Abstract
Objective: The definitions of eating problems vary widely as they integrate cognitive, behavioural and physiological components to different degrees. The aim of this study was to show how much these differences affect the prevalence of eating problems in an adolescent population. Method: All of the 9131 adolescents in a Norwegian county participated in a health study, 8042 (88.1%) of whom gave valid responses to a questionnaire covering various aspects of eating problems, and had their weight and height measured. Results: The prevalence of eating problems ranged from 0.3 to 47.0% depending on the definitions used. The various definitions also gave different gender ratios, although the prevalences increased with age in females only. Conclusions: The various definitions of eating problems had a low degree of correlation and led to quite variable prevalences. All of them showed that the prevalence of eating problems was higher in females, but their prevalence in males was also considerable.
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Austin S.B.: Prevention research in eating disorders: theory and new directions. Psychol. Med., 30, 1249–1262, 2000.
Garner D.M., Garfinkel P.E.: The Eating Attitude Test: An index of the symptoms of anorexia nervosa. Psychol. Med., 12, 273–279, 1979.
Garner D.M., Olmsted M.P., Bohr Y., Garfinkel P.E.: The Eating Attitude Test: Psychometric features and clinical correlates. Psychol. Med., 12, 871–878, 1982.
Wells J.E., Coope P.A., Gabb D.C., Pears R.K.: The factor structure of the Eating Attitude Test with adolescent schoolgirls. Psychol. Med., 15, 141–146, 1985.
Johnson-Sabine E., Wood K.Y., Patton G., Mann A., Wakeling A.: Abnormal eating attitudes in London schoolgirls — a prospective epidemiological study: factors associated with abnormal response on screening questionnaires. Psychol. Med., 18, 615–622, 1988.
Buddeberg-Fischer B., Bernet R., Sieber M., Schnid J., Buddeberg C.: Epidemiology of eating behaviour and weight distribution in 14- to 19-year-old Swiss students. Acta Psychiatr. Scand., 93, 296–304, 1996.
Pastore D.R., Fisher M., Friedman S.B.: Abnormalities in weight status, eating attitudes and eating behaviors among urban high school students. J. Adolesc. Health, 18, 312–319, 1996.
Button E.J., Loan P., Davies J., Sonuga- Barke E.J.S.: Self esteem, eating problems and psychological well-being in a cohort of schoolgirls aged 15-16: A questionnaire and interview study. Int. J. Eat. Disord., 21, 39–47, 1997.
Lavik N.J., Clausen S.E., Pedersen W.: Eating behaviour, drug use, psychopathology and parental bonding in adolescents in Norway. Acta Psychiatr. Scand. 84, 387–390, 1991.
Wichstrøm L.: Social, psychological and physical correlates of eating problems. A study of the general adolescent population in Norway. Psychol. Med., 25, 567–579, 1995.
French S.A., Perry C.L., Leon G.R., Fulkerson J.A.: Food preference, eating patterns and physical activity among adolescents: Correlates of eating disorders symptoms. J. Adolesc. Health 15, 286–294, 1994.
Morande G., Celada J., Casas J.: Prevalence of eating disorders in Spanish school-age population. J. Adolesc. Health, 24, 212–219, 1999.
Heatherton T.F., Nichols P., Mahamedi F., Keel P.: Body weight, dieting and eating disorder symptoms among college students, 1982 to 1992. Am. J. Psychiatry, 152, 1623–1629, 1995.
Patton G.C., Selzer R., Coffey C., Carlin J.B., Wolfe R.: Onset of adolescent eating disorders: population based cohort study over 3 years. Br. Med. J., 318, 765–768, 1999.
Devaud C., Jeannin A., Narring F., Ferron C., Michaud P.A.: Eating disorders among female adolescents in Switzerland: Prevalence and associations with mental and behavioral disorders. Int. J. Eat. Disord., 24, 207–216, 1998.
Fung K.P., Lee J., Lau S.P., Chow O.K.W., Wong T.W., Davis D.P.: Properties and clinical implications of body mass indices. Arch. Dis. Child., 65, 516–519, 1990.
Must A., Dallal G.E., Dietz W.H.: Reference data for obesity: 85th and 95th percentiles of body mass index (wt/ht2) and triceps skinfold thickness. Am. J. Clin. Nutr., 53, 839–846, 1991.
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Björnelv, S., Mykletun, A. & Dahl, A.A. The influence of definitions on the prevalence of eating problems in an adolescent population. Eat Weight Disord 7, 284–292 (2002). https://doi.org/10.1007/BF03324974
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DOI: https://doi.org/10.1007/BF03324974