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Drive for muscularity and disordered eating behaviors and its relationship with anthropometric indicators and physical activity in Mexican adolescent men

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Abstract

Purpose

Adolescent men have been identified as a risk population to develop eating disorders and other psychopathologies as drive for muscularity (DM) recently considered as muscularity-oriented disordered eating. It is important to identify risk factors as precursors of these pathologies. The aim of this study was to determine the risk of developing disordered eating behaviors (DEB) and DM and its relationship with anthropometric indicators and physical activity (PA) in adolescent men (high-school students, age 15–19) from Hidalgo, Mexico.

Methods

A cross sectional, descriptive, and correlational field study was carried out in a non-probabilistic sample of 267 Mexican adolescents aged 15–19 years. Participants completed measures of DM, DEB, and PA. Each subject was weighted and heighted to calculate body mass index (BMI), body fat percentage, and fat-free mass index (FFMI).

Results

Adolescents in the DM risk category (OR 8.28, CI 2.71–25.22) had significantly greater odds of developing DEB, while adolescents with higher BMI scores (OR 1.28, CI 1.14–1.45) tended to be more likely of developing DEB. The results showed that DEB and moderate PA were associated with DM; adolescents who engaged in DEB had an 8.64 times (CI 3.05–24.52) higher risk of developing DM. Participants classified in the category of highest moderate PA (OR 2.66, CI 1.26–5.59) had significantly greater odds of developing DM.

Conclusion

Important percentages of the risk of developing DEB and DM were determined in Mexican adolescent men. In agreement with other findings, there were no associations between anthropometric indicators and DM.

Level of evidence

V, descriptive cross-sectional study.

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References

  1. Hudson JI, Hiripi E, Pope HG, Kessler RC (2007) The prevalence and correlates of eating disorders in the National Comorbidity Survey replication. Biol Psychiatry 61:349–358

    Article  Google Scholar 

  2. Sepulveda AR, Carrobles JA, Gandarillas AM (2008) Gender, school and academic year differences among Spanish university students at high-risk for developing an eating disorder: an epidemiologic study. BMC Public Health 8:102. https://doi.org/10.1186/1471-2458-8-102

    Article  PubMed  PubMed Central  Google Scholar 

  3. Gutierrez JP, Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernandez S, Franco A, Cuevas-Nasu L et al (2012) Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales. Instituto Nacional de Salud Pública, México

    Google Scholar 

  4. Olaiz-Fernández G, Rivera-Donmarco J, Shamah-Levy T et al (2006) Encuesta Nacional de Salud y Nutrición 2006. Instituto Nacional de Salud Pública, Cuernavaca

    Google Scholar 

  5. Ricciardelli LA, McCabe MP (2004) A biopsychosocial model of disordered eating and the pursuit of muscularity in adolescent boys. Psychol Bull 130:179–186. https://doi.org/10.1037/0033-2909.130.2.179

    Article  PubMed  Google Scholar 

  6. Rikani AA, Choudhry Z, Choudhry MA et al (2013) A critique of the literature on etiology of eating disorders. Ann Neurosci 20:157–161

    Article  PubMed  PubMed Central  Google Scholar 

  7. Goncalves J, Moreira E, Trindade E, Fiates G (2013) Eating disorders in childhood and adolescence. Rev Paul Pediatr 31:96–103

    Article  Google Scholar 

  8. Unikel-Santoncini C, Gómez-Peresmitré G (2004) Validez de constructo de un instrumento para la detección de factores de riesgo en los trastornos de la conducta alimentaria en mujeres mexicanas. Salud Mental 27:38–49

    Google Scholar 

  9. American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (5th edn) (DSM-5®). American Psychiatric Publishing, Washington

    Book  Google Scholar 

  10. Pamies-Aubalat L, Marcos YQ, Castaño MB (2011) Conductas alimentarias de riesgo en una muestra de 2142 adolescentes. Medicina Clínica 136:139–143. https://doi.org/10.1016/j.medcli.2010.05.023

