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PubMed2003

Temperament, character, and eating attitudes in Japanese college women.

The present study investigated associations between dimensions of personality characteristics and eating attitudes in Japanese college women. 91 college women with a mean age of 20.7 yr. (SD=2.3 yr.), attending a School of Nursing or a School for Kindergarten Teachers, voluntarily responded to the Japanese version of the Temperament and Character Inventory and the Eating Attitudes Test. A significant positive correlation was found between the scores on the Temperament and Character Inventory subscale of Harm Avoidance and the Eating Attitudes Test total scores (Spearman p = .24, p = .02) and the scores on the Eating Attitudes Test subscale of Food Preoccupation (Spearman p = .33, p =.002). The scores on the Temperament and Character Inventory subscale of Self-directedness showed significant negative correlations with the Eating Attitudes Test total scores (Spearman p = -.35, p = .001) and the scores on the Eating Attitudes Test subscales of Dieting (Spearman p = -.29, p = .005) and Food Preoccupation (Spearman p = -.43, p = .0001). The present results suggest that Japanese college women who score high on Harm Avoidance and low on Self-directedness may be more likely to develop inappropriate eating attitudes.

Adult↗

PubMed1999

Anorexic eating attitudes and behaviors of male and female college students.

This study examined gender differences in eating attitudes and behaviors in a sample of 471 undergraduate college students. The prevalence of symptomatology indicative of anorexia was determined using the Eating Attitudes Test (EAT-26). In addition, the family climate, parent-child dynamics, and self-concept of students with and without maladaptive eating attitudes and behaviors were compared, and the relationship between eating attitudes/behaviors and current psychological distress was examined. Anorexic symptomatology was found for 20% of the females and 10% of the males. In general, students without symptomatic attitudes and behaviors had a more positive self-concept and reported less psychological distress than did those with eating disturbances. The findings suggest that eating problems may be more prevalent among males than previously estimated.

Adolescent↗

PubMed2000

Binge antecedents in obese women with and without binge eating disorder.

In this study, women with binge eating disorder (BED; n = 41) and weight- and age-matched comparison women without BED (NBED; n = 38) monitored their eating for 6 days, using handheld computers to measure mood, appetite, and setting at all eating episodes and comparison noneating episodes. Poor mood, low alertness, feelings of poor eating control, and craving sweets all preceded binge episodes for the BED group. An unanticipated finding was the frequent report of binge episodes in the comparison group; only feelings of poor eating control and craving sweets predicted binge episodes in this group. Binge eating NBED women tended to experience worse mood, less control, and more craving than other NBED women, contributing to evidence of the close relationship of binge eating and decrements in emotional and appetitive functioning.

Adult↗

PubMed2000

[Disorder of eating behavior and comorbid syndromes in obesity and methods of their correction].

Eating behavior and comorbid syndromes were investigated in 40 women with obesity. A frequent combination of obesity with disorders of eating behavior, with emotional-personality, psychoautonomic and algesic disorders as well as with appearance of affective disorders during dietetic nutrition ("dietetic depression") required their correction. As a result of insufficiency of serotoninergic system of brain in pathogenesis of such disorders, fluoxetine (prozac)-a selective inhibitor of serotonine reuptake--was used for treatment of eating disorders. Heterogeneity in the structure of the obesity is shown. Disorders of eating behavior were combined with pronounced anxiety, depression, algesic and psychoautonomic syndromes. Therapy with prozac during 3 months in dose of 20 mg daily resulted in decrease of weight. Normalization of eating pattern, decrease of anxiety, depression, reaction to the external stimuli, increase of stress-resistance of patients, alterations in eating liking, decrease of severity of disorders comorbid to obesity were observed. A conclusion is made that prozac is indicated for patients in whom pathology of eating behavior plays a significant role in pathogenesis of obesity.

Adult↗

PubMedDate not supplied

Determinants of healthy eating in community-dwelling elderly people.

