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Eating Habits, Physical Activity, Consumption of Substances and Eating Disorders in Adolescents

Published online by Cambridge University Press:  10 January 2013

Yolanda Quiles-Marcos ,
Isabel Balaguer-Solá ,
Lidia Pamies-Aubalat ,
María José Quiles-Sebastián ,
Juan Carlos Marzo-Campos  and
Jesús Rodríguez-Marín
Yolanda Quiles-Marcos*
Affiliation:
Universidad Miguel Hernández (Spain)
Isabel Balaguer-Solá
Affiliation:
Universidad de Valencia (Spain)
Lidia Pamies-Aubalat
Affiliation:
Universidad Miguel Hernández (Spain)
María José Quiles-Sebastián
Affiliation:
Universidad Miguel Hernández (Spain)
Juan Carlos Marzo-Campos
Affiliation:
Universidad Miguel Hernández (Spain)
Jesús Rodríguez-Marín
Affiliation:
Universidad Miguel Hernández (Spain)
*
Correspondence concerning this article should be addressed to: Yolanda Quiles Marcos. Departmento de Psicología de la Salud, Universidad Miguel Hernández de Elche. Avda. de la Universidad s/n, 03202 Elche. Alicante (Spain). Phone: +34-966658314. Fax: +34-966659194. E-mail: y.quiles@umh.es
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Abstract

The aim of this study was to evaluate the differences between adolescents with a high or low risk of developing an eating disorder (ED) in different health behaviors (eating habits, physical activity and the consumption of substances) per gender. The EAT-40 and the Inventory of Behavioral Health in Scholars were applied to 2142 middle school students from Alicante (Spain), of whom 52.8% were girls and 47.2% were boys, with an average age of 13.92 years old (Sd = 1.34). Results indicated that girls with a high risk of developing an ED consumed fewer meals, ate fewer unhealthy foods, followed more diets and paid more attention to nutritional components. Furthermore, they also performed more physical activity with the objective of losing weight, and consumed more tobacco, alcohol and medicines. Boys at high risk of developing an ED followed more diets and paid more attention to nutritional components. For boys, no more differences were found. These results suggest that any program directed at the prevention of ED should not only include nutritional education, but should also seek to promote regular physical activity with objectives other than weight loss or the burning of calories.

El objetivo de este trabajo fue estudiar las diferencias entre los adolescentes con mayor y menor riesgo de desarrollar un trastorno de la conducta alimentaria (TCA) en diferentes conductas relacionadas con la salud (hábitos alimentarios, actividad física y consumo de sustancias) por género. Se administró el EAT-40 y el Inventario de Conductas de Salud en Escolares a 2142 adolescentes estudiantes de secundaria de la provincia de Alicante (España), de los que el 52.8% fueron chicas y 47.2% chicos, con una edad media de 13.92 años (Dt = 1.34). Los resultaros indicaron que las chicas con mayor riesgo de desarrollar un TCA realizaban menos comidas, realizaban más dietas y prestaban más atención a los componentes de la alimentación. Además, también realizaban más actividad física con el objetivo de perder peso, y consumían más tabaco, alcohol y medicamentos. Los chicos con mayor riesgo de desarrollar un TCA realizaban más dietas y prestaban más atención a los diferentes componentes de la alimentación. No se encontraron más diferencias en el caso de los chicos. Estos resultados sugieren que cualquier programa dirigido a la prevención de los TCA debe incluir, no sólo educación nutricional, sino también la promoción de la práctica regular de actividad física, con objetivos distintos a la pérdida de peso y a quemar calorías.

