Nutrient intake in Spanish adolescents SCOFF high-scorers: the AVENA study

Querol, Sara Estecha; Fernández-Alvira, Juan Miguel; Graffe, María Isabel Mesana; Rebato, Esther Nova; Sánchez, Ascensión Marcos; Aznar, Luis Alberto Moreno

doi:10.1007/s40519-016-0282-8

Cited by 14 publications

(10 citation statements)

References 35 publications

(47 reference statements)

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“…This could suggest their occurrence during student lifetime. A similar value of prevalence of eating disorders was found in Germany (14–36% of adolescents) [21], in Austria (14.6–30.9% of 10–18 years old persons) [22], in France (20.5% of students) [23] and in Spain (21.4% of adolescents) [24]. So far, it is known that the eating disorders screened by questionnaires rarely become chronic.…”

Section: Discussionsupporting

confidence: 68%

Nutritional status and eating disorders among medical students from the Cluj-Napoca University centre

Brumboiu¹,

Cazacu²,

Zunquin³

et al. 2018

Medicine and Pharmacy Reports

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Background and aimsThe nutritional disorders are modifiable predisposing factors of the current leading causes of morbidity and premature mortality, such as cardiovascular diseases, diabetes and cancers. An early recognition of appropriate interventions could decrease the burden of medical costs and increase the healthy life expectancy. The aims of our study were the description of nutritional status, its associated factors, and the detection of eating disorders among Romanian medical students of the “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca.MethodsA cross-sectional study was conducted during the 2015–2016 academic year, including medical students from all study years, by an online questionnaire. The statistics, both descriptive and inferential, were calculated using EpiInfo.ResultsA total of 222 students from the University Romanian section were included, with a sex-ratio (men:women) of 0.22. The average body mass index of the medical students included was 21.3±3.3 kg/m2, for females it was 20.7±3 kg/m2 and for males 23.9±3.1 kg/m2. For the nutritional disorders such as overweight, the prevalence among males (30%) had a net predominance (p<0.001) over females (4.4%), while for underweight, it was prevalent only for female students (20.3%). Overweight was associated with low academic performance (odds ratio (OR)=7.2; 95% confidence interval (95% CI): 1–53.94), smoking (OR=2.4; 95% CI: 1–5.76) and binge drinking (OR=3; 95% CI: 1.26–7.25). Eating disorders were reported by 25.7% of the students and were significantly more prevalent in students in the second academic study cycle (47.4%; 95% CI: 34.7–60.3%) and in students with jobs (7%; 95% CI: 2.3–16.1%).ConclusionsIn this survey, two different distribution models of nutritional disorders for both genders were identified, with the predominance of overweight among men. Eating disorders were more prevalent among students in the second study cycle and those with jobs at the same time.

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Section: Discussionsupporting

confidence: 68%

Nutritional status and eating disorders among medical students from the Cluj-Napoca University centre

Brumboiu¹,

Cazacu²,

Zunquin³

et al. 2018

Medicine and Pharmacy Reports

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“…The majority of researchers focus their research on the adolescent stage at this is seen to be a period during which individuals have a higher possibility of suffering from an ED. A recent study showed that the percentage of Spanish adolescents with a SCOFF+ score indicating presence of an ED was 21.7% (28.1% in girls and 11.2% in boys) [41]. This result is similar to those produced by another study of adolescents from Spain (22.8% in 2007 [42].…”

Section: Discussionsupporting

confidence: 81%

Likelihood of suffering from an eating disorder in a sample of Spanish cyclists and triathletes

et al. 2020

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Background During recent years, there has been increasing interest in the study of eating disorders within sports practitioners, with prevalence being reported to be higher than in the general population. The aim of this study was to describe and predict eating disorders according to sex, body mass index, age and sport discipline within a sample of athletes. Methods A sample of 4037 cyclists and triathletes from across Spain was selected. Athletes self-reported demographic characteristics and completed the revised restraint scale, SCOFF questionnaire and Mediterranean diet adherence screener. To be eligible for inclusion, participants had to be over eighteen years old. Results Males were significantly less likely than females (p < 0.001; OR = 0.33), and triathletes (p < 0.01; OR = 0.76) were less likely than cyclists to suffer from an eating disorder. Possibility of suffering from an eating disorder increased with increasing body mass index (p < 0.001; OR = 1.38) and decreasing age (p < 0.001; OR = 0.97). Conclusion Findings suggest that the roles of sex, sport discipline, age and body mass index predict risk factors for eating disorders in a sample of Spanish athletes. Clinical diagnosis seems necessary to better understand the factors and mechanisms at play when Spanish athletes develop an eating disorder. Trial registration Ethics Committee of the University of Granada (N°883) data: 16/11/2015.

