scholarly journals Orthorexia nervosa and disordered eating attitudes among Lebanese adults: Assessing psychometric proprieties of the ORTO-R in a population-based sample

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0254948
Author(s):  
Souheil Hallit ◽  
Anna Brytek-Matera ◽  
Sahar Obeid
Keyword(s):  
Disordered Eating ◽  
Factor Structure ◽  
Population Based ◽  
Eating Attitudes ◽  
Orthorexia Nervosa ◽  
Arabic Version ◽  
Mean Square ◽  
Cross Sectional ◽  
Eat 26 ◽  
Disordered Eating Attitudes

Background Previous research demonstrated a relationship between ON and disordered eating symptoms (eating concern, restraint, cognitive preoccupations about body shape and weight) and disordered eating attitudes (DEA). Since screening for orthorexia nervosa is now part of clinical practice, the measurement instruments to be used must be clinically significant, reliable, valid and sensitive to our target population. The main objective of the present study was to confirm the factor structure of the Arabic version of the ORTO-R using a first sample of Lebanese adults and confirm those results on another sample. The secondary objective was to assess sex differences in terms of ON and DEA, as well as to examine whether symptoms of ON were related to DEA in Lebanese adults. Methods A total of 783 Lebanese adults was selected to participate in this cross-sectional study (January-May 2018) using a proportionate random sample from all Lebanese governorates. Results The mean age of the total sample was 27.78 ± 11.60 years (Min. 18 –Max. 84) (33.5% females) and their mean BMI was 24.36 ± 5.31 kg/m2. All items of the ORTO-R were extracted during the factor analysis and yielded a two-factor solution with Eigenvalues > 1 (variance explained  =  50.07%; KMO = 0.570; Bartlett’s sphericity test p<0.001; αCronbach = 0.755). This factor structure was confirmed by a confirmatory factor analysis; the Maximum Likelihood Chi-Square  =  26.894 and Degrees of Freedom  =  8, which gave a χ2/df  =  3.36. The Tucker Lewis Index (TLI) value was 0.914, whereas the standardized root mean square residual (SRMR) value was 0.032. The root mean square error of approximation (RMSEA) value was 0.077 [95% CI 0.046–0.111] (pclose = 0.07) and comparative fit index (CFI) value was 0.967 respectively, indicating a good fit of the model. There was also no measurement invariance between genders. Female gender was significantly associated with lower ORTO-R scores (more orthorexia nervosa) compared to males (B = -0.65; p = 0.026, 95% CI -1.22- -0.08; ɳ2 = 0.006). However, no significant difference was found between genders in terms of EAT-26 scores (B = 0.23; p = 0.813, 95% CI -1.66–2.12; ɳ2 = 0.0001). Higher ORTO-R scores (lower/ less pathological ON tendencies and behaviors) were significantly related to higher EAT-26 total scores (higher levels of DEA) as well as higher dieting, bulimia and oral control scores in both females (from a weak to a moderate positive correlation) and males (a weak positive correlation). Conclusion This cross-sectional population-based study confirmed the factor structure of the Arabic version of the ORTO-R, demonstrated an association between ON and DEA and revealed more ON among females compared to males.

Validation of the Arabic version of the Eating Attitude Test in Lebanon: a population study

2020 ◽  
pp. 1-12 ◽  
Author(s):  
Chadia Haddad ◽  
Chloe Khoury ◽  
Pascale Salameh ◽  
Hala Sacre ◽  
Rabih Hallit ◽  
...  
Keyword(s):  
Disordered Eating ◽  
Emotional Eating ◽  
Eating Attitudes ◽  
Eating Attitude ◽  
Arabic Version ◽  
Cross Sectional ◽  
Eating Attitude Test ◽  
Attitude Test ◽  
Eat 26 ◽  
Disordered Eating Attitudes

