[go: up one dir, main page]

Cent Eur J Public Health 2022, 30(4):241-247 | DOI: 10.21101/cejph.a6998

Risk factors for eating disorders among Chinese and international university students: a comparative cross-sectional study

Areeba Yaqoob1, Iqra Majeed2, Hasnain Khalid3, Shakeel Hussain4, Muhammad Hamza Shahid5, Fatima Majeed1, Obaid-ul-Hassan6, Ijaz-ul-Haq7, Feng Qing1
1 Department of Nutrition and Food Hygiene, School of Public Health, Nanjing Medical University, Nanjing, China
2 Department of Medicine, DHQ Teaching Hospital, Dera Ghazi Khan, Punjab, Pakistan
3 Department of Social and Behavioural Sciences, National University of Medical Sciences, Islamabad, Pakistan
4 Department of Dairy Technology, University of Veterinary and Animal Sciences, Lahore, Punjab, Pakistan
5 Department of Food Sciences and Technology, MNS University of Agriculture, Multan, Punjab, Pakistan
6 Department of Agrotechnology and Food Science, Food Quality and Design, Wageningen University & Research, Wageningen, Netherlands
7 Department of Public Health and Nutrition, University of Haripur, Haripur, Khyber Pakhtunkhwa, Pakistan

Objective: The aim of the study was to investigate the prevalence of eating disorders (EDs) and their association with socio-demographic and behavioural factors among university students.

Methods: A cross-sectional study among university students (Chinese and international) in Nanjing, China. We collected the data from 877 students, of which 811 were eligible for this study. They submitted a self-administered questionnaire (Eating Disorder Examination Questionnaire 6 (EDE-Q6) related to socio-demographic, health variables and lifestyle factors. Data were assessed with the help of SPSS software.

Results: A total of 401 Chinese and 410 international university students (49.44% vs. 50.55%) participated in this study. Binary logistic regression showed that young female adults of 18~25 years of age had more risk of developing eating disorders. Higher body mass index (BMI), such as overweight and obesity, were more influential risk factors (p < 0.001) for eating disorders. The significant risks (p < 0.001) EDs were found in students who were athletes, physically active, and involved in various extra-curricular activities. Alcohol and smoking were significant risk factors associated with eating disorders.

Conclusion: The results indicated higher risks of eating disorders followed by objective binge eating and compensatory behaviour. In this scenario, early assessment and treatment are necessary to reduce the burden of eating disorders and to promote good nutritional practices among university students.

Keywords: EDE-Q, compensatory behaviour, risk factors, binge eating disorder, cross-sectional studies

Received: July 6, 2021; Revised: December 8, 2022; Accepted: December 8, 2022; Published: December 31, 2022  Show citation

ACS AIP APA ASA Harvard Chicago IEEE ISO690 MLA NLM Turabian Vancouver
Yaqoob A, Majeed I, Khalid H, Hussain S, Shahid MH, Majeed F, et al.. Risk factors for eating disorders among Chinese and international university students: a comparative cross-sectional study. Cent Eur J Public Health. 2022;30(4):241-247. doi: 10.21101/cejph.a6998. PubMed PMID: 36597986.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    Attachments

