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Factors associated with disordered eating behaviors and attitudes in older women

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The present study explored the potential factors associated with disordered eating behaviors and attitudes in older women.


Women aged 60–75 years were recruited in the community (n = 203) and completed questionnaires. The Eating Disorder Examination-Questionnaire (EDE-Q) was used to evaluate disordered eating behaviors and attitudes. The independent variables were BMI, age, importance of appearance, importance of body competence, cognitive reappraisal, and fear of age-related appearance changes. Spearman correlation analyses and zero-inflated negative binomial regression models were used to analyze the data.


BMI was positively associated with EDE-Q restraint, EDE-Q eating concern, and EDE-Q frequency of objective binge-eating episodes. Importance of appearance was positively related to EDE-Q restraint, and fear of age-related appearance changes to EDE-Q eating concern and objective binge-eating episodes. Cognitive reappraisal was negatively associated with EDE-Q eating concern and excessive exercise in bivariate associations, but the relationships disappeared in the multivariate analyses.


BMI, importance of appearance, and fear of age-related appearance changes turned out to be positively associated with eating disordered behaviors and attitudes, similarly to what can be observed in middle-aged samples. However, the role of cognitive reappraisal was unclear and should be investigated further.

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Level V: cross-sectional descriptive study.

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An internal grant was received from the University of Applied Science and Arts Western Switzerland (HES-SO) scientific committee for research in health.


I. Carrard received an internal grant to conduct this research from the University of Applied Science and Arts Western Switzerland (HES-SO) scientific committee for research in health (Grant number 65900/S-RAD16-47).

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Correspondence to Isabelle Carrard.

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Isabelle Carrard declares that she has no conflict of interest. Stéphane Rothen declares that he has no conflict of interest.

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All procedures performed in the present study 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.

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

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Carrard, I., Rothen, S. Factors associated with disordered eating behaviors and attitudes in older women. Eat Weight Disord 25, 567–575 (2020).

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