Abstract Objectives: To validate an Arabic version of the Eating Attitude Test (EAT-26) and identify factors (such as depression, stress, anxiety and body dissatisfaction) that might be associated with disordered eating among a sample of the Lebanese population. Design: Cross-sectional study. Setting: All Lebanese governorates. Participants: A total of 811 participants randomly selected participated in this 5-month study (January–May 2018). Results: The EAT-26 scale items converged over a solution of six factors that had an eigenvalue over 1, explaining a total of 60·07 % of the variance (Cronbach’s α = 0·895). The prevalence of disordered eating attitudes was 23·8 %. Higher EAT-26 scores (disordered eating attitudes) were significantly associated with higher depression (β = 0·325), higher emotional eating (β = 0·083), daily weighing (β = 3·430), higher physical activity (β = 0·05), starving to reduce weight (β = 4·94) and feeling pressure from TV/magazine to lose weight (β = 3·95). Conclusions: The Arabic version of EAT-26 can be a useful instrument for screening and assessing disordered eating attitudes in clinical practice and research. Some factors seem to be associated with more disordered eating attitudes among participants for whom psychological counseling may be needed. Yet, our findings are considered preliminary, and further studies are warranted to confirm them.

scholarly journals The Spectrum of Disordered Eating Attitudes Among Female University Students: A Cross-Sectional Study

2019 ◽  
Vol 7 (3) ◽  
pp. 698-707
Author(s):  
Tarfa Albrahim ◽  
Anwar Abdullah Alrubaish ◽  
Jewaher Turki Saleh Alfadhliah ◽  
Manal Khalid Alaskar ◽  
Mona Abdulla Alatawi ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Disordered Eating ◽  
Cross Sectional Study ◽  
Eating Attitudes ◽  
Normal Weight ◽  
Eating Attitude ◽  
Sectional Study ◽  
Cross Sectional ◽  
Eat 26 ◽  
Disordered Eating Attitudes

To explore the prevalence of disordered eating attitudes among the students of the Princess Nourah Bint Abdulrahman University (PNU), in Riyadh, Saudi Arabia. Methods: In this cross-sectional study, 396 (18-24 years) undergraduate students from the PNU were requested to participate, after acquiring their verbal consent. The two-part questionnaire included the demographic and anthropometric data like age, weight and height in the first part, while the assessment of the disordered eating attitudes according to the tools listed in the Eating Attitude Test 26 (EAT-26) were included in the second part. A total score of 20 or more on questions 1-26 was classified as being at risk of eating disorders. The study showed 145 students (36.8%) in all, fell under the class of high level of concern for an eating disorder, registering a score of 20 or higher on the EAT-26. With respect to the EAT score among the BMI categories marked differences were evident on the EAT items, feeling extremely guilty after eating, occupied with a desire to be thinner, burning up calories during exercise, preoccupied with the thought of having fat on my body, eating diet food, feeling uncomfortable after eating sweets and engaging in dieting behavior, having gone on eating binges where I feel I may not be able to stop and feeling that others would prefer if I ate more food and other people think I am too thin. Besides, in comparison to students with normal weight, students who were underweight, overweight, and obese exhibited considerable disparities on the total EAT score. More than one third (36.6%) of females at PNU university, Saudi Arabia had disordered eating attitudes. The present study revealed that female students require awareness regarding proper nutrition.

scholarly journals GENDER WISE COMPARISON OF DISORDERED EATING ATTITUDES IN PHYSICAL EDUCATION PROFESSIONALS OF INDIA: A CROSS-SECTIONAL STUDY

2021 ◽  
Vol 9 (6) ◽  
pp. 91-97
Author(s):  
Jupender Singh Bhagi ◽  
Kuljeet Kaur ◽  
Dr. Sarita Tyagi
Keyword(s):  
Eating Disorders ◽  
Physical Education ◽  
Disordered Eating ◽  
Eating Attitudes ◽  
Survey Study ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Education Professionals ◽  
Eat 26 ◽  
Disordered Eating Attitudes

Motivation/Background: Eating disorders (ED) are serious psychological disorders characterized by unhealthy eating habits. There are a limited number of studies on eating disorders among male and female physical education professionals like teachers, coaches, and trainers. Therefore, the objective of this study was to examine the prevalence of disordered eating attitudes (EA) among the ones that are more or less associated with fitness, training and counseling the students and public in general. Method: A survey study on 83 such professionals with at least 5 years of experience was being conducted through online questionnaire. The Eating Attitudes Test (EAT-26) was used. Results: Of the 83 participants, 20% scored ≥ 20 on the EAT-26. A significant positive correlation (p&lt;.01) was found between age and body mass index (BMI) on EAT-26 scores. Conclusions: Awareness regarding appropriate nutrition in relation to body weight is needed among professionals themselves before they counsel others to begin with and must therefore be cautious about their own eating patterns in the first place.

