scholarly journals Sport Activity as Risk or Protective Factor in Feeding and Eating Disorder

2019 ◽  
Vol 9 (12) ◽  
pp. 143
Author(s):  
Salvatore Iuso ◽  
Antonello Bellomo ◽  
Tiziana Pagano ◽  
Raffaella Carnevale ◽  
Antonio Ventriglio ◽  
...  

Emerging evidence suggests controversial results on the associations between sport activity and eating disorders (EDs). The aim of the present study was to investigate the relationship between sport activity in general, weight-dependent/independent sport activity particularly, and risk or protective factors in feeding and eating disorder (FED). The sample (n = 282, divided into two successive groups), included competitive athletes in the first analysis, non-competitive athletes, and sedentary peers; in the second analysis it has been divided into weight-dependent athletes, weight-independent athletes, non-competitive athletes, and sedentary peers. The participants were tested with Rosenberg Self-Esteem Scale, Profile of Mood State (POMS) questionnaire, Body Shape Questionnaire (BSQ), Eating Attitudes Test (EAT-26), and Body Uneasiness Test (BUT). The results show higher levels of self-esteem among athletes in general and particularly in weight-independent athletes (p = 0.0210). We found higher levels of image and body dissatisfaction among sedentary peers and weight-dependent athletes (0.0005 < p < 0.0015). Sedentary peers also reported higher levels of tension/anxiety, depression/dejection, confusion/bewilderment and fatigue/inertia (0.0001 < p < 0.0331). Dieting and oral control were found to be higher among weight-dependent athletes (0.0337 < p < 0.0400). The findings suggest that sedentary condition is associated with higher levels of body-image discomfort and higher level of psychological distress, whereas weight-dependent athletes may report dietary issues and bodily concerns. Sport activity should be promoted and specific trainings on diet and body-consciousness encouraged among athletes.

Author(s):  
Roges Ghidini Dias ◽  
Ricardo Rodrigo Rech ◽  
Ricardo Halpern

There is growing recognition of the adverse effects of body image dissatisfaction (BID) and eating disorder (ED) symptoms on adolescent health. The aim of this study was to estimate the prevalence of ED symptoms, BID, and their relationship in adolescents from public schools in Southern Brazil. A total of 782 schoolchildren (male: n=420, female: n=362); age: 15 ± 0,4 years) answered a self-administrated questionnaire to identify sociodemographic data. Children´s Figure Rating Scale was adopted to identify body image and Eating Attitudes Test (EAT-26) was applied to investigate ED symptoms. Inferential statistics and hierarchical model-controlled logistic regression were used for association between variables. Most of the schoolchildren reported being satisfied with their bodies. However, we observed a higher prevalence of dissatisfaction among girls for being overweight and thinness among boys. Female students and students from schools located in the central area of the city showed higher chances of developing ED symptoms, and the absence of symptoms of ED appeared to act as a protective factor against BID in schoolchildren. Results of this study show the need to reflect on these factors that influence the development of ED and non-acceptance of their own body in a population concerned with their physical appearance.


Author(s):  
Allison Smith ◽  
Dawn Emerson ◽  
Zachary Winkelmann ◽  
Devin Potter ◽  
Toni Torres-McGehee

Injury risk is multifactorial including non-modifiable and modifiable factors such as nutrition and mental health. The purpose of this study was to estimate eating disorder risk and body image (BI) dissatisfaction among Reserve Officers Training Corps (ROTC) cadets. A total of 102 (male: n = 75, female: n = 27; age: 20 ± 2 years) ROTC cadets self-reported height, current and ideal weight, and completed the Eating Attitudes Test-26 (EAT-26) and self-perceived BI current and perceived sex-specific figural stimuli. The overall eating disorder risk for ROTC cadets was 32.4%. No significant differences were found when comparing sex, ethnicity, or military branch. Overall risk of pathogenic behaviors included 11.8% who reported binge eating; 8.8% who used laxatives, diuretics, or diet pills; 8.8% who exercised for >60 min to control their weight; and 8.8% who lost 9.1 kg or more within the last 6 months. We identified significant interactions (p ≤ 0.01) between sex of the solider, overall perceptions of male and female soldiers, and BI self-perceptions. The ROTC cadets in this study displayed eating disorder risk and BI dissatisfaction, which is concerning for tactical readiness, long-term behavioral health issues, and injury from pathogenic behaviors. Education and quality healthcare are necessary to mitigate the increased risk of eating and BI dissatisfaction within this population.


