{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T21:29:37Z","timestamp":1792358977031,"version":"4.4.0"},"reference-count":34,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"King Faisal University","award":["KFU263513"],"award-info":[{"award-number":["KFU263513"]}]},{"award":["KFU263513"],"award-info":[{"award-number":["KFU263513"]}],"id":[{"id":"https:\/\/ror.org\/00dn43547","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: Food noise describes persistent, intrusive thoughts about food, eating, and cravings that occur in the absence of physiological hunger. Its occurrence among healthcare students and professionals in Saudi Arabia is unknown. This study measured food noise in this group in Al-Ahsa, described the proportion meeting study-defined severity thresholds, and identified its main correlates. Methods: In this cross-sectional study, healthcare students and professionals in Al-Ahsa completed a bilingual (Arabic\u2013English) electronic questionnaire capturing demographic and lifestyle characteristics, a 14-item food noise scale adapted from the Food Thought Suppression Inventory (each item rated 1\u20135; total range 14\u201370), the SCOFF eating disorder screen, and the four-item Perceived Stress Scale. The factor structure of the food noise scale was examined by exploratory factor analysis with parallel analysis and random split-half replication. Severity was graded from the mean item score as low, moderate, or high using exploratory thresholds, and associations were tested using t-tests, one-way analysis of variance, the Pearson correlation, and complete-case multivariable linear regression with robust standard errors and six sensitivity analyses. Results: Among 593 participants (mean age 25.7 years; 67.5% women; 60.0% students), the food noise scale was unidimensional (Kaiser\u2013Meyer\u2013Olkin 0.95; one eigenvalue above both unity and the parallel analysis threshold; 41.8% of variance explained; loadings 0.50 to 0.74) and internally consistent (Cronbach alpha 0.91). The mean total score was 41.9 (standard deviation 12.7). At least moderate food noise was present in 75.9% of participants (95% CI 72.3 to 79.2) and high food noise in 29.0% (95% CI 25.5 to 32.8). A positive SCOFF screen was recorded in 70.2% (95% CI 66.3 to 73.7), and the mean perceived stress score was 8.1 (standard deviation 2.8). In the adjusted model (n = 573; unadjusted R-squared 0.279, adjusted R-squared 0.266), food noise was independently associated with the SCOFF score (B 3.85 per point) and perceived stress (B 0.69 per point), both of which held across every sensitivity analysis, although both relationships proved concave rather than linear. Weaker associations with age (B 0.19 per year) and any night shift work (B 2.45) did not survive alternative model specifications, and crude differences by sex, role, weekly hours, and fasting did not persist after adjustment. Conclusions: Food noise was common in this sample and tracked eating disorder risk and perceived stress more closely than demographic or occupational characteristics. Because recruitment was by convenience and the severity thresholds are exploratory rather than validated, the proportions reported here describe this sample and should not be read as population prevalence. The findings provide a first benchmark for the construct in this population and support attention to the cognitive dimension of eating within health professions settings.<\/jats:p>","DOI":"10.3390\/nu18172824","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T18:33:52Z","timestamp":1787942032000},"page":"2824","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Food Noise Among Healthcare Students and Healthcare Professionals in Al-Ahsa, Saudi Arabia: A Cross-Sectional Study"],"prefix":"10.3390","volume":"18","author":[{"given":"Saba","family":"Alarfaj","sequence":"first","affiliation":[{"name":"Clinical Pharmacy, College of Clinical Pharmacy, King Faisal University, Al Ahsa P.O. Box 400, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manal","family":"Alqahtani","sequence":"additional","affiliation":[{"name":"Clinical Pharmacy, College of Clinical Pharmacy, King Faisal University, Al Ahsa P.O. Box 400, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6035-1230","authenticated-orcid":false,"given":"Abdullah","family":"Almaqhawi","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, College of Medicine, King Faisal University, Al Ahsa P.O. Box 400, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Hayashi, D., Edwards, C., Emond, J.A., Gilbert-Diamond, D., Butt, M., Rigby, A., and Masterson, T.D. (2023). What is food noise? A conceptual model of food cue reactivity. Nutrients, 15.","DOI":"10.3390\/nu15224809"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Arillotta, D., Floresta, G., Papanti Pelletier, G.D., Guirguis, A., Corkery, J.M., Martinotti, G., and Schifano, F. (2024). Exploring the potential impact of GLP-1 receptor agonists on substance use, compulsive behavior, and libido: Insights from social media using a mixed-methods approach. Brain Sci., 14.","DOI":"10.3390\/brainsci14060617"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1080\/00325481.2022.2147325","article-title":"Cardiometabolic risk factors efficacy of semaglutide in the STEP program","volume":"134","author":"Amaro","year":"2022","journal-title":"Postgrad. