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Cheng Ma,1,&ast; Bo-Ching Chen,2,&ast; Mei-Yen Chen3 1Department of Physical Education, University of Shanghai for Science and Technology, Shanghai 200093, People’s Republic of China; 2Undergraduate Program of Sports Coaching, CTBC Business School, Tainan 709301, Taiwan; 3Graduate Institute of Sport, Leisure and Hospitality Management, National Taiwan Normal University, Taipei 106308, Taiwan&ast;These authors contributed equally to this workCorrespondence: Mei-Yen Chen, Email meiyen686@gmail.comPurpose: To explore the impact and mechanism of weight status on the disordered eating behavior of university students, this study conducted a moderated chain mediation model based on the Escape Theory and the Strength Model of Self-Control.Methods: This was a cross-sectional online study conducted at a university in Shanghai. The questionnaire was distributed via communication tools such as WeChat from March 6 to 15, 2022, receiving 2618 valid responses. The moderated chain mediation model was empirically examined with 10,000 Bootstrap samples using AMOS software.Results: (1) Weight status can indirectly predict disordered eating behavior through the mediating effect of body dissatisfaction (β = 0.24, 95% CI: 0.22– 0.26, p < 0.001); (2) Body dissatisfaction and negative affect play a chain mediation role in the positive impact of weight status on disordered eating behavior (β = 0.01, 95% CI: 0.01– 0.02, p < 0.001); (3) Physical activity moderates the positive impact of negative affect on disordered eating behavior (Diff = − 0.11, t = 2.20, p < 0.05) and further plays a moderating role in the chain mediation model (Diff = − 0.01, t = 2.30, p < 0.05). Specifically, the higher the level of physical activity among university students, the weaker the impact of negative affect on disordered eating behavior, and the weaker the chain mediation effect; (4) The level of physical activity moderates the relationship between weight status, body dissatisfaction, and disordered eating, suggesting that the higher the level of physical activity, the stronger the mediating role of body dissatisfaction between weight status and abnormal eating (Diff = 0.12, t = 2.74, p < 0.05).Conclusion: These findings revealed the pathways through which weight status affects the eating behavior of university students and how physical activity might weaken or strengthen this impact. This research supplements prior studies and offers insight into health promotion for university students.Keywords: body shape, body dissatisfaction, disordered eating behavior, university students, physical activity level

Parental factors have received significant attention, even though eating disorders—which have been more prevalent recently—are known to involve numerous psychological components. Notably, maternal behavior and gender have been significant in studies of disordered eating and eating disorders. However, studies of paternal behavior are limited, and these studies are predominantly related to gender. Although various negative parenting behavior is associated with eating disorders and disordered eating behaviors, it is evident that addressing these behaviors would be more efficacious in treating unhealthy eating attitudes than working with the parents of these individuals. In this study, self-compassion was considered a formable trait and a mediating variable in the relationship between parental rejection and disordered eating behaviors. Two separate models were tested for maternal and paternal rejection, with gender as a control variable. A descriptive survey method was employed. The sample group of 456 consisted of adults who agreed to participate in the study through the consent form and filled in the self-report scales through Google Forms. The results of the study indicated that self-compassion fully mediated the relationship between maternal rejection and disordered eating behaviors, and partially mediated the relationship between paternal rejection and disordered eating behaviors. This finding indicates that self-compassion is a feature worthy of study in the treatment process of individuals with disordered eating, as well as the need for more scientific studies on paternal behaviors in disordered eating. [ABSTRACT FROM AUTHOR]

Background The aim of this research is to explore the interrelationships between different psychological issues and the potential role of eating behavior and physical activity among nursing students.Methods Undergraduate nursing students (n = 892) from some medical universities in China were recruited through convenience and snowball sampling methods using online platforms. Participants completed measures on demographics, fear of negative evaluation (FNE), social avoidance and distress (SAD), psychological distress (DASS), disordered eating behavior (TFEQ) and physical activity. The relationship models among the aforementioned variables were established using Process 3.5.Results A total of 290 males and 602 females were included in this study. The average FNE score of students was (39.44 ± 8.78), SAD was (13.83 ± 7.06), DASS was (22.45 ± 20.47), and TFEQ was (56.09 ± 12.57), respectively. TFEQ and SAD independently and jointly acted as mediators in the relationship between FNE and DASS. Physical activity played a moderating role, with the interaction effect between FNE and groups Q2, Q3, and Q4 determined to be 0.407 (95%CI 0.136 to 0.678), 0.328 (95%CI 0.061 to 0.596) and 0.332 (95%CI 0.073 to 0.591), respectively.Conclusions This study supports that disordered eating behaviors have a negative impact on mechanisms of psychological changes, and enhancing physical activity is an effective prevention strategy for psychological distress and disordered eating behaviors among nursing students.