scholarly journals Disordered Eating Attitudes and Exercise Behavior among Female Emirati College Students in the United Arab Emirates: A Cross- Sectional Study

2017 ◽  
Vol 1 (2) ◽  
pp. 62 ◽  
Author(s):  
Haleama Al Sabbah ◽  
Shatha Muhsineh
Keyword(s):  
Physical Activity ◽  
College Students ◽  
Disordered Eating ◽  
United Arab Emirates ◽  
Cross Sectional Study ◽  
Eating Attitudes ◽  
Activity Level ◽  
Sectional Study ◽  
Cross Sectional ◽  
Disordered Eating Attitudes

Background: Growing evidence is showing high levels of physical inactivity and disordered eating attitudes among young females in the United Arab Emirates. This is clearly concerning, but little is known about the activity level of those with disordered eating attitudes and their dieting behavior. This study examines the female Emirati college students’ disordered eating attitudes and its relation to exercise behavior.Method: A cross- sectional study using a validated and reliable questionnaire was conducted on 242 Emirati female students attending a public university in Dubai. Eating Attitudes Test- 26 (EAT26) was used to measure eating attitudes and the short International Physical Activity Questionnaire (IPAQ) was included to measure physical activity level. A systematic random sampling from a list of classes in the fall 2014 semester was used for recruitment. The university’s Research Ethics Committee approved the study and consents were obtained from participants. SPSS v.21 was used for data analysis. Chi-square test was used to compare frequencies. Significance level was set at 0.05.Results: The participants’ mean age and standard deviation (Mean± SD) was 19 ±1.3 years. 31.4% of the participants showed disordered eating attitudes. The percentage of participants engaged in at least one concerning behavior in the past six months was 43.8%. A membership in a health club was significantly related to disordered eating attitudes (p <0.01). A high level of physical activity was correlated with laxative use, over the counter supplements, and exercising for more than 60 minutes to control weight (p<0.05). Conclusion: There is a great need for intervention programs and policies to contain the level of abnormal eating attitudes and promote healthy level of physical activity among college students.

scholarly journals The paths to children’s disordered eating: The implications of BMI, weight-related victimization, body dissatisfaction and parents’ disordered eating

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Marilou Côté ◽  
Maxime Legendre ◽  
Annie Aimé ◽  
Marie-Christine Brault ◽  
Jacinthe Dion ◽  
...  
Keyword(s):  
Body Dissatisfaction ◽  
Disordered Eating ◽  
Indirect Effect ◽  
Cross Sectional Study ◽  
Eating Attitudes ◽  
Cross Sectional ◽  
Mediating Role ◽  
Attitudes And Behaviors ◽  
And Behaviors ◽  
Disordered Eating Attitudes

Background Being the target of peer victimization is frequent among children categorized as overweight and obese and is thought to play a central role in disordered eating behavior development. In accordance with a previous theoretical model, this cross-sectional study aimed to replicate among children the mediating role of weight-related victimization from peers and body dissatisfaction in the association between body mass index (BMI) and children’s disordered eating attitudes and behaviors (CDEAB), while also taking into account the contribution of parents’ disordered eating attitudes and behaviors (PDEAB). Methods Participants were 874 children aged between 8 and 12 years old who were recruited in elementary schools. Height and weight were measured and used to calculate BMI. Self-reported questionnaires were used to measure weight-related victimization, body dissatisfaction, CDEAB and PDEAB. Results For both girls and boys, a path analysis showed no direct effect of BMI on CDEAB, but a significant indirect effect was found, indicating that weight-related victimization and body dissatisfaction mediated this relationship. In addition, the indirect effect of weight-related victimization and body dissatisfaction remained significant even when controlling for PDEAB. Conclusion While weight itself appears to be insufficient to explain CDEAB, weight-related victimization may lead children to see their weight as problematic and develop disordered attitudes and behaviors toward eating. This suggests that weight-related victimization from peers and body dissatisfaction must be taken seriously and that preventive and intervention efforts must be pursued.

