How abnormal is the desire for slimness? A survey of eating attitudes and behaviour among Chinese undergraduates in Hong Kong

Lee, Paul

doi:10.1017/s0033291700028531

Cited by 125 publications

(128 citation statements)

References 40 publications

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“…The pattern is contrary to trend data from the 1980s showing increased overweight among Chinese women Paeratakul et al, 1998;Wang et al, 2006a). Explanations for the shift may be linked to an increasing desire for slimness among Chinese women or a preference given to males when allocating household resources (Lee, 1993;Lee et al, 1996;Lee and Lee, 2000;Luo et al, 2001;Fung and Yuen, 2003). Closer examination of socioeconomic factors and dietary and activity patterns with respect to gender would further clarify the role that gender plays in nutritional status changes.…”

Section: Discussionmentioning

confidence: 59%

Under- and overnutrition dynamics in Chinese children and adults (1991–2004)

2007

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Objective: To examine trends in under-and overweight prevalence from 1991 to 2004 among adults and children in China by income and residence differentials. Methods/Subjects: Prevalence, average annual changes and annual relative changes in under-and overweight were determined. In 1991, 2848 children and 6806 adults were surveyed. The 2004 survey included 1566 children and 6172 adults. Results: Higher average annual reductions in underweight prevalence were found among children, particularly rural children, when compared with adults. With respect to income, low-income children and adults experienced the greatest average annual reductions in underweight prevalence. The trend for increased overweight was more pronounced than the trend for decreased underweight. Intensified trends were found among adults (versus children) and males (versus females). Relative to baseline prevalence, overweight increased fastest among adults in low-income and rural populations. Conclusions: Rapid increases in the overweight prevalence, particularly as found among low-income and rural Chinese adults, will likely lead to a shift in the burden of obesity-related chronic diseases toward the poor. Associated economic and health implications will further challenge the country's health care system, restrain economic development and widen existing disparities between the rural and urban as well as between the rich and poor populations of China.

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Section: Discussionmentioning

confidence: 59%

Under- and overnutrition dynamics in Chinese children and adults (1991–2004)

2007

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“…We are not aware of any published reports documenting the presence of BED in non-Western, postindustrialized societies. One study that reported the results of a two-stage screening among Chinese undergraduates in Hong Kong detected only two cases (N ¼ 646 females) of binge eating in the absence of compensatory behaviors (Lee, 1993). Likewise, we are not aware of any published research investigating the occurrence of BED in small-scale, indigenous societies.…”

Section: Prevalence Of Binge Eating and Bedmentioning

confidence: 85%

Binge eating and binge eating disorder in a small‐scale, indigenous society: The view from Fiji

Becker

Burwell

Navara³

et al. 2003

Intl J Eating Disorders

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Objective: Although the cross-cultural prevalence of anorexia and bulimia nervosa has been investigated in multiple studies, little is known about the prevalence and correlates of binge eating and binge eating disorder (BED) cross-culturally. No published studies to date have explored BED in small-scale, indigenous, or developing societies. The current study investigated the prevalence and correlates of binge eating in a community sample of Fijian women living in rural Fiji. Methods: Fifty ethnic Fijian women completed a self-report measure developed for this study on dieting and attitudes toward body shape and change, a Nadroga-language questionnaire on body image, and the Questionnaire on Eating and Weight Patterns-Revised (QEWP-R). Their height and weight were also measured. Patterns of dieting, high body mass index (BMI), and attitudes toward eating and body image were compared between women with and without a history of binge eating. Results: Ten percent of respondents reported at least weekly episodes of binge eating during the past 6 months and 4% endorsed symptoms consistent with BED. Binge eating in this sample was associated significantly with a BMI value above 35, a history of dieting, and a high concern with body shape. Binge eating was not associated with several markers of acculturation in this sample, although it was associated with a key, nontraditionally Fijian (i.e., acculturated) attitude toward the body. Discussion: Binge eating occurred in a social context with traditions concerning weight and diet widely disparate from Western populations. However, correlates of binge eating in this sample suggest that nontraditional Fijian attitudes toward weight and body shape play a contributory role. # 2003 by Wiley Periodicals, Inc. Int J Eat Disord 34: 423-431, 2003.

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“…Since then, the EAT has been widely used both in its complete and its short version (7), although, to date, few studies have been conducted to assess its psychometric properties (8)(9)(10)(11)(12)(13)(14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%

“…For the present study, we conducted a literature review to identify all EAT studies fulfilling the following criteria: a) used in a community sample, b) standardized criteria for the diagnosis of anorexia and/or bulimia were adopted, and c) the study provided data to estimate the validity coefficients. Nine studies fulfilled these criteria (8)(9)(10)(11)(12)(13)(14)(15)(16)) and all of them were conducted on samples of populations at risk for the development of eating disorders. A summary of these studies can be seen in Table 1 (except for the Eisler and Szmukler study (10) where it was possible only to estimate the positive predictive value).…”

Section: Introductionmentioning

confidence: 99%

The validity and 4-year test-retest reliability of the Brazilian version of the Eating Attitudes Test-26

Nunes

Camey

Olinto

et al. 2005

Braz J Med Biol Res

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In a cross-sectional study conducted four years ago to assess the validity of the Brazilian version of the Eating Attitudes for the identification of abnormal eating behaviors in a population of young females in Southern Brazil, 56 women presented abnormal eating behavior as indicated by the EAT-26 and the Edinburgh Bulimic Investigation Test. They were each matched for age and neighborhood to two normal controls (N = 112) and were re-assessed four years later with the two screening questionnaires plus the Composite International Diagnostic Interview (CIDI). The EAT results were then compared to diagnoses originating from the CIDI. To evaluate the temporal stability of the two screening questionnaires, a test-retest design was applied to estimate kappa coefficients for individual items. Given the prevalence of eating disorders of 6.2%, the CIDI psychiatry interview was applied to 161 women. Of these, 0.6% exhibited anorexia nervosa and 5.6%, bulimia nervosa (10 positive cases). The validity coefficients of the EAT were: 40% sensitivity, 84% specificity, and 14% positive predictive value. Cronbach's coefficient was 0.75. For each EAT item, the kappa index was not higher than 0.344 and the correlation coefficient was lower than 0.488. We conclude that the EAT-26 exhibited low validity coefficients for sensitivity and positive predictive value, and showed a poor temporal stability. It is reasonable to assume that these results were not influenced by the low prevalence of eating disorders in the community. Thus, the results cast doubts on the ability of the EAT-26 test to identify cases of abnormal eating behaviors in this population.

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How abnormal is the desire for slimness? A survey of eating attitudes and behaviour among Chinese undergraduates in Hong Kong

Cited by 125 publications

References 40 publications

Under- and overnutrition dynamics in Chinese children and adults (1991–2004)

Under- and overnutrition dynamics in Chinese children and adults (1991–2004)

Binge eating and binge eating disorder in a small‐scale, indigenous society: The view from Fiji

The validity and 4-year test-retest reliability of the Brazilian version of the Eating Attitudes Test-26

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