Background. Some studies connect the popularity of food-tracking apps to an increase in restrictive eating and other disordered eating behaviors and find those apps harmful for psychological well-being, but there is a lack of empirical studies, especially of Russian samples. Objective. To examine the connection between disordered eating symptoms, psychological well-being, and the use of a mobile food-tracking application. Design. The participants were 26 women aged 18–30 (M = 21.96; SD = 3.33); 24 completed the study. During the pre-test, the participants completed the Dutch Eating Behavior Questionnaire (Van Strien et al., 1985), the Eating Attitude Test (Skugarevskiĭ, 2007), the Hospital Anxiety and Depression Scale (Ma et al., 2023), the Situation Inventory of Body-Image Dysphoria (Baranskaia & Tataurova, 2011), and a socio-demographic survey with additional questions related to food tracking, weight, and disordered eating. The experimental group was then tasked with tracking their food consumption with a mobile app for a month. The test battery was completed again immediately after the experiment ended, and for a third time one month later. Results. The comparative analysis showed a decrease in anxiety throughout the study, with a tendency-level increase in depressive symptoms by the end of the experiment. Contrary to expectations, emotional and external eating decreased during the experiment, while restrictive eating did not change. However, the risk of general disordered eating behavior increased one month after the experiment. The correlations between psychological well-being and eating behavior changed during the study. Immediately after the experiment, more correlations between eating behavior, body dissatisfaction, anxiety, and depression emerged, while at the later cutoff, correlations with depression and anxiety became insignificant. Conclusion. The study had mixed results, contradicting some previous research. Both emotional and external eating decreased along with anxiety levels; however, general disordered eating symptoms increased after food tracking.

There have been numerous investigations of aberrant eating and substance abuse among patients who have undergone bariatric surgery, which affects the metabolism and the pharmacokinetics of alcohol. However, there is a dearth of literature considering the complex interplay between changes in post‐surgery food and alcohol consumption. Furthermore, despite the increasing recognition of issues surrounding replacing food consumption with alcohol consumption (Food and Alcohol Disturbance [FAD]), most emerging research has focused on young adult populations. This perspective reviews and synthesizes the small but growing body of research on the interplay between food and alcohol consumption, particularly FAD, and considers its application to bariatric surgery in general. There are unique considerations for patients who have undergone bariatric surgery. Patients experience altered gastric anatomy, which affects food and alcohol metabolism, and are advised to abstain from drinking alcohol after surgery. After reviewing the available literature, this perspective highlights future directions for research and practice in bariatric surgery. [ABSTRACT FROM AUTHOR]

Objective: To assess the relationship between a vegetarian diet, disordered eating, and body image in adolescents. Methods: A cross-sectional study was conducted in two private schools located in the city of São Paulo, with 204 adolescents aged between 15 years and 18 years and 11 months. Body image assessment in boys was conducted using the Male Body Dissatisfaction Scale (short version), while the Body Shape Questionnaire was used for girls. Disordered eating behavior was evaluated using the Eating Attitudes Scale for Adolescents (short version) in both sexes. Individuals who reported not adhering to a vegetarian diet comprised the control group. Statistical analysis was performed according to the behavior of the variables. Results: 92.2% of the studied population consisted of omnivores, with only 7.8% of the sample being vegetarian. In the analysis of the mean scores for body dissatisfaction and disordered eating, no difference was found between the types of diet, although disordered eating was significantly higher among girls. A moderate correlation was observed between disordered eating and body image dissatisfaction in the entire female population and among vegetarians; in boys, the correlation between these variables was weak and only present when considering the entire male population. Conclusions: The frequency of vegetarianism and disordered eating behaviors did not differ between vegetarians and omnivores. However, a relationship was observed between disordered eating and body image dissatisfaction in girls, particularly among vegetarians, highlighting the importance of further investigations in this population. [ABSTRACT FROM AUTHOR]

Abstract Background Adolescents and young adults (AYAs) with diabetes mellitus (DM) are prone to eating disorders that may worsen metabolic control. This study investigated the clinical and behavioral correlates of disordered eating and insulin restriction (DE/IR) behavior and its association with psychological health among AYAs with DM. Methods We enrolled patients with DM aged 10–30 years receiving insulin treatment in a tertiary medical center from 2019 to 2021. After obtaining informed consent, we assessed various visit-to-visit HbA1c measures indicating glycemic control, DE/IR behavior using the modified SCOFF questionnaire, weight-control practices (e.g., self-medication, induced vomiting, and over-exercising), and anxious and depressive symptoms using the Hospital Anxiety and Depression Scale. Correlation and hierarchical regression analyses were applied to understand the clinical and behavioral correlates of DE/IR behavior and its association with anxiety and depression. Results Among the 110 patients with type 1 and type 2 DM recruited, we found 17.6% restricting insulin use and 6.3% self-medicating for weight control (higher in type 2 DM than type 1 DM). Hierarchical regression analyses showed HbA1c standard deviation (odds ratio = 2.18, [95% confidence interval 1.07–4.42]), body image (1.83, [1.05–3.20]), and dieting (4.74, [1.70–13.23]) associated with DE/IR behavior. Moreover, DE/IR behavior was further associated with anxiety (1.17 [1.08–1.27]) and depression (1.12 [1.03–1.22]). Conclusion DE/IR behavior is not uncommon among AYAs with DM, particularly those with type 2 DM, and may be associated with anxiety and depressive symptoms. In addition, HbA1c variability is correlated with DE/IR behavior, and the clinical implications need further exploration.

Abstract There have been numerous investigations of aberrant eating and substance abuse among patients who have undergone bariatric surgery, which affects the metabolism and the pharmacokinetics of alcohol. However, there is a dearth of literature considering the complex interplay between changes in post‐surgery food and alcohol consumption. Furthermore, despite the increasing recognition of issues surrounding replacing food consumption with alcohol consumption (Food and Alcohol Disturbance [FAD]), most emerging research has focused on young adult populations. This perspective reviews and synthesizes the small but growing body of research on the interplay between food and alcohol consumption, particularly FAD, and considers its application to bariatric surgery in general. There are unique considerations for patients who have undergone bariatric surgery. Patients experience altered gastric anatomy, which affects food and alcohol metabolism, and are advised to abstain from drinking alcohol after surgery. After reviewing the available literature, this perspective highlights future directions for research and practice in bariatric surgery.

