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Background/objectives <p>Food addiction (FA) is characterized by the presence of dependence symptoms associated with the consumption of calorie-rich, sugary, and fatty foods, typical of ultra-processed foods. The growing prevalence of childhood obesity has been linked to the increased consumption of ultra-processed foods. This study aimed to analyze the direct and indirect associations between FA symptoms, food consumption, and body mass index for age (BMI-for-age) in children from 7 to 10 years of age from a Brazilian low-income region.</p> Subjects/methods <p>A cross-sectional study was conducted, including 259 children of both genders, enrolled in public schools in the municipality of Vitória de Santo Antão, Pernambuco, Brazil. The Yale Food Addiction Scale for Children (YFAS-C) was used to assess FA symptoms. A food frequency questionnaire assessed food consumption, and the BMI-for-age was used to evaluate nutritional status. Structural equation analysis was employed for data analysis. The measurement model incorporated the seven FA symptoms from the YFAS-C, yielding favorable fit indices.</p> Results <p>FA symptoms had an inverse direct effect on the consumption of <i>in natura</i> and minimally processed foods (β = -10.878; SE = 4.919; <i>p</i> = 0.027), while exhibiting a positive direct impact on the consumption of ultra-processed foods (β = 10.025; SE = 4.898; <i>p</i> = 0.001). The relationship between FA symptoms and BMI-for-age was not mediated by the consumption of ultra-processed foods (β = -0.054; SE = 0.081; <i>p</i> = 0.041).</p> Conclusion <p>FA symptoms are associated with an increase in ultra-processed food consumption and a decrease in healthy food consumption among children from low-income families.</p>

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Associations between food addiction symptoms, food intake and BMI-for-age in children from a low-income region: A structural equation modeling approach

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月3日

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  • Gabriela Carvalho Jurema Santos,
  • Carol Góis Leandro,
  • Tafnes Laís Pereira Santos de Almeida Oliveira,
  • Isabella da Costa Ribeiro Nogueira,
  • Ravi Marinho dos Santos,
  • Jonathan Manoel da Costa,
  • Rayssa Franciely Temudo dos Santos,
  • Patrícia Miller Simões,
  • Isabele Goés Nobre,
  • Raquel Canuto

摘要

Background/objectives

Food addiction (FA) is characterized by the presence of dependence symptoms associated with the consumption of calorie-rich, sugary, and fatty foods, typical of ultra-processed foods. The growing prevalence of childhood obesity has been linked to the increased consumption of ultra-processed foods. This study aimed to analyze the direct and indirect associations between FA symptoms, food consumption, and body mass index for age (BMI-for-age) in children from 7 to 10 years of age from a Brazilian low-income region.

Subjects/methods

A cross-sectional study was conducted, including 259 children of both genders, enrolled in public schools in the municipality of Vitória de Santo Antão, Pernambuco, Brazil. The Yale Food Addiction Scale for Children (YFAS-C) was used to assess FA symptoms. A food frequency questionnaire assessed food consumption, and the BMI-for-age was used to evaluate nutritional status. Structural equation analysis was employed for data analysis. The measurement model incorporated the seven FA symptoms from the YFAS-C, yielding favorable fit indices.

Results

FA symptoms had an inverse direct effect on the consumption of in natura and minimally processed foods (β = -10.878; SE = 4.919; p = 0.027), while exhibiting a positive direct impact on the consumption of ultra-processed foods (β = 10.025; SE = 4.898; p = 0.001). The relationship between FA symptoms and BMI-for-age was not mediated by the consumption of ultra-processed foods (β = -0.054; SE = 0.081; p = 0.041).

Conclusion

FA symptoms are associated with an increase in ultra-processed food consumption and a decrease in healthy food consumption among children from low-income families.