Among seniors, food choice and related activities are affected by health status, biological changes wrought by aging and functional abilities, which are mediated in the larger arena by familial, social and economic factors. Determinants of healthy eating stem from individual and collective factors. Individual components include age, sex, education, physiological and health issues, psychological attributes, lifestyle practices, and knowledge, attitudes, beliefs and behaviours, in addition to other universal dietary determinants such as income, social status and culture. Collective determinants of healthy eating, such as accessible food labels, an appropriate food shopping environment, the marketing of the "healthy eating" message, adequate social support and provision of effective, community-based meal delivery services have the potential to mediate dietary habits and thus foster healthy eating. However, there is a startling paucity of research in this area, and this is particularly so in Canada. Using search and inclusion criteria and key search strings to guide the research, this article outlines the state of knowledge and research gaps in the area of determinants of healthy eating among Canadian seniors. In conclusion, dietary self-management persists in well, independent seniors without financial constraints, whatever their living arrangements, whereas nutritional risk is high among those in poor health and lacking in resources. Further study is necessary to clarify contributors to healthy eating in order to permit the development and evaluation of programs and services designed to encourage and facilitate healthy eating in older Canadians.

Activities of Daily Living↗

PubMed2004

Nutritional assessment and eating habits analysis in young adults.

Good eating habit is an essential part of a healthy lifestyle. It helps prevent civilisation diseases. The BMI and eating plan analysis are useful in individual's nutritional assessment. The aim of the study was to assess nutritional status and eating habits in young adults. An average BMI was 23.63 kg/ m2 in the interviewed men, and 20.6 kg/m2 in women. Caloric value of the daily eating plans was average: in men 2943 kcal, in women 2272 kcal. Four people were on diets, but none of BMI over 25 kg/m2. There were no people suffering from food allergies nor gastrointestinal diseases. Only one male did sports (weight-lifting) regularly. The majority of the students ate at lunchtime at the university cafeteria or prepared meals themselves. The eating plans varied very much: the majority was based on the Eating Guide Pyramid and consisted of three balanced meals during the day-time; there were also single cases where students stuck to eating high-calorie meals at night-time mostly.

Adult↗

PubMed2005

[Psychological motives behind the wish to have children among High School and University students under consideration of female test persons with eating disorders].

OBJECTIVES: The aim was to investigate psychological motives behind the wish to have children among female and male students, with special consideration of females with eating disorders. METHODS: 736 participants (437 women and 299 men) were examined using the "Leipziger Fragebogen zu Kinderwunschmotiven und Einstellungen zum Kinderwunsch" (a questionnaire concerning the motives and attitudes for the wish to have a child). Disturbed eating behaviour was classified with the Eating Attitudes Test. RESULTS: 15.4 % of the students showed a low, 39 % a medium and 45.6 % a high wish to have children. The subscales "Desire for emotional stabilization" as well as "Social stereotypes" had the highest and "Fear of material impairment" and "Personal restriction" the lowest correlation with the wish for a child. Women with anorectic eating disorders displayed a significantly lower desire for children than students with normal eating patterns or women with a bulimic tendency. CONCLUSIONS: The psychological motives examined here contributed highly to the explanation of variance concerning the wish to have children. The results for women with eating disorders indicate that primary ambivalences concerning the wish to have children may be involved in the pre-clinical stadium of eating disorders.

Adolescent↗

PubMedDate not supplied

[Comorbidity of eating disorders and bipolar affective disorders].

Eating disorders--anorexia nervosa, bulimia nervosa and eating disorders not otherwise specified (EDNOS) occur usually in young females. The significant pathogenic differences between patients who only restrict food, and patients with binge eating and compensatory behaviours, such as vomiting and purging were described. The prevalence of bipolar affective disorders--especially bipolar II and bipolar spectrum disorders (BS) may reach 5% in the general population. About half of the depressive episodes are associated with a "mild" bipolar disorder, and such a diagnosis is suggested by impulsivity and mood-instability. Previously, majority of research on the comorbidity between eating and affective disorders focused on depressive symptomatology, however difficulties in the reliable assessment of hypomania may obfuscate the estimation of the co-occurrence of eating disorders with BS. Epidemiological studies suggest the association between BS and eating disorders with binge episodes (bulimia nervosa, anorexia- bulimic type and EDNOS with binge episodes). Co-occurrence of such disorders with depressive symptoms probably suggests the diagnosis of BS, not recurrent depression. Bulimic behaviours, impulsivity and affective disorders might be related to the impairment of the serotonergic neurotransmission, which may result from the genetic vulnerability and early life trauma. Currently, the first-line pharmacological treatment of co-occurring eating disorders with binge episodes and BS are selective serotonin reuptake inhibitors. However in some cases, the use of mood-stabilising agents as monotherapy or in combination with serotonergic drugs may be helpful.

