Exploring disordered eating behaviours among adolescent girls in Islamabad, Pakistan

Main Article Content

Ramla Zaid Malik
Sumara Masood Ul Hassan
Ruqia Safdar Bajwa

Abstract

OBJECTIVE: To study the frequency of disordered eating (DE) behaviors and associated factors among Pakistani adolescent female students residing in Islamabad.


METHODS: This cross-sectional study was conducted from May 2022 to August 2022. A total of 411 adolescent females aged 13 to 18 were recruited using purposive sampling from schools and colleges in Islamabad, the capital city of Pakistan. Data was collected using the Eating Disorder Examination Questionnaire–Short Form (EDE-Q-SF) and a background characteristics sheet. Out of 411 initially recruited participants, 381 female students remained after removing incomplete questionnaires and outliers for the study. Statistical analysis was performed using SPSS (version 20), including Pearson's product-moment correlation, independent samples t-test, Chi-square tests, and one-way ANOVA to examine the relationship between disordered eating and BMI.


RESULTS: Mean age of the participants was 15.31±1.66 years. Among the 381 adolescent females, 19% reported moderate levels of DE, and 43.8% were underweight. Significant correlations were found between BMI and DE (α=0.323). Bivariate analysis indicated that the father's occupation (t=4.59), physical illness (t=3.10), mental illness (t=2.48), and daily hours spent on social media (F=7.57) significantly impacted DE scores. None of the background characteristics significantly impacted BMI scores.


CONCLUSION: Approximately one fifth of the study population reported moderate levels of DE, with 43.8% classified as underweight. Significant correlations between BMI and DE, along with the impact of various factors like parental occupation, mental illness, and social media usage, highlight the need for targeted interventions to reduce body image concerns and associated health risks in this population.

Article Details

How to Cite
Malik, Ramla Zaid, et al. “Exploring Disordered Eating Behaviours Among Adolescent Girls in Islamabad, Pakistan”. KHYBER MEDICAL UNIVERSITY JOURNAL, vol. 16, no. 2, June 2024, pp. 91-6, doi:10.35845/kmuj.2024.23315.
Section
Original Articles

References

Neale J, Hudson LD. Anorexia nervosa in adolescents. Br J Hosp Med 2020;81(6):1-8. https://doi.org/10.12968/hmed.2020.0099

Institute for Health Metrics and Evaluation Protocol for the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD). 2020. Accessed on: January 20, 2023. Available from URL: http://www.healthdata.org/gbd/about/protocol

Memon AA, Adil SE, Siddiqui EU, Naeem SS, Ali SA, Mehmood K. Eating disorders in medical students of Karachi, Pakistan-a cross-sectional study. BMC Res Notes 2012;5:84.

https://doi.org/10.1186/1756-0500-5-84

Sparti C, Santomauro D, Cruwys T, Burgess P, Harris M. Disordered eating among Australian adolescents: Prevalence, functioning, and help received. Int J Eat Disord 2019;52(3):246-54. https://doi.org/10.1002/eat.23032

Harrison AN, James Bateman CC, Younger-Coleman NO, Williams MC, Rocke KD, Clato-Day Scarlett SC, Chang SM. Disordered eating behaviours and attitudes among adolescents in a middle-income country. Eat Weight Disord 2020;25:1727-37. https://doi.org/10.1007/s40519-019-00814-5

Galmiche M, Déchelotte P, Lambert G, Tavolacci MP. Prevalence of eating disorders over the 2000–2018 period: a systematic literature review. Am J Clin Nutr 2019;109(5):1402-13. https://doi.org/10.1093/ajcn/nqy342

Nagata JM, Garber AK, Tabler JL, Murray SB, Bibbins-Domingo K. Differential risk factors for unhealthy weight control behaviors by sex and weight status among US adolescents. J Adolesc Health 2018;63(3):335-41. https://doi.org/10.1016/j.jadohealth.2018.03.022

Slater A, Tiggemann M. Body image and disordered eating in adolescent girls and boys: A test of objectification theory. Sex Roles 2010;63:42-9. https://doi.org/10.1007/s11199-010-9794-2

Dahlenburg SC, Gleaves DH, Hutchinson AD. Anorexia nervosa and perfectionism: A meta‐analysis. Int J Eat Disord 2019;52(3):219-29. https://doi.org/10.1002/eat.23009

Schaefer LM, Thompson JK. The development and validation of the physical appearance comparison scale-revised (PACS-R). Eat Behav 2014;15(2):209-17. https://doi.org/10.1016/j.eatbeh.2014.01.001

