University of Massachusetts Medical School Faculty Publications


Dysfunctional Eating Behaviors and Dietary Intake in Puerto Rico

UMMS Affiliation

Division of Preventive and Behavioral Medicine, Department of Population and Quantitative Health Sciences; UMass Worcester Prevention Research Center

Publication Date


Document Type



Dietetics and Clinical Nutrition | Psychiatry and Psychology | Race and Ethnicity


Dysfunctional eating behaviors (DEB: emotional eating (EE), uncontrolled eating (UE) and cognitive restraint (CR)) are prevalent in U.S. Latinos and may influence diet. However, this has not been studied in Puerto Rico (PR). This study documents DEB in PR, and explores associations with diet. Cross-sectional study of adults (n = 92) in Ponce, PR. DEB were measured with the TFEQ-R18-V2. The Block Fat and Fruits and Vegetables Screener measured dietary intake. Analysis included adjusted proportions, means and linear regressions. 76%, 88%, and 87% of participants experienced EE, UE and CR, respectively. EE was associated with calories from fats (beta = 1.95, 95% CI 0.40, 3.51) and saturated fats (beta = 3.26, 95% CI 0.67, 5.85), and CR with fruits and vegetables (beta = 0.69, 95% CI 0.20, 1.19). A large percentage of the sample experienced DEB. EE and CR were associated with dietary intake. Studies are needed to understand associations between DEB, diet and health in PR.


Emotional eating, Uncontrolled eating, Cognitive restraint, Dietary intake, Puerto Rico

DOI of Published Version



López-Cepero AA, Mattei J, Frisard C, Riseberg E, Jimenez J, Lemon SC, Rosal MC. Dysfunctional Eating Behaviors and Dietary Intake in Puerto Rico. J Immigr Minor Health. 2021 Mar 18. doi: 10.1007/s10903-021-01156-0. Epub ahead of print. PMID: 33733376. Link to article on publisher's site

Related Resources

Link to Article in PubMed

Journal/Book/Conference Title

Journal of immigrant and minority health

PubMed ID