Objective: Though prevalent, weight‐based discrimination is understudied and has been linked to disordered eating behaviors (DEB) among adolescents and adults. Sexual minority populations experience elevated risk of DEB, but little is known about the role of weight discrimination in this elevated risk. Methods: Participants were 1257 sexual minority women and men (ages 18–31 years) in the US Growing Up Today Study cohort. We examined cross‐sectional associations between weight discrimination victimization and three DEB in the past year: unhealthy weight control behaviors, overeating, and binge eating. Generalized estimating equations, adjusted for potential confounders, were used to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs). Results: Three in 10 participants (31%) reported weight‐based discrimination victimization. Sexual minority young adults who reported weight‐based discrimination had greater relative prevalence of unhealthy weight control behaviors (PR [95% CI]: 1.92 [1.35, 2.74]), overeating (3.15 [2.24, 4.44]), and binge eating (3.92 [2.51, 6.13]), compared with those who reported no weight‐based discrimination. Associations with overeating and binge eating remained significant after adjusting for BMI. Discussion: The role of weight‐based discrimination, and its intersections with other forms of stressors for sexual minority young adults, must be included in efforts to advance eating disorder prevention for this underserved population. Public Significance: Three in 10 sexual minority young adults in this study had experienced weight‐based discrimination, a common but understudied form of discrimination. Sexual minority young adults who experienced weight‐based discrimination were at greater risk of disordered eating behaviors than those who had not experienced weight‐based discrimination. These findings suggest that weight‐based discrimination may be an important—and preventable—risk factor for disordered eating behaviors among sexual minority young adults. [ABSTRACT FROM AUTHOR]

Background: Adolescents and young adults (AYAs) with diabetes mellitus (DM) are prone to eating disorders that may worsen metabolic control. This study investigated the clinical and behavioral correlates of disordered eating and insulin restriction (DE/IR) behavior and its association with psychological health among AYAs with DM. Methods: We enrolled patients with DM aged 10–30 years receiving insulin treatment in a tertiary medical center from 2019 to 2021. After obtaining informed consent, we assessed various visit-to-visit HbA1c measures indicating glycemic control, DE/IR behavior using the modified SCOFF questionnaire, weight-control practices (e.g., self-medication, induced vomiting, and over-exercising), and anxious and depressive symptoms using the Hospital Anxiety and Depression Scale. Correlation and hierarchical regression analyses were applied to understand the clinical and behavioral correlates of DE/IR behavior and its association with anxiety and depression. Results: Among the 110 patients with type 1 and type 2 DM recruited, we found 17.6% restricting insulin use and 6.3% self-medicating for weight control (higher in type 2 DM than type 1 DM). Hierarchical regression analyses showed HbA1c standard deviation (odds ratio = 2.18, [95% confidence interval 1.07–4.42]), body image (1.83, [1.05–3.20]), and dieting (4.74, [1.70–13.23]) associated with DE/IR behavior. Moreover, DE/IR behavior was further associated with anxiety (1.17 [1.08–1.27]) and depression (1.12 [1.03–1.22]). Conclusion: DE/IR behavior is not uncommon among AYAs with DM, particularly those with type 2 DM, and may be associated with anxiety and depressive symptoms. In addition, HbA1c variability is correlated with DE/IR behavior, and the clinical implications need further exploration.Plain English Summary: While young patients with diabetes mellitus (DM) are prone to eating disorders that may worsen metabolic control, early detection and appropriate intervention of comorbid emotional and behavioral symptoms are urged when providing diabetes care to this vulnerable age group. Having observed an increasing trend of eating disorders in the general population in Taiwan, we aimed to investigate clinical and behavioral correlates of disordered eating and insulin restriction behavior and its association with psychological health in a clinical sample of youths with DM. We found that 17.6% of the young patients with DM restricted insulin use, and 6.3% self-medicated for weight control. Fluctuating glucose levels and body image issues were found to be correlated with disordered eating and insulin restriction behaviors, which were also significantly linked to risks for anxiety and depression. These findings may warrant scrutiny in assessing eating behavior and insulin use among young patients with DM in East Asian settings. [ABSTRACT FROM AUTHOR]

Introduction: Disordered eating behaviors (DEBs) are very common among female college students, which seriously endanger their health and well-being. Therefore, the study of the mechanism of DEBs can provide effective evidence for early detection and intervention. Methods: In total of 54 female college students were recruited and assigned to DEB group (n = 29) and healthy control (HC) group (n = 25) according to their scores in the Eating Attitudes Test-26 (EAT-26). Then, the Exogenous Cueing Task (ECT) was used to evaluate their reaction time (RT) to the location of a target dot preceded by a food or neutral cue. Results: The study found that compared with HC group, DEB group showed more attentional engagement to food stimuli, indicating that attentional vigilance to food information could be considered as a specific attentional bias of DEBs. Discussion: Our findings not only provide evidence of the potential mechanism of DEBs from the perspective of attentional bias, but also can be considered as an effective and objective indicator for early screening of subclinical eating disorders (EDs). [ABSTRACT FROM AUTHOR]