    Article  PubMed  Google Scholar 

  11. Nuño-Gutiérrez BL, Celis-de la Rosa A, Unikel-Santoncini C (2009) Prevalencia y factores asociados a las conductas alimentarias de riesgo en adolescentes escolares de Guadalajara según sexo. Rev Invest Clin 61:286–293

    PubMed  Google Scholar 

  12. Saucedo-Molina TJ, Unikel-Santocini C (2010) Conductas alimentarias de riesgo, interiorización del ideal estético de delgadez e índice de masa corporal en estudiantes hidalguenses de preparatoria y licenciatura de una institución privada. Salud Mental 33:11–19

    Google Scholar 

  13. Martínez MBA, Lamotte BV, Unikel-Santoncini C (2011) Continuo de conductas alimentarias de riesgo en adolescentes de México. Rev Panam Salud Pública 30:401–407

    Article  Google Scholar 

  14. Chávez-Hernández IM, Saucedo-Molina TJ, Peña-Irecta A, Unikel-Santoncini C (2015) Eating disorders associated risk factors: trends from 2007–2010. Rev Invest Clin 67:54–63

    PubMed  Google Scholar 

  15. Villarreal CM (2015) Evaluación de un programa de prevención de factores de riesgo asociados a Dismorfia Muscular en estudiantes de una preparatoria pública de Pachuca, Hidalgo. Tesis de Maestría en Ciencias Biomédicas y de la Salud, Universidad Autónoma de Hidalgo

  16. Unikel-Santoncini C, León-Vázquez CD, Rivera-Márquez JA (2016) Conductas alimentarias de riesgo y correlatos psicosociales en estudiantes universitarios de primer ingreso con sobrepeso y obesidad. Salud Mental 39:141–148

    Article  Google Scholar 

  17. León-Vázquez CD, Rivera-Márquez JA, Bojorquez-Chapela L, Unikel-Santoncini C (2017) Variables associated with disordered eating behaviors among freshman students from Mexico City. Salud Pública de México 59:258–265. https://doi.org/10.21149/8000

    Article  PubMed  Google Scholar 

  18. Karazsia BT, Murnen SK, Tylka TL (2017) Is body dissatisfaction changing across time? A cross-temporal meta-analysis. Psychol Bull 143(3):29–320. https://doi.org/10.1037/bul0000081

    Article  Google Scholar 

  19. Barrientos MN, Escoto PM, Bosques LE, Enriquez JI, Juárez C (2014) Interiorization of aesthetic ideals and corporal concern in male and female gym users. Mex J Eat Disord 5:29–38. https://doi.org/10.1016/S2007-1523(14)70374-X

    Article  Google Scholar 

  20. Cafri G, Thompson JK, Ricciardelli L, McCabe M, Smolak L, Yesalis C (2005) Pursuit of the muscular ideal: physical and psychological consequences and putative risk factors. Clin Psychol Rev 25:215–239. https://doi.org/10.1016/j.cpr.2004.09.003

    Article  PubMed  Google Scholar 

  21. McCreary DR, Sasse DK (2000) An exploration of the drive for muscularity in adolescent boys and girls. J Am Coll Health 48:279–304. https://doi.org/10.1080/07448480009596271

    Article  Google Scholar 

  22. Pope HG, Olivardia R, Gruber A, Borowiecki J (1999) Evolving ideals of male body image as seen through action toys. Int J Eat Disord 26:65–72

    Article  PubMed  Google Scholar 

  23. Olivardia R, Pope HG, Hudson JL (2000) Muscle dysmorphia in male weightlifters: a case–control study. Am J Psychiatry 157:1291–1296. https://doi.org/10.1176/appi.ajp.157.8.1291

    Article  CAS  PubMed  Google Scholar 

  24. Strother E, Lemberg R, Stanford SC, Turberville D (2012) Eating disorders in men: underdiagnosed, undertreated, and misunderstood. Eat Disord J Treat Prev 20:346–355. https://doi.org/10.1080/10640266.2012.715512

    Article  Google Scholar 

  25. Murray SB, Griffiths S, Mond JM (2016) Evolving eating disorder psychopathology: conceptualizing muscularity-oriented disordered eating. Br J Psychiatry 208:414–415. https://doi.org/10.1192/bjp.bp.115.168427