2012 ◽  
Vol 15 (3) ◽  
pp. 1293-1302 ◽  
Author(s):  
Alejandro Magallares

The literature has found that eating disorders (ED) patients usually have a depression and anxiety diagnosis. However, not many investigations have studied the relationship between ED and well-being. One of the main problems of patients with ED is their body image. These individuals usually see themselves too big but there are not many investigations that focus on how these patients see people with real weight problems. For this reason in this study it is analyzed how women in risk to develop ED see obese people. 456 female students were selected. It was found that women with high scores in the different subscales of the Eating Attitudes Test 26 (EAT-26; dieting, bulimia and oral control) had lower well-being (both subjective and psychological) and worse attitudes toward obese people (measured with Antifat Attitudes Test, AFA, Beliefs About Obese People Scale, BAOP, and Attitudes Toward Obese People Scale, ATOP) compared with women with low scores in the EAT-26.


2006 ◽  
Vol 40 (2) ◽  
pp. 143-149 ◽  
Author(s):  
Piangchai S Jennings ◽  
David Forbes ◽  
Brett Mcdermott ◽  
Gary Hulse ◽  
Sato Juniper

Objective: To examine eating disorder attitudes and psychopathology among female university students in Australia and Thailand. Method: Participants were 110 Caucasian Australians, 130 Asian Australians and 101 Thais in Thailand. The instruments included the Eating Attitudes Test (EAT) and the Eating Disorders Inventory (EDI). Results: Eating disorder attitudes and psychopathology scores in the Thai group were found to be highest. The Asian Australian group did not have significantly higher scores on the EAT-26 than the Caucasian Australian group, but had higher scores in some subscales of the EDI-2. That the Thai group had the highest scores in susceptibility to developing an eating disorder and eating disorder psychopathology may be partially explained in sociocultural terms, with pressure to be thin more extreme in Thailand than in Australia. The evidence suggested that unhealthy eating disorder psychopathology is not limited to Western societies but is already present in Thai and other Asian societies.


2008 ◽  
Vol 101 (6) ◽  
pp. 909-918 ◽  
Author(s):  
Isabel Krug ◽  
Janet Treasure ◽  
Marija Anderluh ◽  
Laura Bellodi ◽  
Elena Cellini ◽  
...  

The objective of this study was to examine whether there is an association between individual and family eating patterns during childhood and early adolescence and the likelihood of developing a subsequent eating disorder (ED). A total of 1664 participants took part in the study. The ED cases (n 879) were referred for assessment and treatment to specialized ED units in five different European countries and were compared to a control group of healthy individuals (n 785). Participants completed the Early Eating Environmental Subscale of the Cross-Cultural (Environmental) Questionnaire, a retrospective measure, which has been developed as part of a European multicentre trial in order to detect dimensions associated with ED in different countries. In the control group, also the General Health Questionnaire-28 (GHQ-28), the semi-structured clinical interview (SCID-I) and the Eating Attitudes Test (EAT-26) were used. Five individually Categorical Principal Components Analysis (CatPCA) procedures were adjusted, one for each theoretically expected factor. Logistic regression analyses indicated that the domains with the strongest effects from the CatPCA scores in the total sample were: food used as individualization, and control and rules about food. On the other hand, healthy eating was negatively related to a subsequent ED. When differences between countries were assessed, results indicated that the pattern of associated ED factors did vary between countries. There was very little difference in early eating behaviour on the subtypes of ED. These findings suggest that the fragmentation of meals within the family and an excessive importance given to food by the individual and the family are linked to the later development of an ED.


2016 ◽  
Vol 9 (2) ◽  
pp. 22-30
Author(s):  
Serafina Castro-Zamudio ◽  
Josefina Castro-Barea

El presente estudio examina la impulsividad y la búsqueda de sensaciones como posibles factores asociados a actitudes y comportamientos característicos de la anorexia y bulimia nerviosas en estudiantes de ambos sexos, entre 12 y 20 años de edad. El diseño se corresponde con un estudio observacional analítico de casos y controles, donde los casos corresponden al grupo de sujetos sintomáticos (han superado el punto de corte propuesto por los autores en los distintos instrumentos de evaluación) y los controles al grupo asintomático (no han superado el punto de corte). La muestra estaba constituida por 300 estudiantes de la provincia de Málaga (España), 136 varones (45.33%) y 164 muje-res (54.66%), que respondieron de manera voluntaria, anónima y bajo el consentimiento de los padres a los siguientes cuestionarios y escalas: Eating Disorder Inventory (EDI-II), Eating Attitudes Test (EAT-26), Bulimia Test Revised (BULIT-R), Barratt Impulsiveness Scale (BIS-11) y Sensation Seeking Scale (SSS-V). Los resultados constatan una correlación positiva entre la impulsividad y sintomatología asociada con la conducta alimentaria alterada, anorexia y bulimia nerviosas. En la variable búsqueda de sensaciones dicha correlación sólo es positiva cuando se estudia con sintomatología bulímica. En resumen, impulsividad y búsqueda de sensaciones parecen ser variables estrechamente relacionadas con los TCA y, por tanto, deberían ser incluidas en programas de estilos de vida saludables, ya que po-drían contribuir a disminuir y/o prevenir el incremento de los TCA en población adolescente.