scholarly journals Social Media, Thin-Ideal, Body Dissatisfaction and Disordered Eating Attitudes: An Exploratory Analysis

2019 ◽  
Vol 16 (21) ◽  
pp. 4177 ◽  
Author(s):  
Aparicio-Martinez ◽  
Perea-Moreno ◽  
Martinez-Jimenez ◽  
Redel-Macías ◽  
Pagliari ◽  
...  
Keyword(s):  
Social Media ◽  
Body Image ◽  
Body Dissatisfaction ◽  
Disordered Eating ◽  
Eating Attitudes ◽  
Prenatal Testosterone ◽  
Beauty Ideals ◽  
Body Concerns ◽  
Eat 26 ◽  
Disordered Eating Attitudes

Disordered eating attitudes are rapidly increasing, especially among young women in their twenties. These disordered behaviours result from the interaction of several factors, including beauty ideals. A significant factor is social media, by which the unrealistic beauty ideals are popularized and may lead to these behaviours. The objectives of this study were, first, to determine the relationship between disordered eating behaviours among female university students and sociocultural factors, such as the use of social network sites, beauty ideals, body satisfaction, body image and the body image desired to achieve and, second, to determine whether there is a sensitive relationship between disordered eating attitudes, addiction to social networks, and testosterone levels as a biological factor. The data (N = 168) was obtained using validated surveys (EAT-26, BSQ, CIPE-a, SNSA) and indirect measures of prenatal testosterone. The data was analysed using chi-square, Student’s t-test, correlation tests and logistic regression tests. The results showed that disordered eating attitudes were linked to self-esteem (p < 0.001), body image (p < 0.001), body desired to achieve (p < 0.001), the use of social media (p < 0.001) and prenatal testosterone (p < 0.01). The findings presented in this study suggest a relationship between body image, body concerns, body dissatisfaction, and disordered eating attitudes among college women.

scholarly journals Disordered eating attitudes correlate with body dissatisfaction among Kuwaiti male college students

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Mariam Ebrahim ◽  
Dalal Alkazemi ◽  
Tasleem A. Zafar ◽  
Stan Kubow
Keyword(s):  
College Students ◽  
Body Dissatisfaction ◽  
Disordered Eating ◽  
Body Fat ◽  
Body Image Dissatisfaction ◽  
Eating Attitudes ◽  
Male College ◽  
Eat 26 ◽  
Disordered Eating Attitudes ◽  
Male College Students

Abstract Background The prevalence of disordered eating attitudes and body dissatisfaction based on muscularity and body fat was investigated among male college students in Kuwait with a range of body mass index values including underweight, normal weight, overweight, and obese participants. Methods Data were collected, using the Eating Attitudes Test (EAT-26) and the Bodybuilder Image Grid (BIG), from 400 male undergraduate students (84.8% Kuwaiti nationals) recruited from both public and private universities in Kuwait. An anonymous, self-administered questionnaire was used to determine the prevalence of symptomatology indicative of anorexia nervosa and bulimia nervosa and to examine the associations between body dissatisfaction and muscularity and body fat. Results Most participants were dissatisfied with their current muscle mass and body fat (67.3 and 69%, respectively). Logistic regression analyses produced odds ratios (ORs) demonstrating that students dissatisfied with their muscularity and body fat and those who indicated a desire to decrease both muscularity and body fat had significantly higher odds of being at risk of disordered eating attitudes (OR = 2.241, 95% CI [1.17, 3.6], p = .032, and OR = 1.898, 95% CI [1.214, 2.967], p = .005, respectively). Obese participants also had higher odds of exhibiting disordered eating attitudes (OR = 2.06, 95% CI [1.17, 3.60], p = .011). Conclusion The high proportion of disordered eating attitudes among Kuwaiti college men was associated with high levels of body image dissatisfaction in relation to both body fat and muscularity. High levels of eating disorder symptoms were also linked to obesity.

scholarly journals Validation of the Arabic version of the Disordered Eating Attitudes in Pregnancy Scale (A- DEAPS) among Lebanese pregnant women: A step closer to Pregorexia Awareness