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"5225","DOI":"10.1111\/bph.13321","article-title":"Integration of reward signalling and appetite regulating peptide systems in the control of food-cue responses","volume":"172","author":"Reichelt","year":"2015","journal-title":"Br. J. Pharmacol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.cpr.2017.12.004","article-title":"Potential psychological and neural mechanisms in binge eating disorder: Implications for treatment","volume":"60","author":"Kober","year":"2018","journal-title":"Clin. Psychol. Rev."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"105278","DOI":"10.1016\/j.appet.2021.105278","article-title":"The effect of visualisation and mindfulness-based decentering on chocolate craving","volume":"164","author":"Wilson","year":"2021","journal-title":"Appetite"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1017\/SJP.2021.47","article-title":"Cognitive defusion as strategy to reduce the intensity of craving episodes and improve eating behavior","volume":"25","author":"Gonzalez","year":"2022","journal-title":"Span. J. Psychol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"111479","DOI":"10.1016\/j.jpsychores.2023.111479","article-title":"The worldwide prevalence of self-reported psychological and behavioral symptoms in medical students: An umbrella review and meta-analysis of meta-analyses","volume":"173","author":"Jahrami","year":"2023","journal-title":"J. Psychosom. Res."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1131","DOI":"10.1001\/jama.2018.12777","article-title":"Prevalence of burnout among physicians: A systematic review","volume":"320","author":"Rotenstein","year":"2018","journal-title":"JAMA"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1016\/j.physbeh.2007.04.011","article-title":"Stress, eating and the reward system","volume":"91","author":"Adam","year":"2007","journal-title":"Physiol. Behav."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"14164","DOI":"10.3390\/ijerph121114164","article-title":"Nutritional correlates of perceived stress among university students in Egypt","volume":"12","year":"2015","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1038\/s41574-022-00747-7","article-title":"The role of insufficient sleep and circadian misalignment in obesity","volume":"19","author":"Chaput","year":"2023","journal-title":"Nat. Rev. Endocrinol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.smrv.2019.02.002","article-title":"Effects of sleep restriction on metabolism-related parameters in healthy adults: A comprehensive review and meta-analysis of randomized controlled trials","volume":"45","author":"Zhu","year":"2019","journal-title":"Sleep Med. Rev."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Gomes, S., Ramalhete, C., Ferreira, I., Bicho, M., and Valente, A. (2023). Sleep patterns, eating behavior and the risk of noncommunicable diseases. Nutrients, 15.","DOI":"10.3390\/nu15112462"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"536","DOI":"10.5271\/sjweh.4185","article-title":"Associations of night shift work with weight gain among female nurses in the Netherlands: Results of a prospective cohort study","volume":"50","author":"Berentzen","year":"2024","journal-title":"Scand. J. Work Environ. Health"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"252","DOI":"10.2486\/indhealth.2023-0116","article-title":"Effect of shift work on excessive daytime sleepiness in female nurses: Results from the Japan Nurses\u2019 Health Study","volume":"62","author":"Terauchi","year":"2024","journal-title":"Ind. Health"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Kosendiak, A.A., Adamczak, B.B., Kuznik, Z., and Makles, S. (2024). How dietary choices and nutritional knowledge relate to eating disorders and body esteem of medical students? A single-center cross-sectional study. Nutrients, 16.","DOI":"10.3390\/nu16101414"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1467","DOI":"10.1136\/bmj.319.7223.1467","article-title":"The SCOFF questionnaire: Assessment of a new screening tool for eating disorders","volume":"319","author":"Morgan","year":"1999","journal-title":"BMJ"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1553","DOI":"10.1002\/eat.23815","article-title":"Screening for eating disorders across genders in college students: Initial validation of the brief assessment of stress and eating","volume":"55","author":"Forbush","year":"2022","journal-title":"Int. J. Eat. Disord."