Are Nutrition and Dietetics Students More Prone to Eating Disorders Related Attitudes and Comorbid Depression and Anxiety than Non-Dietetics Students?

Abstract

It was aimed to investigate the eating attitudes and its relationships with anxiety and depression at Nutrition and Dietetics students. Students of Nutrition and Dietetics Departments were included in study group (n: 135) and non-medical students (n: 69) were in control group. Eating attitudes test (EAT-40), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI) were applied to all students and some anthropometric measurements were taken. Body mass index (BMI) and percent of body fat were higher at students in study group than students in control group. There were no significant differences between groups with respect to EAT, BDI and BAI scores. But, BMI and body fat percentage in girls were significantly lower than boys. Both EAT and BDI scores were significantly higher in girls than boys but BAI scores did not differ significantly. It was concluded that students training on Nutrition and Dietetics might have obsessions related to body image. But results of this study revealed that especially young women were more susceptible to eating disorders and depression.

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Ozenoglu, A. , Unal, G. , Ercan, A. , Kumcagiz, H. and Alakus, K. (2015) Are Nutrition and Dietetics Students More Prone to Eating Disorders Related Attitudes and Comorbid Depression and Anxiety than Non-Dietetics Students?. Food and Nutrition Sciences, 6, 1258-1266. doi: 10.4236/fns.2015.614131.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Seymour, M., Hoerr, S.L. and Huang, Y. (1997) Inappropriate Dieting Behaviors and Related Lifestyle Factors in Young Adults: Are College Students Different? Journal of Nutrition Education, 29, 21-25.
http://dx.doi.org/10.1016/S0022-3182(97)70142-0
[2] Schulken, E.D., Pinciaro, P.J., Sawyer, R.G., Jensen, J.G. and Hoban, M.T. (1997) Sorority’s Women’s Body Size Perceptions and Their Weight-Related Attitudes and Behaviors. Journal of the American College of Cardiology, 46, 69-74.
http://dx.doi.org/10.1080/07448489709595590
[3] Hoek, H.W. and van Hoeken D. (2003) Review of the Prevalence and Incidence of Eating Disorders. International Journal of Eating Disorders, 34, 383-396.
http://dx.doi.org/10.1002/eat.10222
[4] Liao, Y., Knoesenb, N.P., Castleb, D.J., Tanga, J., Dengd, Y., Bookunb, R., et al. (2010) Symptoms of Disordered Eating, Body Shape, and Mood Concerns in Male and Female Chinese Medical Students. Comprehensive Psychiatry, 51, 516-523.
http://dx.doi.org/10.1016/j.comppsych.2009.11.007
[5] Kugu, N., Akyüz, G. and Dogan, O. (2002) Üniversite ögrencilerinde yeme bozukluklarinin yayginligi ve yeme bozuklugu olanlarda benlik saygisi, aile islevleri, çocukluk çagi istismari ve ihmalinin arastirilmasi. Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi, 10, 255-266.
[6] Çelikel, F.C., Cumurcu, B.E., Koç, M., Etikan, I. and Yücel, B. (2008) Psychologic Correlates of Eating Attitudes in Turkish Female College Students. Comprehensive Psychiatry, 49, 188-194.
http://dx.doi.org/10.1016/j.comppsych.2007.09.003
[7] Özenoglu, A., Kumcagiz, H., Tokay, A., Alakus, K., Can, G., Ince, G., et al. (2013) Relationships of Eating Attitudes with Sociodemographic, Psychologic and Nutritional Factors in University Students Attending First Classes. Turkiye Klinikleri Journal of Medical Sciences, 33, 972-980.
http://dx.doi.org/10.5336/medsci.2012-31203
[8] Bas, M., Asçi, F.H., Karabudak, E. and Kiziltan, G. (2004) Eating Attitudes among Turkish Adolescents. Adolescence, 39, 593-599.
[9] Erol, A., Toprak, G. and Yazici, F. (2002) Predicting Factors of Eating Disorders and General Psychological Symptoms in Female College Students. Turkish Journal of Psychiatry, 13, 48-57.