2021 ◽  
Author(s):  
Sarah Gerges ◽  
Sahar Obeid ◽  
Souheil Hallit
Keyword(s):  
Eating Disorders ◽  
Factor Analysis ◽  
Pregnant Women ◽  
Disordered Eating ◽  
Goodness Of Fit ◽  
Eating Attitudes ◽  
Arabic Version ◽  
Factor Solution ◽  
Disordered Eating Attitudes ◽  
In Pregnancy

Abstract Background Lately, there has been an upsurge in the prevalence of eating disorders (including anorexia, bulimia, orthorexia and recently, pregorexia), mainly due to changes in sociocultural factors. Pregnancy may serve as a propitious basis for the flourishing of “Pregorexia”: a notion of popular psychology designating a newly emerging eating disorder. Bannatyne et al. generated a brief pregnancy-specific instrument in furtherance of screening for antenatal eating disorders: the DEAPS (Disordered Eating Attitudes in Pregnancy Scale), which demonstrated a high level of internal consistency and good validity. Our study's objective was to linguistically validate and examine the reliability and psychometric properties of the Arabic version of this previously established pregnancy-specific scale among Lebanese pregnant women. Methods We conceived and implemented a cross-sectional survey between June and July 2021 (N = 433). The sample was randomly divided in two as per the SPSS data selection option; the first was used to conduct the DEAPS items factor analysis, whereas the second was used for the confirmatory analysis. Multiple indices of goodness-of-fit were described: the Relative Chi-square (χ2/df), Root Mean Square Error of Approximation (RMSEA), Tucker Lewis Index (TLI) and Comparative Fit Index (CFI). Results A factor analysis was conducted on Sample 1 (N = 207) chosen randomly from the original sample. With the exception of item 8, all other items converged over a two-factor solution (Factor 1: Self-Objectification (Body Control, Body Shame and Esteem) and Factor 2: Pregorexia), explaining a total variance of 39.3%. In sample 2 (N = 226), the one-factor model (Factor 2) that derived from the factor analysis conducted on sample 1, fitted well accordingly to CFI, TLI and χ2/df values, but fitted modestly according to RMSEA. The estimates obtained for Models 1 (original scale) and 2 (according to the two-factor solution obtained from the FA in sample 1) fitted less than the third model. The results showed that 28 (6.6%) of the participants were at risk of having disordered eating during pregnancy, whereas 25 (5.8%) had possible presence of disordered eating. Conclusion This study was able to show that the A-DEAPS seems to be a good and reliable tool for the assessment of disordered eating among Lebanese pregnant women.

scholarly journals Prevalence of disordered eating attitudes among adolescent girls in Arar City, Kingdom of Saudi Arabia

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Waseem Fatima ◽  
Leena M. Ahmad
Keyword(s):  
Eating Disorders ◽  
Saudi Arabia ◽  
Disordered Eating ◽  
Adolescent Girls ◽  
Eating Habits ◽  
Eating Attitudes ◽  
Kingdom Of Saudi Arabia ◽  
Significant Difference ◽  
Eat 26 ◽  
Disordered Eating Attitudes

Eating disorders (ED) are one of the most common psychiatric problems faced by todays adolescent girls where the attitude towards weight and shape as well as their perception of body shape are disturbed. The aim of the paper is to assess the prevalence and associated factors of disordered eating attitudes among adolescent girls of Arar city, Kingdom of Saudi Arabia. This is a cross-sectional survey design in which 314 adolescents females (age: 15-19 years) were selected from four schools of Arar city, KSA. Subjects were asked to fill pre-tested questionnaire about socioeconomic status, eating habits and Eating attitude test 26 (EAT 26), there height and weight were measured and BMI was calculated. Disturbed eating behaviors (EAT-26>20) was found in 25.47% participants. The prevalence of disordered eating was more in overweight and obese than normal weight. Vegetarian girls had higher EAT 26 score than non - vegetarian and significant difference was found in total EAT 26 score and subgroup namely oral control and dieting score (P<0.01) but non-significant difference was found between Saudi and non-Saudi adolescent girls in different BMI ranges. Eating disorders prevalent in adolescent girls and were strongly associated with weight status and eating habits. Future prospective and experimental studies are warranted to advance our understanding of the risk factors to enable better preventive program planning.

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