This was a cross sectional descriptive study carried out among Medical and Nursing students to assess the presence of eating disorders. Data was collected using self administered ‘Sick, Control, One, Fat, Food’ (SCOFF) and ‘Eating Attitudes Test (EAT-26)’ questionnaires. It was found that 34.1% and 10.4% of the participants were at high risk to suffer from eating disorders on SCOFF and EAT-26 scales. Further, age, gender and education found to have significant association on SCOFF and EAT-26 scores (p < 0.05). Thus, the findings suggest the need for effective interventions to prevent depression and eating disorders among the future health professionals.
This is a preview of subscription content, access via your institution.
Buy single article
Instant access to the full article PDF.
Tax calculation will be finalised during checkout.
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
Tax calculation will be finalised during checkout.
Adderley-Kelly, B. (2007). The prevalence of overweight and obesity among undergraduate health sciences students. The ABNF Journal, 18(2), 46–50.
Andy, E., Oyedele, E. A., Gimba, S. M., Goshit, J. D., Gaji, L. D., & Dashen, N. (2015). Prevalence of overweight and obesity among undergraduate nursing students in Nigeria. International Journal of Nursing and Health Science, 2(5), 56–59.
APA. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American Psychiatric Association.
Argyrides, M., & Kkeli, N. (2015). Predictive factors of disordered eating and body image satisfaction in cyprus. International Journal of Eating Disorders, 48(4), 431–435.
Balhara, Y. P. S., Mathur, S., & Kataria, D. K. (2012). Body shape and eating attitudes among female nursing students in India. East Asian Archives of Psychiatry, 22(2), 70.
Berger, U., Wick, K., Holling, H., Schlack, R., Bormann, B., Brix, C., et al. (2011). Screening of disordered eating in 12-year-old girls and boys: psychometric analysis of the German versions of SCOFF and EAT-26. Psychotherapie, Psychosomatik, Medizinische Psychologie, 61(7), 311–318.
Blow, J., & Cooper, T. V. (2014). Predictors of body dissatisfaction in a Hispanic college student sample. Eating Behaviours, 15(1), 1–4.
Celik, S., Ugur, B. A., Aykurt, F. A., & Bektas, M. (2015). Eating attitudes and related factors in Turkish nursing students. Nursing and Midwifery Studies, 4(2), e25479.
Chandra, P. S., Abbas, S., & Palmer, R. (2012). Are eating disorders a significant clinical issue in urban India? A survey among psychiatrists in Bangalore. International Journal of Eating Disorders, 45(3), 443–446.
Cheng, R. (2010). Challenges and goals in addressing the global rise in eating disorders. Retrieved June 22, 2016, from http://www.princeton.edu/~pphr/Rui_Cheng_10.pdf.
Cheung, P. C., Ip, P. L., Lam, S. T., & Bibby, H. (2007). A study on body weight perception and weight control behaviours among adolescents in Hong Kong. Hong Kong Medical Journal, 13(1), 16–21.
Crow, S. J., Peterson, C. B., Swanson, S. A., Raymond, N. C., Specker, S., Eckert, E. D., & Mitchell, J. E. (2009). Increased mortality in bulimia nervosa and other eating disorders. The American Journal of Psychiatry, 166(12), 1342–1346.
Dahlin, M., Joneborg, N., & Runeson, B. (2005). Stress and depression among medical students: A cross-sectional study. Medical Education, 39(6), 594–604.
Deshmukh, P. R., Gupta, S. S., Bharambe, M. S., Dongre, A. R., Maliye, C., & Kaur, S., et al. (2006). Nutritional status of adolescents in Rural Wardha. Indian Journal of Pediatrics, 73(2), 139–141.
Dixit, S., Agarwal, G., Singh, J., Kant, S., & Singh, N. (2011). A study on consciousness of adolescent girls about their body image. Indian Journal Community Medicine, 36(3), 197–202.
Ekern, J. (2014). Eating disorders: Causes, symptoms, signs & treatment help. Retrieved June 23, 2016, from http://www.eatingdisorderhope.com/information/eating-disorder.
Filaire, E., Rouveix, M., Christelle, P., & Claude, F. (2007). Eating attitudes, perfectionism and body-esteem of elite male judoists and cyclists. Journal of Sports Science and Medicine, 6(1), 50–57.
Gamit, S. S., Moitra, M., & Verma, M. R. (2015). Prevalence of obesity and overweight in schoolgoing adolescents of Surat city, Gujarat, India. International Journal of Medical Science and Public Health, 4(1), 42–47.
Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The eating attitudes test: Psychometric features and clinical correlates. Psychological Medicine, 12(4), 871–878.
Goncalves Jde, A., Moreira, E. A., Trindade, E. B., & Fiates, G. M. (2013). Eating disorders in childhood and adolescence. The Revista Paulista de Pediatria, 31(1), 96–103.
Goyal, R. K., Shah, V. N., Saboo, B. D., Phatak, S. R., Shah, N. N., & Gohel, M. C., et al. (2010). Prevalence of overweight and obesity in Indian adolescent school going children: Its relationship with socioeconomic status and associated lifestyle factors. The Journal of Association of Physicians India, 58, 151–158.