Keywords

eating habitsphysical activityconsumption of substanceseating disordersadolescentshábitos alimentariosactividad físicaconsumo de sustanciastrastornos de la conducta alimentariaadolescentes
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 14 , Issue 2 , November 2011 , pp. 712 - 723
Copyright
Copyright © Cambridge University Press 2011

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References

Abdohalli, P., & Mann, T. (2001). Eating disorders symptoms and body image concerns in Iran: comparisons between Iranian women in Iran and in America. International Journal of Eating Disorders, 30, 259–268. doi:10.1002/eat.1083CrossRefGoogle Scholar
Alonso, J. (2006). Trastornos de la conducta alimentaria y deporte [Eating disorders and sport]. Trastornos de la Conducta Alimentaria, 4, 368–385.Google Scholar
Anzengruber, D., Klump, K. L., Thornton, L., Brandt, H., Crawford, S., Fitcher, M. M., … Bulik, K. M. (2006). Smoking in eating disorders. Eating Behaviors, 7, 291–299. doi:10.1016/j.eatbeh.2006.06.005CrossRefGoogle ScholarPubMed
Babio, N. (2007). Asociación entre la severidad de las alteraciones de la conducta alimentaria y el patrón dietético: estudio comparativo entre escolares de primaria y secundaria [Association between the severity of abnormal eating behavior and dietary patterns: a comparative study between primary and secondary school]. (Unpublished doctoral thesis). Univesidad Rovira i Virgill, Reus. Spain.Google Scholar
Balaguer, I. (2002). Estilos de vida en la adolescencia [Life style in adolescents]. Valencia, Spain: Promolibro.Google Scholar
Benjamin, L., & Wulfert, E. (2005). Dispositional correlates of addictive behaviors in college women: binge eating and heavy drinking. Eating Behaviors, 6, 197–209. doi:10.1016/j.eatbeh.2003.08.001CrossRefGoogle ScholarPubMed
Birmingham, C., Su, J., Hlynsky, J., Goldner, E., & Gao, M. (2005). The mortality rate from anorexia nervosa. International Journal of Eating Disorders, 38, 143–146. doi:10.1002/eat.20164CrossRefGoogle ScholarPubMed
Bulik, C. M., Klump, K. L., Thornton, L., Kaplan, A. S., Devlin, B., Fitcher, M. M., … Kaye, W. H. (2004). Alcohol use disorder comorbidity in eating disorders: a multicenter study. Journal of Clinical Psychiatry, 65, 1000–1006.Google Scholar
Calderón, L., Yu, C., & Jambazian, P. (2004). Dieting practices in high school students. Journal of American Dieting Association, 104, 1369–1374. doi:10.1016/j.jada.2004.06.017Google Scholar
Calero-Elvira, A., Krug, F., Davis, K., López, C., Fernández-Aranda, F., & Treasure, J. (2009). Meta-analysis on drugs in people with eating disorders. European Eating Disorders Review, 17, 243–259. doi:10.1002/erv.936Google Scholar
Calogero, R., & Pedrotty, K. (2004). The practice and process of healthy exercise: an investigation of the treatment of exercise abuse in women with eating disorders. Eating Disorders, 12, 273–291. doi:10.1080/10640260490521352CrossRefGoogle ScholarPubMed
Castillo, I., Balaguer, I., & García-Merita, M. L. (2007). Efectos de la práctica de actividad física y de la participación deportiva sobre el estilo de vida saludable en la adolescencia en función del género [Effects of physical activity and sport on healthy lifestyles in adolescence according to gender]. Revista de Psicología del Deporte, 16, 201–210.Google Scholar
