Skip to main content
Log in

Nutrient intake in Spanish adolescents SCOFF high-scorers: the AVENA study

  • Original Article
  • Published:
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Purpose

To evaluate whether adolescents with a positive score in a screening tool for possible eating disorders (ED) have a different diet intake in comparison with those with a negative score.

Methods

Cross-sectional study performed in 235 adolescents (37.9 % boys) from Zaragoza (Spain). Age, gender, BMI, maternal education, nutrient intake (7-day record) and screening tool for detecting ED [sick control on fat food test (SCOFF)] were assessed. ANCOVA test was used to determine nutrient intake differences (namely energy, macronutrients and micronutrients) according to the SCOFF total score (SCOFF ≥2 indicates a possible case of ED). ANCOVA test was adjusted by age, maternal education and BMI. This research was based on data from the cross-sectional multicenter Alimentación y Valoración del Estado Nutricional en Adolescentes españoles (Feeding and Assessment of Nutritional status of Spanish Adolescents) study.

Results

The proportion of adolescents with possible symptoms of ED was 21.7 %. Girls SCOFF high-scorers (SCOFF+) mean daily energy intake was significantly lower than in those SCOFF low-scorers (SCOFF−) (P < 0.001); however, in boys there was no difference. Both in girls and boys, there were no statistically significant differences according to SCOFF questionnaire for macronutrient intake, adjusted by daily energy intake. Concerning micronutrients, in girls with SCOFF+ sodium, potassium, phosphorus, iron, zinc, vitamin B2 and niacin intakes were significantly lower than in those with SCOFF−; however, in boys, there were no differences.

Conclusions

Adolescent girls with current possible symptoms of ED presented lower total energy intake and several micronutrients intake compared with their peers without ED.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Crone EA, Dahl RE (2012) Understanding adolescence as a period of social-affective engagement and goal flexibility. Nat Rev Neurosci 13:636–650. doi:10.1038/nrn3313

    Article  CAS  PubMed  Google Scholar 

  2. Moreno LA, Kersting M, de Henauw S, Gonzalez-Gross M, Sichert-Hellert W, Matthys C et al (2015) How to measure dietary intake and food habits in adolescence: the European perspective. Int J Obes (Lond) 29(Suppl 2):S66–S77

    Google Scholar 

  3. Aranceta J, Perez-Rodrigo C, Ribas L, Serra-Majem L (2003) Sociodemographic and lifestyle determinants of food patterns in Spanish children and adolescents: the enKid study. Eur J Clin Nutr 57(Suppl 1):S40–S44. doi:10.1038/sj.ejcn.1601813

    Article  PubMed  Google Scholar 

  4. Nicholls D, Viner R (2005) Eating disorders and weight problems. BMJ 330:950–953. doi:10.1136/bmj.330.7497.950

    Article  PubMed  PubMed Central  Google Scholar 

  5. Abraham S, O’Dea JA (2001) Body mass index, menarche, and perception of dieting among peripubertal adolescent females. Int J Eat Disord 29:23–28

    Article  CAS  PubMed  Google Scholar 

  6. Jones D, Crawford J (2006) The peer appearance culture during adolescence: gender and body mass variations. J Youth Adolesc 35:243–255

    Article  Google Scholar 

  7. Moreno LA, Rodríguez G, Bueno G (2010) Tratado de Nutrición. Tomo III. In: Gil A (ed) Nutrición en la adolescencia, 2nd edn. Médica Panamericana, Madrid, pp 257–282

    Google Scholar 

  8. Smink FR, van Hoeken D, Hoek HW (2012) Epidemiology of eating disorders: incidence, prevalence and mortality rates. Curr Psychiatry Rep 14:406–414. doi:10.1007/s11920-012-0282-y

    Article  PubMed  PubMed Central  Google Scholar 

  9. Yeo M, Hughes E (2011) Eating disorders—early identification in general practice. Aust Fam Physician 40:108–111

    PubMed  Google Scholar 

  10. Morgan JF, Reid F, Lacey JH (1999) The SCOFF questionnaire: assessment of a new screening tool for eating disorders. BMJ 319:1467–1468

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Zarychta K, Luszczynska A, Scholz U (2014) The association between automatic thoughts about eating, the actual-ideal weight discrepancies, and eating disorders symptoms: a longitudinal study in late adolescence. Eat Weight Disord 19:199–207. doi:10.1007/s40519-014-0099-2

    Article  PubMed  PubMed Central  Google Scholar 

  12. Tsai MR, Chang YJ, Lien PJ, Wong Y (2011) Survey on eating disorders related thoughts, behaviors and dietary intake in female junior high school students in Taiwan. Asia Pac J Clin Nutr 20:196–205

    PubMed  Google Scholar 

  13. Dunker KL, Philippi ST (2005) Differences in diet composition of Brazilian adolescent girls with positive or negative score in the Eating Attitudes Test. Eat Weight Disord 10:e70–e75

