The risk of eating disorders and academic performance in adolescents: DADOS study

Adelantado‐Renau, Mireia; Beltran-Valls, María Reyes; Toledo-Bonifás, Miriam; Bou-Sospedra, Carlos; Pastor, M.ª Carmen; Moliner‐Urdiales, Diego

doi:10.20960/nh.1778

Cited by 26 publications

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“…The remaining 8 studies did not report proportion segmented by gender. In terms of geographical regions, 16 different countries were identified, including 21 studies in Europe, 5 in Asia, 4 in North America, 1 in South America, and 1 in Africa . All the studies were conducted with participants from only 1 country.…”

Section: Resultsmentioning

confidence: 99%

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Global Proportion of Disordered Eating in Children and Adolescents

et al. 2023

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ImportanceThe 5-item Sick, Control, One, Fat, Food (SCOFF) questionnaire is the most widely used screening measure for eating disorders. However, no previous systematic review and meta-analysis determined the proportion of disordered eating among children and adolescents.ObjectiveTo establish the proportion among children and adolescents of disordered eating as assessed with the SCOFF tool.Data SourcesFour databases were systematically searched (PubMed, Scopus, Web of Science, and the Cochrane Library) with date limits from January 1999 to November 2022.Study SelectionStudies were required to meet the following criteria: (1) participants: studies of community samples of children and adolescents aged 6 to 18 years and (2) outcome: disordered eating assessed by the SCOFF questionnaire. The exclusion criteria included (1) studies conducted with young people who had a diagnosis of physical or mental disorders; (2) studies that were published before 1999 because the SCOFF questionnaire was designed in that year; (3) studies in which data were collected during COVID-19 because they could introduce selection bias; (4) studies based on data from the same surveys/studies to avoid duplication; and (5) systematic reviews and/or meta-analyses and qualitative and case studies.Data Extraction and SynthesisA systematic review and meta-analysis was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guideline.Main Outcomes and MeasuresProportion of disordered eating among children and adolescents assessed with the SCOFF tool.ResultsThirty-two studies, including 63 181 participants, from 16 countries were included in this systematic review and meta-analysis. The overall proportion of children and adolescents with disordered eating was 22.36% (95% CI, 18.84%-26.09%; P &lt; .001; n = 63 181) (I2 = 98.58%). Girls were significantly more likely to report disordered eating (30.03%; 95% CI, 25.61%-34.65%; n = 27 548) than boys (16.98%; 95% CI, 13.46%-20.81%; n = 26 170) (P &lt; .001). Disordered eating became more elevated with increasing age (B, 0.03; 95% CI, 0-0.06; P = .049) and body mass index (B, 0.03; 95% CI, 0.01-0.05; P &lt; .001).Conclusions and RelevanceIn this systematic review and meta-analysis, the available evidence from 32 studies comprising large samples from 16 countries showed that 22% of children and adolescents showed disordered eating according to the SCOFF tool. Proportion of disordered eating was further elevated among girls, as well as with increasing age and body mass index. These high figures are concerning from a public health perspective and highlight the need to implement strategies for preventing eating disorders.

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Section: Resultsmentioning

confidence: 99%

“…All studies were deemed to be at low risk of bias, presenting scores ranging between 0 and 2 points (with the exception of the study by Hicks et al, which presented 3 points). The main sources of bias were associated with the representativeness of the analyzed sample . A summary of the risk of bias scoring is shown in eTable 3 in Supplement 1.…”

Section: Resultsmentioning

confidence: 99%

Global Proportion of Disordered Eating in Children and Adolescents

et al. 2023

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“…Additionally, some authors suggest that academic performance of adolescents may be influenced by eating disorders ( Adelantado-Renau et al., 2018 ; Weider et al., 2014 ). Thus, this situation may be aggravated during their university studies, a period characterized by irregular eating habits, increased stress and insufficient sleep, as it was found in our study.…”

Section: Discussionmentioning

confidence: 99%

Influence of eating habits and alcohol consumption on the academic performance among a university population in the community of Madrid: A pilot study

López-Moreno

Garcés-Rimón

Miguel

et al. 2021

Heliyon

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…To our knowledge, the relationship between health literacy and symptoms for eating disorders among adolescents has not been explored yet. However, previous research has shown that adolescents with high academic achievement are without risk for eating disorders [43], while cognitive deficits predict the risk of eating [44]. Additionally, better school achievement predicts higher level of health literacy [45].…”

Section: Discussionmentioning

confidence: 96%

What Role Does Body Image in Relationship between Level of Health Literacy and Symptoms of Eating Disorders in Adolescents?

Boberová

Husárová

2021

IJERPH

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(1) Background: The aim of this study was to explore the associations between health literacy and symptoms for eating disorders among adolescents, taking into consideration age and gender and whether this association is mediated by body image. (2) Methods: We used data on 5054 adolescents (mean age = 13.9, 51.7% boys) from the Health Behaviour in School-Aged Children study conducted in 2018 in Slovakia. We used logistic regression models to examine associations between level of health literacy and symptoms for eating disorders mediated by body image. (3) Results: Adolescents with low and medium levels of health literacy had a higher occurrence of reporting two or more symptoms of eating disorders (odds ratio (OR)/95% CI: 2.25/1.78–2.84 and 1.37/1.15–1.65). Adjustment for body image reduced the significance of association between low level of health literacy and symptoms for eating disorders by 26.4%, and association between medium level of health literacy and symptoms for eating disorders by 29.7%. (4) Conclusions: Adolescents who have a low health literacy level were found to have a higher probability of having symptoms for eating disorders, especially when they perceive themselves as fat. The study refers to potential theoretical frameworks for health literacy intervention that may provide guidelines for the intervention design and materials.

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The risk of eating disorders and academic performance in adolescents: DADOS study

Abstract: Introducción: la nutrición parenteral (NP) en la infancia es un tratamiento cuyas características son muy variables en función de la edad y la patología que presente el paciente.

Cited by 26 publications

References 0 publications

Global Proportion of Disordered Eating in Children and Adolescents

Global Proportion of Disordered Eating in Children and Adolescents

Influence of eating habits and alcohol consumption on the academic performance among a university population in the community of Madrid: A pilot study

What Role Does Body Image in Relationship between Level of Health Literacy and Symptoms of Eating Disorders in Adolescents?

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