Castro, J., Toro, J., Salamero, M., & Guimera, E. (1991). The eating attitudes test: validation of the Spanish version. Psychological Assessment, 7, 175–190.Google Scholar
Cororve, F. M., Warren, C. S., Cepeda-Benito, A., & Gleves, D. H. (2006). Eating disorder prevention research: a meta-analysis. Eating Disorders, 14, 191–213. doi:10.1080/10640260600638899CrossRefGoogle Scholar
Crisp, A., Sedgwick, P., Halek, C., Joughin, N., & Humphrey, H. (1999). Why may teenage girls persist in smoking? Journal of Adolescence, 22, 657–672. doi:10.1006/jado.1999.0261CrossRefGoogle ScholarPubMed
Davis, C., Fox, J., Cowles, M., Hastings, P., & Schwass, K. (1990). The functional role of exercise in the development of weight and diet concerns in women. Journal of Psychosomatic Research, 34, 563–574. doi:10.1016/0022-3999(90)90031-XGoogle Scholar
Fairburn, C. G., Cooper, Z., Doll, H., & Davies, B. (2005). Identifying dieters who will develop an eating disorder: a prospective population-based study. American Journal of Psychiatry, 162, 2249–2255. doi:10.1176/appi.ajp.162.12.2249Google Scholar
Fairburn, C. G., Cowen, P. J., & Harrison, P. J. (1999). Twin studies and the etiology of eating disorders. International Journal of Eating Disorders, 26, 349–358. doi:10.1002/(SICI)1098-108X(199912)26:4<349::AID-EAT1>3.0.CO;2-BGoogle Scholar
Fernández-Aranda, F., & Turón, J. (2004). Trastornos de la Alimentación: Guía básica de tratamiento en anorexia y bulimia. [Eating Disorders: Guideline anorexia and bulimia treatment]. Barcelona, Spain: Masson.Google Scholar
Field, A., Austin, S., Taylor, C., Malspeis, S., Rosner, B., Rockett, H., … Colditz, G. A. (2003). Relation between dieting and weight change among preadolescents and adolescents. Pediatrics, 112, 900–906. doi:10.1542/peds.112.4.900CrossRefGoogle ScholarPubMed
Fulkerson, J. A., Keel, P. K., León, G. R., & Dorr, T. (1999). Eating disordered behaviors and personality characteristics of high school athletes and nonathletes. Journal of Eating Disorders, 26, 73–79. doi:10.1002/(SICI)1098-108X(199907)26:1<73::AID-EAT9>3.0.CO;2-FGoogle Scholar
Gadalla, T., & Piran, N. (2007). Eating disorders and substance abuse in Canadian men and women: a national study. Eating Disorders, 15, 189–203.Google Scholar
Garfinkel, P. E., & Garner, D. M. (1982). Anorexia nervosa: a multidimensional perspective. New York, NY: Brunner/Mazel.Google Scholar
Garner, D. M. (1993). Pathogenesis of anorexia nervosa. The Lancet, 341, 1631–1635. doi:10.1016/0140-6736(93)90768-CCrossRefGoogle ScholarPubMed
Garner, D. M., & Garfinkel, P. E. (1979). The eating attitudes test: and index of the symptoms of anorexia nervosa. Psychological Medicine, 9, 273–279. doi:10.1017/S0033291700030762CrossRefGoogle ScholarPubMed
Garner, D. M., Olmsted, M. P., & Polivy, J. (1983). Development and validation of a multidimensional Eating Disorder Inventory for anorexia and bulimia. International Journal of Eating Disorders, 2, 15–34. doi:10.1002/1098-108X(198321)2:2<15::AID-EAT2260020203>3.0.CO;2-6Google Scholar
Guirado, M. C., & Ballester, R. (2005). Relación entre conductas alimentarias anómalas y otros hábitos de salud en niños de 11 a 14 años [Relation between anomalous eating behaviors and other health behaviors in children 11-14 years old]. Anales de Psicología, 21, 58–65.Google Scholar
Gull, W. W. (1874). Anorexia nervosa (apepsia hysterica, anorexia hysterica). Transactions of the Clinical Society of London, 7, 22–28.Google Scholar
