Skip to main content
Log in

Eating disorders among fashion models: a systematic review of the literature

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

Abstract

Purpose

In the light of recent concerns regarding the eating disorders among fashion models and professional regulations of fashion model occupation, an examination of the scientific evidence on this issue is necessary. The article reviews findings on the prevalence of eating disorders and body image concerns among professional fashion models.

Method

A systematic literature search was conducted using ProQUEST, EBSCO, PsycINFO, SCOPUS, and Gale Canage electronic databases.

Results

A very low number of studies conducted on fashion models and eating disorders resulted between 1980 and 2015, with seven articles included in this review. Overall, results of these studies do not indicate a higher prevalence of eating disorders among fashion models compared to non-models. Fashion models have a positive body image and generally do not report more dysfunctional eating behaviors than controls. However, fashion models are on average slightly underweight with significantly lower BMI than controls, and give higher importance to appearance and thin body shape, and thus have a higher prevalence of partial-syndrome eating disorders than controls.

Conclusion

Despite public concerns, research on eating disorders among professional fashion models is extremely scarce and results cannot be generalized to all models. The existing research fails to clarify the matter of eating disorders among fashion models and given the small number of studies, further research is needed.

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.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Crow SJ, Brandenburg B (2010) Diagnosis, assessment, and treatment planning for bulimia nervosa. In: Grillo CM, Mitchell JE (eds) The treatment of eating disorder: a clinical handbook. The Guilford Press, New York, pp 28–43

    Google Scholar 

  2. Hoek HW (2002) Distribution of eating disorders. In: Fairburn CG, Brownell KD (eds) Eating disorder and obesity. A comprehensive handbook. The Guilford Press, New York, pp 233–237

    Google Scholar 

  3. American Psychiatric Association (2006) Practice guideline for the treatment of patients with eating disorders, 3rd edition. Am J Psychiatry 163:1–54

    Article  Google Scholar 

  4. Preti A, Girolamo G, Vilagut G et al (2009) The epidemiology of eating disorders in six European countries: results of the ESEMeD-WMH project. J Psychiatr Res 43(14):1125–1132. doi:10.1016/j.jpsychires.2009.04.003

    Article  PubMed  Google Scholar 

  5. Smink F, vsn Hoeken D, Hoek H (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 

  6. Rosenvinge J, Pettersen G (2015) Epidemiology of eating disorders part II: an update with a special reference to the DSM-5. Adv Eat Disord 3(2):198–220. doi:10.1080/21662630.2014.940549

    Article  Google Scholar 

  7. Ferguson CJ, Munoz ME, Garza A, Galindo M (2012) Concurrent and prospective analyses of peer, television and social media influences on body dissatisfaction, eating disorder symptoms and life satisfaction in adolescent girls. J Youth Adolesc 43:1–14. doi:10.1007/s10964-012-9898-9

    Article  Google Scholar 

  8. Dunkley TL, Wertheim EH, Paxton SJ (2001) Examination of a model of multiple sociocultural influences on adolescent girls’ body dissatisfaction and dietary restraint. Adolescence 36(142):265–279

    CAS  PubMed  Google Scholar 

  9. Ata RN, Ludden AB, Lally MM (2007) The effects of gender and family, friend, and media influences on eating behaviors and body image during adolescence. J Youth Adolesc 36:1024–1037. doi:10.1007/s10964-006-9159-x

    Article  Google Scholar 

  10. Roberts A, Good E (2010) Media images and female body dissatisfaction: the moderating effects of the Five-Factor traits. Eat Behav 11(4):211–216. doi:10.1016/j.eatbeh.2010.04.002

    Article  PubMed  Google Scholar 

  11. Ferguson CJ (2013) In the eye of the beholder: thin ideal media affects some, but not most, viewers in a meta-analytic review of body dissatisfaction in women and men. Psychol Pop Media Cult 2(1):20–37. doi:10.1037/a0030766

    Article  Google Scholar 

  12. Grabe S, Ward LM, Hyde JS (2008) The role of the media in body image concerns among women: a meta-analysis of experimental and correlational studies. Psychol Bull 134(3):460–476. doi:10.1037/0033-2909.134.3.460