Anorexia Nervosa↗

PubMed1979

An exploration of obese observational learning in modifying selected eating responses of obese children.

The present study investigated the effects of two observational learning paradigms in modifying the eating behavior of obese children. A total of 18 subjects ranging in age from seven to 12 years and in weight from 74 to 160 lb (33 to 72 kg) were randomly assigned to three conditions. Intervention consisted of four sessions in which subjects viewed videotapes of their baseline eating behaviors compared with a model eating at a reduced speed. Based on the assumption that children may acquire their parents' eating behaviors, one condition included videotapes of a same-sex adult model. In order to maximize model-observer similarity, subjects in a second treatment condition observed videotapes of themselves eating at a reduced speed. Subjects in the control condition viewed only their baseline eating behavior videotapes. Dependent measures of eating behavior were found to be significantly affected by both model treatments, while no significant differences were evidenced in the control group.

Behavior Therapy↗

PubMed1994

The effects of altered frequency of eating on plasma lipids in free-living healthy males on normal self-selected diets.

OBJECTIVE: To examine the effects of modifying meal consumption frequency on blood lipids in free-living healthy male volunteers on self-selected diets. DESIGN: Cross-over study of snacking to non-snacking and non-snacking to snacking patterns. SETTING: Civic Offices, Dublin. SUBJECTS: 12 men with a mean (SD) eating frequency of 6.0 +/- 0.8 times per day ('snacking') and 11 men with a frequency of 3.1 +/- 0.1 meals per day ('non-snackers'). INTERVENTION: The 'snackers' moved from 6.0 to 3.3 +/- 0.3 meal-eating occasions per day while the 'non-snackers' moved from 3.1 to 5.9 +/- 0.9 times per day. It was intended that these modifications of eating frequency would not be the cause of modified nutrient intake in the cross-over period. MAIN OUTCOME MEASURES: Nutrient intake, plasma total, high density lipoprotein (HDL) and low density lipoprotein (LDL) cholesterol, plasma triglyceride and apoproteins A-I and B. RESULTS: There was a significant treatment (cross-over) effect on plasma total cholesterol (P = 0.038), LDL cholesterol (P = 0.038), HDL/LDL cholesterol ratio (P = 0.013) and apo A-I/B (P = 0.029). There were no significant nutrient changes on moving from meal-eating to snacking but on moving from snacking to meal-eating there were significant changes (P < 0.005) in the % energy from protein, fat, saturated fatty acids and alcohol. These changes accounted for all the changes in blood cholesterol in this group. When the data for meal-eating to snacking were analysed separately, given that nutrient intakes did not change, a significant effect of altered meal-eating frequency was found for total cholesterol (P = 0.027) and HDL/LDL (P = 0.015). CONCLUSION: These data on free-living subjects following normal self-selected diets support the hypothesis and the substantial related literature that more frequent meal consumption has a favourable effect on lowering plasma cholesterol and raising the HDL/LDL cholesterol ratio.

Adult↗

PubMedDate not supplied

Eating disorder history in women with obsessive compulsive disorder.

This study examined the frequency of eating disorders in women with obsessive compulsive disorder (OCD). Letters were sent to area psychiatrists asking them to refer patients diagnosed with OCD to a research study. Subjects completed the Yale Brown Obsessive Compulsive Scale and a survey including history of eating disorders. Thirty-one women participated in the study. Forty-two percent (N = 13) had a past or current history of an eating disorder: 26% anorexia nervosa alone (N = 8); 3% bulimia nervosa alone (N = 1); and 13% both anorexia and bulimia (N = 4). Our study found a higher percentage of history of eating disorders than expected. Perhaps specifically asking about history of weight loss, binging, and vomiting allowed for fuller disclosure of eating disorders than other studies that relied on retrospective chart review or limited the survey to current eating symptoms. A past history of eating disorder may be more common than previously believed and may frequently precede the diagnosis of OCD.

