Eating pathology in medical students in Eastern Germany: comparison with general population and a sample at the time of the German reunification

Weigel, Angelika; Hofmeister, Dirk; Pröbster, Kristin; Brähler, Elmar; Gumz, Antje

doi:10.1007/s40519-015-0237-5

Cited by 5 publications

(6 citation statements)

References 40 publications

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“…The most similar study to ours was published by Weigel et al (2016) from East Germany. The subjects were medical students and compared the situation before and after the political change.…”

Section: Discussionsupporting

confidence: 81%

“…An interesting survey was carried out among medical students in Germany (Weigel, Hofmeister, Pr€ obster, Br€ ahler & Gumz, 2016). There were 316 medical students (232 female and 84 male) from the newly formed German states who were assessed by the EDI-2 and the General Health Questionnaire-28.…”

Section: Changes In the Characteristics Of Eating Disorders Over Timementioning

confidence: 99%

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Eating disorder characteristics among Hungarian medical students: Changes between 1989 and 2011

Túry

Szabó

Dukay‐Szabó

et al. 2021

JBA

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Background and aimsThere are contradictory findings on time changes in the prevalence of eating disorders (EDs). The first epidemiological studies in Hungary were carried out in the late 1980s. The objective of the present study was to follow the changes in the prevalence of EDs in medical students after a period of 22 years.MethodsA questionnaire survey was conducted in 1989 and in 2010. The sample comprised medical students: 538 subjects (248 males and 290 females) in 1989 and 969 subjects (261 males and 708 females) in 2010. The questionnaire contained sociodemographic and anthropometric items, the Eating Behaviour Severity Scale, the General Health Questionnaire, the Anorexia Nervosa Inventory for Self-Rating, and the Eating Disorder Inventory (EDI). In the second wave, three subscales of the EDI-2 and the SCOFF questionnaire were added.ResultsCurrent and desired body mass index were significantly higher in the second study. Binge eating at least once a week was reported less frequently (2.7% vs 6.8% in males, 6.1% vs 13% in females) in 2010. The proportion of subclinical anorexia nervosa was higher among females in 2011 (2.5% vs 0.3%, P < 0.01). Among males, the proportion of counterregulatory behaviours increased significantly (from 8.9 to 14.6%).Discussion and conclusionsThe increase of the proportion of subclinical anorexia nervosa and that of male EDs may relate to the importance of the changes in the sociocultural background. Further representative studies are proposed in other countries of Central and Eastern Europe among medical students and in the general population.

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“…The most similar study to ours was published by Weigel et al (2016) from East Germany. The subjects were medical students and compared the situation before and after the political change.…”

Section: Discussionsupporting

confidence: 81%

Section: Changes In the Characteristics Of Eating Disorders Over Timementioning

confidence: 99%

Eating disorder characteristics among Hungarian medical students: Changes between 1989 and 2011

Túry

Szabó

Dukay‐Szabó

et al. 2021

JBA

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“…A total of 28 independent studies [ 24 , 65 – 91 ] (28 cross-sectional studies, 35 subgroups, i.e., multiple tools, or multiple data points) comprising 21,383 participants from 20 countries were included in the analyses. The countries were: Austria N = 2; Egypt N = 1; France N = 2; Germany N = 2; Hungary N = 4; India N = 5; Korea N = 1; Lebanon N = 4; Malaysia N = 1; Malaysia N = 1; Mexico N = 1; Morocco N = 1; Norway N = 1; Palestine N = 2; Poland N = 1; Romania N = 1; Saudi Arabia N = 2; Spain N = 1; Thailand N = 1; and United States N = 1.…”

Section: Resultsmentioning

confidence: 99%

“…This might be explained by the fact that FEDs is a global problem, and as the world's population and westernization expand, so do reports of FEDs in non-Western cultures. Consistent with this finding, Weigel et al found that medical students from the newly formed German states reported higher levels of drive for thinness and body dissatisfaction as compared to a historical sample of East German medical students, suggesting "an acculturation to Western beauty ideals" [91]. In the same line, a meta-analysis of 94 studies using the EDI by Podar and Allik found more pronounced symptoms of eating disorders in non-Western than Western participants [104].…”

