scholarly journals Feasibility of Using Satter's How to Eat Method to Improve Eating Competence Among Previous Dieters in a Metropolitan Hospital System Employee Wellness Program

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1307-1307
Author(s):  
Cristen Harris ◽  
Pam Estes ◽  
Ellyn Satter

Abstract Objectives For a subset of dieters, the pursuit of thinness may be harmful. In contrast, eating competence is associated with positive physical and mental health outcomes. This single-arm, pilot intervention study evaluated changes in eating competence and symptoms of eating disorders among previous dieters employed in a metropolitan hospital system who participated in the How to Eat program. Methods Participants were adult employees of the hospital system who self-identified as previous dieters, and voluntarily enrolled in How to Eat on a rolling basis over a six-year period during employee health promotion offerings. How to Eat, offered weekly in a group setting over 10 sessions, is grounded in the validated Eating Competence model, and measured by the ecSI 2.0™, which defines eating competence as comprised of four domains: 1) eating attitudes; 2) food acceptance; 3) food management/contextual skills; and 4) internal regulation of eating based on hunger, appetite and satisfaction. A total score on the ecSI 2.0™ of at least 32 (of 48 possible) indicates eating competence. Symptoms of eating disorders were evaluated with the Eating Attitudes Test-26 (EAT-26). Paired t-Tests and Wilcoxon signed-rank tests were used for analyses. Results 43 adults participated, averaged 47.5 years (SD = 10.7), 210 lbs. (SD = 30.9), and were primarily female (95.3%) and white (90.7%). From pre- to post-program, How to Eat was associated with significant changes in scores on the total ecSI 2.0™ (t(42) = 12.20, P < 0.001), each of its subscales, and the EAT-26 (t(42) = 6.53, P < 0.001). Pre-program, the mean ecSI 2.0™ total score was 22.8 (SD = 6.5) and 9.3% (N = 4) of participants were considered eating competent. Post-program, the mean ecSI 2.0™ total score was 34.3 (SD = 4.9) and 100% (N = 43) of participants were classified as eating competent. Mean EAT-26 total scores decreased from 10.7 (SD = 8.1) to 3.7 (SD = 2.9). Body weight was not significantly influenced by the intervention (t(21) = 0.314, P = 0.757). Conclusions How to Eat may be associated with improvements in measures of eating competence and eating disorder symptoms among previous dieters participating in an employee health program despite no significant change in body weight. Experimental research is needed to evaluate the efficacy and additional health-related outcomes of How to Eat among diverse populations and other settings. Funding Sources None.

2016 ◽  
Vol 2 (1) ◽  
pp. 79-84
Author(s):  
Aqeel Aslam ◽  
Ushna Laraib ◽  
Iqra Afzal ◽  
Shingraf Zaib ◽  
Asma Riaz ◽  
...  

The prevalence of eating disorders among University students has been on rise throughout the world. The present descriptive cross sectional study was conducted to determine the prevalence of eating disorders among the female students of pharmacy department at University of Sargodha, Pakistan using well established EAT-26 questionnaire. The study included 177 female undergraduate pharmacy students from all five years of Pharm D. An EAT-26 score over 20 was indicator of disturbed eating behavior. Out of the total 177 students who participated the study, 47 (26.6%) students had disturbed eating behavior. The mean EAT-26 score was 14.7. According to BMI calculations, 31.64% of total individuals were underweight, 59.32% normal, 6.78% overweight and 2.26% belonged to obese category. The prevalence of eating disorders was found to be much higher than the studies conducted at developed countries. There is an urgent need of an effort to increase awareness of such disorders among students and general public. Conduction of such study at other institutes and at larger scale is recommended.