    Article  CAS  PubMed  Google Scholar 

  14. Thibault L, Roberge AG (1987) The nutritional status of subjects with anorexia nervosa. Int J Vitam Nutr Res 57:447–452

    CAS  PubMed  Google Scholar 

  15. Fernstrom MH, Weltzin TE, Neuberger S, Srinivasagam N, Kaye WH (1994) Twenty-four-hour food intake in patients with anorexia nervosa and in healthy control subjects. Biol Psychiatry 36:696–702

    Article  CAS  PubMed  Google Scholar 

  16. Gwirtsman HE, Kaye WH, Curtis SR, Lyter LM (1989) Energy intake and dietary macronutrient content in women with anorexia nervosa and volunteers. J Am Diet Assoc 89:54–57

    CAS  PubMed  Google Scholar 

  17. Misra M, Tsai P, Anderson EJ, Hubbard JL, Gallagher K, Soyka LA et al (2006) Nutrient intake in community-dwelling adolescent girls with anorexia nervosa and in healthy adolescents. Am J Clin Nutr 84:698–706

    CAS  PubMed  PubMed Central  Google Scholar 

  18. Marzola E, Nasser JA, Hashim SA, Shih PA, Kaye WH (2013) Nutritional rehabilitation in anorexia nervosa: review of the literature and implications for treatment. BMC Psychiatry 13:290. doi:10.1186/1471-244X-13-290

    Article  PubMed  PubMed Central  Google Scholar 

  19. Hadigan CM, Anderson EJ, Miller KK, Hubbard JL, Herzog DB, Klibanski A et al (2000) Assessment of macronutrient and micronutrient intake in women with anorexia nervosa. Int J Eat Disord 28:284–292

    Article  CAS  PubMed  Google Scholar 

  20. Raatz SK, Jahns L, Johnson LK, Crosby R, Mitchell JE, Crow S et al (2015) Nutritional adequacy of dietary intake in women with anorexia nervosa. Nutrients 7:3652–3665. doi:10.3390/nu7053652

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Zeeck A, Hartmann A, Sandholz A, Joos A (2006) Bulimia nervosa. Ther Umsch 63:535–538. doi:10.1024/0040-5930.63.8.535

    Article  CAS  PubMed  Google Scholar 

  22. Gonzalez-Gross M, Castillo MJ, Moreno L, Nova E, Gonzalez-Lamuno D, Perez-Llamas F et al (2003) Feeding and assessment of nutritional status of Spanish adolescents (AVENA study). Evaluation of risks and interventional proposal. I. Methodology. Nutr Hosp 18:15–28

    CAS  PubMed  Google Scholar 

  23. Moreno LA, Fleta J, Mur L, Feja C, Sarría A, Bueno M (1997) Indices of body fat distribution in Spanish children aged 4.0 to 14.9 years. J Pediatr Gastroenterol Nutr 25:175–181

    Article  CAS  PubMed  Google Scholar 

  24. Alcoriza J, De Cos AI, Gómez AM, Larrañaga J, Gargallo M, Sola D et al (1990) Propuesta de estandarización de relaciones de alimentos para la evaluación del consumo alimentario de poblaciones. Nutr Clin 11:21–29

    Google Scholar 

  25. García A (2006) Ingesta de Nutrientes: conceptos y Recomendaciones Internacionales. Revisión. Nutr Hosp 21:437–447

    Google Scholar 

  26. Centre d’Ensenyament Superior de Nutrició i Dietètica, CESNID (2003) Tablas de composición de alimentos/Taules de composició d’aliments. In: Farran A (ed) McGraw-Hill, Interamericana y Edicions de la Universitat de Barcelona, Barcelona

  27. Cabrerizo L, Gargallo M, Iglesias C, Lorenzo H, Planas M, Planco I et al (2010) Propuesta de Ingestas Dietéticas de Referencia (IDR) para la población española. In: Cuervo M, Abete I, Baladia E, Corbalán M, Manera M, Basulto J, Martínez A (eds) Ingestas Dietéticas de Referencia (IDR) para la población española. Federación Española de Sociedades, Alimentación y Dietética (FESNAD), 1ª st edn. Ediciones Universidad de Navarra, S.A. Pamplona, Navarra, pp 265–341

  28. Goldberg GR, Black AE, Jebb SA, Cole TJ, Murgatroyd PR, Coward WA et al (1991) Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording. Eur J Clin Nutr 45:569–581

    CAS  PubMed  Google Scholar 

  29. Goris AH, Westerterp KR (1999) Underreporting of habitual food intake is explained by undereating in highly motivated lean women. J Nutr 129:878–882

    CAS  PubMed  Google Scholar 

  30. Poslusna K, Ruprich J, de Vries JH, Jakubikova M, van’t Veer P (2009) Misreporting of energy and micronutrient intake estimated by food records and 24 hour recalls, control and adjustment methods in practice. Br J Nutr 101(Suppl 2):S73–S85. doi:10.1017/S0007114509990602