    Article  PubMed  Google Scholar 

  26. Murray SB, Griffiths S, Mond JM, Kean J, Blashill AJ (2016) Anabolic steroid use and body image psychopathology in men: delineating between appearance-versus performance-driving motivations. Drug Alcohol Depend 165:198–202. https://doi.org/10.1016/j.drugalcdep.2016.06.008

    Article  CAS  PubMed  Google Scholar 

  27. Parent MC, Bradstreet CT (2017) Integrating self-concept into the relationship between drive for muscularity, and disordered eating and depression, among men. Psychol Men Masc 18:1–11. https://doi.org/10.1037/men0000038

    Article  Google Scholar 

  28. Lavender MJ, Brown AT, Murray BS (2017) Men, muscles, and eating disorders: an overview of traditional and muscularity-oriented disordered eating. Curr Psychiatry Rep 19:1–7. https://doi.org/10.1007/s11920-017-0787-5

    Article  Google Scholar 

  29. Compte EJ, Sepulveda AR, Torrente F (2015) A two-stage epidemiological study of eating disorders and muscle dysmorphia in male university students in Buenos Aires. Int J Eat Disord 48:1092–1101. https://doi.org/10.1002/eat.22448

    Article  PubMed  Google Scholar 

  30. Eisenberg MA, Wall M, Nuemark-Sztainer D (2012) Muscle-enhancing behaviors among adolescent girls and boys. Pediatrics 130:1019–1026. https://doi.org/10.1542/peds.2012-0095

    Article  PubMed  PubMed Central  Google Scholar 

  31. Escoto-Ponce de León MDC, Camacho-Ruiz EJ, Alvarez-Rayón GL, Díaz-Resendiz FDJ, Morales-Ramírez A (2012) Relationship between self-esteem and symptoms of muscular dysmorphism in male physicoconstructivists. Mex J Eat Disord 3:11–18

    Google Scholar 

  32. McCreary DM, Karvinen K, Davis C (2006) The relationship between the drive for muscularity and anthropometric measures of muscularity and adiposity. Body Image 3:145–152. https://doi.org/10.1016/j.bodyim.2006.01.006

    Article  PubMed  Google Scholar 

  33. Chittester NI, Hausenblas HA (2009) Correlates of drive for muscularity: the role of anthropometric measures and psychological factors. J Health Psychol 14:872–877. https://doi.org/10.1177/1359105309340986

    Article  PubMed  Google Scholar 

  34. Camacho Ruiz EJ, Escoto PM, Cedillo GC, Díaz CR (2010) Anthropometric correlates of muscle obsession. Mex J Eat Disord 1:125–131

    Google Scholar 

  35. Bauman AE (2004) Updating the evidence that physical activity is good for health: an epidemiological review 2000–2003. J Sci Med Sport 7:6–19. https://doi.org/10.1016/S1440-2440(04)80273-1

    Article  CAS  PubMed  Google Scholar 

  36. O’Donovan G, Blazevich AJ, Boreham C, Cooper AR, Crank H, Ekelund U et al (2010) The ABC of physical activity for health: a consensus statement from the British Association of Sport and Exercise Sciences. J Sports Sci 28:573–591. https://doi.org/10.1080/02640411003671212

    Article  PubMed  Google Scholar 

  37. Penedo FJ, Dahn JR (2005) Exercise and well-being: a review of mental and physical health benefits associated with physical activity. Curr Opin Psychiatry 18:189–193. https://doi.org/10.1097/00001504-200503000-00013

    Article  PubMed  Google Scholar 

  38. Pope HG, Gruber AJ, Choi P, Olivardia R, Phillips KA (1997) Muscle dysmorphia: an underrecognized form of body dysmorphic disorder. Psychosomatics 38:548–557. https://doi.org/10.1016/S0033-3182(97)71400-2

    Article  PubMed  Google Scholar 

  39. Waaddegaard M, Davidsen M, Kjoller M (2009) Mental and physical health and risk behaviour related to eating disorders among 16–29-year-old women. Ugeskr Laeger 171:713–717