Raosoft I. Sample size calculator 2004. Accessed on: January 20-2023. Available from URL: www raosoft com/samplesize

Gideon N. The development and validation of a shortened version of the Eating Disorder Examination Questionnaire (EDE-Q) (Doctoral dissertation, UCL (University College London)). Accessed on: January 20-2023. Available from URL: https://discovery.ucl.ac.uk/id/eprint/1447567/

Jensen MD, Ryan DH, Donato KA, Apovian CM, Ard JD, Comuzzie AG, et al. Executive summary: guidelines (2013) for the management of overweight and obesity in adults. Obesity 2014;22(S2):S5-39. https://doi.org/10.1002/oby.20821

McCuen‐Wurst C, Ruggieri M, Allison KC. Disordered eating and obesity: associations between binge‐eating disorder, night‐eating syndrome, and weight‐related comorbidities. Ann N Y Acad Sci 2018;1411(1):96-105. https://doi.org/10.1111/nyas.13467

Ahadzadeh AS, Rafik-Galea S, Alavi M, Amini M. Relationship between body mass index, body image, and fear of negative evaluation: Moderating role of self-esteem. Health Psychol Open 2018;5(1):2055102918774251. https://doi.org/10.1177/2055102918774251

Fenton C, Brooks F, Spencer NH, Morgan A. Sustaining a positive body image in adolescence: an assets‐based analysis. Health Soc Care Community 2010;18(2):189-98. https://doi.org/10.1111/j.1365-2524.2009.00888.x

Schaefer LM, Burke NL, Thompson JK, Dedrick RF, Heinberg LJ, Calogero RM, Bardone-Cone AM, Higgins MK, Frederick DA, Kelly M, Anderson DA. Development and validation of the sociocultural attitudes towards appearance questionnaire-4 (SATAQ-4). Psychol Assess 2015;27(1):54. https://doi.org/10.1037/a0037917

Razmus M. Body appreciation and body‐related pride in normal‐weight and overweight/obese individuals: Does romantic relationship matter?. Perspectives in Psychiatric Care 2019;55(3):464-70. https://doi.org/10.1111/ppc.12343

Faulconbridge LF, Bechtel CF. Depression and disordered eating in the obese person. Current Obesity Reports 2014;3:127-36. https://doi.org/10.1007/s13679-013-0080-9

Goldschmidt AB, Aspen VP, Sinton MM, Tanofsky‐Kraff M, Wilfley DE. Disordered eating attitudes and behaviors in overweight youth. Obesity 2008;16(2):257-64. https://doi.org/10.1038/oby.2007.48

Read J. Exploring Disordered Eating and Chronic Illness: A journey of recovery through OSFED (Doctoral dissertation, City University of Seattle).

Gitimu PN, Jameson MM, Turel T, Pohle-Krauza R, Mincher J, Rowlands Z, et al. Appearance issues, depression, and disordered eating among college females. Cogent Psychol 2016;3(1):1196512. https://doi.org/10.1080/23311908.2016.1196512

Ong SH, Wickramaratne P, Tang M, Weissman MM. Early childhood sleep and eating problems as predictors of adolescent and adult mood and anxiety disorders. J Affect Disord 2006;96(1-2):1-8. https://doi.org/10.1016/j.jad.2006.05.025

Sanlier N, Navruz Varli S, Macit MS, Mortas H, Tatar T. Evaluation of disordered eating tendencies in young adults. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity 2017;22:623-31. https://doi.org/10.1007/s40519-017-0430-9

Waller G, Calam R. Parenting and family factors in eating problems. In: Mott AL, Lumsden BD (eds). Understanding Eating Disorders: Anorexia Nervosa, Bulimia Nervosa and Obesity. 2019. Taylor & Francis, London, UK. https://doi.org/10.4324/9781315820378. ISBN: 9781315820378

Aparicio-Martinez P, Perea-Moreno AJ, Martinez-Jimenez MP, Redel-Macías MD, Pagliari C, Vaquero-Abellan M. Social media, thin-ideal, body dissatisfaction and disordered eating attitudes: An exploratory analysis. Int J Environ Res Public Health 2019;16(21):4177. https://doi.org/10.3390/ijerph16214177

Bagchi R, Block LG. Chocolate cake please! Why do consumers indulge more when it feels more expensive? Public Policy Mark 2011;30(2):294-306. https://doi.org/10.1509/jppm.30.2.294

Similar Articles

1 > >> 

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)