    Article  CAS  PubMed  Google Scholar 

  31. Black AE (2000) Critical evaluation of energy intake using the Goldberg cut-off for energy intake: basal metabolic rate. A practical guide to its calculation, use and limitations. Int J Obes Relat Metab Disord 24:1119–1130

    Article  CAS  PubMed  Google Scholar 

  32. Sanchez-Armass O, Drumond-Andrade FC, Wiley AR, Raffaelli M, Aradillas-Garcia C (2012) Evaluation of the psychometric performance of the SCOFF questionnaire in a Mexican young adult sample. Salud Publica Mex 54:375–382

    Article  PubMed  Google Scholar 

  33. Garcia-Campayo J, Sanz-Carrillo C, Ibanez JA, Lou S, Solano V, Alda M (2005) Validation of the Spanish version of the SCOFF questionnaire for the screening of eating disorders in primary care. J Psychosom Res 59:51–55. doi:10.1016/j.jpsychores.2004.06.005

    Article  PubMed  Google Scholar 

  34. Solmi F, Hatch SL, Hotopf M, Treasure J, Micali N (2015) Validation of the SCOFF questionnaire for eating disorders in a multiethnic general population sample. Int J Eat Disord 48:312–316. doi:10.1002/eat.22373

    Article  PubMed  Google Scholar 

  35. Luck AJ, Morgan JF, Reid F, O’Brien A, Brunton J, Price C et al (2012) The SCOFF questionnaire and clinical interview for eating disorders in general practice: comparative study. BMJ 325:755–756

    Article  Google Scholar 

  36. Parker SC, Lyons J, Bonner J (2005) Eating disorders in graduate students: exploring the SCOFF questionnaire as a simple screening tool. J Am Coll Health 54:103–107. doi:10.3200/JACH.54.2.103-107

    Article  PubMed  Google Scholar 

  37. Siervo M, Boschi V, Papa A, Bellini O, Falconi C (2005) Application of the SCOFF, Eating Attitude Test 26 (EAT 26) and Eating Inventory (TFEQ) Questionnaires in young women seeking diet-therapy. Eat Weight Disord 10:76–82

    Article  CAS  PubMed  Google Scholar 

  38. Jauregui I, Romero J, Montana MT, Morales MT, Vargas N, Leon P (2009) Analysis of eating attitudes in a sample of adolescents from Sevilla. Med Clin (Barc) 132:83–88. doi:10.1016/j.medcli.2008.07.001

    Article  Google Scholar 

  39. Holling H, Schlack R (2007) Eating disorders in children and adolescents. First results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50:794–799. doi:10.1007/s00103-007-0242-6

    Article  CAS  PubMed  Google Scholar 

  40. Fragkos KC, Frangos CC (2013) Assessing eating disorder risk: the pivotal role of achievement anxiety, depression and female gender in non-clinical samples. Nutrients 5:811–828. doi:10.3390/nu5030811

    Article  PubMed  PubMed Central  Google Scholar 

  41. Jung DS, Lee SY, Kim KN, Kand JH (2005) A reliability study of the Korean version of SCOFF (K-SCOFF) questionnaires. Korean J Obes 14:108–113

    Google Scholar 

  42. Memon AA, Adil SE, Siddiqui EU, Naeem SS, Ali SA, Mehmood K (2012) Eating disorders in medical students of Karachi, Pakistan—a cross-sectional study. BMC Res Notes 5:84. doi:10.1186/1756-0500-5-84

    Article  PubMed  PubMed Central  Google Scholar 

  43. Segura-Garcia C, De Fazio P, Sinopoli F, De Masi R, Brambilla F (2014) Food choice in disorders of eating behavior: correlations with the psychopathological aspects of the diseases. Compr Psychiatry 55:1203–1211. doi:10.1016/j.comppsych.2014.02.013

    Article  PubMed  Google Scholar 

  44. Jauregui Lobera I, Bolanos Rios P (2009) Choice of diet in patients with anorexia nervosa. Nutr Hosp 24:682–687

    CAS  PubMed  Google Scholar 

  45. Babio N, Canals J, Fernandez-Ballart J, Arija V (2008) Non-clinical adolescent girls at risk of eating disorder: under-reporters or restrained eaters? Nutr Hosp 23:27–34

    CAS  PubMed  Google Scholar 

  46. Livingstone MB, Robson PJ, Wallace JM (2004) Issues in dietary intake assessment of children and adolescents. Br J Nutr 92(Suppl 2):S213–S222

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The AVENA study was supported by the Spanish Ministry of Health (FIS 00/0015).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sara Estecha Querol.

Ethics declarations

Conflict of interest

The authors reported no conflicts of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material (DOCX 48 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Estecha Querol, S., Fernández Alvira, J.M., Mesana Graffe, M.I. et al. Nutrient intake in Spanish adolescents SCOFF high-scorers: the AVENA study. Eat Weight Disord 21, 589–596 (2016). https://doi.org/10.1007/s40519-016-0282-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40519-016-0282-8

Keywords

Navigation