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Disordered Eating and its Association with Overweight and Health-Related Quality of Life Among Adolescents in Selected High Schools of Tehran

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Abstract

This study aimed to determine the association between disordered eating and overweight and also health-related quality of life (HRQOL) among adolescents in high schools of Tehran. The participants were 465 adolescents, aged 14–17 years. After anthropometric measurements, body mass index-for-age and body weight status were determined using World Health Organization cut offs. The Eating Attitudes Test-26 (EAT-26) and Pediatric Quality of Life Inventory (PedsQL™4.0) were used to assess disordered eating and HRQOL, respectively. Disordered eating was prevalent in 18.9 % of adolescents, with higher prevalence in girls (26.4 %) compared to boys (11.8 %; χ2:16.29, p < 0.05). Disordered eating was associated with overweight in girls (χ2 = 11.07, p < 0.05), but not in boys (χ2 = 2.01, p = 0.16). Disordered eating was associated with poor HRQOL especially in psychosocial domains of HRQOL. Considering the high prevalence of disordered eating and its association with overweight and poor HRQOL, preventive interventions targeting adolescents are recommended.

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References

  1. Ackard DM (2004) Anorexia, bulimia, disordered eating, and obesity. In: Legato MJ (ed) Principles of gender-specific medicine. Elsevier Academic Press, California, pp 715–728

    Chapter  Google Scholar 

  2. American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Association, Washington, DC

    Book  Google Scholar 

  3. Fairweather-Schmidt AK, Wade TD (2014) DSM-5 eating disorders and other specified eating and feeding disorders: is there a meaningful differentiation? Int J Eat Disord 47(5):524–533

    Article  PubMed  Google Scholar 

  4. Neumark-Sztainer D, Story M, Dixon LB, Murray DM (1998) Adolescents engaging in unhealthy weight control behaviors: are they at risk for other health-compromising behaviors? Am J Public Health 88(6):952–955

    Article  PubMed Central  PubMed  Google Scholar 

  5. Brausch AM, Gutierrez PM (2009) The role of body image and disordered eating as risk factors for depression and suicidal ideation in adolescents. Suicide Life Threat Behav 39(1):58–71

    Article  PubMed  Google Scholar 

  6. Costarelli V, Antonopoulou K, Mavrovounioti C (2011) Psychosocial characteristics in relation to disordered eating attitudes in Greek adolescents. Eur Eat Disord Rev 19:322–330

    Article  PubMed  Google Scholar 

  7. Bryla KY (2003) Disordered eating among female adolescents: prevalence, risk factors, and consequences. Health Educator 35:25–29

    Google Scholar 

  8. Musaiger AO, Al-Mannai M, Tayyem R, Al-Lalla O, Ali EY, Kalam F et al (2013) Risk of disordered eating attitudes among adolescents in seven Arab countries by gender and obesity: across cultural study. Appetite 60(1):162–167

    Article  PubMed  Google Scholar 

  9. Desai MN, Miller WC, Staples B, Bravender T (2008) Risk factors associated with overweight and obesity in college students. J Am Coll Health 57(1):109–114

    Article  PubMed  Google Scholar 

  10. Yanez AM, Peix MA, Atserias N, Arnau A, Brug J (2007) Association of eating attitudes between teenage girls and their parents. Int J Soc Psychiatry 53(6):507–513

    Article  PubMed  Google Scholar 

  11. Preti A, Girolamo Gd, Vilagut G, Alonso J, Graaf Rd, Bruffaerts R 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

    Article  PubMed  Google Scholar 

  12. Jones JM, Bennett S, Olmsted MP, Lawson ML, Rodin G (2001) Disordered eating attitudes and behaviours in teenage girls: a school-based study. CMAJ 165(5):547–552

    PubMed Central  PubMed  Google Scholar 

  13. Bilali A, Galanis P, Velonakis E, Katostaras T (2010) Factors associated with abnormal eating attitudes among Greek adolescents. J Nutr Educ Behav 42(5):292–298

    Article  PubMed  Google Scholar 

  14. Toro J, Gomez-Peresmitré G, Sentis J, Vallés A, Casulà V, Castro J et al (2006) Eating disorders and body image in Spanish and Mexican female adolescents. Soc Psychiatry Psychiatr Epidemiol 41(7):556–565