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1016\/j.jand.2021.01.025","article-title":"Students with food insecurity are more likely to screen positive for an eating disorder at a large, public university in the Midwest","volume":"121","author":"Barry","year":"2021","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"385","DOI":"10.2307\/2136404","article-title":"A global measure of perceived stress","volume":"24","author":"Cohen","year":"1983","journal-title":"J. Health Soc. Behav."},{"key":"ref_22","first-page":"121","article-title":"Review of the psychometric evidence of the perceived stress scale","volume":"6","author":"Lee","year":"2012","journal-title":"Asian Nurs. Res. (Korean Soc. Nurs. Sci.)"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Althumiri, N.A., Basyouni, M.H., Al-Qahtani, F.S., Zamakhshary, M., and BinDhim, N.F. (2021). Food taste, dietary consumption, and food preference perception of changes following bariatric surgery in the Saudi population: A cross-sectional study. Nutrients, 13.","DOI":"10.3390\/nu13103401"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Aljaadi, A.M., Turki, A., Gazzaz, A.Z., Al-Qahtani, F.S., Althumiri, N.A., and BinDhim, N.F. (2023). Soft and energy drinks consumption and associated factors in Saudi adults: A national cross-sectional study. Front. Nutr., 10.","DOI":"10.3389\/fnut.2023.1286633"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1186\/s40337-025-01458-w","article-title":"Prevalence and predictors of disordered eating behaviors: A cross-sectional study across 15 campuses in the Saudi electronic university","volume":"13","author":"Aljehani","year":"2025","journal-title":"J. Eat. Disord."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies","volume":"370","author":"Altman","year":"2007","journal-title":"Lancet"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1177\/1359105309351246","article-title":"Validation of the Food Thought Suppression Inventory","volume":"15","author":"Barnes","year":"2010","journal-title":"J. Health Psychol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"326","DOI":"10.26719\/2015.21.5.326","article-title":"Validation of the Arabic version of the SCOFF questionnaire for the screening of eating disorders","volume":"21","author":"Aoun","year":"2015","journal-title":"East. Mediterr. Health J."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.ijnurstu.2011.07.012","article-title":"An Arabic version of the Perceived Stress Scale: Translation and validation study","volume":"49","author":"Almadi","year":"2012","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/0003-6870(87)90010-X","article-title":"Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms","volume":"18","author":"Kuorinka","year":"1987","journal-title":"Appl. Ergon."},{"key":"ref_31","first-page":"673","article-title":"Arabic version of the Extended Nordic Musculoskeletal Questionnaire, cross-cultural adaptation and psychometric testing","volume":"18","author":"Alharbi","year":"2023","journal-title":"J. Orthop. Surg. Res."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Alsheweir, A., Goyder, E., Alnooh, G., and Caton, S.J. (2023). Prevalence of eating disorders and disordered eating behaviours amongst adolescents and young adults in Saudi Arabia: A systematic review. Nutrients, 15.","DOI":"10.3390\/nu15214643"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1007\/s11606-019-05478-6","article-title":"Eating disorder screening: A systematic review and meta-analysis of diagnostic test characteristics of the SCOFF","volume":"35","author":"Kutz","year":"2020","journal-title":"J. Gen. Intern. Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1068","DOI":"10.1001\/jama.2022.1807","article-title":"Screening for eating disorders in adolescents and adults: Evidence report and systematic review for the US Preventive Services Task Force","volume":"327","author":"Feltner","year":"2022","journal-title":"JAMA"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/17\/2824\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T04:25:59Z","timestamp":1788063959000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/17\/2824"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,28]]},"references-count":34,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2026,9]]}},"alternative-id":["nu18172824"],"URL":"https:\/\/doi.org\/10.3390\/nu18172824","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,28]]}}}