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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 12/2005

01.12.2005 | Original Paper

Eating disorders

Prevalence and risk profile among secondary school students

verfasst von: Dr. Agustín Tomás Vega Alonso, MD, MPH, PhD, María Ángeles Rasillo Rodríguez, José Eugenio Lozano Alonso, Gloria Rodríguez Carretero, Manuel Franco Martín

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 12/2005

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Abstract

Background

Eating disorders (EDs) are an important public health problem in developed countries. Despite the amount of epidemiological studies and causal theories, there is a great disparity of estimates and many questions remain still unclear. The aim of this study was to estimate the prevalence of the population at risk of developing EDs and describe the risk profiles among adolescents and young people.

Methods

A transversal design using a two-stage cluster sample of secondary education students aged between 12 and 18 years was used. The survey consisted of a socio-demographic questionnaire along with the Eating Attitudes Test (EAT)-40 index and was carried out between May and June 1999.

Results

Results showed that 7.8% of the secondary school population had a high risk of developing eating disorders (EAT-40 higher than 30). Females presented a higher percentage [12.3%; 95% confidence limits (CL) 10.4–14.3%] than males (3.2%; 95% CL 2.1–4.2%) at the highest risk levels. A decreasing risk gradient was observed with age.

Conclusions

The estimates show an important difference between the risk in females and in males and suggests that the risk is incremented above all in the last few years of infancy and the first years of adolescence, when these boys and girls are more vulnerable to socio-cultural influences and do not yet have defined image and “behaviour models”.
Literatur
1.
Zurück zum Zitat Organización Panamericana de la Salud (1995) Clasificación estadística internacional de enfermedades y problemas relacionados con la salud—10a revisión. OPS, Washington DC Organización Panamericana de la Salud (1995) Clasificación estadística internacional de enfermedades y problemas relacionados con la salud—10a revisión. OPS, Washington DC
2.
Zurück zum Zitat Cotrufo P, Barretta V, Monteleone P, Maj M (1998) Full-syndrome, partial-syndrome and subclinical eating disorders: an epidemiological study of female students in Southern Italy. Acta Psychiatr Scand 98:112–115PubMed Cotrufo P, Barretta V, Monteleone P, Maj M (1998) Full-syndrome, partial-syndrome and subclinical eating disorders: an epidemiological study of female students in Southern Italy. Acta Psychiatr Scand 98:112–115PubMed
3.
Zurück zum Zitat Steinhausen HC, Winkler C, Meier M (1997) Eating disorders in adolescence in a Swiss epidemiological study. Int J Eat Disord 22:147–151CrossRefPubMed Steinhausen HC, Winkler C, Meier M (1997) Eating disorders in adolescence in a Swiss epidemiological study. Int J Eat Disord 22:147–151CrossRefPubMed
4.
Zurück zum Zitat Morandé G, Celada J, Casas JJ (1999) Prevalence of eating disorders in a Spanish school-age population. J Adolesc Health 24:212–219PubMed Morandé G, Celada J, Casas JJ (1999) Prevalence of eating disorders in a Spanish school-age population. J Adolesc Health 24:212–219PubMed
5.
