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The Mediating Effects of Food Craving on the Relationship between Stress and Obesity in Elderly
Stress 2018;26:215-222
Published online September 30, 2018
© 2018 Korean Society of Stress Medicine.

Ju Yeun Kim

Department of Nursing, Daewon University College, Jecheon, Korea
Correspondence to: Ju Yeun Kim
Department of Nursing, Daewon University College, 316 Daehak Road, Jecheon 27135, Korea
Tel: +82-43-649-3290
Fax: +82-43-649-3689
Received August 15, 2018; Revised September 6, 2018; Accepted September 6, 2018.
Articles published in stress are open-access, distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: The purpose of this study was to examine whether food craving mediated effects on the relationship between stress and obesity in the elderly population.
Methods: A descriptive correlational study was conducted. The participants included 256 elderly who had been attending three geriatric welfare facilities in J city. Data were collected between 9th and 20th, July 2018 with a structured questionnaire and body measurement. The measurements included G-FCQ-T, SRI-MF, and BMI. The statistical analysis included t-test, Pearson correlation analysis, Cronbach's α, and mediation analysis with bootstrapping as recommended by Hayes’ PROCESS macro (2016).
Results: Mean BMI score was 23.95±3.79 kg/m2 and the prevalence of obesity was 25.8%. Significant difference were observed in the age (χ2=19.54, p<.001), gender (χ2=13.80, p< .001), education (χ2=7.43, p=.024), number of diseases (χ2=12.69, p=.002), medication (χ2=18.82, p< .001), stress (t=-2.57 p=.011), and food craving (t=-2.63 p=.003). Stress and food craving (r=.50, p <.001), food craving and obesity (r=.23, p<.001), and obesity and stress (r=.28 p<.001) were found to be positively correlated with each other. Food craving was found to mediate the relationship between stress and obesity in the elderly population (B=0.38 (SE=0.19), 95% CI, [0.05, 0.79]).
Conclusions: We need therapeutic intervention with a focus on food craving for weight management in obese elderly people and the development of a nursing intervention to control elderly food craving.
Keywords : Stress, Food Craving, Obesity

September 2018, 26 (3)

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