Association between stress and eating behaviour among Malaysian adolescents prior to examination

Md Shah, Nurfazlinda and Aghamohammadi, Nasrin and Thangiah, Nithiah and Ng, Ai Kah and Abdul Majid, Hazreen (2023) Association between stress and eating behaviour among Malaysian adolescents prior to examination. Scientific Reports, 13 (1). ISSN 2045-2322, DOI https://doi.org/10.1038/s41598-023-34699-3.

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Abstract

Studies have shown the prevalence of mental health and obesity among adolescents is at increasing trend due to urbanisation and changes in lifestyle. This study is to investigate the level of stress and its impact on eating behaviour among Malaysian adolescents. A total of 797 multi-ethnic Malaysian secondary school student participated in this cross-sectional study. Data was collected two weeks prior to final year examination. A validated Cohen Perceived Stress Scale questionnaire was used to assess the stress level with subsample analysis of 261 participants' saliva cortisol level. A validated Child Eating Behaviour questionnaire was used to explore eating behaviours. There were 29.1% adolescents having high stress with the mean saliva cortisol 3.8 nmol/L. A positive correlation was observed between perceived stress and emotional overeating; stronger among urban (r = 0.32), female (r = 0.31), underweight (r = 0.34) and moderately stressed adolescents (r = 0.24). In addition, a positive correlation was found between perceived stress and food responsiveness; strongest among Malay (r = 0.23), male (r = 0.24), underweight (r = 0.30) and adolescents with high perceived stress (r = 0.24). The perceived stress level prior to exam period affects the emotional eating and external eating patterns of adolescents.

Item Type: Article
Funders: Universiti Malaya [Grant no. PG071-2015 A, IIRG001B-2022SAH, UMRP022 A]
Uncontrolled Keywords: Adolescent; Child; Cross-Sectional Studies; Feeding Behavior; Female; Humans; Hydrocortisone; Male; Obesity; Surveys and Questionnaires; Thinness
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Medicine > Social & Preventive Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 24 Oct 2025 08:49
Last Modified: 24 Oct 2025 08:49
URI: http://eprints.um.edu.my/id/eprint/48284

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