2020;12(11):3578. https://doi.org/10.3390/nu12061680
19- Sarahman Kahraman C, Akcil Ok M. Hedonic hunger status and related factors in adults. Perspectives in Psychiatric Care. 2022;58(4):2099-2106. https://doi.org/10.1111/ppc.12952
20- Ulker I, Camli A, Pourdeh EF, Aksu Z. The effects of dietary patterns on hedonic hunger in university students. 2023. https://doi.org/10.21203/rs.3.rs-3224642/v1
21- Altinsoy C. Evaluation of the relationship between the chronotype of adult individuals and the individual's compliance with the Mediterranean diet, sleep quality, and hedonic hunger level [Master's Thesis]. Yildirim Beyazit University Institute of Health Sciences; Ankara;2021.
22- Trichopoulou A, Costacou T, Bamia C, Trichopoulos D. Adherence to a mediterranean diet and survival in a greek population. The New England Journal of Medicine. 2003;348(26):2599-2608. https://doi.org/10.1056/NEJMoa025039
23- Zurita-Ortega F, San Román-Mata S, Chacón-Cuberos R, Castro-Sánchez M, Muros JJ. Adherence to the Mediterranean Diet Is Associated with Physical Activity, Self-Concept and Sociodemographic Factors in University Student. Nutrients. 2018;10(8), 966. https://doi.org/10.3390/nu10080966
24- Benbaibeche H, Saidi H, Bounihi A et al. Emotional and external eating styles associated with obesity. Journal of Eating Disorders. 2023; 11: 67. https://doi.org/10.3390/nu10080966
25- Schultes B, Ernst B, Wilms, B. Hedonic hunger is increased in severely obese patients and is reduced after gastric bypass surgery. The American Journal of Clinical Nutrition. 2010;92, 277-83. https://doi.org/10.3945/ajcn.2010.29414
26- Ribeiro G, Camacho M, Santos O, Pontes C, Torres S, Oliveira-Maia AJ. Association between hedonic hunger and body-mass index versusobesity status. Scientific reports, 2018;8(1), 5857. https://doi.org/10.1038/s41598-018-24023-0
Year 2024,
Volume: 15 Issue: 4, 439 - 444, 01.10.2024
1- Chen PJ, Antonelli M. Conceptual models of food choice: influential factors related to foods, individual differences, and society. Foods. 2020;9(12):1898. https://doi.org/10.3390/foods9121898
2- Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases, Comprehensive Physiology. 2 (2) (2012) 1143–1211. https://doi.org/10.1002/cphy.c110025
3- Sallis JF, Bull F, Guthold R, et al. Progress in physical activity over the Olympic quadrennium, Lancet. 388 (10051) (2016) 1325–1336. https://doi.org/10.1016/S0140-6736(16)30581-5
4- Kelly P, Fitzsimons C, Baker G, Should we reframe how we think about physical activity and sedentary behaviour measurement? Validity and reliability reconsidered. International Journal of Behavioral Nutrition and Physical Activity. 13 (2016) 32. https://doi.org/10.1186/s12966-016-0351-4
5- Davis C, Bryan J, Hodgson J, Murphy K. Definition of the Mediterranean diet: a literature review. Nutrients. 2015;7(11):9139-9153. https://doi.org/10.3390/nu7115459
6- Baker ME, DeCesare KN, Johnson A, Kress KS, Inman CL, Weiss EP. Short-term Mediterranean diet improves endurance exercise performance: a randomized-sequence crossover trial. Journal of the American College of Nutrition. 2019;38(7):597-605. https://doi.org/10.1080/07315724.2019.1575480
7- Griffiths A, Matu J, Whyte E, Akin-Nibosun P, Clifford T, Stevenson E, Shannon OM. The Mediterranean dietary pattern for optimising health and performance in competitive athletes: A narrative review. British Journal of Nutrition. 2022;128(7):1285-1298. https://doi.org/10.1017/S0007114521004235
8- Ismail AMA, El-Azei, ASA, Saif HFAEA. Effect of aerobic exercise alone or combined with Mediterranean diet on dry eye in obese hypertensive elderly. Irish Journal of Medical Science. 2023;192(6), 3151-3161. https://doi.org/10.1007/s11845-023-03387-6
9- Key MN, Szabo-Reed AN. Impact of diet and exercise interventions on cognition and brain health in older adults: A narrative review. Nutrients. 2023;15(11), 2495. https://doi.org/10.3390/nu15112495
