Comparison of Factors Associated with Disordered Eating between Male and Female Malaysian University Students

Chin, Yit Siew; Appukutty, Mahenderan; Kagawa, Masaharu; Gan, Wan Ying; Wong, Jyh Eiin; Poh, Bee Koon; Shariff, Zalilah Mohd; Taib, Mohd Nasir Mohd

doi:10.3390/nu12020318

Cited by 26 publications

(35 citation statements)

References 45 publications

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“…The present results also indicated that no significant difference was found between women and men in terms of DEA, in opposite to previous studies [ 57 , 58 ] that showed that men had higher levels of DEA compared to women. These findings suggest that DEA could have a similar burden in both genders.…”

Section: Discussioncontrasting

confidence: 99%

Orthorexia nervosa and disordered eating attitudes among Lebanese adults: Assessing psychometric proprieties of the ORTO-R in a population-based sample

2021

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Background Previous research demonstrated a relationship between ON and disordered eating symptoms (eating concern, restraint, cognitive preoccupations about body shape and weight) and disordered eating attitudes (DEA). Since screening for orthorexia nervosa is now part of clinical practice, the measurement instruments to be used must be clinically significant, reliable, valid and sensitive to our target population. The main objective of the present study was to confirm the factor structure of the Arabic version of the ORTO-R using a first sample of Lebanese adults and confirm those results on another sample. The secondary objective was to assess sex differences in terms of ON and DEA, as well as to examine whether symptoms of ON were related to DEA in Lebanese adults. Methods A total of 783 Lebanese adults was selected to participate in this cross-sectional study (January-May 2018) using a proportionate random sample from all Lebanese governorates. Results The mean age of the total sample was 27.78 ± 11.60 years (Min. 18 –Max. 84) (33.5% females) and their mean BMI was 24.36 ± 5.31 kg/m2. All items of the ORTO-R were extracted during the factor analysis and yielded a two-factor solution with Eigenvalues > 1 (variance explained = 50.07%; KMO = 0.570; Bartlett’s sphericity test p<0.001; αCronbach = 0.755). This factor structure was confirmed by a confirmatory factor analysis; the Maximum Likelihood Chi-Square = 26.894 and Degrees of Freedom = 8, which gave a χ2/df = 3.36. The Tucker Lewis Index (TLI) value was 0.914, whereas the standardized root mean square residual (SRMR) value was 0.032. The root mean square error of approximation (RMSEA) value was 0.077 [95% CI 0.046–0.111] (pclose = 0.07) and comparative fit index (CFI) value was 0.967 respectively, indicating a good fit of the model. There was also no measurement invariance between genders. Female gender was significantly associated with lower ORTO-R scores (more orthorexia nervosa) compared to males (B = -0.65; p = 0.026, 95% CI -1.22- -0.08; ɳ2 = 0.006). However, no significant difference was found between genders in terms of EAT-26 scores (B = 0.23; p = 0.813, 95% CI -1.66–2.12; ɳ2 = 0.0001). Higher ORTO-R scores (lower/ less pathological ON tendencies and behaviors) were significantly related to higher EAT-26 total scores (higher levels of DEA) as well as higher dieting, bulimia and oral control scores in both females (from a weak to a moderate positive correlation) and males (a weak positive correlation). Conclusion This cross-sectional population-based study confirmed the factor structure of the Arabic version of the ORTO-R, demonstrated an association between ON and DEA and revealed more ON among females compared to males.

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Section: Discussioncontrasting

confidence: 99%

Orthorexia nervosa and disordered eating attitudes among Lebanese adults: Assessing psychometric proprieties of the ORTO-R in a population-based sample

2021

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“…Of the 34 articles found, 27 studies [29][30][31][32][33][34][35][36][37][38][39][40][41][44][45][46][47][48]51,52,[55][56][57][58][59][60][61] were conducted in single nations, and 7 were 42,43,49,50,53,54,63 multinational studies. Most of the studies assessed depression, anxiety, and stress.…”

Section: Resultsmentioning

confidence: 99%

“…42,44,47 Disordered eating was correlated with PTSD in one study, 48 and with depression in other studies. 49,58,60 Internet addiction/pathological use was identified as a predictor for depression 51 and eating disorder. 49 On the contrary, high scores of anxiety and depression predicted problematic Internet use.…”

