Risk of anorexia and bulimia nervosa and its associated factors in undergraduate students
Palabras clave:
Anorexia nervosa, Bulinia nervosa, Feeding and eating disorders, UniversitiesResumen
Objective
To quantify the prevalence and related factors to the risk of anorexia and bulimia nervosa in undergraduate students at a private university in Bogotá, Colombia.
Methods
A cross-sectional study, which evaluated the frequency of food consumption, physical activity (International Physical Activity Questionnaire, short form), the risk of anorexia and bulimia nervosa (Sick, Control, One, Fat, and Food questionnaire) and demographic variables. The statistical analysis used a multivariate logistic regression model, where the outcome was the yes/no risk of anorexia or bulimia nervosa.
Results
A total of 1,545 university students participated. The average age was 19.2 years (+/-2.5), 65.7% were women, and 63.9% came from Bogotá. The risk of anorexia and bulimia nervosa was 27.6%. In the logistic regression, the risk was associated with female sex (OR 1.6 CI95% 1.2 to 2.1), daily consumption of cereals (OR 0.7 CI95% 0.6 to 0.9), daily fat consumption (OR 1.5 CI95% 1.1 to 2.1), eat light products (OR 1.8 CI95% 1.1 to 2.9), consume protein supplements (OR 0.4 CI95% 0.2 to 0.8), being in disagreement with physical activity for fun (OR 1.8 CI95% 1.1 to 3.1), and physical activity by appearance (OR 2.2 CI95% 1.6 to 2.9).
Conclusions
The prevalence of risk to anorexia and bulimia nervosa in the study sample is high. The associated factors were the consumption of cereals, fat, light products, and protein supplements. Physical activity by appearance and disagreement to do exercise by fun were associated with the risk of anorexia and bulimia nervosa. So it is recommended that universities implement awareness and education interventions to address this problem.
Citas
Spillebout A, Dechelotte P, Ladner J, Tavolacci MP. Mental health among university students with eating disorders and irritable bowel syndrome in France. Rev Epidemiol Sante Publique. 2019;67(5):295-301. https://doi.org/10.1016/j.respe.2019.04.056
Garrido-Miguel M, Torres-Costoso A, Martínez-Andrés M, Notario-Pacheco B, Díez-Fernández A, Álvarez-Bueno C, et al. The risk of eating disorders and bone health in young adults: the mediating role of body composition and fitness. Eat Weight Disord. 2019;24(6):1145-54. https://doi.org/10.1007/s40519-017-0458-x
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;47(5):412-20.e1. https://doi.org/10.1016/j.jneb.2015.06.009
Lichtenstein MB, Griffiths MD, Hemmingsen SD, Støving RK. Exercise addiction in adolescents and emerging adults: validation of a youth version of the Exercise Addiction Inventory. J Behav Addict. 2018;7(1):117-25. https://doi.org/10.1556/2006.7.2018.01
Romo L, Ladner J, Kotbagi G, Morvan Y, Saleh D, Tavolacci MP, et al. Attention-deficit hyperactivity disorder and addictions (substance and behavioral): prevalence and characteristics in a multicenter study in France. J Behav Addict. 2018;7(3):743-51. https://doi.org/10.1556/2006.7.2018.58
Kronfol Z, Khalifa B, Khoury B, Omar O, Daouk S, Witt JP, et al. Selected psychiatric problems among college students in two Arab countries: comparison with the USA. Bmc Psychiatr. 2018;18(1):147-55. https://doi.org/10.1186/s12888-018-1718-7
Wan Wahida, Wan Mohd Zohdi, Lai PSM, Abdul Hadi H. Validity and reliability of the english version of the sick, control, one stone, fat, food (SCOFF) in Malaysia. Clin Nutr ESPEN 2017;18:55-58. https://doi.org/10.1016/j.clnesp.2017.02.001
Sanchez-Armass O, Raffaelli M, Andrade F, Wiley A, Noyola A, Arguelles A, et al. Validation of the SCOFF questionnaire for screening of eating disorders among Mexican university students. Eat Weight Disord. 2017;22(1):153-60. https://doi.org/10.1007/s40519-016-0259-7
Plasencia Dueñas EA. Variabilidad de frecuencias de trastornos de la conducta alimentaria (TCA): ¿problema de población o de instrumento? Nutr Hosp. 2015;31(6):2779-81. https://doi.org/10.3305/nh.2015.31.6.8849
Vijayalakshmi P, Thimmaiah R, Reddy S, Kathyayani BV, Gandhi S, Bada S. Gender differences in body mass index, body weight perception, weight satisfaction, disordered eating and weight control strategies among Indian medical and nursing undergraduates. Invest Educ Enferm. 2017;35(3):276-84. https://doi.org/10.17533/udea.iee.v35n3a04
Ministerio de Salud (Colombia). Encuesta Nacional de Salud Mental 2015. Bogota: Ministerio; 2015.
Deossa R, Restrepo L, Velasquez J. Actitudes y comportamientos de riesgo para trastornos de la conducta alimentaria en jóvenes universitarios, Colombia. Hacia Promoc Salud. 2015;20(1):67-82. https://doi.org/10.17151/hpsal.2015.20.1.5
Kutz AM, Marsh AG, Gunderson CG, Maguen S, Masheb RM. Eating disorder screening: a systematic review and meta-analysis of diagnostic test characteristics of the SCOFF. J Gen Intern Med. 2019;35(3):885-93. https://doi.org/10.1007/s11606-019-05478-6
Herrán OF, Bermúdez JN, Zea MP. Cambios alimentarios en Colombia: resultados de dos encuestas nacionales de nutrición, 2010-2015. Salud. 2020;52(1):21-31. https://doi.org/10.18273/revsal.v52n1-2020004
International Physical Activity Questionnaire. Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ). Short and long forms. [cited: 2018 April 1]. Available from: https://sites.google.com/site/theipaq/scoring-protocol
Rodríguez Castellanos FA, Valencia SC, Gaitán Guzmán EM, González Rodríguez SA, León Díaz JD. Hábitos saludables, motivos y barreras en la realización de actividad física en estudiantes universitarios. Cuerpo, Cultura y Movimiento 2017;7(1):81-102. https://doi.org/10.15332/s2248-4418.2017.0001.05
Díaz-Muñoz GA. Caracterización de los hábitos alimentarios y nivel de actividad física en estudiantes universitarios. Revista Salud Bosque 2018;8(1):8-19. https://doi.org/10.18270/rsb.v8i1.2371
Ureña-Molina MDP, Pacheco-Milian M, Rondón-Ortega MJ. Conductas alimentarias de riesgo y su relación con la imagen corporal en estudiantes de enfermería. Rev Cienc Cuidad. 2015;12(2):57-71. https://doi.org/10.22463/17949831.509
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Derechos de autor 2022 Gustavo Alfonso Díaz Muñoz
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
