Risk behaviors for eating disorders and depressive symptoms: a study of female adolescents in Juiz de Fora, Minas Gerais State, Brazil

Fortes, Leonardo de Sousa; Filgueiras, Juliana Fernandes; Ferreira, Maria Elisa Caputo

doi:10.1590/0102-311x00192913

Cited by 7 publications

(7 citation statements)

References 23 publications

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“…The structural equation model only showed a direct relationship with depressive symptoms (MDI), corroborating the findings by Fortes et al 10 . This result indicates that adolescents susceptible to depressive disorder are prone to disordered eating behaviors.…”

Section: Discussionsupporting

confidence: 90%

“…In addition to sociocultural pressures, studies have shown that personal characteristics like self-esteem (individual feelings and thoughts about self-worth, competence, and adequacy, leading to a positive or negative attitude about oneself) 8 , perfectionism (demanding standards, criticism towards one's own behavior, feelings of failure, and beliefs in strict assessment by others) 9 , mood (persistent positive and negative feelings that vary in intensity and duration) 8 , and depressive symptoms (sadness, loss of the ability to feel pleasure, and cognitive, motor, and somatic alterations) 10 may also be related to disordered eating behaviors in adolescents 8,9,11 . Adolescents with low self-esteem, negative mood, depressive symptoms, or perfectionist traits can thus show increased susceptibility to disordered eating behaviors, these relations need to be tested in a multivariate analysis.…”

Section: Introductionmentioning

confidence: 99%

“…Body morphology (BMI and %F) also appears to be related to risk behaviors for eating disorders 4,10 . According to Laus et al 12 , adolescents with high BMI or high %F are more prone to disordered eating behaviors.…”

Section: Introductionmentioning

confidence: 99%

“…Despite some findings on factors associated with disordered eating behaviors in adolescents 8,10,11,13 , no scientific study has attempted to construct an etiological model of risk behaviors for eating disorders in Brazilian adolescent girls. Such research helps elucidate the factors that can trigger disordered eating behaviors.…”

Section: Introductionmentioning

confidence: 99%

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Modelo etiológico dos comportamentos de risco para os transtornos alimentares em adolescentes brasileiros do sexo feminino

et al. 2016

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Resumo: O objetivo foi construir um modelo etiológico dos comportamentos de risco para os transtornos alimentares em adolescentes brasileiros do sexo feminino. Participaram 1.358 adolescentes de quatro cidades. Foram avaliados os comportamentos de risco para os transtornos alimentares, insatisfação corporal, pressões midiáticas, autoestima, estado de humor, sintomas depressivos e perfeccionismo por intermédio de escalas psicométricas. Peso, estatura e dobras cutâneas foram aferidos para calcular o índice de massa corporal (IMC) e o percentual de gordura (%G). O modelo de equação estrutural explanou 76% da variância dos comportamento de risco (F(9, 1.351) = 74,50; p = 0,001). Os achados indicaram que a insatisfação corporal mediou a relação entre as pressões midiáticas, autoestima, estado de humor, IMC, %G e os comportamentos de risco (F(9, 1.351) = 59,89; p = 0,001). Vale destacar que embora os sintomas depressivos não tenham se relacionado com a insatisfação corporal, o modelo indicou relação direta com os comportamentos de risco para os transtornos alimentares (F(2, 1.356) = 23,98; p = 0,001). Concluiu-se que somente o perfeccionismo não aderiu ao modelo etiológico dos comportamentos de risco para os transtornos alimentares em adolescentes brasileiras.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Modelo etiológico dos comportamentos de risco para os transtornos alimentares em adolescentes brasileiros do sexo feminino

et al. 2016

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“…Conducting our study in a separate population in a communal living space may also have influenced the results. Thus, girls with some level of depression showed a greater tendency to adopt EDs as a daily habit [44].…”