    PubMed  Google Scholar 

  40. Bratland-Sanda S, Sundgo-Borgen J (2012) Symptoms of eating disorders, drive for muscularity and physical activity among Norwegian adolescents. Eur Eat Disord Rev 20:287–293. https://doi.org/10.1002/erv.1156

    Article  PubMed  Google Scholar 

  41. Escoto PM, Alvarez-Rayón G, Mancilla-Díaz JM, Camacho RJ, Paredes FK, Juárez LC (2013) Psychometric properties of the Drive for Muscularity Scale in Mexican males. Eat Weight Disord 18:23–28. https://doi.org/10.1007/s40519-013-0010-6

    Article  PubMed  Google Scholar 

  42. Unikel Santoncini Díaz de León VA, Rivera Márquez JAC (2017) Conductas alimentarias de riesgo y factores de riesgo asociados: desarrollo y validación de instrumentos de medición. Universidad Autónoma Metropolitana, México

    Google Scholar 

  43. Unikel-Santocini C, Bojórquez-Chapela L, Carreño-García S (2004) Validación de un cuestionario breve para medir conductas alimentarias de riesgo. Salud Pública de México 46:509–515

    Article  Google Scholar 

  44. National Center of Health Statistic 2000. CDC Grow Charts: http://www.cdc.gov/growthcharts. Accessed Sept 2016

  45. Chula de Castro JA, Lima TRd, Silva DAS (2017) Body composition estimation in children and adolescents by bioelectrical impedance analysis: a systematic review. J Bodyw Mov Ther 22:134–136. https://doi.org/10.1016/j.jbmt.2017.04.010

    Article  PubMed  Google Scholar 

  46. Lohman TG (1992) The prevalence of obesity in children in the United States. In: Lohman TG (ed) Advances in body composition assessment. Human Kinetics Publishers, Champaign, pp 79–89

    Google Scholar 

  47. Kouri E, Pope HG, Katz DL, Oliva P (1995) Fat free mass index in users and non-users of anabolic–androgenic steroids. Clin J Sports Med 5:223–228

    Article  CAS  Google Scholar 

  48. Kyle UG, Schutz Y, Dupertuis YM, Pichard C (2003) Body composition interpretation: contributions of the fat-free mass index and the body fat mass index. Nutrition 19:597–604. https://doi.org/10.1016/S0899-9007(03)00061-3

    Article  PubMed  Google Scholar 

  49. Gruber AJ, Pope HG, Borowiecki JJ, Cohane G (1999) The development of the somatomorphic matrix: a bi-axial instrument for measuring body image in men and women. In: Olds TS, Dollman J, Norton KI (eds) Kinanthropometry VI, vol 5. International Society for the Advancement of Kinanthropometry, Sydney, pp 217–231

    Google Scholar 

  50. Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE et al (2003) International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 35:1381–1395. https://doi.org/10.1249/01.MSS.0000078924.61453.FB

    Article  PubMed  Google Scholar 

  51. Medina C, Barquera S, Janssen I (2013) Validity and reliability of the International Physical Activity Questionnaire among adults in Mexico. Rev Panam de Salud Pública 34:21–28

    Google Scholar 

  52. Global recommendations on physical activity for health. WHO Geneva 2010: http://whqlibdoc.who.int/publications/2010/9789243599977_spa.pdf. Accessed July 2016

  53. Medina C, Janssen I, Campos I, Barquera S (2013) Physical inactivity prevalence and trends among Mexican adults: results from the National Health and Nutrition Survey (ENSANUT) 2006 and 2012. BMC Public Health 13:1063. https://doi.org/10.1186/1471-2458-13-1063

    Article  PubMed  PubMed Central  Google Scholar 

  54. Gordon RA (2001) Eating disorders east and west: a culture-bound syndrome unbound. In: Nasser M, Katzman M, Gordon R (eds) Eating disorders and cultures in transition. Taylor & Francis, New York, pp 1–16