Zurück zum Zitat Pérez-Gaspar M, Gual P, Irala-Estévez J, Martínez González MA (2000) Prevelencia de trastornos de la conducta alimentaria en las adolescentes navarras. Med Clin (Barc) 114:481–486 Pérez-Gaspar M, Gual P, Irala-Estévez J, Martínez González MA (2000) Prevelencia de trastornos de la conducta alimentaria en las adolescentes navarras. Med Clin (Barc) 114:481–486
6.
Zurück zum Zitat Ruiz-Lázaro PM (1998) Prevalencia de trastornos de la conducta alimentaria en España [carta]. An Esp Pediatr 49:435–436PubMed Ruiz-Lázaro PM (1998) Prevalencia de trastornos de la conducta alimentaria en España [carta]. An Esp Pediatr 49:435–436PubMed
7.
Zurück zum Zitat Garfinkel PE, Garner DM (1982) Anorexia nervosa: a multidimensional perspective. Brunner/Mazel, New York Garfinkel PE, Garner DM (1982) Anorexia nervosa: a multidimensional perspective. Brunner/Mazel, New York
8.
Zurück zum Zitat Vandereycken W, Meerman R (1984) Anorexia nervosa: a clinician's guide to treatement. De Gruyter, Berlin Vandereycken W, Meerman R (1984) Anorexia nervosa: a clinician's guide to treatement. De Gruyter, Berlin
9.
Zurück zum Zitat Toro J, Castro J, García M, Pérez P, Cuesta L (1989) Eating attitudes, sociodemografic factors and body shape evaluation in adolescence. Br J Med Psychol 62:61–70PubMed Toro J, Castro J, García M, Pérez P, Cuesta L (1989) Eating attitudes, sociodemografic factors and body shape evaluation in adolescence. Br J Med Psychol 62:61–70PubMed
10.
Zurück zum Zitat Evaluación psicométrica en los trastornos de la alimentación (1998) In: Fernández Aranda F, Turón Gil V (eds) Trastornos de la alimentación. Guía básica de tratamiento en anorexia y bulimia. Masson, Barcelona Evaluación psicométrica en los trastornos de la alimentación (1998) In: Fernández Aranda F, Turón Gil V (eds) Trastornos de la alimentación. Guía básica de tratamiento en anorexia y bulimia. Masson, Barcelona
11.
Zurück zum Zitat Garner DM, Garfinkel PE (1979) The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychol Med 9:273–279PubMedCrossRef Garner DM, Garfinkel PE (1979) The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychol Med 9:273–279PubMedCrossRef
12.
Zurück zum Zitat Castro J, Toro J, Salamero M, Guimera E (1991) The Eating Attitudes Test: validation of the Spanish version. Eval Psicol 2:175–190 Castro J, Toro J, Salamero M, Guimera E (1991) The Eating Attitudes Test: validation of the Spanish version. Eval Psicol 2:175–190
13.
Zurück zum Zitat Särndal C-E, Swensson B, Wretman J (1992) Model assisted survey sampling. Springer, Berlin Heidelberg New York Särndal C-E, Swensson B, Wretman J (1992) Model assisted survey sampling. Springer, Berlin Heidelberg New York
14.
Zurück zum Zitat Garrow JS (1981) Treat obesity seriously. Churchill Livingstone, Edinburgh Garrow JS (1981) Treat obesity seriously. Churchill Livingstone, Edinburgh
15.
Zurück zum Zitat SAS Institute Inc. (1989) SAS/STAT® user's guide, version 6, vol 2, 4th edn. SAS Institute Inc., Cary, NC SAS Institute Inc. (1989) SAS/STAT® user's guide, version 6, vol 2, 4th edn. SAS Institute Inc., Cary, NC
16.
Zurück zum Zitat Hosmer DW, Lemeshow S (1989) Applied logistic regression. Wiley, New York Hosmer DW, Lemeshow S (1989) Applied logistic regression. Wiley, New York
17.
