Food insecurity associated with elevated eating disorder symptoms, impairment, and eating disorder diagnoses in an American University student sample before and during the beginning of the <scp>COVID</scp>‐19 pandemic

Christensen, Kara A.; Forbush, Kelsie T.; Richson, Brianne N.; Thomeczek, Marianna L.; Perko, Victoria L.; Bjorlie, Kayla; Christian, Kylie; Ayres, Joseph; Wildes, Jennifer E.; Chana, Sofía Mildrum

doi:10.1002/eat.23517

Cited by 59 publications

(75 citation statements)

References 42 publications

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“…University students may have modified or stopped their paid activity [15] which could have led to food insecurity [16]. In the United States, studies showed that university students with food insecurity were more likely to screen positive for an ED [17], especially during the COVID-19 pandemic [18]. The COVID-19 pandemic has also led to anxiety and depression symptoms among university students [19,20] which are well known to be associated with ED [21,22].…”

Section: Introductionmentioning

confidence: 99%

COVID-19 Pandemic and Eating Disorders among University Students

2021

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An online cross-sectional study was conducted in May 2021 to identify factors, such as changes in food choices, lifestyle, risk and protective behavior, mental health, and social demographics, on eating disorders (ED) among students of a French university. Students were invited to fill out an online questionnaire. ED were identified using the French version of the five-item “Sick, Control, One stone, Fat, Food” (SCOFF) questionnaire. The Expali™-validated algorithmic tool, combining SCOFF and body mass index, was used to screen EDs into four diagnostic categories: bulimic ED, hyperphagic ED, restrictive ED and other ED. A total of 3508 students filled the online questionnaire, 67.3% female, mean age 20.7 years (SD = 2.3). The prevalence of ED was 51.6% in women and 31.9% in men (p < 0.0001). Lower food security scores were associated with a higher risk for all ED categories. Depression and academic stress due to COVID-19 were associated with ED regardless of category. Regarding health behaviors, a high adherence to the National nutrition recommendation was a protective factor for the risk of bulimic ED, hyperphagic ED and restrictive ED. A lower frequency of moderate and vigorous physical activity was associated with a higher risk of hyperphagic ED. Our study has shown a high screening of ED among the students of a French university fourteen months after the beginning of the COVID-19 pandemic. By disrupting academic learning, jobs and social life, the COVID-19 pandemic could have exacerbated existing ED or contributed to the onset of new ED.

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Section: Introductionmentioning

confidence: 99%

COVID-19 Pandemic and Eating Disorders among University Students

2021

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“…College students are a vulnerable group in relation to their nutritional health, owing to changes in lifestyle and the production in young students of food insecurity and changes in body weight and composition [ 10 , 20 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…Another notable change in the lives of the students will be the coexistence with other students who arrive at the university in this period 2020/21; In these cases, living without a family environment in a university environment may cause alterations in eating habits and facilitate the appearance of eating disorders. It's more, a post-pandemic experience of confinement, social distancing and the perception of the risk for their health due to COVID-19, can favor this type of pathology [ 19 , 20 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

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Eating Behavior during First-Year College Students, including Eating Disorders—RUVIC-RUNEAT-TCA Project. Protocol of an Observational Multicentric Study

Vila

Elío

Cano

2021

IJERPH

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(1) Introduction: Changes in eating behavior and eating disorders are especially common in young people, especially teenage and college women. The first year of college is a critical period, as students acquire freedoms that can lead to poor eating habits. During this first year, students usually gain weight. The aims of this project are to analyze the risk of developing eating disorders, the composition and dietary intake and the changes in the body composition of two groups of college students (independent from the family nucleus or still living within the family) in the first year of college. (2) Material and Methods: Multicentric prospective observational study protocol in which first-year students at the Universidad Europea del Atlántico and Universitat de Vic-Universitat Central de Catalunya voluntarily took part in the study. The students will be divided into two groups, independent and those residing in the family home, and the evolution of both groups will be compared at the beginning and at the end of the school year by performing anthropometric measurements, tests on lifestyle and eating habits (Test of Adherence to the Mediterranean Diet, MEDAS-14; Emotional Eater Questionnaire, EEQ), validated questionnaires on eating disorders (Eating Attitude Test, EAT26; Teen Figure Drawing Scales; SCOFF, Eating Behavior Test; Bulimia Investigatory Test Edinburgh, BITE) and their intake will be evaluated through 72 h dietary records. (3) Discussion: Determining the risk of suffering eating disorders of alimentary behavior, knowing eating consumption, perception of the corporal image and body composition through the first year of college will be decisive in establishing alimentary education strategies to prevent possible eating disorders in young students.

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“…A vulnerabilidade e a insegurança alimentar são fatores amplamente identificados entre estudantes. A escassez de recursos financeiros, excesso de atividades e gastos acadêmicos, são condições que contribuem significativamente para o desenvolvimento de diversos desequilíbrios nutricionais (Christensen et al, 2021).…”

Section: Discussionunclassified

Pandemia COVID-19: efeitos do distanciamento social no comportamento alimentar de estudantes do estado do Ceará

Freire

Cursino

Leal

et al. 2021

RSD

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A pandemia causada pela COVID-19 afetou, em escala mundial, a rotina de diversos estudantes. Para este grupo, frequentemente acometido por transtornos mentais, o distanciamento social teve maior impacto na saúde mental. A necessidade de isolamento social impossibilitou a permanência das aulas presenciais, modificando hábitos sociais e alimentares. Nesse cenário, o estresse, o sofrimento psicológico e o sono irregular, atuam como agentes modificadores do comportamento alimentar, levando à adoção de condutas lesivas à saúde, como mecanismo compensatório. No entanto, as pesquisas voltadas a esse público ainda são escassas, diante disso, este estudo tem como objetivo avaliar o comportamento alimentar de estudantes de instituições de ensino público federal, situadas no interior do estado do Ceará. Metodologia: Os participantes da pesquisa responderam um questionário online autoaplicável contendo perguntas referentes ao consumo de vegetais, frutas, leite e iogurtes no período anterior e durante a pandemia. Resultados: Os achados revelaram uma elevação da frequência e consumo de vegetais, frutas, leites e iogurtes durante o período de distanciamento social. Conclusão: Neste estudo podemos identificar uma melhoria nos hábitos alimentares dos estudantes, sendo caracterizado pela elevação da frequência e consumo de vegetais e frutas, sob a forma de saladas cruas ou cozidas, bem como o consumo de leite e iogurtes. Essa modificação do padrão alimentar pode ser resultante da maior disponibilidade de tempo para o preparo de refeições, retorno ao ambiente familiar e a utilização da alimentação como ferramenta essencial para o fortalecimento da saúde e do sistema imunológico.

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Food insecurity associated with elevated eating disorder symptoms, impairment, and eating disorder diagnoses in an American University student sample before and during the beginning of the COVID‐19 pandemic

Cited by 59 publications

References 42 publications

COVID-19 Pandemic and Eating Disorders among University Students

COVID-19 Pandemic and Eating Disorders among University Students

Eating Behavior during First-Year College Students, including Eating Disorders—RUVIC-RUNEAT-TCA Project. Protocol of an Observational Multicentric Study

Pandemia COVID-19: efeitos do distanciamento social no comportamento alimentar de estudantes do estado do Ceará

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