    Article  PubMed  Google Scholar 

  13. Groesz LM, Levine MP, Murnen SK (2002) The effect of experimental presentation of thin images on body satisfaction: a meta-analytic review. Int J Eat Disord 31(1):1–16. doi:10.1002/eat.10005

    Article  PubMed  Google Scholar 

  14. Holmstrom A (2004) The effects of media on body image: a meta-analysis. J Broadcast Electron Media 48(2):196–217. doi:10.1207/s15506878jobem4802_3

    Article  Google Scholar 

  15. Konijn E (2013) Negotiated media effects: peer feedback modifies effects of media’s thin-body ideal on adolescent girls. Appetite 73:172–182. doi:10.1016/j.appet.2013.10.023

    Article  PubMed  Google Scholar 

  16. Soley-Bertran P (2006) Fashion models as ideal embodiments of normative identity. Trípodos 18:23–43

    Google Scholar 

  17. Garner DM, Garfinkel PE, Schwartz D, Thompson M (1980) Cultural expectation of thinness in women. Psychol Rep 47:483–491. doi:10.2466/pr0.1980.47.2.483

    Article  CAS  PubMed  Google Scholar 

  18. Smolak L, Murnen SK, Ruble AE (2000) Female athletes and eating problems: a meta-analysis. Int J Eat Disord 27(4):371–380. doi:10.1002/(SICI)1098-108X(200005)27:4<371:AID-EAT1>3.0.CO;2-Y

    Article  CAS  PubMed  Google Scholar 

  19. Treasure JL, Wack ER, Roberts ME (2008) Models as a high-risk group: the health implications of a size zero culture. Br J Psychiatry 192:243–244. doi:10.1192/bjp.bp.107.044164

    Article  PubMed  Google Scholar 

  20. Soltis CA (2009) Dying to be a supermodel: can requiring a healthy BMI be fashionable? J Contemp Health Law Policy 26(1):49–71

    PubMed  Google Scholar 

  21. Reuters (2015) France bans super-skinny models in anorexia clampdown Reuters Apr 3

  22. Standard Ocupational: Manechin (2006). Autoritatea Nationala pentru Calificari. Retrieved from http://www.anc.edu.ro/uploads/SO/manechin.pdf

  23. Bolea M (2006) Manualul manechinului autentic: ghidul de imagine si show-bizz. Editura Candy, Iasi, Romania

    Google Scholar 

  24. Mears A (2010) Size zero high-end ethnic: cultural production and the reproduction of culture in fashion modeling. Poetics 38:21–46. doi:10.1016/j.poetic.2009.10.002

    Article  Google Scholar 

  25. Wissinger E, Entwistle J (2012) Fashioning models. Image, text and industry. Bloomsbury Publishing, London

    Google Scholar 

  26. Mears A (2011) Pricing beauty: the making of a fashion model. University of California Press, Los Angeles

    Google Scholar 

  27. Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 339:b2535. doi:10.1371/journal.pmed.1000097

    Article  PubMed  PubMed Central  Google Scholar 

  28. Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, Shekelle P, Stewart LA, PRISMA-P Group (2015) Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ 349:g7647. doi:10.1136/bmj.g7647

    Article  Google Scholar 

  29. Brenner JB, Cunningham JG (1992) Gender differences in eating attitudes, body concept, and self-esteem among models. Sex Roles 27(7):413–437. doi:10.1007/BF00289949

    Article  Google Scholar 

  30. Garner DM, Garfinkel PE (1980) Socio-cultural factors in the development of anorexia nervosa. Psychol Med 10:647–656. doi:10.1017/S0033291700054945

    Article  CAS  PubMed  Google Scholar 

  31. Preti A, Usai A, Miotto P, Petretto DR, Masala C (2008) Eating disorders among professional fashion models. Psychiatry Res 159:86–94. doi:10.1016/j.psychres.2005.07.040

    Article  PubMed  Google Scholar 

  32. Santonastaso P, Mondini S, Favaro A (2002) Are fashion models a group at risk for eating disorders and substance abuse? Psychother Psychosom 71(1):168–172. doi:10.1159/000056285