Zurück zum Zitat Loureiro Cachon V, Dominguez Carmona M, Gestal Otero JJ (1996) Actitudes hacia la dieta y el peso en una población adolescente. An Psiquiatr 12:242–247 Loureiro Cachon V, Dominguez Carmona M, Gestal Otero JJ (1996) Actitudes hacia la dieta y el peso en una población adolescente. An Psiquiatr 12:242–247
18.
Zurück zum Zitat Rojo L, Livianos L, García A, San Juán L, Vila M, Rodrigo G et al (1999) Estudio de prevalencia de trastornos de conducta alimentaria en población escolarizada de la provincia de Valencia. Comunicación al IV Congreso Nacional de Psiquiatría. Oviedo 29 Octubre-1 de Noviembre [CD-ROM]. Sociedad Española de Psiquiatría Biológica. Doyma, Barcelona Rojo L, Livianos L, García A, San Juán L, Vila M, Rodrigo G et al (1999) Estudio de prevalencia de trastornos de conducta alimentaria en población escolarizada de la provincia de Valencia. Comunicación al IV Congreso Nacional de Psiquiatría. Oviedo 29 Octubre-1 de Noviembre [CD-ROM]. Sociedad Española de Psiquiatría Biológica. Doyma, Barcelona
19.
Zurück zum Zitat Buddeberg-Fischer B, Bernet R, Sieber M, Schmid J, Buddeberg C (1996) Epidemiology of eating behaviour and weight distribution in 14- to19-year-old Swiss students. Acta Psychiatr Scand 93:296–304PubMed Buddeberg-Fischer B, Bernet R, Sieber M, Schmid J, Buddeberg C (1996) Epidemiology of eating behaviour and weight distribution in 14- to19-year-old Swiss students. Acta Psychiatr Scand 93:296–304PubMed
20.
Zurück zum Zitat Martínez Martínez A, Menéndez Martínez D, Sánchez Trapiello MJ, Seoane Vicente M, Suárez Gil P (2000) Conductas anoréxicas en la población de estudiantes de secundaria de un área sanitaria. Aten Primaria 25:313–319PubMed Martínez Martínez A, Menéndez Martínez D, Sánchez Trapiello MJ, Seoane Vicente M, Suárez Gil P (2000) Conductas anoréxicas en la población de estudiantes de secundaria de un área sanitaria. Aten Primaria 25:313–319PubMed
21.
Zurück zum Zitat Furnham A, Patel R (1994) The eating attitudes and behaviours of Asian and British schoolgirls: a pilot study. Int J Soc Psychiatry 40(3):214–226PubMed Furnham A, Patel R (1994) The eating attitudes and behaviours of Asian and British schoolgirls: a pilot study. Int J Soc Psychiatry 40(3):214–226PubMed
22.
Zurück zum Zitat Vilela JE, Lamounier JA, Dellaretti Filho MA, Barros Neto JR, Horta GM (2004) Eating disorders in school children. J Pediatr 80(1):49–54 Vilela JE, Lamounier JA, Dellaretti Filho MA, Barros Neto JR, Horta GM (2004) Eating disorders in school children. J Pediatr 80(1):49–54
23.
Zurück zum Zitat Marchi M, Cohen P (1990) Early childhood eating behaviors and adolescent eating disorders. J Am Acad Child Adolesc Psychiatry 29(1):112–117PubMed Marchi M, Cohen P (1990) Early childhood eating behaviors and adolescent eating disorders. J Am Acad Child Adolesc Psychiatry 29(1):112–117PubMed
24.
Zurück zum Zitat Martínez E, Toro J, Salamero M (1996) Influencias socioculturales favorecedoras del adelgazamiento y sintomatología alimentaria. Rev Psiquiatr Fac Med Barc 23:125–133 Martínez E, Toro J, Salamero M (1996) Influencias socioculturales favorecedoras del adelgazamiento y sintomatología alimentaria. Rev Psiquiatr Fac Med Barc 23:125–133
25.
Zurück zum Zitat Lahortiga-Ramos F, De Irala-Estevez J, Cano-Prous A, Gual-Garcia P, Martinez-Gonzalez MA, Cervera-Enguix S (2005) Incidence of eating disorders in Navarra (Spain). Eur Psychiatry 20:179–185PubMed Lahortiga-Ramos F, De Irala-Estevez J, Cano-Prous A, Gual-Garcia P, Martinez-Gonzalez MA, Cervera-Enguix S (2005) Incidence of eating disorders in Navarra (Spain). Eur Psychiatry 20:179–185PubMed