Section: Discussionmentioning

confidence: 98%

Evaluation of peer effects on eating behaviors: a cluster analysis approach

Koçak¹,

Açıkel

Gülsün

et al. 2017

Psychiatry and Clinical Psychopharmacology

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Objectives: In this study, we aimed to determine the effects of socio-demographic characteristics and the peer groups on the eating attitude and body mass index (BMI) of students at a medical school in Turkey. Methods: This cross-sectional study was conducted with the participation of the students of Gulhane Military Medical Academy (GMMA). Ethical permissions of the study were obtained from the GMMA Ethics Committee. The target population of the study consisted of 703 students, 533 of whom (75.8%) agreed to participate in the study. The Eating Attitudes Test (EAT) was administered to the participants and their BMI was noted. The EAT consists of 10 questions that measure the socio-demographic characteristics of the participants and 40 questions that evaluate eating habits. In order to determine the peer groups of the students, each student was asked to provide the numbers of their three closest friends. Three peer groups were generated for each grade by applying cluster analysis and as a result 18 peer clusters were examined. Results: In this study, the average EAT score was 12.5 ± 6.9, and the mean BMI was 23.1 ± 2.4. It was found that the EAT score of 2.4% of the students was equal to or exceeding 30; 0.4% were obese; 21.0% were overweight; and 2.1% were slim. There was a significant difference between the grade level of the students and sport habits (p values respectively; p < .001, p = .015) in terms of the comparison of the EAT score to socio-demographic characteristics. In the analysis of variance between 18 clusters generated according to the cluster analysis, a statistically significant difference was found in terms of both BMI and the EAT (p values <.001, <.001, respectively). This suggests that students with similar eating habits and similar BMI levels have a tendency to cluster among similar peer groups. The variables that effect the EAT scores and BMI levels of the students were evaluated by the analysis of covariance. It was found that students' smoking status (p = .039) had a statistically significant effect on BMI after it was adjusted according to peer group and grade. Also, it was found that the grade (p = .011) and peer cluster (p = .021) had a statistically significant effect on eating habits. Conclusions: The peer groups may affect both eating attitudes and BMIs. In medical literature several studies exist that support these findings. But it is a novel approach to identify peer groups by using clustering algorithms and our study has been able to demonstrate the relationship of peer group and eating habits with this method. ARTICLE HISTORY

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Variables that explain disordered eating behaviors among women: the mediating role of body dissatisfaction

Franco-Paredes,

Díaz-Reséndiz,

Peláez-Fernández

et al. 2024

Eat Weight Disord

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Purpose To analyze the role of body dissatisfaction in the relationships of sociocultural influences, depression, and anxiety with disordered eating behaviors (DEB) in a sample of female Mexican university students. Methods A nonrandom sample of 526 female Mexican university students aged 18 to 25 years completed the Questionnaire of Influence on the Aesthetic Model of Body Shape (CIMEC-26), the Hospital Anxiety and Depression Scale (HADS), the Body Shape Questionnaire (BSQ-8D) and the Eating Attitudes Test (EAT-26). Results Through the mean model (χ2/df (5, n = 526) = 7.298, p = .199; NFI = .996; CFI = .999; RMSEA = .030; SRMR = .011), body dissatisfaction was found to mediate the relationships of influence of advertising, influence of social models and anxiety with DEB (restrictive dieting and bulimia). The variable with the most direct effect on restrictive dieting and bulimia was the influence of advertising. Body dissatisfaction partially mediated this relationship, as the influence of advertising had a significant direct effect on restrictive dieting and bulimia. The final model of direct and indirect effects explained 43% and 22% of the variance in restrictive dieting and bulimia, respectively. Conclusion The present study showed that body dissatisfaction partially mediated the relationships between influence of advertising, influence of social models, and anxiety with DEB among women. Thus, these variables should be taken into account in prevention and intervention programs targeting BED. Level V: Evidence obtained from a cross-sectional descriptive study. Level V Evidence obtained from a cross-sectional descriptive study.

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Risk behaviors for eating disorders and depressive symptoms: a study of female adolescents in Juiz de Fora, Minas Gerais State, Brazil

Cited by 7 publications

References 23 publications

Modelo etiológico dos comportamentos de risco para os transtornos alimentares em adolescentes brasileiros do sexo feminino

Modelo etiológico dos comportamentos de risco para os transtornos alimentares em adolescentes brasileiros do sexo feminino

Evaluation of peer effects on eating behaviors: a cluster analysis approach

Variables that explain disordered eating behaviors among women: the mediating role of body dissatisfaction

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