Section: Determinants Of Mental Health and Psychiatric Comorbiditiesmentioning

confidence: 99%

Mental Health of University Students in Southeastern Asia: A Systematic Review

Dessauvagie

Dang

Nguyen

et al. 2021

Asia Pac J Public Health

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Mental health in young people is a public health challenge worldwide, with around one-fifth of university students suffering from a 12-month mental disorder. In low- and middle-income countries (LMICs) of Southeastern Asia, resources for mental health are limited and counseling services are not regularly established at universities. This review aims to determine the prevalence of mental health problems among university students in 6 ASEAN (Association of Southeast Asian Nations) countries (Cambodia, Laos, Malaysia, Myanmar, Thailand, and Vietnam) and to identify the determinants of mental health. A systematic database search (PubMed, CINAHL, PsycINFO, PubPsych, and Scopus) for peer-reviewed, English language articles, published 2010-2020, reporting prevalence data based on standardized screening instruments resulted in 335 articles; 108 were eligible for full-text analysis, of which 34 could be included in the review. Median point prevalence was 29.4% for depression, 42.4% for anxiety, 16.4% for stress, and 13.9% for disordered eating. Current suicidality was present in 7% to 8% of students. There was a high rate of psychiatric comorbidity. Despite the high prevalence of mental health problems, the willingness to seek professional help was comparatively low. Implications for mental health promotion and prevention in university settings are discussed.

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“…In summary, previous studies have revealed that disordered eating is determined by individual factors such as weight and body shape concerns [ 60 , 61 ]; emotional distress [ 28 , 29 , 62 ]; by interpersonal factors, such as family influences [ 32 , 33 ]; by peer relationships and negative responses from close ones [ 23 , 49 , 50 ]; and by macro-level environmental factors such as media and societal expectations [ 32 ]. This study adopted a multifaceted factor approach to examine gender-specific responses to multifaceted factors associated with disordered eating, including personal, behavioral, family, and school-related characteristics [ 23 , 49 , 50 ].…”

Section: Introductionmentioning

confidence: 99%

Gender-specific responses to multifaceted factors associated with disordered eating among adolescents of 7th to 9th grade

2022

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Background The prevalence of disordered eating is increasing among adolescents in Asia. The prevalence and predictors of disordered eating in boys have often gone unrecognized. This study examined gender-specific responses to multifaceted factors associated with disordered eating, including personal, behavioral, family, and school-related characteristics. Methods After excluding responses with incomplete information, a sample of 729 adolescents (48.97% boys) between the ages of 13 and 16 were surveyed through convenience sampling from 37 classrooms in three junior high schools in New Taipei City of Taiwan were analyzed. The Eating Attitudes Test-26 questionnaire was used to identify disordered eating. Results No difference in the prevalence of disordered eating between the genders was found. Adolescent girls exhibit a preoccupation with fatness and a desire to be thinner, whereas boys are more likely to engage in extreme dieting behaviors such as vomiting, keeping the stomach empty, and avoiding sweets. Girls engaging in disordered eating reported relatively high levels of interpersonal stress involving family member weight-teasing, low peer acceptance, and high peer pressure to control weight. High intensity of regular exercise was found in girls with disordered eating. The perception of body weight is a more critical factor of engaging in disordered eating for boys than girls. Adolescents with immigrant parents were associated with disordered eating among both genders. Conclusions Changing gender-specific weight-related norms in schools and families is essential to reduce the prevalence of disordered eating, particularly among girls. Future studies using representative samples to confirm this study’s findings are warranted.

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Comparison of Factors Associated with Disordered Eating between Male and Female Malaysian University Students

Cited by 26 publications

References 45 publications

Orthorexia nervosa and disordered eating attitudes among Lebanese adults: Assessing psychometric proprieties of the ORTO-R in a population-based sample

Orthorexia nervosa and disordered eating attitudes among Lebanese adults: Assessing psychometric proprieties of the ORTO-R in a population-based sample

Mental Health of University Students in Southeastern Asia: A Systematic Review

Gender-specific responses to multifaceted factors associated with disordered eating among adolescents of 7th to 9th grade

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