26.
Zurück zum Zitat Martinez Mallén E, Toro J, Salamero M, Blecua MJ, Zaragoza M (1993) Influencias socioculturales sobre las actitudes y conductas femeninas relacionadas con el cuerpo y la alimentación. Rev Psiquiatr Fac Med Barc 20:51–65 Martinez Mallén E, Toro J, Salamero M, Blecua MJ, Zaragoza M (1993) Influencias socioculturales sobre las actitudes y conductas femeninas relacionadas con el cuerpo y la alimentación. Rev Psiquiatr Fac Med Barc 20:51–65
27.
Zurück zum Zitat Paton GC, Selzer R, Coffey C, Carlin JB, Wolfe R (1999) Onset of adolescent eating disorders: population based cohort study over 3 years. BMJ 318:765–768 Paton GC, Selzer R, Coffey C, Carlin JB, Wolfe R (1999) Onset of adolescent eating disorders: population based cohort study over 3 years. BMJ 318:765–768
28.
Zurück zum Zitat Wonderlich SA, Mitchell JE (1997) Eating disorders and comorbidity: empirical, conceptual, and clinical implications. Psychopharmacol Bull 33:381–390PubMed Wonderlich SA, Mitchell JE (1997) Eating disorders and comorbidity: empirical, conceptual, and clinical implications. Psychopharmacol Bull 33:381–390PubMed
29.
Zurück zum Zitat Brewerton TD, Lydiard RB, Herzog DB, Brotman AW, O'Neil PM, Ballenger JC (1995) Comorbidity of axis I psychiatric disorders in bulimia nervosa. J Clin Psychiatry 56:77–80PubMed Brewerton TD, Lydiard RB, Herzog DB, Brotman AW, O'Neil PM, Ballenger JC (1995) Comorbidity of axis I psychiatric disorders in bulimia nervosa. J Clin Psychiatry 56:77–80PubMed
30.
Zurück zum Zitat Vicente J, Martínez P, García JA, Gordo R, Deza C, Palomo J (1999) Trastorno obsesivo compulsivo y anorexia nerviosa. Comunicación al IV Congreso Nacional de Psiquiatría. Oviedo 29 Octubre-1 de Noviembre [CD-ROM]. Sociedad Española de Psiquiatría Biológica. Doyma, Barcelona Vicente J, Martínez P, García JA, Gordo R, Deza C, Palomo J (1999) Trastorno obsesivo compulsivo y anorexia nerviosa. Comunicación al IV Congreso Nacional de Psiquiatría. Oviedo 29 Octubre-1 de Noviembre [CD-ROM]. Sociedad Española de Psiquiatría Biológica. Doyma, Barcelona
31.
Zurück zum Zitat Garner DM, Rosen LW, Barry D (1998) Eating disorders among athletes. Research and recommendations. AADE Ed J 7:839–857 Garner DM, Rosen LW, Barry D (1998) Eating disorders among athletes. Research and recommendations. AADE Ed J 7:839–857
32.
Zurück zum Zitat Unikel Santocini C, Gómez Pérez-Mitre GL (1996) Trastornos de la conducta alimentaria en muestras de adolescentes: estudiantes de danza, secundaria y preparatoria. Psicopatología 16:121–126 Unikel Santocini C, Gómez Pérez-Mitre GL (1996) Trastornos de la conducta alimentaria en muestras de adolescentes: estudiantes de danza, secundaria y preparatoria. Psicopatología 16:121–126
Metadaten
Titel
Eating disorders
Prevalence and risk profile among secondary school students
verfasst von
Dr. Agustín Tomás Vega Alonso, MD, MPH, PhD
María Ángeles Rasillo Rodríguez
José Eugenio Lozano Alonso
Gloria Rodríguez Carretero
Manuel Franco Martín
Publikationsdatum
01.12.2005
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 12/2005
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-005-0996-9

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