Background and Objectives: The prevalence of disordered eating behaviors (DEBs) in type 1 diabetes (T1D) has been studied globally; however, data from Saudi Arabia and Arab-speaking countries are scarce. This study aimed to measure the prevalence of DEBs and associated clinical characteristics in adolescents and young adults with T1D, and the impact of DEBs on glycemic parameters. Materials and Methods: A total of 265 adolescents and young adults with T1D (aged 12–25 years) were recruited randomly from the registry at the Jazan Endocrinology and Diabetes Center, Saudi Arabia. Participants completed the Diabetes Eating Problem Survey–Revised (DEPS-R) questionnaire. Other measures included hemoglobin A1c (HbA1c) in addition to sociodemographic, anthropometric, and clinical data. Results: The prevalence of DEBs among T1D was 27.2%. Females (32.5%) had a higher proportion of DEBs than males (18.6%) (p = 0.01). About 27% of the participants reported insulin restriction. A history of hospital admission in the previous 6 months due to DKA and frequent hypoglycemia was more frequently reported in T1D participants with DEBs compared to those without (p = 0.03). Participants with DEBs had higher HbA1c and higher BMI compared to those without DEBs. Conclusions: Adolescents and young adults with T1D with disordered eating and insulin restriction have higher glycated hemoglobin, and are at higher risk of DKA. Routine screening for DEBs should be an essential element in diabetes care, especially among highly vulnerable groups. [ABSTRACT FROM AUTHOR]

Previous cross-sectional studies have shown that acting with awareness, one of the five facets of mindfulness, buffered the degree of positive association between disordered eating cognition and disordered eating behavior. The present cross-sectional study examined whether other facets of mindfulness moderated the relationship between disordered eating cognition and disordered eating behavior in a nonclinical sample of women. Three hundred and five college undergraduate women (mean age of 20.29 years old) completed self-report measures online that were used for the present study. Results revealed that greater acting with awareness and describing attenuated the positive relationship between disordered eating cognition and disordered eating behavior. Conversely, greater observing was found to amplify the degree of the aforementioned relationship. These findings should be replicated, and future research should also examine the factors that may account for differential findings across facets of mindfulness. [ABSTRACT FROM AUTHOR]

Developmental assets framework proposes a combination of internal and external assets serve as the building blocks to healthy development. Secondary analysis of the National Longitudinal Study of Adolescent Health was employed to assess associations between developmental assets in adolescence, specifically 7th-12th grade, and subsequent disordered eating behaviors and diagnosed eating disorders seven years later. Greater internal assets were associated with lower levels of engagement in disordered eating behaviors and lower prevalence of diagnosed eating disorders among females. Additionally, greater external assets were associated with increased prevalence of diagnosis among females. No associations were observed between developmental assets and eating related behaviors among males. Results provide evidence supporting a developmental asset-based prevention approach for both eating disorders and disordered eating behavior among females. [ABSTRACT FROM AUTHOR]

Background: Disordered eating is a concern for patients seeking metabolic and bariatric surgery (MBS), but little is known about how these behaviors are reflected in typical dietary intake prior to surgery., Objectives: This study examined the relationships between disordered eating behavior and the content and context of typical dietary intake among patients seeking MBS using an innovative combination of rigorous self-report and interview assessments., Setting: Participants were recruited from two academic medical centers in the United States., Methods: Adults were enrolled prior to MBS. Participants completed the Eating Disorder Examination-Bariatric Surgery Version (EDE-BSV) and then reported details of their dietary intake for three consecutive days using a validated 24-hour dietary recall system., Results: Among the sample (n = 140), objective overeating (OOE) was prevalent and related to greater daily energy and macronutrient intake. Individuals engaging in recurrent OOE were also more likely to consume meals past 8 pm Findings failed to identify significant associations between other disordered eating behaviors, such as objective binge eating (OBE), and contextual factors related to dietary intake., Conclusions: The timing of eating may play a greater role in recurrent overeating than social and physical aspects of the environment. Individuals reporting frequent OOE before MBS may benefit from targeted education and intervention aimed at reducing OOE and subsequently promoting better adherence to dietary recommendations., (Copyright © 2024 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.)

Background and Objectives: The prevalence of disordered eating behaviors (DEBs) in type 1 diabetes (T1D) has been studied globally; however, data from Saudi Arabia and Arab-speaking countries are scarce. This study aimed to measure the prevalence of DEBs and associated clinical characteristics in adolescents and young adults with T1D, and the impact of DEBs on glycemic parameters. Materials and Methods: A total of 265 adolescents and young adults with T1D (aged 12–25 years) were recruited randomly from the registry at the Jazan Endocrinology and Diabetes Center, Saudi Arabia. Participants completed the Diabetes Eating Problem Survey–Revised (DEPS-R) questionnaire. Other measures included hemoglobin A1c (HbA1c) in addition to sociodemographic, anthropometric, and clinical data. Results: The prevalence of DEBs among T1D was 27.2%. Females (32.5%) had a higher proportion of DEBs than males (18.6%) (p = 0.01). About 27% of the participants reported insulin restriction. A history of hospital admission in the previous 6 months due to DKA and frequent hypoglycemia was more frequently reported in T1D participants with DEBs compared to those without (p = 0.03). Participants with DEBs had higher HbA1c and higher BMI compared to those without DEBs. Conclusions: Adolescents and young adults with T1D with disordered eating and insulin restriction have higher glycated hemoglobin, and are at higher risk of DKA. Routine screening for DEBs should be an essential element in diabetes care, especially among highly vulnerable groups.