2018 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Muh Nur Hasan Syah ◽  
Alfi Fairuz Asna

Background & Objective: Anemia is a public health nutrition problem that can occur at any age. In 2013 the proportion of anemia in Indonesia is 21.7 percent. Anemia can be caused by many factors one of which is the consumption pattern. Anemia in girl adolescents and women of reproductive age can cause problem in the first 1000 days of life. This study aims to determine the risk of eating disorders and anemia in nutrition students.  Materials and Methods: This study is a cross sectional study with sample 46 girl students and 19 yearsl old. Data collection of risk of eating disorders using questionnaires Eating Attitudes Test (EAT-26)and  anemia data obtained from secondary data results of a new student medical check up. Data analyzed by using SPSS, bivariate analysis using chi square test.  Results: The results showed 21.7 percent anemia and 26.1 percent risk of eating disorders. 20 percent of students with anemia have an eating disorder risk. The results of statistical tests showed no significant relationship between the risk of eating disorders with anemia. Conclusion: The conclusion of the study is the risk of eating disorders can occur in the student nutrition that may be possible cause of anemia


2005 ◽  
Vol 13 (2) ◽  
pp. 58-68 ◽  
Author(s):  
Nicole Baltruschat ◽  
Edgar Geissner ◽  
Michael Klein

Zusammenfassung. Theoretischer Hintergrund: In den letzten zwei Jahrzehnten wurden die psychischen Auswirkungen elterlichen Alkoholismus auf deren Kinder (children of alcoholics) verstärkt betrachtet. Fragestellung: Hintergrund der Studie ist die Frage, ob das Aufwachsen in einer Familie, in der ein Elternteil an einer Alkoholstörung erkrankt ist, insbesondere für die Töchter das Risiko erhöht, an einer Essstörung zu erkranken. Vorausgegangene Studien analysierten, (a) inwieweit bei essgestörten Frauen eine Alkoholstörung bei deren Eltern vorlag bzw. (b) ob bei alkoholerkrankten Eltern die Rate töchterlicher Essstörungen erhöht war. Die bis heute uneindeutige Befundlage sollte in der Studie eruiert werden. Methode: Es wurden zwei Ansätze verfolgt: (a) Untersuchung 100 essgestörter Frauen (13-26 J.) mittels klinischer Interviews und Fragebögen ([1] Familiengeschichte, [2] Children of Alcoholics Screening Test (CAST)), (b) Untersuchung 47 alkoholerkrankter Elternteile über wahrgenommene Essstörungssymptome der Töchter ([1] klinische Interviews, [2] Eating Attitudes Test 26 - Fremdauskunft, [3] Subskalen des Eating Disorder Inventory EDI - Fremdauskunft; sowie Befragung von deren Töchtern (N = 54) [EAT-26, EDI, CAST]. Ergebnisse: Die Ergebnisse können unsere Hypothese, dass es einen Zusammenhang zwischen Essstörung der Töchter und dem Alkoholabusus der Eltern gibt, stützen. Für Untersuchungsstichprobe (a) (Töchter) ergab sich eine Rate elterlicher Alkoholerkrankungen von 47% (Grundrate in der Allgemeinbevölkerung 1.1-4%). Für Untersuchungsstichprobe (b) (Eltern mit Alkoholerkrankung) wurde eine töchterliche Rate an Essstörungssymptomen von ca. 40% ermittelt (Essstörungsraten bei jungen Frauen z.B. 3% für Bulimie, 10% für subklinische Essstörungssymptome). Schlussfolgerung: Elterlicher Alkoholabusus stellt einen bedeutsamen Risikofaktor für die Entwicklung einer Essstörung bei Töchtern dar. Die Ergebnisse werden vor dem Hintergrund familiärer Sozialisation und der allgemeinen Transmission psychischer Störungen diskutiert.


2021 ◽  
Author(s):  
Natalie M. Papini ◽  
Myungjin Jung ◽  
Amanda Cook ◽  
Nanette V Lopez ◽  
Lauren T Ptomey ◽  
...  

