scholarly journals P183 Risk of eating disorders in italian children and adolescents with Inflammatory Bowel Disease: results of a multicenter nationwide study

2021 ◽  
Vol 15 (Supplement_1) ◽  
pp. S254-S254
Author(s):  
S Gatti ◽  
M Vallorani ◽  
E Zoppi ◽  
G Palego ◽  
M Aloi ◽  
...  

Abstract Background The prevalence and risk of Eating Disorders (ED) in IBD, despite the potential overlap of these two conditions, have been rarely reported. ED diagnosis should be considered in patients with IBD and multidisciplinary approach would be recommended in these complex cases to provide an adequate therapeutic intervention. Screening tools to evaluate eating attitudes and behaviours in patients with IBD could be used in daily practice, as for example the Eating Attitude Test – 26 Methods Children and adolescents (8–18 years) with IBD and age and gender matched healthy controls were prospectively enrolled in 5 italian pediatric IBD units between June 2019 and August 2020. Subjects with an existing diagnosis of ED were excluded. The risk of ED was assessed using a 26 points Likert scale screening tool (CH-EAT-26 and EAT-26 for children < and > 14 years respectively), with a total score of 20 or above indicating a risk for ED. Correlations between clinical and disease’s parameters and the CH-EAT-26/EAT-26 score were calculated Results 110 patients with IBD and 110 age and matched healthy controls were screened with the CH-EAT26/EAT-26 questionnaire. The total EAT26 scores and the prevalence of an at-risk score (score>20) did not differ in IBD subjects compared to controls. IBD patients were more frequently on an exclusion diet with lactose free-diet being the most common regimen. Furthermore, 8.1% of IBD children was on a partial enteral nutrition (PEN). In IBD subjects elevated scores on the Ch-EAT26/EAT-26 were associated with being younger (r=-0,2226, p=0.002), following an exclusion diet (r=0.25, p=0.009) and a partial enteral nutrition (PEN: r=0,2507, p=0.009). Type, duration and activity of disease, gender, weight, height and BMI z-scores were not significantly correlated to the CHEAT26/EAT-26 score. Being on a PEN and following an exclusion diet were the only independents factors influencing the EAT26 score at the multiple regression analysis (p= 0,004; p= 0,034; R2 = 0,25) Conclusion Our results indicate that 5.45% of IBD children have a behavior at risk for developing an ED, a percentage that is not statistically different compared to healthy controls. A particular follow-up should be reserved to patients on restricted diets and on partial enteral nutrition, that can develop maladaptive attitudes toward eating. The development of a disease specific tool or a validation of pre-existing questionnaires would help to identify a robust screening instrument and ultimately to correctly classify the risk of patients. Once the risk is correctly assessed it is mandatory to address the patient to a specific multidisciplinary follow-up.

2021 ◽  
Vol 44 (2) ◽  
pp. 8-33
Author(s):  
Justina Paluckaitė

The goal of this study was to examine risk of eating disorders, perfectionism and self-objectification, as well as the interrelationship between perfectionism and self-objectification in young females. This study was based on the theory of the Cult of Thinness and the dominant culture that supports it. Such research was never conducted in Lithuania before. It was hypothesized that there would be a positive relationship between risk of eating disorders, perfectionism and self-objectification. Also, it was predicted that this relationship would be different in women without risk of eating disorders, and that there would be a positive relationship between perfectionism and self-objectification. A total of 217 females aged 18–24 participated in this study. Their average age was 20 years. The research was conducted in Lithuanian Facebook groups for university students and those interested in healthy eating and dieting. Several instruments were used in the research: Eating Attitudes Test – 26 (EAT–26) (Garner ir kt., 1982), Almost Perfect Scale – Revised (APS-R) (Slaney, Mobley, Trippi, Ashby ir Johnson, 2001) and Objectified Body Consciousness Scale (OBC) (McKinley ir Hyde, 1996). The participants were also asked about their gender, age and place of residence. The results revealed that women at risk for eating disorders are associated with higher levels of body shame. Women who do not have a risk of developing eating disorders, are more inclined to set high standards for themselves than those who have a risk of developing it. Women at risk for eating disorders are also more likely to see themselves as failing to meet their personal standards for performance than those with no risk of eating disorders. Also, the study showed that the higher the degree of women’s discrepancy between expectations and performance, the higher is the extent of their body shame. These results could be helpful in the treatment of young women with eating disorders and disordered eating.