    Article  PubMed  Google Scholar 

  15. Neumark-Sztainer Dianne, Wall Melanie, Larson Nicole I, Eisenberg Marla E, Loth Katie (2011) Dieting and disordered eating behaviors from adolescence to young adulthood: findings from a 10-year longitudinal study. J Am Diet Assoc 111(7):1004–1011

    Article  PubMed Central  PubMed  Google Scholar 

  16. Miller MN, Pumariega AJ (2001) Culture and eating disorders: a historical and cross-cultural review. Psychiatry 64(2):93–110

    PubMed  Google Scholar 

  17. Vander Wal JS, Gibbons JL, Grazioso Mdel P (2008) The sociocultural model of eating disorder development: application to a Guatemalan sample. Eat Behav 9(3):277–284

    Article  PubMed  Google Scholar 

  18. Tam CK, Ng CF, Yu CM, Young BW (2007) Disordered eating attitudes and behaviours among adolescents in Hong Kong: prevalence and correlates. J Paediatr Child Health 43(12):811–817

    Article  PubMed  Google Scholar 

  19. Nishizawa Y, Kida K, Nishizawa K, Hashiba S, Saito K, Mita R (2003) Perception of self-physique and eating behavior of high school students in Japan. Psychiatry Clin Neurosci 57(2):189–196

    Article  PubMed  Google Scholar 

  20. Yang SJ, Kim JM, Yoon JS (2010) Disturbed eating attitudes and behaviors in South Korean boys and girls: a school-based cross-sectional study. Yonsei Med J 51(3):302–309

    Article  PubMed Central  PubMed  Google Scholar 

  21. Nobakht M, Dezhkam M (2000) An epidemiological study of eating disorders in Iran. Int J Eat Disord 28(3):265–271

    Article  PubMed  Google Scholar 

  22. Pourghassem Gargari B, Kooshavar D, Seyed Sajadi N, Karami S, Hamed Behzad M, Shahrokhi H (2011) Disordered eating attitudes and their correlates among Iranian high school girls. Health Promot Perspect 1(1):41–49

    PubMed Central  PubMed  Google Scholar 

  23. Hosseini-Esfahani F, Mousavi Nasl Khameneh A, Mirmiran P, Ghanbarian A, Azizi F (2011) Trends in risk factors for cardiovascular disease among Iranian adolescents: the Tehran Lipid and Glucose Study, 1999–2008. J Epidemiol 21(5):319–328

    Article  PubMed Central  PubMed  Google Scholar 

  24. Kelishadi R, Ardalan G, Qorbani M, Ataie-Jafari A, Bahreynian M, Taslimi M, Motlagh ME, Heshmat R (2013) Methodology and early findings of the fourth survey of childhood and adolescence surveillance and prevention of adult non-communicable disease in Iran: the CASPIAN-IV study. Int J Prev Med 4(12):1451–1460

    PubMed Central  PubMed  Google Scholar 

  25. Neumark-Sztainer D, Flattum CF, Story M, Feldman S, Petrich CA (2008) Dietary approaches to healthy weight management for adolescents: the New Moves model. Adolesc Med State Art Rev 19(3):421–430

    PubMed Central  PubMed  Google Scholar 

  26. Neumark-Sztainer D, Wall M, Haines J, Story M, Eisenberg ME (2007) Why does dieting predict weight gain in adolescents? Findings from project EAT-II: a 5-year longitudinal study. J Am Diet Assoc 107(3):448–455

    Article  PubMed  Google Scholar 

  27. Neumark-Sztainer D, Wall M, Guo J, Story M, Haines J, Eisenberg M (2006) Obesity, disordered eating, and eating disorders in a longitudinal study of adolescents: How do dieters fare 5 years later? J Am Diet Assoc 106:559–568

    Article  PubMed  Google Scholar 

  28. Neumark-Sztainer D, Wall M, Story M, Standish AR (2012) Dieting and unhealthy weight control behaviors during adolescence: associations with 10-year changes in body mass index. J Adolesc Health 50(1):80–86

    Article  PubMed Central  PubMed  Google Scholar 

  29. Dietz WH (1998) Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics 101(3 Pt 2):518–525

    PubMed  Google Scholar 

  30. Lee YS (2009) Consequences of childhood obesity. Ann Acad Med Singapore 38(1):75–77

    PubMed  Google Scholar 

  31. World Health Organization (1948) Constitution of the World Health Organization: basic document. World Health Organization, Geneva

