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This cross\u2010sectional study examined the associations between ultra\u2010processed food (UPF) consumption, night eating symptoms, and gastrointestinal (GI) symptom\u2010specific anxiety in 205 women (aged 18\u201350\u2009years) with a physician\u2010confirmed PCOS diagnosis. Participants completed validated questionnaires assessing UPF consumption (sQ\u2010HPF), the severity of night eating symptoms (NEQ), and GI\u2010specific anxiety (VSI), alongside self\u2010reported anthropometric measurements. Multiple linear regression models were used to identify independent associations, adjusting for body mass index (BMI), smoking status, and socioeconomic status. While higher UPF consumption was significantly associated with increased NEQ scores and higher GI\u2010specific anxiety in bivariate analyses, its independent influence was attenuated in final adjusted regression models. In these adjusted models, GI\u2010specific anxiety and BMI were independently associated with NEQ scores (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05), while night eating symptoms emerged as a primary factor associated with GI\u2010specific anxiety (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001). Sensitivity analyses, including subgroup analysis for BMI\u2009&lt;\u200935\u2009kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    and multivariate models excluding BMI as a covariate, confirmed that the observed associations remained robust. These findings suggest a behavioral and dietary interplay where UPF consumption and night eating symptoms are linked to GI\u2010specific anxiety in women with PCOS. Considering that lifestyle modification is a cornerstone of PCOS management, integrating the assessment of dietary patterns and night eating into routine care may support a more comprehensive approach. Future longitudinal studies are warranted to clarify the directional nature of these associations linking UPF exposure, night eating symptoms, and psychological GI distress in this population.\n                  <\/jats:p>","DOI":"10.1002\/fsn3.72007","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T05:24:39Z","timestamp":1781155479000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations of Ultra\u2010Processed Food Consumption and Night Eating With GI Symptom\u2010Specific Anxiety in Reproductive\u2010Age Women With Polycystic Ovary Syndrome"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5409-6309","authenticated-orcid":false,"given":"Emine Merve","family":"Ekici","sequence":"first","affiliation":[{"name":"Department of Nutrition and Dietetics, G\u00fclhane Health Sciences Faculty University of Health Sciences  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7971-0157","authenticated-orcid":false,"given":"Sena Dil\u015fad","family":"Ak\u00e7akaya","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics, G\u00fclhane Health Sciences Institute University of Health Sciences  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0094-308X","authenticated-orcid":false,"given":"Vefa","family":"\u015eakar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology G\u00fclhane Training and Research Hospital  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0298-9591","authenticated-orcid":false,"given":"\u00d6zge","family":"Mengi \u00c7elik","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics, G\u00fclhane Health Sciences Faculty University of Health Sciences  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,10]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000515294"},{"key":"e_1_2_14_3_1","volume-title":"\u0130rritabl ba\u011f\u0131rsak sendromlu hastalarda gastrointestinal semptom derecelendirme \u00f6l\u00e7e\u011fi\u2010\u0130rritabl Ba\u011f\u0131rsak Sendromu (\u0130BS) versiyonu ve Visseral Duyarl\u0131l\u0131k \u0130ndeksinin ge\u00e7erlik ve g\u00fcvenirlik \u00e7al\u0131\u015fmas\u0131 [Y\u00fcksek Lisans Tezi]","author":"Abay B.","year":"2024"},{"key":"e_1_2_14_4_1","unstructured":"Ak\u00e7akaya S. 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