2016 ◽  
Vol 5 (2) ◽  
pp. 33-45
Author(s):  
R. Alexandrova ◽  
T.A. Meshkova

The family risk factors of eating disorders (ED) of adolescent girls were studied. 376 girls aged 13 to 17 years from Ryazan city schools filled in Eating Attitude Test (EAT-26), CRPBI (E. Schaefer, Russian adaptation), Risk Factors of ED (T.A. Meshkova, research questionnaire). Comparison of the groups with upper and lower quartiles of EAT-26 scores demonstrates, that the families of the girls being at risk of ED are characterized by the authoritarian mother, who disregards of daughter's problems, and by the neutral position of the father.Parents more often were concerned about daughters’ figure, have a preoccupation with dieting. The girls of risk group have a fear of condemnation from family members, blaming for missteps. They have lack of praise for achievements, frequent bans and physical punishment, sense of dependency on family. It is possible, that daughter's eating disturbances reflect the some kind of protest and present a defensive reaction to the current family situation.


2021 ◽  
Vol 8 ◽  
Author(s):  
Nancy A. Uriegas ◽  
Zachary K. Winkelmann ◽  
Kelly Pritchett ◽  
Toni M. Torres-McGehee

Purpose: Orthorexia nervosa (Orthorexia) is an eating attitude and behavior associated with a fixation on healthy eating, while eating disorders (EDs) are clinically diagnosed psychiatric disorders associated with marked disturbances in eating that may cause impairment to psychosocial and physical health. The purpose of this study was to examine risk for Orthorexia and EDs in student-athletes across sex and sport type and determine the association between the two.Methods: Student-athletes (n = 1,090; age: 19.6 ± 1.4 years; females = 756; males = 334) completed a survey including demographics, the ORTO-15 test (<40 and <35 threshold values), the Eating Attitudes Test-26 (EAT-26; >20 score), and additional questions about pathogenic behaviors to screen for EDs.Results: Using a <40 threshold value for the ORTO-15, 67.9% were at risk for Orthorexia, a more restrictive threshold value of <35 determined 17.7% prevalence across student-athletes with significant differences across sex [ <40: χ(1,1,090)2 = 4.914, p = 0.027; <35: χ(1,1,090)2 = 5.923, p = 0.015). Overall, ED risk (EAT-26 and/or pathogenic behavior use) resulted in a 20.9% prevalence, with significant differences across sex (χ2 = 11.360, p < 0.001) and sport-type category (χ2 = 10.312, p = 0.035). Multiple logistic regressions indicated a significant association between EAT-26 subscales scores and Orthorexia, and between Orthorexia positivity, ORTO-15 scores, and risk for EDs.Conclusions: Risk for Orthorexia and ED is present in collegiate student-athletes. While healthy and balanced eating is important, obsessive healthy eating fixations may increase the risk for EDs in athletes. More education and awareness are warranted to minimize the risk for Orthorexia and EDs in student-athletes.


2016 ◽  
Vol 65 (1) ◽  
pp. 36-43 ◽  
Author(s):  
Marle S. Alvarenga ◽  
Priscila Koritar ◽  
Vanessa D. Pinzon ◽  
Manoela Figueiredo ◽  
Bacy Fleitlich-Bilyk ◽  
...  