Section: Events Per 100 Observationsmentioning

confidence: 87%

The prevalence of feeding and eating disorders symptomology in medical students: an updated systematic review, meta-analysis, and meta-regression

et al. 2022

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Purpose Medical students have a higher risk of developing psychological issues, such as feeding and eating disorders (FEDs). In the past few years, a major increase was observed in the number of studies on the topic. The goal of this review was to estimate the prevalence risk of FEDs and its associated risk factors in medical students. Methods Nine electronic databases were used to conduct an electronic search from the inception of the databases until 15 th September 2021. The DerSimonian–Laird technique was used to pool the estimates using random-effects meta-analysis. The prevalence of FEDs risk in medical students was the major outcome of interest. Data were analyzed globally, by country, by research measure and by culture. Sex, age, and body mass index were examined as potential confounders using meta-regression analysis. Results A random-effects meta-analysis evaluating the prevalence of FEDs in medical students ( K = 35, N = 21,383) generated a pooled prevalence rate of 17.35% (95% CI 14.15–21.10%), heterogeneity [ Q = 1528 (34), P = 0.001], τ 2 = 0.51 (95% CI 0.36–1.05), τ = 0.71 (95% CI 0.59–1.02), I 2 = 97.8%; H = 6.70 (95% CI 6.19–7.26). Age and sex were not significant predictors. Body mass index, culture and used research tool were significant confounders. Conclusion The prevalence of FEDs symptoms in medical students was estimated to be 17.35%. Future prospective studies are urgently needed to construct prevention and treatment programs to provide better outcomes for students at risk of or suffering from FEDs. Level of evidence Level I, systematic review and meta-analysis.

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“…Approximately 15% of female medical students in the United States have an eating disorder history, 6 and 31.4% of firstand second-year allied healthcare undergraduates in a Lebanese medical university had EDs. 7 These disorders are more prevalent in females because of their desire to be thin, dissatisfaction with their physical appearance, 8 and media pressure to achieve an ideal perfect body. 9 Preventive measures, such as education, screening, and the early detection of eating disorders 9,10 are needed to address future physicians' vulnerability to an ailment that could interfere with their medical judgment.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of eating disorders: A cross-sectional survey of medical students at King Abdul-Aziz University, Jeddah

Ghamri

Alahmari

Alghamdi³

et al. 2022

Pak J Med Sci

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Objectives: Eating disorders, such as anorexia nervosa and bulimia nervosa are psychiatric and public health issues that are prevalent among medical students, especially females. This study’s objective was to examine the epidemiology of eating disorders, specifically their associated risk factors, such as body mass index (BMI), gender, academic year of studies, and socio-demographic factors among medical students at King Abdul-Aziz University, Jeddah, Saudi Arabia. Methods: A cross-sectional survey of 417 medical students (138 males; 279 females) was conducted at King Abdul-Aziz University between January and April 2021. Participants were selected using a multi-stage random sampling method. The survey, which consisted of questions from the 26-item Eating Attitudes Test was distributed online using WhatsApp. Binomial logistic regression (univariate and multivariate) was used to identify the influencing factors on eating attitudes. Results: Among the 417 medical students, the prevalence of eating disorders was 32.1%. Participants’ average age was 21.65±1.51 years. The BMIs of 54.4% of the students were within normal limits; 14.6 % of them were underweight, 19.2 % were overweight, and 11.8 % were obese. Female medical students (P=0.038, OR=1.62) and pre-clinical stage (P=0.007, OR=1.77) were significantly more likely to be associated with high risk on the EAT-26. A significant association was also found between overweight and obesity in the high-risk students (P=0.016, OR=1.69), but no significant association was found between ED risk and age (OR=0.65). The multivariate logistic regression models showed the most common predictors of EDs among the medical students were female gender and being overweight or obese (OR=2.02, OR=2.10, and OR=2.69, respectively). Conclusion: Eating disorders are common among medical students. The strongest predictors of eating disorders among the study group were female gender in the pre-clinical stage and being overweight or obese. This study highlights an underrated health problem among Saudi medical students. The implementation of eating disorders preventive program during medical schools that target females may be helpful. Further research is needed to address the best preventive and treatment strategies for EDs among medical students. doi: https://doi.org/10.12669/pjms.38.6.5033 How to cite this:Ghamri RA, Alahmari AM, Alghamdi LS, Alamoudi SF, Barashid MM. Prevalence and predictors of eating disorders:A cross-sectional survey of medical students at King Abdul-Aziz University, Jeddah. Pak J Med Sci. 2022;38(6):---------. doi: https://doi.org/10.12669/pjms.38.6.5033 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Eating pathology in medical students in Eastern Germany: comparison with general population and a sample at the time of the German reunification

Cited by 5 publications

References 40 publications

Eating disorder characteristics among Hungarian medical students: Changes between 1989 and 2011

Eating disorder characteristics among Hungarian medical students: Changes between 1989 and 2011

The prevalence of feeding and eating disorders symptomology in medical students: an updated systematic review, meta-analysis, and meta-regression

Prevalence and predictors of eating disorders: A cross-sectional survey of medical students at King Abdul-Aziz University, Jeddah

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