    Download filedoi: 10.21101/cejph.b0145

    6998_Supplementary.pdf
    File size: 2.05 MB

    References

    1. American Psychiatric Association. Diagnostic and statistical manual of mental health disorders: DSM-5. 5th ed. Washington: American Psychiatric Publishing; 2013. Go to original source...
    2. Hoek HW. Review of the worldwide epidemiology of eating disorders. Curr Opin Psychiatry. 2016;29(6):336-9. Go to original source... Go to PubMed...
    3. Chang WW, Nie M, Kang YW, He LP, Jin YL, Yao YS. Subclinical eating disorders in female medical students in Anhui, China: a cross-sectional study. Nutr Hosp. 2015;31(4):1771-7. Go to PubMed...
    4. Ko N, Tam DM, Viet NK, Scheib P, Wirsching M, Zeeck A. Disordered eating behaviors in university students in Hanoi, Vietnam. J Eat Disord. 2015 Apr 1;3:18. doi: 10.1186/s40337-015-0054-2. Go to original source... Go to PubMed...
    5. Peláez-Fernández MA, Labrador FJ, Raich RM. Norms for the Spanish Version of the Eating Disorders Examination Questionnaire (S-EDE-Q). Psicothema. 2013;25(1):107-14. Go to PubMed...
    6. Rø Ø, Reas DL, Stedal K. Eating Disorder Examination Questionnaire (EDE-Q) in Norwegian adults: discrimination between female controls and eating disorder patients. Eur Eat Disord Rev. 2015;23(5):408-12. Go to original source... Go to PubMed...
    7. Lipson SK, Sonneville KR. Eating disorder symptoms among undergraduate and graduate students at 12 U.S. colleges and universities. Eat Behav. 2017;24:81-8. Go to original source... Go to PubMed...
    8. Rø Ø, Reas DL, Rosenvinge J. The impact of age and BMI on Eating Disorder Examination Questionnaire (EDE-Q) scores in a community sample. Eat Behav. 2012;13(2):158-61. Go to original source... Go to PubMed...
    9. Müller A, Loeber S, Söchtig J, Te Wildt B, De Zwaan M. Risk for exercise dependence, eating disorder pathology, alcohol use disorder and addictive behaviors among clients of fitness centers. J Behav Addict. 2015;4(4):273-80. Go to original source... Go to PubMed...
    10. Solmi M, Veronese N, Sergi G, Luchini C, Favaro A, Santonastaso P, et al. The association between smoking prevalence and eating disorders: a systematic review and meta-analysis. Addiction. 2016;111(11):1914-22. Go to original source... Go to PubMed...
    11. Smith KE, Mason TB, Murray SB, Griffiths S, Leonard RC, Wetterneck CT, et al. Male clinical norms and sex differences on the Eating Disorder Inventory (EDI) and Eating Disorder Examination Questionnaire (EDE-Q). Int J Eat Disord. 2017;50(7):769-75. Go to original source... Go to PubMed...
    12. Cheah SL, Jackson E, Touyz S, Hay P. Prevalence of eating disorder is lower in migrants than in the Australian-born population. Eat Behav. 2020 Apr;37:101370. doi: 10.1016/j.eatbeh.2020.101370. Go to original source... Go to PubMed...
    13. Darcy AM, Hardy KK, Crosby RD, Lock J, Peebles R. Factor structure of the Eating Disorder Examination Questionnaire (EDE-Q) in male and female college athletes. Body Image. 2013;10(3):399-405. Go to original source... Go to PubMed...
    14. Jackson T, Zheng P, Chen H. Features of objectified body consciousness and sociocultural perspectives as predictors of eating and body image disturbances among young women and men in China. J Gend Stud. 2016;25(5):599-612. Go to original source...
    15. Jackson T, Jiang C, Chen H. Associations between Chinese/Asian versus Western mass media influences and body image disturbances of young Chinese women. Body Image. 2016;17:175-83. Go to original source... Go to PubMed...
    16. Pike KM, Dunne PE. The rise of eating disorders in Asia: a review. J Eat Disord. 2015 Sep 17;3:33. doi: 10.1186/s40337-015-0070-2. Go to original source... Go to PubMed...
    17. Yao S, Zhang R, Thornton LM, Peat CM, Qi B, Du S, et al. Screen-detected disordered eating and related traits in a large population sample of females in mainland China: China Health and Nutrition Survey. Int J Eat Disord. 2021 Jan;54(1):24-35. Go to original source... Go to PubMed...
    18. 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. Go to original source... Go to PubMed...
    19. Fairburn CG, Beglin S. Eating Disorder Examination Questionnaire (EDE-Q 6.0). In: Fairburn CG. Cognitive behavior therapy and eating disorders. New York: Guilford Press; 2008. p. 309-13.