    Google Scholar 

  55. Unikel C, Vázquez M, García F, Ocampo R. (2008) Risky eating behaviors, psychosocial correlates and socioeconomic status in Mexican adolescents. In: Memories conference of the Academy for Eating Disorders, Seattle, WA

  56. Davis C, Karvinen K, McCreary DR (2005) Personality correlates of a drive for muscularity in young men. Personal Individ Differ 39:349–359. https://doi.org/10.1016/j.paid.2005.01.013

    Article  Google Scholar 

  57. McCabe DR, Riccardelli L (2004) Weight and shape concerns of boys and men. In: Thompson KJ (ed) Handobook of eating disorders and obesity. Wiley, Hoboken, pp 603–634

    Google Scholar 

  58. Furnham A, Badmin N, Sneade I (2002) Body image dissatisfaction: gender differences in eating attitudes, self-esteem, and reasons for exercise. J Psychol 136:581–596. https://doi.org/10.1080/00223980209604820

    Article  PubMed  Google Scholar 

  59. Ridgeway RT, Tylka TL (2005) College men’s perceptions of ideal body composition and shape. Psychol Men Masc 6:209–220. https://doi.org/10.1037/1524-9220.6.3.209

    Article  Google Scholar 

  60. Camacho-Ruiz EJ, Escoto-Ponce de León MDC, Contreras-Landgrave G, Ibarra-Espinosa ML, García-Rodríguez J (2012) Relación entre motivación por la musculatura e indicadores antropométricos en fisicoconstructivistas. Rev Mexicana de Invest en Psicol 4:112–119

    Google Scholar 

  61. Ochner CN, Gray JA, Brickner K (2009) The development and initial validation of a new measure of male body dissatisfaction. Eat Behav 10:197–201. https://doi.org/10.1016/j.eatbeh.2009.06.002

    Article  PubMed  Google Scholar 

  62. Rodgers RF, Ganchou C, Franko DL, Chabrol H (2012) Drive for muscularity and disordered eating among French adolescent boys: a sociocultural model. Body Image 9:318–323. https://doi.org/10.1016/j.bodyim.2012.03.002

    Article  PubMed  Google Scholar 

  63. Jones DC, Crawford JK (2005) Adolescent boys and body image: weight and muscularity concerns as dual pathways to body dissatisfaction. J Youth Adolesc 34:629–636. https://doi.org/10.1007/s10964-005-8951-3

    Article  Google Scholar 

  64. Escoto Ponce de Leon MDC, Bosques-Brugada LE, Camacho Ruiz EJ, Alvarez-Rayon G, Franco Paredes K, Rodriguez Hernandez G (2017) Psychometric evaluation of the muscle appearance satisfaction scale in a Mexican male sample. Eat Weight Disord 9:9. https://doi.org/10.1007/s40519-017-0366-0

    Article  Google Scholar 

  65. McPherson KE, McCarthy P, McCreary DR et al (2010) Psychometric evaluation of the Drive for Muscularity Scale in a community-based sample of Scottish men participating in an organized sporting event. Body Image 7:368–371

    Article  PubMed  Google Scholar 

  66. Swami V, Vintila M, Tudorel O, Goian C, Barron D (2018) Factor structure and psychometric properties of a Romanian translation of the drive for muscularity scale (DMS) in university men. Body Image 25:48–55. https://doi.org/10.1016/j.bodyim.2018.02.004

    Article  PubMed  Google Scholar 

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Acknowledgements

Orquidea Galdina Arellano Pérez was a PhD student grant holder by the Consejo Nacional de Ciencia y Tecnología (CONACYT, México) as beneficiary of the scholarship program through the PhD Program of Food Science and Human Health in the Universidad Autónoma del Estado de Hidalgo (UAEH).

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Correspondence to Teresita de Jesús Saucedo-Molina.

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Arellano-Pérez, O.G., Vázquez-Cervantes, M.J., Fernández Cortés, T.L. et al. Drive for muscularity and disordered eating behaviors and its relationship with anthropometric indicators and physical activity in Mexican adolescent men. Eat Weight Disord 24, 661–670 (2019). https://doi.org/10.1007/s40519-019-00736-2

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