This study aims to characterize the psychosocial impact of COVID-19 lockdown for post-bariatric surgery (≥ 36 months) women and its association with disordered eating and psychological distress. The medium to long-time follow up is a period of increased susceptibility for poorer weight outcomes which might be triggered by the lockdown. Twenty-four participants responded to an online questionnaire and a telephone interview. About half (n = 14; 58.3%) reported perceived weight gain during the lockdown, 13 (54.1%) limited access to social support, and 12 (50%) limited access to medical care. Co-habiting with a higher number of persons during lockdown was associated with fewer difficulties in dealing with emotionally activating situations, less fear of gaining weight, less fear of losing control over eating, and less disordered eating. The global perceived psychosocial impact of lockdown was significantly correlated with difficulties in dealing with emotionally activating situations and stress symptoms. Results highlight the need to monitor post-bariatric patients, facilitate health care access, and promote social support during the lockdown period. [ABSTRACT FROM AUTHOR]

The purpose of this study was to identify changes in the risk of eating disorders after a one-year follow-up of a dissonance-based eating disorders prevention program. The Body Project was implemented in a sample of male and female university students: 133, 110, and 74 at baseline, post-test, and follow-up respectively, and we tested the change in disordered eating behaviors (DEB) over time, and by levels of variables that according to the theoretical model lie on the path between the intervention and DEB, with one-way MANOVA analyses of repeated measures for the associations between internalization of the esthetic thin ideal, depressive symptoms, and DEB. The average value of DEB was 5.23 at pre-test, 3.45 at post-test, and 2.80 at follow-up. The model with DEB at each time point, as dependent variables, and internalization of the esthetic thin ideal and depressive symptoms, as independent variables, showed a significant effect of internalization of the esthetic thin ideal, F(2, 136) = 7.66, p = .0011, while there was no significant effect of depressive symptoms, F(2, 136) = 0.45, p = .6191, indicating that the intervention exerted its effect on DEB via the former variable. The intervention proved to produce effects after a one-year follow-up. These findings support the implementation of universal prevention programs using dissonance-based techniques.

Disordered eating behaviors are a current public health concern since their progression can lead to the development of a full criteria eating disorder. Sensitization to repeated intake of high energy density (HED) foods is associated with excess weight gain over time, but less is known about relationships with assessments of disordered eating. Thus, this study aims to understand how disordered eating behaviors refunlate to the influence of the food environment and sensitization. 163 adolescents – 50 % female and 13.2 mean age – were followed for 24 months. Sensitization was assessed by comparing the relative reinforcing value (RRV) of HED food at baseline and after two weeks of daily intake; sensitization was defined as RRV of food after repeated intake. Study participants also completed the EDE-Q, and Power of Food Scale (PFS). We conducted multivariate general linear models to examine these associations. Sensitization status and PFS scores at baseline were positively associated with EDE-Q subscale scores cross-sectionally, but not longitudinally, at baseline and 24 months. We found that sensitization to HED food and higher susceptibility to food cues relates to increased disordered eating behaviors and both at baseline and at 24-months. These findings suggest that sensitization to repeated HED food intake and the food environment might be a risk factor for later engagement in disordered eating behaviors. Future studies should address the temporal relationships among these factors and the role that social norms around body weight and weight stigma may play in the development of these behaviors. • Disordered eating behaviors associate with the food environment and sensitization. • Sensitization to reinforcing value of food can lead to higher eating disorder risk. • The home food environment increases disordered eating behaviors onset over time. [ABSTRACT FROM AUTHOR]

BACKGROUND: Eating disorders (EDs) can lead to life-threatening nutritional deficiencies whereas self-esteem influences interpersonal relationships and academic performance. Excessive concerns about body image resulting in body dissatisfaction not only affect psychological well-being but also predisposes to disordered eating behaviors. The objective of this study is to assess the eating behavior and level of self-esteem, their relationship with body image perception and also identify factors associated with them among undergraduate female college students. MATERIALS AND METHODS: This cross-sectional study was conducted among 180 female undergraduate students of University of Delhi. Sociodemographic characteristics and anthropometric measurements were recorded. Eating Attitude Test-26, Rosenberg Self-esteem Scale, Contour Drawing Rating Scale and Body Shape Questionnaire 34 were used to assess eating behavior, self-esteem, body image dissatisfaction and body shape concerns, respectively. Both descriptive and inferential statistics were used and binary logistic regression was applied to identify the factors determining high risk eating behavior and low self-esteem. RESULTS: In this study, 27.8% of the study participants were overweight or obese, 30.6% had body shape concerns and 76.7% had body image dissatisfaction. Significant proportion (13.9%) of the participants was identified as high risk for the development of EDs and having low self-esteem (12.8%). Body shape concern and family influences were significant predictors of high risk eating behavior whereas type of college and family influences significantly predicted low self-esteem. CONCLUSIONS: The study concluded that factors such as nutritional status, family influences, type of college and body shape concerns lead to high risk eating behavior and low self-esteem. These findings will help in creating awareness on importance of concept of positive body image, healthy weight control behaviors and in developing future interventions.