    Google Scholar 

  32. Solans M, Pane S, Estrada MD, Serra-Sutton V, Berra S, Herdman M, Alonso J, Rajmil L (2008) Health-related quality of life measurement in children and adolescents: a systematic review of generic and disease-specific instruments. Value Health 11(4):742–764

    Article  PubMed  Google Scholar 

  33. Lock J, Reisel B, Steiner H (2001) Associated health risks of adolescents with disordered eating: how different are they from their peers? Results from a high school survey. Child Psychiatry Hum Dev 31(3):249–265

    Article  PubMed  Google Scholar 

  34. de Onis M, Onyango WA, Borghi E, Siyam A, Nishida Ch, Sieckmann J (2007) Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ 85:660–667

    Article  PubMed Central  PubMed  Google Scholar 

  35. Varni JW, Seid M, Kurtin PS (2001) PedsQL™ 4.0: reliability and validity of the Pediatric Quality of Life Inventory TM version 4.0 generic core scales in healthy and patient populations. Med Care 39(8):800–812

    Article  PubMed  Google Scholar 

  36. Amiri P, Ardekani E, Jalali-Farahani S, Hosseinpanah F, Varni JW, Ghofranipour F et al (2010) Reliability and validity of the Iranian version of the Pediatric Quality of Life Inventory™ 4.0 Generic Core Scales in adolescents. Qual Life Res 19(10):1501–1508

    Article  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

    Article  PubMed  Google Scholar 

  38. Jalali-Farahani S, Chin YS, Amiri P, Mohd Taib MN (2014) Body mass index-for-age (BMI-for-age) and health-related quality of life (HRQOL) among high school students in Tehran. Child Care Health Dev 40(5):731–739

    Article  PubMed  Google Scholar 

  39. Baş M, Kiziltan G (2007) Relations among weight control behaviors and eating attitudes, social physique anxiety, and fruit and vegetable consumption in Turkish adolescents. Adolescence 42(165):167–178

    PubMed  Google Scholar 

  40. Mäkinen M, Puukko-Viertomies LR, Lindberg N, Siimes MA, Aalberg V (2012) Body dissatisfaction and body mass in girls and boys transitioning from early to mid-adolescence: additional role of self-esteem and eating habits. BMC Psychiatry 12:35

    Article  PubMed Central  PubMed  Google Scholar 

  41. Cohane GH, Pope HG Jr (2001) Body image in boys: a review of the literature. Int J Eat Disord 29(4):373–379

    Article  PubMed  Google Scholar 

  42. Amiri P, Ghofranipour F, Ahmadi F, Hosseinpanah F, Montazeri A, Jalali-Farahani S et al (2011) Barriers to a healthy lifestyle among obese adolescents: a qualitative study from Iran. Int J Public Health 56(2):181–189

    Article  PubMed  Google Scholar 

  43. Tozun M, Unsal A, Ayranci U, Arslan G (2010) Prevalence of disordered eating and its impact on quality of life among a group of college students in a province of west Turkey. Salud Publica Mex 52(3):190–198

    Article  PubMed  Google Scholar 

  44. Herpertz-Dahlmann B, Wille N, Hölling H, Vloet TD, Ravens-Sieberer U, BELLA study group (2008) Disordered eating behaviour and attitudes, associated psychopathology and health-related quality of life: results of the BELLA study. Eur Child Adolesc Psychiatry 17(Suppl 1):82–91

    Article  PubMed  Google Scholar 

  45. Gargari BP, Khadem-Haghighian M, Taklifi E, Hamed-Behzad M, Shahraki M (2010) Eating attitudes, self-esteem and social physique anxiety among Iranian females who participate in fitness programs. J Sports Med Phys Fitness 50(1):79–84

    PubMed  Google Scholar 

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Acknowledgments

We would like to express our appreciation to the study participants for the cooperation and the authors also wish to acknowledge Ms. Niloufar Shiva for critical editing of English grammar of the manuscript.

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Correspondence to Yit Siew Chin.

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Jalali-Farahani, S., Chin, Y.S., Mohd Nasir, M.T. et al. Disordered Eating and its Association with Overweight and Health-Related Quality of Life Among Adolescents in Selected High Schools of Tehran. Child Psychiatry Hum Dev 46, 485–492 (2015). https://doi.org/10.1007/s10578-014-0489-8

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