Frontiers in Public Health, cilt.14, 2026 (SCI-Expanded, SSCI, Scopus)
Background: Shift-work is linked to irregular eating patterns and greater ultra-processed food (UPF) intake, potentially driven by hedonic hunger and psychological distress. This study aimed to examine the relationship between hedonic hunger, UPF consumption, and mental health among shift-working healthcare professionals. Methods: In this cross-sectional analytical observational study, 326 healthcare shift-workers (66.9% female) completed questionnaires including sociodemographic details, the Power of Food Scale (PFS-Tr), the Single-Item Food Choice Questionnaire (FCQ), the Depression Anxiety Stress Scale (DASS-21), and the short screening questionnaire for highly processed food consumption (sQ-HPF). Results: 63.2% were categorized as high-level UPF consumers. PFS-Tr scores correlated positively with UPF intake, FCQ, depression, stress, and anxiety. Hedonic hunger was significantly associated with UPF consumption directly (β = 0.112) and indirectly through stress (β = 0.209). Conclusion: Hedonic hunger was associated with UPF intake in shift-workers through psychological distress and food motivation.