Aim: The current research aim is studying the relationship between disordered eating behavior (DEB) with early maladaptive schemas(EMS) and anxiety in adolescent female students in Shiraz .Method: The method of present research is descriptive correlation. For this purpose, 190 female students of one to third year of high school of Shiraz selected by cluster sampling method and complete questionnaires. Young's schema Questionnaire short form (SQ-SF), Eating Attitudes Test (EAT-26) Garner and Garfinkel (1979) and Depression, anxiety, Stress Scale (DASS) were used was utilized to evaluate early maladaptive schemas, disordered eating behavior and anxiety, respectively. Data analyzed through the SPSS21 software. Result: Pearson's correlation coefficient showed that a significant correlation between most domains of area early maladaptive schemas (EMS) with disordered eating behavior (DEB). Also anxiety has significant correlation with disordered eating behavior (DEB). Stepwise regression Indicated impaired autonomy and performance (P

Purpose: The objective of this study was to identify factors influencing disordered eating behaviors in female college students based on the theory of triadic influence. Design and Method: The participants in this study were 307 college females in Korea. Data were analyzed using t‐tests, correlation coefficients, and multiple regression analyses. Findings: Multiple regression analysis revealed that objectified body consciousness, social physique anxiety, and sociocultural attitudes toward appearance influenced disordered eating behavior (R2 = 0.33, F = 51.32, P < 0.001). Practice Implications: This study suggests the development of a nursing program for college females that considers the factors influencing personal, social, and cultural streams will be effective. [ABSTRACT FROM AUTHOR]

Sexual minority youth are often described as at-risk for mental health comorbidities, including disordered eating behavior (DEB) and depression. This study assesses differences in late-adolescent DEB and depressive symptoms among gay/lesbian, bisexual, or mostly heterosexual individuals, and how their symptoms change across early adulthood. While sexual minority youth were more likely to report DEB and elevated depressive symptoms in late adolescence relative to exclusively heterosexual peers, gay/lesbian individuals experienced improvement in early-adulthood depressive symptoms. Conversely, bisexual individuals maintained elevated depressive symptoms into early adulthood, and additional depressive symptoms associated with DEB. DEB may be a unique risk factor shaping the mental health of bisexual youth. [ABSTRACT FROM AUTHOR]

Abstract Background Being overweight is an increasing problem among young people, among whom disordered eating behavior is linked with weight problems as well as unhealthy weight control. The aim of the present study was to investigate whether health factors and motives to exercise differ in young men by the type of disordered eating behavior. Methods The population-based, cross-sectional MOPO study consisted of 2,096 young Finnish men (mean age 17.9, SD 0.7) attending compulsory call-ups for military service in the Oulu area in 2010, 2011, and 2013. They responded to a questionnaire that included two subscales of the Eating Disorder Inventory-3 indicating drive for thinness and bulimic behavior and questions on health, physical activity, and motives to exercise. The association between disordered eating behavior and related factors was analyzed by binary logistic regression. Results Altogether, 6.9 % (n = 145) of the men had symptoms of disordered eating, i.e., 5.4 % had a drive for thinness (n = 114) and 3.7 % had bulimic behavior (n = 77). Drive for thinness was associated with a perception of being overweight (OR 3.7; 95 % CI 2.2–6.1), poor self-rated health (2.3; 1.2–4.4), more leisure sitting time (1.1; 1.0–1.2), and body-related exercise motives (body acceptance: 3.0; 1.7–5.2; weight loss: 2.5; 1.4–4.4). Bulimic behavior was positively associated with poor self-rated health (2.6; 1.1–5.8) and several motives to exercise, i.e., due to another person’s suggestion (2.8; 1.6–4.8), competitive sports (2.1; 1.2–3.7), body acceptance (2.1; 1.1–3.9), and weight loss (1.9; 1.1–3.3), but inversely associated with health/fitness-related exercise motives (health promotion: 0.3; 0.1–0.5; muscular strength or physical performance: 0.5; 0.2–0.9). Conclusions In young men, disordered eating behavior was associated with being overweight, having poor self-rated health, and having a greater amount of leisure sitting time as well as non-health-related motives to exercise. In order to recognize those at risk for disordered eating behavior, evaluating these factors could be beneficial.

Background and objective: Researches related to perfectionism have tried to investigate the negative relationship between this variable and its’ dimensions with the various fields of physical and psychological hygiene and health. The aim of this study was to investigate the role of perfectionism and its’ dimensionsin predicting disordered eating behaviors among students. Methods: This cross-sectional study was conducted among 477 students of AllamehTabataba’i University who was selected by multiple cluster sampling. Participants responded to the questionnaires of demographic characteristics, perfectionism of Besharat (1382), disordered eating behaviors of Garneret al. (1982). Data were analyzed using Pearson correlation coefficient and stepwise regression. Results: There were significant positive correlations between perfectionism and its’ dimensions (self-centered, other-centered, and community-centered) with disordered eating behaviors (p

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Peer victimization, a high body mass index (BMI), and disordered eating behavior are all considered to be major health concerns afflicting today's youth. We bring together evidence from epidemiological, longitudinal, and meta-analytic research to propose a theoretical model of how peer victimization relates to psychopathology, which in turn, leads to misguided attempts to alter physical appearance through disordered eating behavior, and highlight how the pathway may vary as a function of BMI and gender. Specifically, we argue that, as a result of being victimized by peers: (1) overweight adolescents will be at high risk of psychological dysfunction and disordered eating behavior (particularly binge eating), and the effect will be stronger in girls; (2) average weight adolescents will be at high risk of psychological dysfunction and disordered eating behavior (particularly binge eating and bulimic symptoms), and the effect will be stronger in girls; and (3) underweight adolescents will be at high risk of psychological dysfunction and disordered eating behavior (particularly to increase muscle mass), and the effect will be stronger in boys. The identification and testing of comprehensive theoretical models may be beneficial for the targeting of interventions for children and adolescents affected by repeated aggressive behavior. [ABSTRACT FROM AUTHOR]