[10] Binnur, Y. (2011) The Paradigm Shift of Vocational Guidance and Career Counseling and Its Implications for Turkey: An Evaluation from Past to Future. Educational Sciences: Theory & Practice, 11, 19-26.
[11] Garner, D.M. and Garfinkel, P.E. (1979) The Eating Attitudes Test. An Index of Symptoms of Anorexia Nervosa. Psychological Medicine, 9, 273-279.
http://dx.doi.org/10.1017/S0033291700030762
[12] Savasir, I. and Erol, N. (1989) Yeme Tutum Testi: Anoreksiya Nevroza Belirtileri Indeksi. Türk Psikoloji Dergisi, 7, 19-25.
[13] Beck, A.T., Ward, C.H., Mendelson, M., Mock, J. and Erbaugh, J. (1961) An Inventory for Measuring Depression. Archives of General Psychiatry, 4, 561-571.
http://dx.doi.org/10.1001/archpsyc.1961.01710120031004
[14] Hisli, N. (1989) Beck Depresyon Envanterinin üniversite ögrencileri için geçerliligi ve güvenilirligi. Türk Psikoloji Dergisi, 6, 3-13.
[15] Beck, A.T., Epstein, N., Brown, G. and Steer, R.A. (1988) An Inventory for Measuring Clinical Anxiety: Psychometric Properties. Journal of Consulting and Clinical Psychology, 56, 893-897.
http://dx.doi.org/10.1037/0022-006X.56.6.893
[16] Ulusoy, M., Sahin, N.H. and Erkmen, H. (1998) Turkish Version of the Beck Anxiety Inventory. Journal of Cognitive Psychotherapy, 12, 163-172.
[17] World Health Organization Physical Status (1995) The Use 478 and Interpretation of Anthropometry. Technical Report 479 Series No. 854, WHO, Geneva.
[18] Gonçalves, J.A., Moreira, E.A., Trindade, E.B. and Fiates, G.M. (2013) Eating Disorders in Childhood and Adolescence. Revista Paulista de Pediatria, 31, 96-103.
http://dx.doi.org/10.1590/S0103-05822013000100016
[19] Hoek, H.W. (2006) Incidence, Prevalence and Mortality of Anorexia Nervosa and Other Eating Disorders. Current Opinion in Psychiatry, 19, 389-394.
http://dx.doi.org/10.1097/01.yco.0000228759.95237.78
[20] Woodside, D.B., Arfinake, P.E., Lin, E., Goering, P., Kaplan, A.S., Goldbloom, D.S., et al. (2001) Comparisons of Men with Full or Partial Eating Disorders, Men without Eating Disorders and Women with Eating Disorders in the Community. American Journal of Psychiatry, 158, 570-574.
http://dx.doi.org/10.1176/appi.ajp.158.4.570
[21] Ricciardelli, L.A. and McCabe, M.P. (2003) Sociocultural and Individual Influences on Muscle Gain and Weight Loss Strategies among Adolescent Boys and Girls. Psychology in the Schools, 40, 209-224.
http://dx.doi.org/10.1002/pits.10075
[22] Tozzi, F., Sullivan, P.F., Fear, J.L., McKenzie, J. and Bulik, C.M. (2003) Causes and Recovery in Anorexia Nervosa: The Patients Perspective. International Journal of Eating Disorders, 33, 143-154.
http://dx.doi.org/10.1002/eat.10120
[23] Drummond, D. and Hare, M.S. (2012) Dietitians and Eating Disorders: An International Issue. Canadian Journal of Dietetic Practice and Research, 73, 86-90.
http://dx.doi.org/10.3148/73.2.2012.86
[24] Winkleby, M.A. and Cubbin, C. (2004) Changing Patterns in Health Behaviors and Risk Factors Related to Chronic Diseases, 1990-2000. American Journal of Health Promotion, 19, 19-27.
http://dx.doi.org/10.4278/0890-1171-19.1.19
[25] Davy, S.R., Benes, B.A. and Driskell, J.A. (2006) Sex Differences in Dieting Trends, Eating Habits, and Nutrition Beliefs of a Group of Midwestern College Students. Journal of the American Dietetic Association, 106, 1673-1677.
