The Risk of Eating Disorders in Adolescence and its Association with the Value of the Body Mass Index, Level of Anxiety and Level of Depression

Purpose: The purpose of this study was to verify the mediating effects of body dissatisfaction, selfesteem, and depression on the association between the body mass index (BMI) and eating disorders in adolescents with type 1 diabetes.Methods: Secondary data were analyzed in this study. The original analysis was conducted using data from 136 adolescents aged 13–18 years with type 1 diabetes. The results of testing for mediating effects were analyzed using a serial-multiple mediation model (model 6) using the PROCESS macro in SPSS ver. 3.3.Results: The direct effect of the BMI on eating disorders was not statistically significant (effect=0.22; 95 % confidence interval [CI], -0.20 to 0.64), but the indirect effects were statistically significant (effect=0.28; 95% CI, 0.05–0.63). In detail, the indirect effect of BMI on eating disorders mediated by body dissatisfaction was statistically significant (effect=0.28; 95% CI, 0.10–0.61); by body dissatisfaction and depression was statistically significant (effect=0.06; 95% CI, 0.01–0.15); and by body dissatisfaction, self-esteem, and depression was statistically significant (effect=0.05; 95% CI, 0.01–0.11).Conclusion: Individual interventions according to BMI are required to prevent the development of eating disorders in adolescents with type 1 diabetes. Adolescents with type 1 diabetes require intervention programs that may positively change their attitudes toward themselves, increasing self-esteem and lowering depression.

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Effect of Aerobic Exercise in Water on Serum Estrogen and C - Reactive Protein and Body Mass Index Level in Obese and Normal Weight Postmenopausal Women

Women’s Health Bulletin ◽

10.17795/whb-25048 ◽

2015 ◽

Vol 2 (3) ◽

Author(s):

Sayyede Marzieh Ketabipoor ◽

Maryam Koushkie Jahromi

Keyword(s):

Body Mass Index ◽

Aerobic Exercise ◽

Postmenopausal Women ◽

Body Mass ◽

Normal Weight ◽

C Reactive Protein ◽

Body Mass Index Level ◽

Reactive Protein ◽

Index Level

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THE EFFECT OF BODY MASS INDEX LEVEL ON PHYSICAL ACTIVITY DURING RECESS

Medicine & Science in Sports & Exercise ◽

10.1097/00005768-200305001-00882 ◽

2003 ◽

Vol 35 (Supplement 1) ◽

pp. S161

Author(s):

J T. Foley ◽

J K. Yun

Keyword(s):

Physical Activity ◽

Body Mass Index ◽

Body Mass ◽

Body Mass Index Level ◽

Index Level

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Body Perception and Anorexic Behavior in Medical School Students: A Cross-Sectional Observational Study

10.34256/mdnt21112 ◽

2021 ◽

Vol 2 (1) ◽

pp. 66-72

Author(s):

Ana Luísa Arantes Pagano ◽

◽

Gabriela Bueno Araújo ◽

Gabriela Spolon Freitas ◽

Rafaela Garcia Lopes ◽

...

Keyword(s):