Anorexia Nervosa↗

PubMed1997

[Therapeutic effects of the Feldenkrais method "awareness through movement" in patients with eating disorders].

Based on the movement-pedagogical concept of Feldenkrais and the findings-of disturbed body perception by eating disordered patients this research aimed at studying the therapeutical effects of the Feldenkrais Method "Awareness through Movement" with eating disorder patients, 15 eating disordered patients treated at the Roseneck hospital for behavioural medicine rated-by means of a questionnaire consisting of scales of the Body Cathexis Scale (BCS), the Body Parts Satisfaction Scale (BPSS), the questionnaire for body perception (Fragebogen zum Körpererleben; FKE), the Emotion inventory (Emotionalitätsinventar; EMI-B), the Anorexia-Nervosa-Inventory for Self-rating (ANIS) and the Eating Disorder Inventory-2 (EDI)-various aspects of their eating disorder before and after participating in a nine hour course of the Feldenkrais Method. The data of these patients were compared to those of the members of a control group, also consisting of 15 eating disordered patients who did not participate in a Feldenkrais course. The participants of the Feldenkrais-course showed increasing contentment with regard to problematic zones of their body and their own health as well as concerning acceptance and familiarity with their own body. Other results were a more spontaneous, open and self-confident behaviour, the decrease of feelings of helplessness and decrease of the wish to return to the security of the early childhood, which indicates the development of felt sense of self, self-confidence and a general process of maturation of the whole personality. The outcome points to the therapeutical effectiveness of the Feldenkrais Method with eating-disorder patients within a multimodal treatment program.

Adolescent↗

PubMed1991

Eating attitudes, health-risk behaviors, self-esteem, and anxiety among adolescent females in a suburban high school.

In order to determine whether adolescent females with abnormal eating attitudes display lower levels of self-esteem and higher levels of anxiety than their peers, and whether these adolescents participate in health-risk behaviors to a greater or lesser degree than their peers, we administered a series of questionnaires to the females attending a suburban high school in New York State. The questionnaires, completed by 268 students (mean age, 16.2 years), included data on health-risk behaviors and weight attitudes, an Eating Attitudes Test, a self-esteem scale, and an anxiety inventory. Results indicated that almost two-thirds of the students described themselves as overweight, almost three-quarters felt they were above the healthiest weight for their age and height, and almost four-fifths were above the weight at which they would be most happy; 18% of the students scored 30 or more on the Eating Attitudes Test, a score suggestive of an eating disorder. Use of Spearman-rank correlation coefficients and multiple linear regression analysis revealed that those with more unhappiness with their weight and higher scores on the eating attitudes test were more likely to have lower self-esteem and higher anxiety and to participate more in health-risk behaviors, including cigarette smoking, alcohol use, drug use, and sexual activity with more total partners. The data from this study further corroborate the growing belief that health-risk behaviors tend to cluster together in vulnerable adolescents and demonstrate that abnormal eating attitudes and behaviors may be part of this cluster, especially in females with low self-esteem and high levels of anxiety.

Adolescent↗

PubMed1997

Eating attitudes and the irritable bowel syndrome.

A series of 48 new patients with irritable bowel syndrome (IBS) were asked to complete an Eating Attitudes Test. The same test was given to a series of 32 patients attending an Eating Disorder clinic, a series of 31 patients attending a gastroenterology outpatient clinic with a diagnosis of inflammatory bowel disease (IBD), and to a group of 28 'normal' controls. The results showed that there was no significant difference between the IBD group and control groups for EAT score. The EAT score for the group with eating disorders was significantly higher than for all other groups. The EAT score for the IBS group was greater than those for the IBD and control group (p = 0.05) when all four groups were compared using analysis of variance and the Least Significant Difference test.

Attitude↗

PubMed2002

Body composition in early onset eating disorders.