Gutiérrez, R., Mora, J., Unikel, C., Villatoro, J., & Medina-Mora, M. E. (2001). El consumo de drogas en una muestra de mujeres estudiantes que presentan conductas alimentarias de riesgo [Drug use in a sample of female students who have risky eating behaviors]. Salud Mental, 24, 55–61.Google Scholar
Halvarsson, K., Lunner, L, Westerberg, J., Anteson, F., & Sjoden, P. A. (2002). A longitudinal study of the development of dieting among 7-17 year-old Swedish girls. International Journal of Eating Disorders, 31, 32–42. doi:10.1002/eat.10004Google Scholar
Herzog, D., Greenwood, D., Darer, D., Flores, A., Ekeblad, E., Richards, A., … Keller, M. (2000). Mortality in eating disorders: a descriptive study. International Journal of Eating Disorders, 28, 20–26. doi:10.1002/(SICI)1098-108X(200007)28:1<20::AID-EAT3>3.0.CO;2-XGoogle Scholar
Hsu, L. K. (1997). Can dieting cause an eating disorder? Psychological Medicine, 27, 509–513. doi:10.1017/S0033291797004753Google Scholar
Katz, J. (1996). Clinical observations on the physical activity of anorexia nervosa. In Epling, W. F. & Pierce, W. D. (Eds.), Activity anorexia: Theory, research and treatment (pp. 199–207). Mahwah, NJ: Lawrence Erlbaum.Google Scholar
Krahn, D. D., Kurth, C. L., Demitrack, M., & Drewnowski, A. (1992). The relationship of dieting severity and bulimic behaviors to alcohol and other drug use in young women. Journal of Substance Abuse, 4, 341–352. doi:10.1016/0899-3289(92)90041-UGoogle Scholar
Krahn, D. D., Kurth, C. L., Gomberg, E., & Drewnowski, A. (2005). Pathological dieting and alcohol use in college women-a continuum of behaviors. Eating behaviors, 6, 43–52. doi:10.1016/j.eatbeh.2004.08.004Google Scholar
Lerner, R. M., Orlos, J. B., & Knapp, J. R. (1976). Physical attractiveness, physical effectiveness and self-concept in late adolescents. Adolescence, 43, 313–326.Google Scholar
López-Guimerá, G., Fauquet, M., Sánchez-Carracedo, D., & Raich, R. (2008). Dieting in Spanish adolescent girls. European Eating Disorders Review, 16, 234–240. doi:10.1002/erv.831CrossRefGoogle ScholarPubMed
López-Guimerá, G., Sánchez-Carracedo, D., Fauquet, M., Portell, M., & Raich, R. (2011). Impact of school-based disordered eating prevention program in adolescents girls. The Spanish Journal of Psychology, 14, 293–303. doi:10.5209/rev_SJOP.2011. v14.n1.26CrossRefGoogle Scholar
Luce, K., Engler, P., & Crowther, J. (2007). Eating disorders and alcohol use: group differences in consumption rates and drinking motives. Eating Behaviors, 8, 177–184. doi:10.1016/j.eatbeh.2006.04.003CrossRefGoogle ScholarPubMed
Martín, F. (2009). Personality disorders and modern culture. Psychology, Society & Education, 1, 39–49.Google Scholar
Martín, F., Cangas, A. J., Pozo, E., Martínez, M., & López, M. (2009). Trastornos de personalidad en pacientes con un trastorno de la conducta alimentaria [Personality disorders in patients affected by anorexia and bulimia nervosa: A pilot-study]. Psicothema, 21, 33–38.Google Scholar
McLean, J. A., & Barr, S. I. (2003). Cognitive dietary restraint is associated with eating behaviors, lifestyle practices, personality characteristics and menstrual irregularity in collage women. Appetite, 40, 185–192. doi:10.1016/S0195-6663(02)00125-3Google Scholar
Meyer, C., Taranis, L., & Touyz, S. (2008). Excessive exercise in the eating disorders: a need for less activity from patients and more from researches. European Eating Disorders Review, 16, 81–83. doi:10.1002/erv.863Google Scholar