Body Mass Index ◽

Eating Disorders ◽

Body Image ◽

Anorexia Nervosa ◽

Medical School ◽

Body Mass ◽

The Body ◽

Body Perception ◽

The Real ◽

Eat 26

Introduction: The concept of body image is defined as the subjective image about the forms and characteristics of the body itself, which integrates physical, mental, and emotional levels about this perception. Excessive concern with weight and body shape and the divinization of exaggerated thinness can lead to eating disorders, which are characterized as psychiatric diseases defined by changes in eating behavior, which mainly affects women, being a source of physical and psychological damage. One of the most common disorders is anorexia nervosa (AN). Objective: To analyze the body perception and anorexic behavior of students at a medical school in the interior of São Paulo. Methods: This is an observational, qualitative study to assess the body perception and anorexic behavior of university students at a medical school in the city of Catanduva-SP. The sample consisted of 141 students. To assess the perception of body image, the Kakeshita silhouette scale, and a visual analog scale were used. For the evaluation of the subjective component of the body image, a virtual questionnaire was applied by Google Forms on the evaluated components. The assessment of nutritional status considered the classification of the body mass index and the EAT-26 test. For statistical analysis, the Wilcoxon non-parametric test was used. Results: The students had an average age of 21.34 years ± 2.2 and an average height of 1.64 meters. The average of the real Body Mass Index (BMI) was 22.08 Kg/m², the perception of BMI was 26.40 Kg/m² and the desired BMI was 22.93 Kg/m², the last two being different statistically from the first. As for EAT-26, 73 students obtained a score greater than or equal to 21, which is considered a risky behavior for the development of AN. Conclusion: Most students have an altered perception of their body image since the perception of BMI is higher than the real BMI. In addition, it was noted, from the positive EAT-26, the existence of a high-risk behavior index for anorexia nervosa in the women in the sample. Thus, it is necessary to investigate the causes of the divergence between reality and looking at oneself in order to prevent such changes from becoming eating disorders.

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Serum leptin concentrations in patients with anorexia nervosa, bulimia nervosa and non-specific eating disorders correlate with the body mass index but are independent of the respective disease

Clinical Endocrinology ◽

10.1046/j.1365-2265.1997.1260938.x ◽

1997 ◽

Vol 46 (3) ◽

pp. 289-293 ◽

Cited By ~ 68

Author(s):

Fernando Ferron ◽

Robert V. Considine ◽

Roberto Peino ◽

Isabel G. Lado ◽

Carlos Dieguez ◽

...

Keyword(s):

Body Mass Index ◽

Eating Disorders ◽

Anorexia Nervosa ◽

Bulimia Nervosa ◽

Body Mass ◽

The Body ◽

Serum Leptin

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Psychiatric Comorbidity in Mexican Adolescents with a Diagnosis of Eating Disorders Its Relationship with the Body Mass Index

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18083900 ◽

2021 ◽

Vol 18 (8) ◽

pp. 3900

Author(s):

David Ruiz-Ramos ◽

José Jaime Martínez-Magaña ◽

Ana Rosa García ◽

Isela Esther Juarez-Rojop ◽

Thelma Beatriz Gonzalez-Castro ◽

...

Keyword(s):

Body Mass Index ◽

Eating Disorders ◽

Psychiatric Disorders ◽

Body Mass ◽

Psychiatric Comorbidity ◽

The Body ◽

Psychiatric Comorbidities ◽

Comorbid Psychiatric Disorders ◽

Adolescent Sample ◽

Mexican Adolescents

The prevalence of comorbid psychiatric disorders among patients with eating disorders (ED) is higher than the general population. Individuals diagnosed with eating disorders have changes in their body mass index which could promote severe metabolic disruptions. This study aimed (1) to report the prevalence of comorbid psychiatric disorders among a Mexican adolescent sample diagnosed with eating disorders, (2) to compare our results with the prevalence of psychiatric disorders reported from a national survey of mental health of adolescents, (3) to compare the presence of psychiatric comorbidities between ED diagnoses, and (4) to explore the relationship of these comorbidities with the body mass index. In the study, we included 187 Mexican adolescents diagnosed with eating disorders. The psychiatric comorbidities were evaluated using the Mini International Neuropsychiatric Interview for children/adolescents, and a revised questionnaire on eating and weight patterns. We found that 89% of the Mexican adolescents diagnosed with ED had another psychiatric comorbidity. Major depressive disorder (52.40%) and suicide risk (40%) were the most prevalent comorbidities. Attention and deficit hyperactivity disorder (ADHD) prevalence was different between ED diagnosis, and adolescents with binge-eating disorder and ADHD had the higher body mass index. Our results showed that in this sample of Mexican adolescents, the presence of comorbidities could impact body mass index. This emphasizes the importance that clinicians take into consideration the presence of psychiatric comorbidities to achieve an integrative treatment for adolescents diagnosed with ED.

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