Hill, L. S., Reid, F., Morgan, J. F., & Lacey, J. H. (2010). SCOFF, the development of an eating disorder screening questionnaire. International Journal of Eating Disorders, 43(4), 344–351.
Kar, A., & Bhattacharyya, S. (2016). Study on the relation between depression and anxiety with eating disorder in students, politicians and businessmen of a suburb region of Kolkata, India. IJHSR, 6(2), 315–322.
Latha, K. S., Hegde, S., Bhat, S. M., Sharma, P. S. V. N., & Rai, P. (2006). Body image, self-esteem and depression in female adolescent college students. Journal of Indian Association for Child and Adolescent Mental Health, 2(3), 78–84.
Lazarevich, I., Irigoyen-Camacho, M. E., & Mdel, V.-A., C (2013). Obesity, eating behaviour and mental health among university students in Mexico City. Nutricion Hospitalaria, 28(6), 1892–1899.
Liao, Y., Liu, T., Cheng, Y., Wang, J., Deng, Y., Hao, W., et al. (2013). Changes in eating attitudes, eating disorders and body weight in Chinese medical university students. International Journal of Social Psychiatry, 59(6), 578–585.
Mak, K.-K., & Lai, C.-M. (2012). Assessment of dietary restraint: Psychometric properties of the revised restraint scale in Hong Kong adolescents. International Journal of Behavioral Medicine, 19(2), 199–207.
Makino, M., Tsuboi, K., & Dennerstein, L. (2004). Prevalence of eating disorders: A comparison of Western and non-Western countries. MedGenMed, 6(3), 49.
Memon, A. A., Adil, S. E. R., Siddiqui, E. U., Naeem, S. S., Ali, S. A., & Mehmood, K. (2012). Eating disorders in medical students of Karachi, Pakistan-a cross-sectional study. BMC Research Notes, 5, 84.
Morgan, J. F., Reid, F., & Lacey, J. H. (1999). The SCOFF questionnaire: assessment of a new screening tool for eating disorders. BMJ, 319(7223), 1467–1468.
Ohara, K., Kato, Y., Mase, T., Kouda, K., Miyawaki, C., Fujita, Y., et al. (2014). Eating behavior and perception of body shape in Japanese university students. Eating and Weight Disorders, 19(4), 461–468.
Ojala, K., Vereecken, C., Välimaa, R., Currie, C., Villberg, J., Tynjälä, J., & Kannas, L. (2007). Attempts to lose weight among overweight and non-overweight adolescents: A cross-national survey. International Journal of Behavioral Nutrition and Physical Activity, 14(4), 50.
Oruclular, Y., & Bariskin, E. (2015). Autonomous-related self, eating attitude and body satisfaction in young females. Eat Weight Disorder, 20(3), 337–343.
Palma-Coca, O., Hernández-Serrato, M. I., Villalobos-Hernández, A., Unikel- Santoncini, C., Olaiz-Fernández, G., & Bojorquez-Chapela, I. (2011). Association of socioeconomic status, problem behaviors, and disordered eating in Mexican adolescents: Results of the Mexican National Health and Nutrition Survey 2006. Journal of Adolescent Health, 49(4), 400–406.
Prasad, V. R., Bazroy, J., & Singh, Z. (2016). Prevalence of overweight and obesity among adolescent students in Pondicherry, South India. International Journal of Nutrition, Pharmacology, Neurological Diseases, 6, 72–75.
Prasad, V. R., Kanimozhy, K., Venkatachalam, J., Madhanraj, K., & Singh, Z. (2015). Body shape dissatisfaction and overweight noesis among polytechnic college students in Puducherry: A cross sectional study. The International Journal of Indian Psychȯlogy, 2, 45–52.
Prisco, A. P. K., de Araújo, T. M., de Almeida, M. M. G., & Santos, K. O. B. (2013). Prevalência de transtornos alimentares em trabalhadores urbanos de município do Nordeste do Brasil. Ciência & Saúde Coletiva, 18, 1109–1118.
Priya, D., Prasanna, K. S., Sucharitha, S., & Vaz, N. C. (2010). Body image perception and attempts to change weight among female medical students at Mangalore. Indian Journal of Community Medicine, 35(2), 316–320.
Quick, V. M., Byrd-Bredbenner, C., & Neumark-Sztainer, D. (2013). Chronic illness and disordered eating: A discussion of the literature. Advances in Nutrition, 4(3), 277–286.
Ramaiah, R. R. (2015). Eating disorders among medical students of a rural teaching hospital: A cross-sectional study. International Journal of Community Medicine and Public Health, 2(1), 25–28.
RaoAroor, A., Santhosh, T. S., Oommen, R. A., & Raj, B. (2016). Assessment of nutritional status and screening for eating disorders among female adolescents. IJSR, 5(5), 183–185.
Ruuska, J., Koivisto, A.-M., Rantanen, P., & Kaltiala-Heino, R. (2007). Psychosocial functioning needs attention in adolescent eating disorders. Nordic Journal of Psychiatry, 61(6), 452–458.