http://dx.doi.org/10.1016/j.jada.2006.07.017
[26] Buscher, L.A., Martin, K.A. and Crocker, S. (2001) Point-of-Purchase Messages Framed in Terms of Cost, Convenience, Taste, and Energy Improve Healthful Snack Selection in a College Foodservice Setting. Journal of the American Dietetic Association, 101, 909-913.
http://dx.doi.org/10.1016/S0002-8223(01)00223-1
[27] Galore, S.R., Walker, C. and Chandler, A. (1993) Brief Communication: Dietary Habits of First-Year Medical Students as Determined by Computer Software Analysis of Three Day Food Records. Journal of the American College of Nutrition, 12, 517-520.
http://dx.doi.org/10.1080/07315724.1993.10718345
[28] Pérez-Gallardo, L., Mingo Gómez, T., Bayona Marzo, I., Ferrer Pascual, M.á., Marquez Calle, E., Rámirez Domínguez, R., et al. (2015) Diet Quality in College Students with Different Academic Profile. Nutricion Hospitalaria, 31, 2230-2239.
[29] Silva, J.D., Silva, A.B., de Oliveira, A.V. and Nemer, A.S. (2012) Influence of the Nutritional Status in the Risk of Eating Disorders among Female University Students of Nutrition: Eating Patterns and Nutritional Status. Ciência & Saúde Coletiva, 17, 3399-3406.
http://dx.doi.org/10.1590/S1413-81232012001200024
[30] Buchholz, A., Henderson, K.A., Hounsell, P.A., Wagner, A., Norris, M. and Spettigue, W. (2007) Self-Silencing in a Clinical Sample of Female Adolescents with Eating Disorders. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 16, 158-163.
[31] Morgan, J., Scholtz, S., Lacey, H. and Conway, G. (2008) The Prevalence of Eating Disorders in Women with Facial Hirsutism: An Epidemiological Cohort Study. International Journal of Eating Disorders, 41, 427-431.
http://dx.doi.org/10.1002/eat.20527
[32] Kaye, W.H., Bulik, C.M., Thornton, L., Barbarich, N. and Masters, K. (2004) Comorbidity of Anxiety Disorders with Anorexia and Bulimia Nervosa. American Journal of Psychiatry, 161, 2215-2221.
http://dx.doi.org/10.1176/appi.ajp.161.12.2215
[33] Paxton, S.J., Neumark-Sztainer, D., Hannan, P.J. and Eisenberg, M.E. (2006) Body Dissatisfaction Prospectively Predicts Depressive Mood and Low Self-Esteem in Adolescent Girls and Boys. Journal of Clinical Child & Adolescent Psychology, 35, 539-549.
http://dx.doi.org/10.1207/s15374424jccp3504_5
[34] Rodriguez-Cano, T., Beato-Fernandez, L. and Llario, A.B. (2006) Body Dissatisfaction as a Predictor of Self-Reported Suicide Attempts in Adolescents: A Spanish Community Prospective Study. Journal of Adolescent Health, 38, 684-688.
http://dx.doi.org/10.1016/j.jadohealth.2005.08.003
[35] Brausch, A.M. and Muehlenkamp, J.J. (2007) Body Image and Suicidal Ideation in Adolescents. Body Image, 4, 207-212.
http://dx.doi.org/10.1016/j.bodyim.2007.02.001
[36] Buyukgoze-Kavas, A. (2007) Eating Attitudes and Depression in a Turkish Sample. European Eating Disorders Review, 15, 305-310.
http://dx.doi.org/10.1002/erv.776
[37] Neumark-Sztainer, D.R., Wall, M.M., Haines, J.I., Story, M.T., Sherwood, N.E. and van den Berg, P.A. (2007) Shared Risk and Protective Factors for Overweight and Disordered Eating in Adolescents. American Journal of Preventive Medicine, 33, 359-369.
http://dx.doi.org/10.1016/j.amepre.2007.07.031
[38] Mahn, H.M. and Lordly, D. (2015) A Review of Eating Disorders and Disordered Eating amongst Nutrition Students and Dietetic Professionals. Canadian Journal of Dietetic Practice and Research, 76, 38-43.
http://dx.doi.org/10.3148/cjdpr-2014-031

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