Pastor, Y., García-Merita, M. L., & Balaguer, I. (2000). Estilo de vida saludable en la adolescencia media: análisis diferencial por curso y sexo [Healthy lifestyle in middle adolescence: Differential analysis by grade and sex]. Revista de Psicología de la Salud, 12, 55–74.Google Scholar
Pastor, Y., & Pons, N. (2003). Actividad física y salud [Physical activity and health]. In Hernández, A. (Coord.), Psicología del Deporte. Buenos Aires, Argentina: PDeportes.Google Scholar
Patton, G. C., Johson-Sabine, E., Wood, K., Mann, A. H., & Wakeling, A. (1990). Abnormal eating attitudes in London schoolgirls- a prospective epidemiological study: Outcome at twelve month follow-up. Psychological Medicine, 20, 383–394. doi:10.1017/S0033291700017700Google Scholar
Patton, G. C., Selzer, R., Coffey, C., Carlin, J. B., & Wolfe, R. (1999). Onset of adolescent eating disorders: population based cohort study over 3 years. British Medical Journal, 318, 765–768.Google Scholar
Peluso, T., Ricciardelli, L., & Williams, R. (1999). Self-control in relation to problem drinking and symptoms of disordered eating. Addictive Behaviors, 24, 715–718. doi:10.1016/S0306-4603(98)00089-6CrossRefGoogle ScholarPubMed
Peñas-Lledo, E., Sancho, L., & Waller, G. (2002). Eating attitudes and the use of alcohol, tobacco, and exercise among male and female adolescents. Eating Behaviors, 3, 101–111. doi:10.1016/S1471-0153(01)00047-2CrossRefGoogle ScholarPubMed
Pérez-Gaspar, M., Gual, P., de Irala-Estévez, I., Martínez-González, M. A., Lahortiga, F., & Cervera, S. (2000). Prevalencia de los trastornos de la conducta alimentaria en adolescentes navarras [Prevalence of eating disorders in adolescents from Navarra]. Medicina Clínica, 114, 481–486.Google Scholar
Quiles, Y., & Terol, M. C. (2009). Assessment of social support dimensions in eating disorders patients. The Spanish Journal of Psychology, 12, 226–235.Google Scholar
Quiles, Y., Terol, M. C., Pagán, G., & Romero, C. (2007). Illness perception in eating disorders and psychosocial adaptation. European Eating Disorders Review, 15, 373–384. doi:10.1002/erv.793Google Scholar
Raich, R., Sánchez-Carracedo, D., López-Guimerá, G., Portell, M., Moncada, A., & Fauquet, J. (2008). A controlled assessment of school-based preventive programs for reducing eating disorder risk factors in adolescent Spanish girls. Eating Disorders: The Journal of Treatment and Prevention, 16, 255–272. doi:10.1080/10640260802016852Google Scholar
Rodríguez, A., Martínez, J. M., Novalbos, J. P., Ruiz, M. A., & Jiménez, D. (1999). Ejercicio físico y hábitos alimentarios; un estudio en adolescentes de Cádiz [Physical Exercise and Eating Habits: a Study of Teen-Agers in Cádiz]. Revista Española de Salud Pública, 73, 81–87.Google Scholar
Rojo, L., Livianos, L., Conesa, Ll., García, A., Domínguez, A., Rodrigo, G., … Vila, M. (2003). Epidemiology and risk factors of eating disorders: a two-stage epidemiologic study in a Spanish population aged 12–18 years. International Journal of Eating Disorders, 34, 281–291. doi:10.1002/eat.10179Google Scholar
Sandager, N., Peterson, C. B., Allen, S., Henderson, K., Crow, S., & Thuras, P. (2008). Tobacco use and comorbidity in bulimia nervosa. International Journal of Eating Disorders, 41, 734–738. doi:10.1002/eat.20572Google Scholar
