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Current Nutrition & Food Science

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ISSN (Print): 1573-4013
ISSN (Online): 2212-3881

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Research Article

Prevalence and Risk Factors of Disordered Eating Attitudes and Behaviors Among High-school Girls in Al-Madinah City, Saudi Arabia

Author(s): Awad M. Al-Qahtani* and Lamees M. Al-Harbi

Volume 16, Issue 5, 2020

Page: [709 - 717] Pages: 9

DOI: 10.2174/1573401315666191009095502

Abstract

Objectives: To determine the prevalence of disordered eating attitudes and behaviors among high-school girls in Al-Madinah City, Saudi Arabia.

Methods: A cross-sectional descriptive study was conducted in Al-Madinah city in 2014-15. A multi- stage random sampling technique was adopted to include female students of government secondary schools. The Eating Attitudes Test (EAT-26) and socio-economical questionnaires were used in the study for assessing the prevalence of disordered eating. All data were entered and analyzed using SPSS version 20.

Results: Overweight and obesity were reported among 11.2% and 5.6% of them, respectively, whereas 31.3% of the participants were underweight. The overall prevalence of disordered eating attitudes among female students was 42.5%. This rate was significantly higher among younger (≤16 years old) and those of the first scholastic level than others. The rate of disordered eating attitude was reported at a higher rate among obese students (59.1%) than underweight (41.5%) and normal students (42.4%). The commonest reported disordered eating behavior was self-reported binge eating behaviour (25.2%), followed by self-induced vomiting (8.7%) and the use of laxatives/ diuretics to control weight (6.1%).

Conclusion: The findings show a high prevalence of disordered eating attitude among high school female students in Al-Madinah city. Younger girls and those of the first scholastic level showed higher disordered eating attitude.

Keywords: Adolescents, binge eating behavior, body weight, disordered eating attitude, obesity, secondary school students.