BACKGROUND: Body mass index (BMI) or equivalent weight for height indices are the most widely used measures of body composition in early onset and adolescent eating disorders. Although of value as screening instruments the limitation in disease states is their inability to discriminate fat and fat-free components of body weight. OBJECTIVE: To compare height-adjusted fat and fat-free components of body composition in children and young adolescents with different types of eating disorders with those of age matched reference children. DESIGN: Weight, height, triceps and subscapular skinfold thickness were measured in 172 children (aged 7-16 y) with eating disorders receiving specialist treatment. Fat mass index (FMI) and fat-free mass index (FFMI) were calculated using Slaughter's and Deurenberg's equations and normalisation for height. Using data from 157 normal children, representative of the UK 1990 growth reference data, reference curves for FMI and FFMI+/-2 s.d. were derived. Results for patient groups were superimposed on these reference curves. RESULTS: FMI and FFMI were both reduced in eating disorders associated with malnutrition, including anorexia nervosa (AN). AN subjects did not differ from other subjects with comparable degrees of malnutrition. Children with eating disorders of normal weight, such as bulimia nervosa and selective eating, did not differ significantly from reference children in their relative FM and FFM. CONCLUSIONS: FM and FFM merit independent consideration in disorders of malnutrition in children, rather than expressing data as percentage body fat or percentage BMI. The implications of loss of FFM on growth and development merit further investigation.

Adipose Tissue↗

PubMed2000

Comparison of eating attitudes and behaviors among adolescent and young women with type 1 diabetes mellitus and phenylketonuria.

The purpose of this study was to assess the eating attitudes and behaviors associated with two chronic diseases that have strong dietary treatment components: type 1 diabetes mellitus and phenylketonuria (PKU). Participants consisted of female campers and staff members who were attending one of two summer camps that specialize in the care of females with type 1 diabetes mellitus (N = 54) and PKU (N = 30). Eating attitudes and behaviors, psychological adjustment, and disease-specific knowledge were assessed using standardized and nonstandardized self-report questionnaires. There was no overall difference in the presence of disordered eating symptomatology between those with diabetes and those with PKU. However, differences in patterns of eating attitudes and behaviors were observed. The data suggest that living with chronic diseases which are treated with dietary management may adversely affect eating attitudes and behaviors and may increase susceptibility to the development of eating disturbances.

Adolescent↗

PubMed2026

Eating Experiences During Cancer Treatment in Adolescents and Young Adults: A Systematic Literature Review and Meta-Synthesis.

Adolescents and young adults (AYAs) aged 15-39 with cancer face distinct challenges during treatment, with eating consistently emerging as one of the most distressing and underrecognized concerns. At a critical life stage, AYAs must navigate illness-related consequences that profoundly affect well-being. Eating reflects these broader challenges and is identified as a key issue requiring health care attention. To address this, we synthesized evidence on AYAs' eating experiences and well-being during mealtime-related activities to inform health care practice. Qualitative and mixed-method studies were identified through searches across CINAHL, Embase, PubMed, Scopus, and Web of Science for studies published up to May 2025, supplemented by snowball searches. Of 3214 records, 74 full-text articles were reviewed, and 18 met the inclusion criteria. These represented 302 AYAs, 73 relatives, and 88 health care professionals. Studies were analyzed using Joanna Briggs Institute review methods and GRADE-CERQual to support clinical interpretability. The meta-synthesis identified one core theme: "Eating as an embodied struggle and act of agency," with three subthemes: (a) living through physical and sensory disruption, (b) carrying the weight of new emotions and shifting relations, and (c) finding ways through gaps in support. Eating emerged as a disrupted, emotionally charged, yet agentic act requiring sensitive, individualized approaches. Thirteen evidence-informed recommendations were developed to guide clinical application. These emphasize early nutritional screening, dietetic support, flexible meal options, respectful family involvement, and psychosocially attuned care. Future research should codevelop and evaluate tailored interventions that address AYAs' embodied, emotional, and social needs to improve eating-related quality of life during cancer treatment.

Humans↗

PubMed1992

The factor structure and criterion validity of the short form of the Eating Attitudes Test.

One of the more frequently used measures of eating disorders is the 40-item Eating Attitudes Test (EAT) developed by Garner and Garfinkel (1979). Although originally designed to diagnose anorexia nervosa, the test has recently been applied to nonclinical populations also. In this study, we examined psychometric and validity data for a short version of the scale, the EAT-26. Using a sample of 809 female soldiers in their late teens, results showed that the EAT-26 is reliable, the factor structure is different from that obtained in clinical groups, and the EAT-26 is significantly correlated with body image, weight, and diet.

Adolescent↗