2020 ◽  
Vol 11 (2) ◽  
pp. 143-150
Author(s):  
Olivera Pilipović-Spasojević ◽  
Nenad Ponorac ◽  
Mira Spremo

Introduction. The transition to university education as a stressful period and the need to be likeable where physical appearance is concerned can be a trigger for a change in attitudes towards eating patterns. Body composition is an essential component of nutritional status and the most common parameter used as an indicator of physical appearance. An unobtrusive onset of eating disorder can easily lead to a preoccupation with eating and body weight. The aim of the paper is to determine whether the parameters of body composition can qualitatively detect respondents with eating disorders. Methods. The epidemiological observational and analytical study included a representative sample comprised of 408 healthy female students, aged 19-22 years. A short socio-demographic questionnaire, a standardized questionnaire for assessment of eating disorders-Eating Attitudes Test-26 were used in the study while Omron BF 510 was used for anthropometric measurements of body weight and BMI. Results. The sample consisted of female students: agedmean = 20.5 years, with average height 168.65 cm (SD = 6.01), body weight 63.09 kg (SD = 9.9) and BMI 22.1 (SD = 3.2). According to EAT-26 (Mean = 13.24 and SD = 7.97), 16.7% of respondents with risk factors for eating disorders were detected. Conclusion. The maximum value of the Youden index of 0.24 ROC analysis confirms that the body composition parameters are not reliable indicators of eating disorders and EAT-26 is not reliable and acceptable as an independent test for assessing risk factors by means of considering different attitudes and deviant eating behaviors. Therefore, in order to achieve detection, monitoring, and perform preventive action, it is necessary to conduct regular systematic examinations among the student population.


2003 ◽  
Vol 12 (2) ◽  
pp. 127-145 ◽  
Author(s):  
Patti L. Williams ◽  
Roger G. Sargent ◽  
Robert F. Valois ◽  
J. Wanzer Drane ◽  
Deborah M. Parra-Medina ◽  
...  

This study is an examination of eating behaviors and body image concerns among 587 female collegiate athletes from nine colleges/universities representing 14 different sports. Measures included the Eating Disorders Inventory-2 (EDI-2), the Eating Attitudes Test (EAT-26), and a questionnaire gathering general demographic information, reasons for dieting and/or using other methods of weight control, as well as information about expressed concerns from others regarding the respondents weight. Three sport groups were hypothesized to be at increased risk: athletes whose performance is subjectively scored; athletes who compete in a sport where a low body weight is considered advantageous; and athletes who must wear body conrevealing clothing. Chi-Square and Logistic Regression analyses revealed no association between these sport groups and the presence of a subclinical eating disorder (SED). Additional analyses determined no statistical association between student-athletes competing at the National Collegiate Athletic Association Division I level (versus Division II or III level) or student-athletes who were scholarship recipients (versus non-scholarship recipients) and the presence of SED. Student-athletes who have heard expressed concerns from others regarding their body weight were significantly more likely to report the presence of SED (p < .0001). Therefore, special care should be taken with all student-athletes when discussing body weight.


Children ◽  
2021 ◽  
Vol 8 (3) ◽  
pp. 245
Author(s):  
Alejandro Martínez-Rodríguez ◽  
Manuel Vicente-Martínez ◽  
Javier Sánchez-Sánchez ◽  
Laura Miralles-Amorós ◽  
María Martínez-Olcina ◽  
...  

(1) Background: The preoccupation with the increasing appearance of eating disorders (ED) in athletes continues to grow, especially in athletes who practice team sports. ED severely affects the eating habits of the athletes, who tend to use unhealthy approaches to control their body weight. The development of nutritional education and early interventions by training staff is essential, and these factors are widely perceived as beneficial in sports medicine. This study evaluates the frequency at which beach handball (BH) players develop ED, also comparing the differences by sex and age (junior: adolescents vs. senior: young adults). In addition, the relation between body composition variables and ED was studied. (2) Methods: A descriptive and cross-sectional study was carried out in 69 top elite handball players (36 males and 33 females) from the Spanish National BH Team; who were separated by age (junior: adolescents and senior: young adults). The athletes completed the Eating Attitudes Test in its 26 item version (EAT-26). (3) Results: The prevalence of ED indicated that 11% of females had a high possibility of developing an ED, and 3% of males. Regarding the EAT-26 total score and subscales, no significant differences were found between female and male participants, or between the junior and senior categories. The correlations showed an association between body composition, in terms of body mass index, and the EAT-26 total score in both males and females. In the case of males, the correlation was negative. (4) Conclusions: Although there are no significant differences between sex or categories, it has been found that elite athletes are a population that is at high risk of developing ED.