AIM: To study the specific features of eating behavior (EB) in patients with diabetes mellitus (DM). /MATERIAL AND METHODS: One hundred and seventy-eight patients, including 128 with type 2 DM and 50 with type 1 DM, were examined. Questionnaire survey, general clinical, and laboratory studies were conducted /RESULTS: The patient groups did not differ in educational level and gender. In the patients with type 1 DM, the duration of the disease was longer and the incidence of complications was higher than in those with type 2 DM. Carbohydrate metabolism was decompensated in the majority of the patients with types 1 and 2 DM. A higher normative score if only by one of the disordered EB (DEB) scales (according to the DEBQ), was found in 68 and 78.9% with type 1 and type 2 DM, respectively. The patients with type 2 DM were more frequently ascertained to have restrictive EB. The patients with type 2 DM and restrictive EB were more aware of the disease, more often checked blood glucose levels themselves, and were better compensated. The proportion of patients with external and emotiogenic EB did not differ between the groups, the latter type was registered less frequently /CONCLUSION: Disordered EBs were detected in many patients with DM. The found features of EB may be taken into account while teaching the patients.

Background: Being overweight is an increasing problem among young people, among whom disordered eating behavior is linked with weight problems as well as unhealthy weight control. The aim of the present study was to investigate whether health factors and motives to exercise differ in young men by the type of disordered eating behavior.Methods: The population-based, cross-sectional MOPO study consisted of 2,096 young Finnish men (mean age 17.9, SD 0.7) attending compulsory call-ups for military service in the Oulu area in 2010, 2011, and 2013. They responded to a questionnaire that included two subscales of the Eating Disorder Inventory-3 indicating drive for thinness and bulimic behavior and questions on health, physical activity, and motives to exercise. The association between disordered eating behavior and related factors was analyzed by binary logistic regression.Results: Altogether, 6.9 % (n = 145) of the men had symptoms of disordered eating, i.e., 5.4 % had a drive for thinness (n = 114) and 3.7 % had bulimic behavior (n = 77). Drive for thinness was associated with a perception of being overweight (OR 3.7; 95 % CI 2.2-6.1), poor self-rated health (2.3; 1.2-4.4), more leisure sitting time (1.1; 1.0-1.2), and body-related exercise motives (body acceptance: 3.0; 1.7-5.2; weight loss: 2.5; 1.4-4.4). Bulimic behavior was positively associated with poor self-rated health (2.6; 1.1-5.8) and several motives to exercise, i.e., due to another person's suggestion (2.8; 1.6-4.8), competitive sports (2.1; 1.2-3.7), body acceptance (2.1; 1.1-3.9), and weight loss (1.9; 1.1-3.3), but inversely associated with health/fitness-related exercise motives (health promotion: 0.3; 0.1-0.5; muscular strength or physical performance: 0.5; 0.2-0.9).Conclusions: In young men, disordered eating behavior was associated with being overweight, having poor self-rated health, and having a greater amount of leisure sitting time as well as non-health-related motives to exercise. In order to recognize those at risk for disordered eating behavior, evaluating these factors could be beneficial. [ABSTRACT FROM AUTHOR]

Background: Sedentary behavior is associated with poor well-being in youth with adverse trajectories spanning to adulthood. Still, its determinants are poorly known. Our aim was to profile sedentary and non-sedentary young men and to clarify their differences in a population-based setting.Methods: A total of 616 men (mean age 17.9, SD 0.6) attending compulsory conscription for military service completed a questionnaire on health, health behavior, socioeconomic situation and media use. They underwent a physical (body composition, muscle and aerobic fitness) and medical examination. Profiles were formed by principal component analysis (PCA).Results: A total of 30.1 % men were sedentary (daily leisure-time sitting ≥5 h) and 28.9 % non-sedentary (sitting ≤2 h). The sedentary men had more body fat, more depressive symptoms, but lower fitness and life satisfaction than non-sedentary men. However, according to PCA, profiles of unhealthy eating, life-dissatisfaction, and gaming were detected both among sedentary and non-sedentary men, as well as high self-rated PA and motives to exercise.Conclusion: Determinants of sedentary and non-sedentary lifestyles were multiple and partially overlapping. Recognizing individual patterns and underlying factors of the sedentary lifestyle is essential for tailored health promotion and interventions. [ABSTRACT FROM AUTHOR]

This study examined the effectiveness of four media campaigns about disordered eating behaviors. It investigated possible factors that affected females' perceived effectiveness of four campaign videos. Results indicated that health campaign about a celebrity's struggle with extreme thinness proved to be the least effective of four campaign videos, whereas the video presenting solid facts about the dangers of extreme dieting was perceived as the most effective campaign. Self-discrepancy was not a significant predictor to females' perceived effectiveness of campaign videos. Similarly, the frequency of Internet usage was proved as a weak predictor of their perceived effectiveness. These findings and the possible rationale for the lack of support with regard to the correlates of campaign effectiveness were also discussed. [ABSTRACT FROM AUTHOR]