Abstract Background: The 26-item Eating Attitudes Test (EAT-26) is a commonly used tool to assess eating disorder risk. The purpose of this study was to examine the psychometric properties of the EAT-26 with a sample of adults (n=469; age=36.17±17.83 years; female =72.5%; white=66.3%; obese BMI category=58%).Methods: Rasch analysis of the EAT-26 assessed model-data fit, an item-person map to evaluate relative distribution items and persons, item difficulty, and person’s eating disorder (ED) risk level, differential item functioning (DIF), and rating scale functioning. Results: A total of 7 misfit items were removed from the final analysis due to unacceptable Infit and Outfit mean square residual values. The item-person map showed that the items were biased toward participants with moderate to high levels of ED risk and did not cover those who had low risk for having an ED (< -1 logits). The DIF analyses results showed that none of the items functioned differently across sex, but 5 items were flagged based on obesity status. The six-category Likert-type rating scale did not function well indicating a different response format may be needed.Conclusion: Several concerns were identified with the psychometric evaluation of the EAT-26 that may question its utility in assessing ED risk. Because the EAT-26 is a frequently used screening tool for nonclinical populations, future work should focus on developing screening tools that are more effective at assessing ED risk in people with overweight and obesity.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Grigory V. Rukavishnikov ◽  
Elena V. Verbitskaya ◽  
Olga Yu. Vekovischeva ◽  
Andrey V. Bobrovsky ◽  
Alexander O. Kibitov ◽  
...  

Abstract Background Eating Disorders pose a serious health risk to individuals. Often, eating disorder symptoms are overlooked when assessing obesity risk. The current cross-sectional study was focused on the search of association between disordered eating behaviors evaluated by Eating Attitudes Test 26 (EAT-26) and obesity in a large cohort of Russian-speaking adults seeking online assistance with medical weight correction. Methods The web-based cross-sectional study evaluated the data of online Eating Attitudes Test 26 (EAT-26) completed by 13,341 registered adult visitors of weight loss clinic website. The EAT-26 provides an overall score for potential eating disorders risk, as well as scores for three subscales: Bulimia, dieting, and oral control. Additional self-reported information about sex, weight, height, and age of respondents was used for analysis. The nonparametric analysis of variance and binominal logistic regression modeling were applied to search for an association between obesity and EAT-26 total score and subscales scores. The critical level of the significance was considered as α = 0.05. Results Women (94%) had lower BMI values but higher EAT-26 total score than men, which was indicated as statistically significant by a Wilcoxon Signed-Ranks Test (Z = − 11.80, p < 0.0001). Logistic regression for the whole cohort revealed that Bulimia subscale score was associated with higher risk of obesity (OR = 1.03, 95% CI 1.02–1.05) whereas higher score of EAT-26 oral control subscale was associated with decreased risk of obesity (OR = 0.93, 95% CI 0.91–0.95). Separate analysis for men and women showed that in men higher obesity risk was associated with higher oral control subscale scores (OR = 1.08, 95% CI 1.06–1.11); while in women both dieting and bulimia subscales scores were associated with higher obesity risk (OR = 1.02, 95% CI 1.01–1.03 and OR = 1.03, 95% CI 1.02–1.05, respectively). Older age was associated with obesity risk for both women and men. Conclusions In a large cohort of individuals seeking medical weight correction assistance, the risk of obesity was associated with the higher EAT-26 scores, age, and sex. Moreover, different eating disorder risk profiles were associated with obesity in men and women. Higher oral control subscale score was associated with decreased risk of obesity in women, but with higher risk in men. Older age was a shared obesity risk factor for both sexes. Therefore, the use of EAT-26 would facilitate individual diagnostic assessment for specific eating disorders in different sub-cohorts. Further assessment of separate EAT-26 subscales may be important to predict sex-/age-specific risks of obesity that implies their study in the future. Plain English summary Obesity is a significant health problem. Different factors (e.g. social, biological, and behavioral) are important for their successful treatment. Abnormal eating behaviors may be one of the most likely predictors of increased body weight. This study aims to determine whether there is a significant association between obesity and scores on the eating behavior questionnaire-Eating Attitudes Test-26 (EAT-26)-in a large cohort of adults seeking medical weight correction assistance at a private weight loss clinic web-site. According to the study results, the association was shown for the male sex, older age, and higher Bulimia scores as measured on the EAT-26. Moreover, different EAT-26 scales were associated with obesity risks in women and men subgroups, while older age was a shared risk factor for obesity in both sexes. The findings may suggest sex-/age-specific diagnostic approach and treatment strategies for individuals with obesity.


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