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

Author(s):  
Sarah Gerges ◽  
Sahar Obeid ◽  
Souheil Hallit

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.

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0254948
Author(s):  
Souheil Hallit ◽  
Anna Brytek-Matera ◽  
Sahar Obeid

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.


2006 ◽  
Vol 47 (2) ◽  
pp. 123-126 ◽  
Author(s):  
Özcan Uzun ◽  
Nurdan Güleç ◽  
Aytekin Özşahin ◽  
Ali Doruk ◽  
Barbaros Özdemir ◽  
...  

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Waseem Fatima ◽  
Leena M. Ahmad

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.


2010 ◽  
Vol 14 (4) ◽  
pp. 599-604 ◽  
Author(s):  
Hala N Madanat ◽  
Ryan Lindsay ◽  
Tiffany Campbell

AbstractObjectiveTo determine the nutrition transition stage of female Jordanian college students.DesignA cross-sectional survey was used to assess eating styles, disordered eating attitudes and behaviours, body esteem and dissatisfaction, and media influence.SettingPublic and private universities in Jordan.SubjectsA total of 255 subjects were recruited through a government-initiated youth campaign.ResultsThe majority of participants had a normal BMI (70·6 %) with almost all (99·4 %) reporting restrained eating behaviour. Scores on the Eating Attitudes Test (EAT-26) indicated that 45·2 % of these female college students should be screening for eating disorders. Subscales of the Body Esteem Scale (BES) showed that these women did not have substantial body esteem issues and mean scores on the Sociocultural Attitudes Towards Appearance Questionnaire (SATAQ-3) indicated that overall these women did not feel the media was dictating the way their body should look. Where Jordanian women did feel pressure from Western media, there was a 6·7-fold increase in the likelihood that they wanted to lose weight. In addition, 48·2 % of the female college students desired to lose weight and 14·4 % desired weight gain, indicating a certain level of body dissatisfaction.ConclusionsWith low levels of overweight and obesity and a propensity towards eating based on external hunger cues, college-aged Jordanian women may be less advanced in their development through the nutrition transition than the general population of women. However, high levels of restrained eating and disordered eating attitudes and behaviours indicate the need for an intervention to address healthy weight-loss strategies, assess eating disorders and help maintain healthy body esteem.


2020 ◽  
pp. 1-12 ◽  
Author(s):  
Chadia Haddad ◽  
Chloe Khoury ◽  
Pascale Salameh ◽  
Hala Sacre ◽  
Rabih Hallit ◽  
...  

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.


2020 ◽  
Vol 26 (2) ◽  
pp. 127-133
Author(s):  
Maryam Momeni ◽  
Azam Ghorbani ◽  
Zahra Arjeini

Background: Disordered eating attitudes and behaviors have become an issue of worldwide concern. Aim: This research was designed to investigate the role of body image satisfaction in the relationship with eating attitudes among students of Qazvin University of Medical Sciences in Iran. Methods: In this cross-sectional study, 385 Qazvin university students of medical sciences were recruited by randomized stratified sampling in 2014. The students completed a three-part questionnaire (socio-demographic, Eating Attitudes Test and Body Shape Questionnaire) in their classrooms. We used hierarchical generalized linear models to identify variables significantly associated with Eating Attitudes Test scores. Results: The mean age of the students was 21.80 ± 2.98 years. Mean scores for the Eating Attitudes Test and Body Shape Questionnaire were 66.75 ± 29.8 and 11.86 ± 10.97 respectively; 18.5% of students had a score of 20 and above (≥ 20) that indicated disordered eating attitudes or as being at risk of eating disorders. In the multiple regression model, the Eating Attitudes Test was related to screening body image dissatisfaction (β = 0.122, P < 0.001). Body mass index was negatively related to the Eating Attitudes Test score (β= -0.488, P < 0.016), and diet was significantly correlated with an increased Eating Attitudes Test score (β = 5.803, P < 0.001). Conclusions: The risk of eating disorders is relatively high among Iranian university students. It can be a warning to health policy makers and should be the focus of special attention. In the present study, the most important factor related to abnormal eating attitudes was body image dissatisfaction. Regarding the complexity of the causes of eating disorders, various preventive and therapeutic interventions are necessary to avoid the dissemination in society of an idealized view of excessive thinness and further unfavorable outcomes in college students.


Author(s):  
Jupender Singh Bhagi ◽  
Kuljeet Kaur ◽  
Dr. Sarita Tyagi

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.


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