Background and objective: Researches related to perfectionism have tried to investigate the negative relationship between this variable and its' dimensions with the various fields of physical and psychological hygiene and health. The aim of this study was to investigate the role of perfectionism and its' dimensionsin predicting disordered eating behaviors among students. Methods: This cross-sectional study was conducted among 477 students of AllamehTabataba'i University who was selected by multiple cluster sampling. Participants responded to the questionnaires of demographic characteristics, perfectionism of Besharat (1382), disordered eating behaviors of Garneret al. (1982). Data were analyzed using Pearson correlation coefficient and stepwise regression. Results: There were significant positive correlations between perfectionism and its' dimensions (self-centered, other -centered, and community-centere d) with disordered eating behaviors (p<0.01). In other words,when perfectionism increases, the degree of disordered eating behaviors among students also increases. Stepwise regression analysis also indicated that in the interaction between the dimensions of perfectionism, the community-centered perfectionism and other-centered perfectionism significantly predicted, respectively, 11% and 9% of the variance of disordered eating behaviors among student (p<0.05). Conclusions: The results of this study suggest the importance of perfectionism and its' dimensions in predicting disordered eating behaviors.These factors can explain the high degree of variability of these behaviors. Paper Type: Research Article. [ABSTRACT FROM AUTHOR]

ABSTRACT Objective Despite modern therapeutic regimens, youths with Type 1 diabetes may be at increased risk of mental and behavioral disorders. In this study, the prevalence of disordered eating behavior (DEB) in intensely treated children and adolescents with early-onset Type 1 diabetes and peers from the general population was compared. Method Data from 629 patients from a population-based, nationwide survey (54.1% male, mean age 15.3 years) with early-onset Type 1 diabetes of at least 10 years duration were compared with data from 6,813 participants of the German KiGGS study (51.3% male, mean age 14.6 years). The generic SCOFF questionnaire was used as screening instrument to identify participants with symptoms of DEB. Both groups were compared with multivariable regression analysis adjusting for sociodemographic covariates. Results 31.2% of the female and 11.7% of the male diabetic patients and 28.9% of the females and 15.2% of the males in the comparison group were SCOFF-positive (SCOFF score ≥2; p > .05). The odds for symptoms of eating disorders were 3.7% higher in female and 4.3% lower in male patients with diabetes than in the comparison group, but the differences were not significant. 20.5% of the female and 18.5% of the male diabetic patients reported insulin restriction at least three times per week. Discussion Children and adolescents with early-onset Type 1 diabetes of long duration do not seem to be more frequently SCOFF-positive than peers. However, as insulin restriction is practiced in a substantial portion of patients, attention for insulin restriction in diabetes care is essential. © 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:342-352) [ABSTRACT FROM AUTHOR]

This review is focused on the prevalence of eating disorders and disordered eating behaviors in individuals with type 1 diabetes. Recent research indicates higher prevalence rates of eating disorders among people with type 1 diabetes compared with their peers without diabetes. Eating disorders and disordered eating behaviors-especially insulin omission-are associated with poorer glycemic control and serious risk for increased morbidity and mortality. Screening should begin in pre-adolescence and continue through early adulthood, as many disordered eating behaviors begin during the transition to adolescence and may persist for years. Available screening tools and treatment options are reviewed. Given the complexity of diabetes management in combination with eating disorder treatment, it is imperative to screen early and often, in order to identify those most vulnerable and begin appropriate treatment in a timely manner. [ABSTRACT FROM AUTHOR]

Abstract: Emerging evidence signifies the co-occurrence of attention-deficit/hyperactivity disorder (ADHD) with clinical and sub-threshold disordered eating behaviors. However, many existing studies have assessed this co-occurrence among inpatient or intensive outpatient populations. The purpose of this study was to examine the co-occurrence of ADHD with clinical eating disorders and disordered eating behaviors in a nationally representative sample via a secondary data analysis of data from the National Longitudinal Study of Adolescent Health (n=4,862; 2,243 males; 2,619 females). Results reveal that females have higher rates of co-occurrence of ADHD and diagnosed eating disorders than males (1.05% vs. 0.20%, p<.01). When controlling for age and race, ADHD predicted diagnosed eating disorders in females (incidence rate ratio (IRR): 2.06; 95% CI: 1.09–3.88; p<.05), but did not predict diagnosed eating disorders in males. With regard to disordered eating behaviors, when controlling for age, gender, and race, ADHD significantly predicted disordered eating behaviors (OR: 1.82; 95% CI: 1.21–2.74). When stratifying by type of disordered eating behavior, ADHD predicted binging and/or purging behavior (OR: 2.86; 95% CI: 1.78–4.61), but not restrictive behaviors. Implications of study findings pertain to both secondary/targeted prevention efforts in addition to tertiary prevention via patient-specific treatment plans. [Copyright &y& Elsevier]

Abstract: The purpose of the current study was to examine whether body dissatisfaction and body image flexibility would be uniquely and significantly associated with disordered eating behavior. In addition, the study examined if body mass index (BMI) moderated the relationships between each of the body image related variables and disordered eating. Two-hundred-fifty-eight female participants completed the web-based survey. Body dissatisfaction and body image flexibility were significantly related to disordered eating behavior, after controlling for ethnicity and BMI, and BMI moderated the relation between body image flexibility and disordered eating. Specifically, for those with low BMI, greater body image flexibility was associated with reduced disordered eating behavior. Body image flexibility was not associated with disordered eating behavior among those with average or high BMI. These results suggest that greater body image flexibility may serve as a protective factor against disordered eating behaviors for those with low BMI. [Copyright &y& Elsevier]