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“…The main characteristics of the 32 included studies are summarized in the Table. Twenty-six of the studies were cross-sectional, 4 were longitudinal, 1 was a quasi-experimental study, and 1 was a randomized clinical trial . A total of 63 181 participants (51.8% girls) aged 7 to 18 years were included in this systematic review and meta-analysis.…”

Section: Resultsmentioning

confidence: 99%

“…The remaining 8 studies did not report proportion segmented by gender. In terms of geographical regions, 16 different countries were identified, including 21 studies in Europe, 5 in Asia, 4 in North America, 1 in South America, and 1 in Africa . All the studies were conducted with participants from only 1 country.…”

Section: Resultsmentioning

confidence: 99%

Global Proportion of Disordered Eating in Children and Adolescents

et al. 2023

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ImportanceThe 5-item Sick, Control, One, Fat, Food (SCOFF) questionnaire is the most widely used screening measure for eating disorders. However, no previous systematic review and meta-analysis determined the proportion of disordered eating among children and adolescents.ObjectiveTo establish the proportion among children and adolescents of disordered eating as assessed with the SCOFF tool.Data SourcesFour databases were systematically searched (PubMed, Scopus, Web of Science, and the Cochrane Library) with date limits from January 1999 to November 2022.Study SelectionStudies were required to meet the following criteria: (1) participants: studies of community samples of children and adolescents aged 6 to 18 years and (2) outcome: disordered eating assessed by the SCOFF questionnaire. The exclusion criteria included (1) studies conducted with young people who had a diagnosis of physical or mental disorders; (2) studies that were published before 1999 because the SCOFF questionnaire was designed in that year; (3) studies in which data were collected during COVID-19 because they could introduce selection bias; (4) studies based on data from the same surveys/studies to avoid duplication; and (5) systematic reviews and/or meta-analyses and qualitative and case studies.Data Extraction and SynthesisA systematic review and meta-analysis was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guideline.Main Outcomes and MeasuresProportion of disordered eating among children and adolescents assessed with the SCOFF tool.ResultsThirty-two studies, including 63 181 participants, from 16 countries were included in this systematic review and meta-analysis. The overall proportion of children and adolescents with disordered eating was 22.36% (95% CI, 18.84%-26.09%; P &lt; .001; n = 63 181) (I2 = 98.58%). Girls were significantly more likely to report disordered eating (30.03%; 95% CI, 25.61%-34.65%; n = 27 548) than boys (16.98%; 95% CI, 13.46%-20.81%; n = 26 170) (P &lt; .001). Disordered eating became more elevated with increasing age (B, 0.03; 95% CI, 0-0.06; P = .049) and body mass index (B, 0.03; 95% CI, 0.01-0.05; P &lt; .001).Conclusions and RelevanceIn this systematic review and meta-analysis, the available evidence from 32 studies comprising large samples from 16 countries showed that 22% of children and adolescents showed disordered eating according to the SCOFF tool. Proportion of disordered eating was further elevated among girls, as well as with increasing age and body mass index. These high figures are concerning from a public health perspective and highlight the need to implement strategies for preventing eating disorders.

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Nutrient intake in Spanish adolescents SCOFF high-scorers: the AVENA study

Abstract: Adolescent girls with current possible symptoms of ED presented lower total energy intake and several micronutrients intake compared with their peers without ED.

Cited by 14 publications

References 35 publications

Nutritional status and eating disorders among medical students from the Cluj-Napoca University centre

Nutritional status and eating disorders among medical students from the Cluj-Napoca University centre

Likelihood of suffering from an eating disorder in a sample of Spanish cyclists and triathletes

Global Proportion of Disordered Eating in Children and Adolescents

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