2011 ◽  
Vol 33 (1) ◽  
pp. 14-19 ◽  
Author(s):  
Luiza do Nascimento Ghizoni Pereira ◽  
Fabiana Schuelter Trevisol ◽  
João Quevedo ◽  
Luciano Kurtz Jornada

OBJECTIVES: To analyze eating disorders among female university students and to assess the frequency of bulimia nervosa, anorexia nervosa, and inappropriate weight loss strategies in this population. METHODS: The sample comprised 214 female university students attending different health science programs at a university in southern Brazil, aged over 18 years, assessed using self-administered questionnaires. The 26-item version of the Eating Attitudes Test (EAT-26), the Bulimic Investigatory Test, Edinburgh (BITE), and a supplementary questionnaire covering data on weight status and inappropriate weight loss strategies were used to assess dietary abnormalities. RESULTS: Mean age (± standard deviation) was 21±9.93 years, and mean body mass index (BMI) was 21.1±2.59. Among the respondents, 72.9% said they would like to weigh less, 29% reported the use of different weight loss methods (diuretics were the most common, followed by laxatives, amphetamine-derived drugs, and self-induced vomiting). With regard to EAT-26 scores, 22.4% (95%CI 17.7-27.1) revealed abnormal feeding patterns; BITE indicated that 9.8% (95%CI 6.5-13.1) were at risk for developing bulimia and 36.9% (95%CI 31.5-42.3) required clinical evaluation. Mean BMI was lower among students with normal scores on both tests, but no association was found between BMI and satisfaction with own weight. CONCLUSION: There was a strong trend toward eating disorders in the health science students assessed, as demonstrated by EAT-26 and BITE scores; inadequate weight loss strategies are frequently used as well.


1987 ◽  
Vol 17 (1) ◽  
pp. 249-253 ◽  
Author(s):  
Michael B. King ◽  
Gillian Mezey

SynopsisJockeys based in racing stables in the Newmarket and Epsom areas of England were screened using the 26-item Eating Attitudes Test. The mean score of the EAT was 14·9, significantly above that reported for males in other studies. The response rate was poor, but 10 jockeys agreed to a full psychiatric and eating interview. The majority of jockeys interviewed reported food avoidance, the use of saunas, and the abuse of laxatives. Diuretics and appetite suppressants were also used. Bingeing was common, but self-induced vomiting was unusual. Current weights were 13% below, and the lowest reported weights 21% below, matched population mean weights. The relationship between these forms of eating behaviour and clinical eating disorders is discussed.


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.


2014 ◽  
Vol 24 (57) ◽  
pp. 21-27 ◽  
Author(s):  
Leonardo de Sousa Fortes ◽  
Sebastião de Sousa Almeida ◽  
Maria Elisa Caputo Ferreira

The aim of the current study was to analyse the influence of psychological, anthropometric and sociodemographic factors on the risk behaviours for eating disorders (ED) in young athletes. Participants were 580 adolescents of both sexes. We used the Eating Attitudes Test (EAT-26), theBody Shape Questionnaire and the Commitment Exercise Scale to assess the risk behaviours for ED, body image dissatisfaction (BD) and the degree of psychological commitment to exercise (DPCE), respectively. Participants’ weight, height and skinfold thickness were measured. A multiple regression indicated that BD and percentage of fat significantly modulated ( p < .05) the variance of females’ EAT-26 scores, whereas BD, DPCE, fat percentage, age, ethnicity and competitive level significantly explained ( p < .05) the variance of risk behaviours for males’ ED. Thus, only BD influenced risk behaviours for ED in both sexes.


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


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