    Article  PubMed  Google Scholar 

  33. van Hanswijck de Jonge P, van Furth EF (1999) Eating disorders in models: fiction or fact? Eur Eat Disord Rev 7(4):235–238. doi:10.1002/(SICI)1099-0968(199908)7:4<235::AID-ERV297>3.0.CO;2-E

    Article  Google Scholar 

  34. Zoletić E, Duraković-Belko E (2009) Body image distortion, perfectionism and eating disorder symptoms in risk group of female ballet dancers and models and in control group of female students. Psychiatr Danub 21(3):302–309

    PubMed  Google Scholar 

  35. Swami V, Szmigielska E (2012) Body image concerns in professional fashion models: are they really an at-risk group? Psychiatry Res 207(1–2):113–117. doi:10.1016/j.psychres.2012.09.009

    Article  PubMed  Google Scholar 

  36. Garner DM, Garfinkel PE (1979) The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychol Med 9:273–279. doi:10.1017/S0033291700030762

    Article  CAS  PubMed  Google Scholar 

  37. Garner DM, Olmsted MP, Bohr Y, Garfinkel PE (1982) The eating attitudes test: psychometric features and clinical correlates. Psychol Med 12:871–878. doi:10.1017/S0033291700049163

    Article  CAS  PubMed  Google Scholar 

  38. Garner DM, Olmstead MP, Polivy J (1983) Development and validation of a multi-dimensional eating disorder inventory for anorexia nervosa and bulimia. Int J Eat Disord 2:15–34. doi:10.1002/1098-108X(198321)2:2<15::AID-EAT2260020203>3.0.CO;2-6

    Article  Google Scholar 

  39. Fairburn CG, Cooper Z (1993) The eating disorder examination. In: Fairburn CG, Wilson GT (eds) Binge eating. Nature, assessment, and treatment, 12th edn. Guilford Press, New York, pp 317–360

    Google Scholar 

  40. Bennett K, Stevens R (1997) The internal structure of the eating disorders inventory. Health Care Women Int 18:495–505. doi:10.1080/07399339709516303

    Article  CAS  PubMed  Google Scholar 

  41. American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, DSM IVTR, 4th edn, Text Revised. American Psychiatric Association, Washington, DC

  42. Wertheim EH, Paxton SJ (2011) Body image development in adolescent girls. In: Cash TF, Smolak L (eds) Body image. A handbook of science, practice, and prevention, 2nd edn. The Guilford Press, New York, pp 76–84

    Google Scholar 

  43. Stice E (1994) Review of the evidence for a sociocultural model of bulimia nervosa and an exploration of the mechanisms of action. Clin Psychol Rev 14(7):633–661. doi:10.1016/0272-7358(94)90002-7

    Article  Google Scholar 

  44. Cash TF (2011) Cognitive-behavioral perspectives on body image. In: Cash TF, Smolak L (eds) Body image. A handbook of science, practice, and prevention, 2nd edn. The Guilford Press, New York, pp 39–47

    Google Scholar 

  45. Dwyer AE (2004) Disorder or delight? towards a new account of the fashion model body. Fash Theory 8(4):405–423. doi:10.2752/136270404778051573

    Article  Google Scholar 

  46. Danielsen M (2012) Changes in body image during inpatient treatment for eating disorders predict outcome. Eat Disord 20:261–275. doi:10.1080/10640266.2012.689205

    Article  PubMed  Google Scholar 

  47. Arigo D, Schumacher L, Martin LM (2013) Upward appearance comparison and the development of eating pathology in college women. Int J Eat Disord 47(5):467–470. doi:10.1002/eat.22240

    Article  PubMed  Google Scholar 

  48. Jones DC (2001) Social comparison and body image: attractiveness comparisons to models and peers among, adolescent girls and boys. Sex Role 45:645–664. doi:10.1023/A:1014815725852

    Article  Google Scholar 

Download references

Acknowledgments

The authors received no financial support for the research, authorship, and/or publication of this article.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Violeta Enea.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants performed by any of the authors.

Informed consent

For this type of study formal consent is not required.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zancu, S.A., Enea, V. Eating disorders among fashion models: a systematic review of the literature. Eat Weight Disord 22, 395–405 (2017). https://doi.org/10.1007/s40519-016-0293-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40519-016-0293-5

Keywords

Navigation