    20. Lukács A, Wasilewska M, Sopel O, Tavolacci MP, Varga B, Mandziuk M, et al. Risk of eating disorders in university students: an international study in Hungary, Poland and Ukraine. Int J Adolesc Med Health. 2020 Jun 9;33(6):415-20. Go to original source... Go to PubMed...
    21. Chan YL, Samy AL, Tong WT, Islam MA, Low WY. Eating disorder among Malaysian university students and its associated factors. Asia Pac J Public Health. 2020;32(6-7):334-9. Go to original source... Go to PubMed...
    22. Ul Haq I, Mariyam Z, Li M, Huang X, Jiang P, Zeb F, et al. A comparative study of nutritional status, knowledge attitude and practices (KAP) and dietary intake between international and Chinese students in Nanjing, China. Int J Environ Res Public Health. 2018;15(9):1910. doi: 10.3390/ijerph15091910. Go to original source... Go to PubMed...
    23. Tong J, Miao S, Wang J, Yang F, Lai H, Zhang C, et al. A two-stage epidemiologic study on prevalence of eating disorders in female university students in Wuhan, China. Soc Psychiatry Psychiatr Epidemiol. 2014;49(3):499-505. Go to original source... Go to PubMed...
    24. Huang Y, Wang Y, Wang H, Liu Z, Yu X, Yan J, et al. Prevalence of mental disorders in China: a cross-sectional epidemiological study. Lancet Psychiatry. 2019;6(3):211-24. Go to original source... Go to PubMed...
    25. Lee S, Lee AM. Disordered eating in three communities of China: a comparative study of female high school students in Hong Kong, Shenzhen, and rural Hunan. Int J Eat Disord. 2000;27(3):317-27. Go to original source...
    26. Perez M, Ohrt TK, Hoek HW. Prevalence and treatment of eating disorders among Hispanics/Latino Americans in the United States. Curr Opin Psychiatry. 2016;29(6):378-82. Go to original source... Go to PubMed...
    27. Rodgers RF, Berry R, Franko DL. Eating disorders in ethnic minorities: an update. Curr Psychiatry Rep. 2018;20(10):90. doi: 10.1007/s11920-018-0938-3. Go to original source... Go to PubMed...
    28. Blackmer V, Searight HR, Ratwik SH. The Relationship between eating attitudes, body image and perceived family-of-origin climate among college athletes. N Am J Psychol. 2011;13(3:435-46.
    29. Wu J, Lin Z, Liu Z, He H, Bai L, Lyu J. Secular trends in the incidence of eating disorders in China from 1990 to 2017: a joinpoint and age-period-cohort analysis. Psychol Med. 2022 Apr;52(5):946-56. Go to original source... Go to PubMed...
    30. Ng S, Liu Y, Gaither S, Marsan S, Zucker N. The clash of culture and cuisine: a qualitative exploration of cultural tensions and attitudes toward food and body in Chinese young adult women. Int J Eat Disord. 2021 Feb;54(2):174-183. Go to original source... Go to PubMed...
    31. Tavolacci MP, Grigioni S, Richard L, Meyrignac G, Déchelotte P, Ladner J. Eating disorders and associated health risks among university students. J Nutr Educ Behav. 2015 Sep-Oct;47(5):412-20.e1. doi: 10.1016/j.jneb.2015.06.009. Go to original source... Go to PubMed...
    32. Darby A, Hay P, Mond J, Rodgers B, Owen C. Disordered eating behaviours and cognitions in young women with obesity: relationship with psychological status. Int J Obes (Lond). 2007;31(5):876-82. Go to original source... Go to PubMed...
    33. Harrop EN, Marlatt GA. The comorbidity of substance use disorders and eating disorders in women: Prevalence, etiology, and treatment. Addict Behav. 2010;35(5):392-8. Go to original source... Go to PubMed...
    34. Morean ME, L'Insalata A. Electronic cigarette use among individuals with a self-reported eating disorder diagnosis. Int J Eat Disord. 2018;51(1):77-81. Go to original source... Go to PubMed...
    35. Devrim A, Bilgic P, Hongu N. Is there any relationship between body image perception, eating disorders, and muscle dysmorphic disorders in male bodybuilders? Am J Mens Health. 2018;12(5):1746-58. Go to original source... Go to PubMed...
    36. de Bruin APK. Athletes with eating disorder symptomatology, a specific population with specific needs. Curr Opin Psychol. 2017 Aug;16:148-53. Go to original source... Go to PubMed...
    37. Quinn MA, Robinson S. College athletes under pressure: eating disorders among female track and field athletes. Am Econ. 2020;65(2):232-43. Go to original source...
    38. Arthur-Cameselle J, Sossin K, Quatromoni P. A qualitative analysis of factors related to eating disorder onset in female collegiate athletes and non-athletes. Eat Disord. 2017;25(3):199-215. Go to original source... Go to PubMed...

    Return to the content