10- Berthoud HR. Metabolic and hedonic drives in the neural control of appetite: Who is the boss?. Current Opinion in Neurobiology. 2011;21(6):888-896. https://doi.org/10.1016/j.conb.2011.09.004
11- Ayyildız F, Ulker I, Yildiran H. Reflection of the Relationship Between Hedonic Hunger and Eating Behavior on Different Body Masses. Journal of Nutrition and Dietetics. 2021;49(2):9-17. https://doi.org/10.33076/2021.BDD.49.02.01
12- Lee PC, Dixon JB. Food for thought: Reward mechanisms and hedonic overeating on obesity. Current Obesity Reports. 2017;6:353-361. https://doi.org/10.1007/s13679-017-0274-6
13- Finlayson G. Food addiction and obesity: unnecessary medicalization of hedonic overeating. Nature Reviews Endocrinology. 2017;13(8):493-498. https://doi.org/10.1038/nrendo.2017.61
14- Akkaya KU, Uslu B, Ozcan BA. The relationship of hedonic hunger with depression and physical activity in students of faculty of health sciences. Topics in Clinical Nutrition. 2022;37(1), 33-40. https://doi.org/ 10.1097/TIN.0000000000000267
15- Pehlivanoglu E, Balcioglu H, Unluoglu I. Turkish Validation and Reliability of Mediterranean Diet Adherence Screener. Osmangazi Journal of Medicine. 2020;42(2):160-164. https://doi.org/10.20515/otd.662248
16- Ulker I, Ayyildiz F, Yildiran H. Validation of the Turkish version of the power of food scale in adult population. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2021;26:1179-1186. https://doi.org/10.1007/s40519-020-00997-y
17- Manzano-Carrasco S, Felipe JL, Sanchez-Sanchez J, Hernandez-Martin A, Gallardo L, Garcia-Unanue J. Weight status, adherence to the Mediterranean diet, and physical fitness in Spanish children and adolescents: The Active Health Study. Nutrients. 2020;12(6):1680.
18- Martín-Espinosa NM, Garrido-Miguel M, Martínez-Vizcaíno V, González-García A, Redondo-Tébar A, Cobo-Cuenca AI. The mediating and moderating effects of physical fitness of the relationship between adherence to the Mediterranean diet and health-related quality of life in university students. Nutrients. 2020;12(11):3578. https://doi.org/10.3390/nu12061680
19- Sarahman Kahraman C, Akcil Ok M. Hedonic hunger status and related factors in adults. Perspectives in Psychiatric Care. 2022;58(4):2099-2106. https://doi.org/10.1111/ppc.12952
20- Ulker I, Camli A, Pourdeh EF, Aksu Z. The effects of dietary patterns on hedonic hunger in university students. 2023. https://doi.org/10.21203/rs.3.rs-3224642/v1
21- Altinsoy C. Evaluation of the relationship between the chronotype of adult individuals and the individual's compliance with the Mediterranean diet, sleep quality, and hedonic hunger level [Master's Thesis]. Yildirim Beyazit University Institute of Health Sciences; Ankara;2021.
22- Trichopoulou A, Costacou T, Bamia C, Trichopoulos D. Adherence to a mediterranean diet and survival in a greek population. The New England Journal of Medicine. 2003;348(26):2599-2608. https://doi.org/10.1056/NEJMoa025039
23- Zurita-Ortega F, San Román-Mata S, Chacón-Cuberos R, Castro-Sánchez M, Muros JJ. Adherence to the Mediterranean Diet Is Associated with Physical Activity, Self-Concept and Sociodemographic Factors in University Student. Nutrients. 2018;10(8), 966. https://doi.org/10.3390/nu10080966
24- Benbaibeche H, Saidi H, Bounihi A et al. Emotional and external eating styles associated with obesity. Journal of Eating Disorders. 2023; 11: 67. https://doi.org/10.3390/nu10080966
25- Schultes B, Ernst B, Wilms, B. Hedonic hunger is increased in severely obese patients and is reduced after gastric bypass surgery. The American Journal of Clinical Nutrition. 2010;92, 277-83. https://doi.org/10.3945/ajcn.2010.29414
26- Ribeiro G, Camacho M, Santos O, Pontes C, Torres S, Oliveira-Maia AJ. Association between hedonic hunger and body-mass index versusobesity status. Scientific reports, 2018;8(1), 5857. https://doi.org/10.1038/s41598-018-24023-0
Balı A, Kenger EB (October 1, 2024) Evaluation of Mediterranean Diet Quality and Hedonistic Eating Status in Regularly Exercising Individuals. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 15 4 439–444.