Sadhasivam, M., Anarajan, B., Selvakumar, J., & Kauserbanu, K. (2015). Prevalence of overweight and obesity: A study among first year engineering students in Tamilnadu. IJHSR, 5(10), 114–117.
Sajwani, R. A., Shoukat, S., Raza, R., & Kadir, M. (2009). Knowledge and practice of healthy lifestyle and dietary habits in medical and non-medical students of Karachi, Pakistan. Journal of Pakistan Medical Association, 59(9), 650–659.
Sánchez-Armass, O., Drumond-Andrade, F. C., Wiley, A. R., Raffaelli, M., & Aradillas-García, C. (2012). Evaluation of the psychometric performance of the SCOFF questionnaire in a Mexican young adult sample. Salud Pública de México, 54, 375–382.
Shah, H. D., Shaikh, W. A., & Singh, S. K. (2012). Are Indian adolescents girls students more conscious about their body image than their collegue boys? National Journal of Community Medicine, 3(2), 344.
Shaikh, M. A., & Kayani, A. (2014). Detection of eating disorders in 16–20 year old female students—perspective from Islamabad, Pakistan. Journal of Pakistan Medical Association, 64(3), 334–336.
Silva, J. D., de Jesus Silva, A. B., de Oliveira, A. V. K., & de Aguiar, & Nemer, AS (2012). Influência do estado nutricional no risco para transtornos alimentares em estudantes de nutrição. Cien Saude Colet, 17(12), 3399–3406.
Singh, K. (2007). Anorexia rising at an alarming rate. Retrieved June 22, 2016, from http://timesofindia.indiatimes.com/city/delhi/Anorexia-rising-at-an-alarming-rate/articleshow/2215626.cms.
Singh Mannat, M., Parsekar, S. S., & Bhumika, T. V. (2016). Body image, eating disorders and role of media among Indian adolescents. Journal of Indian Association for Child & Adolescent Mental Health, 12(1), 9–35.
Sirang, Z., Bashir, H. H., Bilal, J., Khan, S. H., Hussain, S. A., & Baig, A., et al. (2013). Weight patterns and perceptions among female university students of Karachi: a cross sectional study. BMC Public Health, 13(1), 1.
Spitzer, R. L., Kroenke, K., & Williams, J. B. (1999). Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary care evaluation of mental disorders. Patient Health Questionnaire. JAMA, 282(18), 1737–1744.
Striegel-Moore, R. H., Rosselli, F., Perrin, N., DeBar, L., Wilson, G. T., May, A., & Kraemer, H. C. (2009). Gender difference in the prevalence of eating disorder symptoms. The International journal of eating disorders, 42(5), 471–474.
Sunitha, S., & Gururaj, G. (2014). Health behaviours & problems among young people in India: Cause for concern & call for action. Indian Journal of Medical Research, 140, 185–208.
Swanson, S. A., Crow, S. J., Le Grange, D., Swendsen, J., & Merikangas, K. R. (2011). Prevalence and correlates of eating disorders in adolescents. Results from the national comorbidity survey replication adolescent supplement. Archieves of General Psychiatry, 68(7), 714–723.
Tish Davidson, A. M. (2008). Eating disorders. In J. L. Longe (Ed.), The Gale Encyclopedia of Diets: A Guide to Health and Nutrition (pp. 329–333). Detroit: Gale.
Tremblay, L., & Limbos, M. (2009). Body image disturbance and psychopathology in children: Research evidence and implications for prevention and treatment. Current Psychiatry Reviews, 5(1), 62–72.
Upadhyah, A., Misra, R., Parchwani, D., & Maheria (2014). Prevalence and riskfactors for eating disorders in Indian adolescent females. National Journal of Physiology, Pharmacy and Pharmacology, 4, 143–147.
Vetri Selvan, T., Lalitha, D., Hiremath, C. H., & Ghattargi, J. B. (2015). A cross sectional study on eating disorders among college students in Bagalkot city. Medica Innovatica, 4(1), 1–8.
WHO. (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet, 363(9403), 157–163.
Yost, J., Krainovich-Miller, B., & Budin, W., & Norman, R. (2010). Assessing weight perception accuracy to promote weight loss among U.S. female adolescents: A secondary analysis. BMC Public Health, 9(10), 465.
Zerbe, K. J. (2007). Eating disorders in the 21st century: Identification, management, and prevention in obstetrics and gynecology. Best practice & research. Clinical Obstetrics & Gynaecology, 21(2), 331–343.
Zhao, G., Ford, E. S., Dhingra, S., Li, C., Strine, T. W., & Mokdad, A. H. (2009). Depression and anxiety among US adults: associations with body mass index. International Journal of Obesity, 33(2), 257–266.
Researchers heart fully thank the participants for their valuable contribution.
About this article
Cite this article
Vijayalakshmi, P., Thimmaiah, R., Gandhi, S. et al. Eating Attitudes, Weight Control Behaviors, Body Image Satisfaction and Depression Level Among Indian Medical and Nursing Undergraduate Students. Community Ment Health J 54, 1266–1273 (2018). https://doi.org/10.1007/s10597-018-0333-x
- Eating disorders
- Health science students
- Medical students
- Nursing students
- Weight perception