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[1]
Russell G. Bulimia nervosa: an ominous variant of anorexia nervosa. Psychol Med 1979; 9(3): 429-48.
[http://dx.doi.org/10.1017/S0033291700031974] [PMID: 482466]
[2]
Gatenby SJ. Eating frequency: methodological and dietary aspects. Br J Nutr 1997; 77(Suppl. 1): S7-S20.
[http://dx.doi.org/10.1079/BJN19970100] [PMID: 9155490]
[3]
American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) Arlington, VA: American Psychiatric Association. 2013.
[4]
Forman SF. Eating disorders: Overview of epidemiology, clinical features, and diagnosis 2018.Available at. http://www.uptodate. com/contents/eating-disorders-overview-of-epidemiology-diagnosis-and-course-of-illness
[5]
Steinhausen HC. Outcome of eating disorders. Child Adolesc Psychiatr Clin N Am 2009; 18(1): 225-42.
[http://dx.doi.org/10.1016/j.chc.2008.07.013] [PMID: 19014869]
[6]
Hudson JI, Hiripi E, Pope HG Jr, Kessler RC. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry 2007; 61(3): 348-58.
[http://dx.doi.org/10.1016/j.biopsych.2006.03.040] [PMID: 16815322]
[7]
Jones JM, Bennett S, Olmsted MP, Lawson ML, Rodin G. Disordered eating attitudes and behaviours in teenaged girls: a school-based study. CMAJ 2001; 165(5): 547-52.
[PMID: 11563206]
[8]
Croll J, Neumark-Sztainer D, Story M, Ireland M. Prevalence and risk and protective factors related to disordered eating behaviors among adolescents: relationship to gender and ethnicity. J Adolesc Health 2002; 31(2): 166-75.
[http://dx.doi.org/10.1016/S1054-139X(02)00368-3] [PMID: 12127387]
[9]
Eaton DK, Kann L, Kinchen S, et al. Youth risk behavior surveillance - United States, 2011. MMWR Surveill Summ 2012; 61(4): 1-162.
[PMID: 22673000]
[10]
Calderon LL, Yu CK, Jambazian P. Dieting practices in high school students. J Am Diet Assoc 2004; 104(9): 1369-74.
[http://dx.doi.org/10.1016/j.jada.2004.06.017] [PMID: 15354152]
[11]
Neumark-Sztainer D, Hannan PJ. Weight-related behaviors among adolescent girls and boys: results from a national survey. Arch Pediatr Adolesc Med 2000; 154(6): 569-77.
[http://dx.doi.org/10.1001/archpedi.154.6.569] [PMID: 10850503]
[12]
Neumark-Sztainer D, Wall M, Guo J, Story M, Haines J, Eisenberg M. Obesity, disordered eating, and eating disorders in a longitudinal study of adolescents: how do dieters fare 5 years later? J Am Diet Assoc 2006; 106(4): 559-68.
[http://dx.doi.org/10.1016/j.jada.2006.01.003] [PMID: 16567152]
[13]
Herbold NH, Frates SE. Update of nutrition guidelines for the teen: trends and concerns. Curr Opin Pediatr 2000; 12(4): 303-9.
[http://dx.doi.org/10.1097/00008480-200008000-00003] [PMID: 10943808]
[14]
Neumark-Sztainer D, Wall M, Haines J, Story M, Eisenberg ME. Why does dieting predict weight gain in adolescents? Findings from project EAT-II: a 5-year longitudinal study. J Am Diet Assoc 2007; 107(3): 448-55.
[http://dx.doi.org/10.1016/j.jada.2006.12.013] [PMID: 17324664]
[15]
American Medical Association. Guidelines for adolescent preventive services 1995.
[16]
Garner DM, Olmsted MP, Bohr Y, Garfinkel PE. The eating attitudes test: psychometric features and clinical correlates. Psychol Med 1982; 12(4): 871-8.
[http://dx.doi.org/10.1017/S0033291700049163] [PMID: 6961471]
[17]
al-Subaie A, al-Shammari S, Bamgboye E, al-Sabhan K, al-Shehri S, Bannah AR. Validity of the Arabic version of the Eating Attitude Test. Int J Eat Disord 1996; 20(3): 321-4.
[http://dx.doi.org/10.1002/(SICI)1098-108X(199611)20:3<321:AID-EAT12>3.0.CO;2-2] [PMID: 8912045]
[18]
Attie I, Brooks-Gunn J. Developmental issues in the study of eating problems and disorders. The etiology of bulimia nervosa: the individual and familial context 1992; 35-58.
[19]
Nassef SL, Raouf TA. Body shape dissatisfaction, weight status and physical activity among a sample university students in Saudi Arabia. Food Nutr Sci 2013; 4: 616-25.
[http://dx.doi.org/10.4236/fns.2013.46079]
[20]
Klump KL, Bulik CM, Kaye WH, Treasure J, Tyson E. Academy for eating disorders position paper: eating disorders are serious mental illnesses. Int J Eat Disord 2009; 42(2): 97-103.
[http://dx.doi.org/10.1002/eat.20589] [PMID: 18951455]
[21]
Johnson CJ. Current challenges in recognizing and treating eating disorders. Minn Med 2003; 86(11): 34-9.
[PMID: 14658557]
[22]
Fawzi MM, Hashim HM, Fouad AA, Abdel-Fattah NR. Prevalence of Eating Disorders in a sample of rural and urban secondary school-girls in Sharkia, Egypt. Curr Psychiatr 2010; 17(4): 1-12.
[23]
Eapen V, Mabrouk AA, Bin-Othman S. Disordered eating attitudes and symptomatology among adolescent girls in the United Arab Emirates. Eat Behav 2006; 7(1): 53-60.
[http://dx.doi.org/10.1016/j.eatbeh.2005.07.001] [PMID: 16360623]
[24]
Thomas J, Khan S, Abdulrahman AA. Eating attitudes and body image concerns among female university students in the United Arab Emirates. Appetite 2010; 54(3): 595-8.
[http://dx.doi.org/10.1016/j.appet.2010.02.008] [PMID: 20172004]
[25]
Sepulveda AR, Carrobles JA, Gandarillas AM. Gender, school and academic year differences among Spanish university students at high-risk for developing an eating disorder: an epidemiologic study. BMC Public Health 2008; 8: 102.
[http://dx.doi.org/10.1186/1471-2458-8-102] [PMID: 18373852]
[26]
Toselli AL, Villani S, Ferro AM, Verri A, Cucurullo L, Marinoni A. Eating disorders and their correlates in high school adolescents of Northern Italy. Epidemiol Psichiatr Soc 2005; 14(2): 91-9.
[http://dx.doi.org/10.1017/S1121189X00006291] [PMID: 16001705]
[27]
Morgan JF, Reid F, Lacey JH. The SCOFF questionnaire: assessment of a new screening tool for eating disorders 1999; 319: 1467-8.
[http://dx.doi.org/10.1136/bmj.319.7223.1467]
[28]
Aschenbrenner K, Aschenbrenner F, Kirchmann H, Strauss B. Störungen des Essverhaltens bei Gymnasiasten und Studenten. Psychother Psychosom Med Psychol 2004; 54(6): 259-63.
[PMID: 15164296]
[29]
Berger U, Schilke C, Strauss B. [Weight concerns and dieting among 8 to 12-year-old children]. Psychother Psychosom Med Psychol 2005; 55(7): 331-8.
[http://dx.doi.org/10.1055/s-2004-834745] [PMID: 15986283]
[30]
Stice E, Cameron RP, Killen JD, Hayward C, Taylor CB. Naturalistic weight-reduction efforts prospectively predict growth in relative weight and onset of obesity among female adolescents. J Consult Clin Psychol 1999; 67(6): 967-74.
[http://dx.doi.org/10.1037/0022-006X.67.6.967] [PMID: 10596518]
[31]
Johnson-Sabine E, Wood K, Patton G, Mann A, Wakeling A. Abnormal eating attitudes in London schoolgirls--a prospective epidemiological study: factors associated with abnormal response on screening questionnaires. Psychol Med 1988; 18(3): 615-22.
[http://dx.doi.org/10.1017/S0033291700008291] [PMID: 3186865]
[32]
Cooper PJ, Goodyer I. Prevalence and significance of weight and shape concerns in girls aged 11-16 years. Br J Psychiatry 1997; 171: 542-4.
[http://dx.doi.org/10.1192/bjp.171.6.542] [PMID: 9519093]
[33]
Austin SB. Prevention research in eating disorders: theory and new directions. Psychol Med 2000; 30(6): 1249-62.
[http://dx.doi.org/10.1017/S0033291799002573] [PMID: 11097066]
[34]
Maradiegue A, Cecelic EK, Bozzelli MJ, Frances G. Do primary care providers screen for eating disorders? Gastroenterol Nurs 1996; 19(2): 65-9.
[http://dx.doi.org/10.1097/00001610-199603000-00005] [PMID: 8717675]

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