ABSTRACT Objective To perform the psychometric evaluation of the Disordered Eating Attitude Scale (DEAS) for adolescents. Methods Sample consisted of 1,119 Brazilian adolescents (12-18 years old; 59.6% female) studying at technical schools in São Paulo state-Brazil, who answered an online survey with the DEAS, the Eating Attitude Test (EAT-26), and the Restraint Scale (RS). The internal consistency of the DEAS was assessed using Cronbach’s alpha. The convergent validity of DEAS was evaluated by means of Pearson’s coefficient correlation with EAT-26 and RS. The test-retest reliability was evaluated using a sub-sample of 61 adolescents. Known-groups validity was determined by comparing female student mean scores with scores of 33 female adolescents with eating disorders. Results The reliability of the DEAS was 0.79. EAT-26 and RS scores were positively correlated with DEAS scores (EAT: 0.78 for females and 0.59 for males, p < 0.001; RS: 0.63 for females and 0.48 for males, p < 0.001). The DEAS total and subscale scores differentiated students and patients with eating disorders (p < 0.001). The intra-class correlation coefficient for test-retest reliability was 0.87. Conclusion Results indicate that the DEAS adolescent version showed good internal consistency, convergent validity, known-groups validity, and test-retest reliability, suggesting its potential in identifying disordered eating attitudes among adolescents. It could also be helpful in identifying adolescents at risk from eating disorders, assisting in prevention programs.


2009 ◽  
Vol 44 (4) ◽  
pp. 418-426 ◽  
Author(s):  
Toni M. Torres-McGehee ◽  
James M. Green ◽  
James D. Leeper ◽  
Deidre Leaver-Dunn ◽  
Mark Richardson ◽  
...  

Abstract Medical professionals have recognized eating disorders and related problems in competitive athletes. Auxiliary members (color guard, dance, majorettes) experience the same appearance-related pressures observed in sports commonly associated with eating disorders.Context: To estimate eating-disorder prevalence based on associated eating-disorder characteristics and behaviors in female auxiliary members and to compare perceived and ideal body images and anthropometric measurements between at-risk and not–at-risk participants for eating-disorder characteristics and behaviors.Objective: Cross-sectional design.Design: Three universities in the southeastern United States.Setting: Participants (n  =  101, mean age  =  19.2 ± 1.2 years) represented 3 auxiliary units, including color guard (n  =  35), dance line (n  =  47), and majorettes (n  =  19).Patients or Other Participants: Participants self-reported menstrual history, height, and weight. Anthropometric measurements included height, weight, body fat percentage, and waist and hip circumferences. We screened for eating-disorder risk behavior with the Eating Attitudes Test (EAT)-26 and for body dissatisfaction with the Figural Stimuli Survey.Main Outcome Measure(s): Based on the EAT-26, we estimated eating-disorder prevalence among members to measure 29.7% (95% confidence interval  =  20.8%, 38.6%). The EAT-26 results revealed that 21% of participants used purgatives and 14% vomited to control weight or shape. The at-risk group had higher scores on the EAT-26 total (P ≤ .01) and on the dieting (P ≤ .01), oral control (P  =  .02), and bulimia (P  =  .01) subscales. Hip circumference (P  =  .01), self-reported weight (P  =  .03), measured weight (P  =  .04), difference between measured and preferred weights (P  =  .02), and calculated target weight (P  =  .02) were different between the at-risk and not–at-risk groups.Results: Collegiate auxiliary unit members may have an unacceptable prevalence of eating disorders. Our results validate concerns that auxiliary members may exhibit an unacceptable eating-disorder risk, highlighting the need to examine and address unhealthy weight-management behaviors independent of eating-disorder status.Conclusions:


Author(s):  
Eleanor Money-Taylor ◽  
Nick Dobbin ◽  
Rebecca Gregg ◽  
Joseph J. Matthews ◽  
Ozcan Esen

