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Anthropometric measurements were obtained using standardized procedures. SHEB and FA were assessed using validated instruments. All analyses were conducted using the SPSS package program, PROCESS Macro and JASP Statistical Software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In adjusted models, each one-unit increase in FA symptom count was positively associated with BMI (\u03b2\u2009=\u20090.103,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and WC (\u03b2\u2009=\u20090.030,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.029). Overall SHEB scores showed a small positive association with BMI, whereas no association was observed with WC. SHEB subcomponents related to diet quality, including healthy and balanced diet, preference for local foods, and low-fat choices, were inversely associated with both BMI and WC (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), whereas seasonal food consumption and avoidance of food waste were positively associated with obesity indicators. FA showed a statistically significant but very small indirect effect in the association between SHEB and BMI (indirect effect\u2009=\u20090.0004; 95% CI: 0.000\u20130.001), while no indirect effect was observed for WC. Moderation analyses revealed that FA significantly modified the SHEB-BMI relationship (\n                      <jats:italic>p<\/jats:italic>\n                      for interaction\u2009=\u20090.003), with stronger associations observed at moderate and high FA levels.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Sustainable and healthy eating behaviors are not uniformly associated with lower obesity risk and appear to interact with FA-related behaviors. Accounting for addictive-like eating behaviors may be critical for improving the effectiveness of sustainable nutrition strategies in obesity prevention and public health interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00394-026-04039-y","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T11:13:03Z","timestamp":1782731583000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The role of food addiction in the association between sustainable and healthy eating behaviors and obesity indicators"],"prefix":"10.1007","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1649-3586","authenticated-orcid":false,"given":"Jiyan","family":"Aslan Ceylan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c7a\u011flar","family":"Ak\u00e7al\u0131","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulkerim","family":"Hatipo\u011flu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aziz","family":"Korkmaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sedat","family":"Co\u015fkunsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"4039_CR1","unstructured":"WHO (2025) Obesity and overweight. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/obesity-and-overweight. 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