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AIMS Public Health

2026, Volume 13, Issue 2: 449-471. doi: 10.3934/publichealth.2026024
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Disordered eating in office workers is correlated with trauma, stress, emotional regulation, and sleep quality: a cross-sectional screening

  • 1.
    Department of Security and Bioethics, Section of Occupational Health, Università Cattolica del Sacro Cuore, Rome 00168, Italy
  • 2.
    Occupational Health and Safety Unit, Public Health Department, AST Macerata, Macerata 62100, Italy
  • 3.
    Health Service Department, Italian State Police, Ministry of the Interior, Milan 00185, Italy
  • 4.
    Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal/Child Sciences (DINOGMI), University of Genoa, Genoa 16132, Italy
  • 5.
    Occupational Health, Local Sanitary Unit Roma4, Civitavecchia 00053, Italy
  • 6.
    National Research Council (CNR), Institute of Clinical Physiology (IFC), Lecce 73100, Italy
  • 7.
    Pulmonary Day Hospital and Interstitial Lung Diseases, San Camillo Forlanini Hospital, Rome 00152, Italy
  • Published: 10 April 2026

  • Eating and feeding disorders (EDs) are a heterogeneous group of pathologies accompanied by important metabolic and psychiatric comorbidities that occur most frequently among the young but also appear in adulthood. Consequently, they can have a high impact on the quality of life and productivity. In the workplace, they are associated with traumatic events, stress, and sleep problems. Office workers who are not engaged in night shifts are an ideal sample for studying the relationship between sleep problems and EDs, since the confounding factor of night work can be excluded. This study is a survey of office workers undergoing health surveillance over a one-year period. Participants (463 out of a total of 489) completed the Short Version of the Eating Disorder Examination Questionnaire (EDE-QS) to screen for EDs, the Effort/Reward Imbalance (ERI) questionnaire for stress, the Goldberg's Anxiety and Depression Scale (GADS) for mental health, the Pittsburgh Sleep Quality Index (PSQI) for sleep quality, two items from the Stop-Bang questionnaire to screen for obstructive sleep apnea (OSA), and some questions concerning trauma, violence, motor vehicle accidents, and injuries. The prevalence of suspected EDs was 6% (CI 95% 4.1; 8.6). According to the body mass index, all suspected cases were affected by overeating. On the basis of non-smoking, regular physical activity, and adherence to appropriate alcohol and eating behaviors, only 1.9% of the cohort was classified as having a healthy lifestyle. Suspected EDs reported experiencing significantly more life trauma (OR = 4.47, CI 95% 1.99; 10.04), domestic injuries (OR = 3.89, CI 95% 1.04; 14.56), assaults (OR = 4.36, CI 95% 1.35; 14.07), and near-miss driving accidents (OR = 3.32, CI 95% 1.26; 8.76) than their colleagues in the previous year. They also reported higher levels of work-related stress than their colleagues (OR 5.38, CI 95% 2.29; 12.63), worse sleep quality (OR = 1.31, CI 95% 1.18; 1.46), and higher levels of anxiety (OR = 1.41, CI 95% 1.23; 1.62) and depression (OR = 1.55, CI 95% 1.33; 1.81). OSA symptoms were present in 25% of suspected EDs. A multivariate logistic regression model indicated that trauma and depression were most strongly associated with suspected ED cases. Health promotion in office workers should be based on sleep hygiene, stress reduction, and emotional trauma counseling.

    Citation: Nicola Magnavita, Lucia Isolani, Francesco Chirico, Sergio Garbarino, Martina Gasbarri, Egeria Scoditti, Loreta Di Michele. Disordered eating in office workers is correlated with trauma, stress, emotional regulation, and sleep quality: a cross-sectional screening[J]. AIMS Public Health, 2026, 13(2): 449-471. doi: 10.3934/publichealth.2026024

    Related Papers:

  • Eating and feeding disorders (EDs) are a heterogeneous group of pathologies accompanied by important metabolic and psychiatric comorbidities that occur most frequently among the young but also appear in adulthood. Consequently, they can have a high impact on the quality of life and productivity. In the workplace, they are associated with traumatic events, stress, and sleep problems. Office workers who are not engaged in night shifts are an ideal sample for studying the relationship between sleep problems and EDs, since the confounding factor of night work can be excluded. This study is a survey of office workers undergoing health surveillance over a one-year period. Participants (463 out of a total of 489) completed the Short Version of the Eating Disorder Examination Questionnaire (EDE-QS) to screen for EDs, the Effort/Reward Imbalance (ERI) questionnaire for stress, the Goldberg's Anxiety and Depression Scale (GADS) for mental health, the Pittsburgh Sleep Quality Index (PSQI) for sleep quality, two items from the Stop-Bang questionnaire to screen for obstructive sleep apnea (OSA), and some questions concerning trauma, violence, motor vehicle accidents, and injuries. The prevalence of suspected EDs was 6% (CI 95% 4.1; 8.6). According to the body mass index, all suspected cases were affected by overeating. On the basis of non-smoking, regular physical activity, and adherence to appropriate alcohol and eating behaviors, only 1.9% of the cohort was classified as having a healthy lifestyle. Suspected EDs reported experiencing significantly more life trauma (OR = 4.47, CI 95% 1.99; 10.04), domestic injuries (OR = 3.89, CI 95% 1.04; 14.56), assaults (OR = 4.36, CI 95% 1.35; 14.07), and near-miss driving accidents (OR = 3.32, CI 95% 1.26; 8.76) than their colleagues in the previous year. They also reported higher levels of work-related stress than their colleagues (OR 5.38, CI 95% 2.29; 12.63), worse sleep quality (OR = 1.31, CI 95% 1.18; 1.46), and higher levels of anxiety (OR = 1.41, CI 95% 1.23; 1.62) and depression (OR = 1.55, CI 95% 1.33; 1.81). OSA symptoms were present in 25% of suspected EDs. A multivariate logistic regression model indicated that trauma and depression were most strongly associated with suspected ED cases. Health promotion in office workers should be based on sleep hygiene, stress reduction, and emotional trauma counseling.



    加载中

    Acknowledgments


    We thank the workers who participated in the research. We also thank E.A. Wright who revised the English language. This research received no external funding.

    Authors' contributions


    Conceptualization, methodology, formal analysis, data curation, writing—original draft preparation, N.M.; investigation, N.M., M.G.; writing review and editing, N.M., L.I., F.C., S.G., E.S., and L.D.M. All authors have read and agreed to the published version of the manuscript.

    Conflict of interest


    Nicola Magnavita is an editorial board member for AIMS Public Health and was not involved in the editorial review or the decision to publish this article. All authors declare that there are no competing interests.

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