Abstract Background Female athletes participating in sports emphasising aesthetics are potentially more prone to developing disordered eating (DE) and eating disorders (EDs) than non-athletes, males, and those participating in sports with less emphasis on leanness. Despite this, female bodybuilding athletes have received little attention. Aim To investigate differences in eating attitudes, behaviours and beliefs in female bodybuilding athletes and a non-athlete group. Methods A cross-sectional study design was used with the eating attitude test-26 (EAT-26) distributed to 75 women (49.3% bodybuilding athletes; 50.7% non-athletes) and the female athlete screening tool (FAST) distributed to the female bodybuilding group only. Results Demographic characteristics revealed no significant difference in age, stature or body mass index (P = 0.106 to 0.173), though differences in body mass were evident (P = 0.0001 to 0.042). Bodybuilding athletes scored significantly higher (P = 0.001) than non-athletes on the EAT-26 questionnaire, with significantly more athletes (56.8%) being labelled as ‘at risk’ of an ED than non-athletes (23.7%, P = 0.001). Responses to the FAST questionnaire indicated female bodybuilding athletes have high preoccupation with their body mass; engage in exercise to alter their body mass; and disclosed negative perceptions of themselves. Conclusion In all, female bodybuilding athletes demonstrate behaviours associated with DE and EDs as well as a preoccupation with nutrition intake, exercise, and strategies to alter their appearance. These findings have important implications for those managing female bodybuilding athletes such as strength and conditioning coaches, athletic trainers, nutritionist and dietitians with respect to detecting DE and EDs as well as minimising the risk factors.


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.


2009 ◽  
Vol 70 (4) ◽  
pp. 204-208 ◽  
Author(s):  
Janet M. Lacey ◽  
Deanne U. Zotter

Zinc deficiency has been reported in individuals with eating disorders, the risks of which increase during the adolescent and early adult years. A food frequency questionnaire (FFQ) specific for zinc-rich foods was tested for its usefulness in identifying problematic eating behaviour tendencies in college-age women. Ninety-two female students enrolled in a university introductory psychology course volunteered to complete demographic information, the Eating Attitudes Test (EAT-26), and a zinc-specific FFQ (ZnFFQ). Relationships among estimated zinc intakes, food/lifestyle habits, and eating attitude variables were examined. Twenty-five women had estimated intakes below the Recommended Dietary Allowance (RDA) for zinc. Individuals in the highest zinc intake group (over twice the RDA) had a tendency to score higher on the EAT-26 and the bulimia subscale. Vegetarians also scored high on the EAT-26. Although our data are limited, the ZnFFQ should be studied further to determine whether it could play a useful role in identifying individuals at risk for bulimia. The ZnFFQ is a simple, non-confrontational assessment tool and may be a helpful starting point for identifying women with unhealthy eating habits.


2018 ◽  
Vol 71 (suppl 4) ◽  
pp. 1642-1649
Author(s):  
Daniela Galdino Costa ◽  
Cíntia Tavares Carleto ◽  
Virgínia Souza Santos ◽  
Vanderlei José Haas ◽  
Rejane Maria Dias de Abreu Gonçalves ◽  
...  

ABSTRACT Objective: To assess the quality of life and eating attitudes of health care students of the undergraduate programs of a public university. Method: Observational, cross-sectional, and quantitative study performed in a federal university. Three questionnaires were used for data collection: a socio-demographic and academic, the WHOQOL-BREF and the Eating Attitudes Test (EAT-26). Result: 399 students participated in this study, most women, average age of 22 years, average scores of EAT-26 of 15.12 and quality-of-life averages above 60 points in all domains. The students of the undergraduate program in Nutrition presented more inappropriate eating attitudes than other health care students; as the age evolves, vulnerability to inadequate eating attitudes increases; and the family income influenced negatively the quality of life in Physical and Social domains. Conclusions: Inadequate eating attitude diminishes the quality of life of health care students in all domains of the WHOOQOL-BREF.


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