Santonastaso, P., Friederic, S., & Favaro, A. (1999). Full and partial syndrome in eating disorders: A 1-year prospective study of risk factors among female students. Psychopathology, 32, 50–56. doi:10.1159/000029067CrossRefGoogle ScholarPubMed
Schuckit, M. A., Tipp, J. E., Anthenelli, R. M., Bucholz, K. K., Hesselbrock, V. M., & Nurnberger, J. I. (1996). Anorexia nervosa and bulimia nervosa in alcohol dependent men and women and their relatives. American Journal of Psychiatry, 153, 74–82.Google Scholar
Sepulveda, A. R., Carrobles, J. A., & Gandarillas, A. (2010). Associated factors of unhealthy eating patterns among Spanish university students by gender. The Spanish Journal of Psychology, 13, 364–375.CrossRefGoogle ScholarPubMed
Shroff, H., Reba, L., Thornton, L. M., Tozzi, F., Klump, K. L., Berrettini, W. H. … Bulik, C. M. (2006). Features associated with excessive exercise in women with eating disorders. International Journal of Eating Disorders, 39, 454–461. doi:10.1002/eat.20247Google Scholar
Spear, B. (2006). Does eating increase the risk for obesity and eating disorders? Journal of American Dieting Association, 106, 523–525.Google Scholar
Stewart, S. H., Angelopoulos, M., Baker, J. M., & Boland, F. J. (2000). Relations between dietary restraint and patterns of alcohol use in young adult women. Psychology of Addictive Behaviors, 14, 77–82. doi:10.1037//0893-164X.14.1.77CrossRefGoogle ScholarPubMed
Stice, E., & Shaw, H. (2004). Eating disorder prevention programs: A meta-analytic review. Psychological Bulletin, 130, 2, 206–227. doi:10.1037/0033-2909.130.2.206Google Scholar
Stice, E., Heather, S., & Marti, N. (2007). A meta-analytic review of eating disorder prevention programs: encouraging findings. Annual Review of Clinical Psychology, 3, 207–231. doi:10.1146/annurev.clinpsy.3.022806.091447Google Scholar
Stock, S., Goldberg, E., Corbett, S., & Katzman, D. (2002). Substance use in female adolescents with eating disorders. Journal of Adolescence Health, 31, 176–182.CrossRefGoogle ScholarPubMed
Spear, B. (2006). Does eating increase the risk for obesity and eating disorders? Journal of American Dieting Association, 106, 523–525. doi:10.1016/S1054-139X(02)00420-2Google Scholar
Strober, M. (2004). Managing the chronic treatment-resistant patient with anorexia nervosa. International Journal of Eating Disorders, 36, 245–255. doi:10.1002/eat.20054Google Scholar
Strober, M., Freeman, R., & Morrell, W. (1997). The long-term cause of severe anorexia nervosa in adolescents: survival analysis of recovery, relapse and outcome predictors over 10–15 years in a prospective study. International Journal of Eating Disorders, 22, 339–360. doi:10.1002/(SICI)1098-108X(199712)22:4<339::AID-EAT1>3.0.CO;2-NGoogle Scholar
Toro, J. (1996). El cuerpo como delito. [The body as a crime]. Barcelona, Spain: Ariel.Google Scholar
Wiederman, M. W., & Pryor, T. (1996). Substance use among women with eating disorders. International Journal of Eating Disorders, 20, 163–168. doi:10.1002/(SICI)1098-108X(199609)20:2 <163:: AID-EAT6>3.0.CO;2-E3.0.CO;2-E>CrossRefGoogle ScholarPubMed
Wiseman, C. V., Turco, R. M., Sunday, S. R., & Halmi, K. A. (1998). Smoking and body image concerns in adolescent girls. International Journal of Eating Disorders, 24, 429–433. doi:10.1002/(SICI)1098-108X(199812)24:4<429::AID-EAT10>3.0.CO;2-D3.0.CO;2-D>CrossRefGoogle ScholarPubMed
Wold, B. (1995). Health-Behavior in schoolchildren: A WHO cross-national Survey. Resource Package Questions 1993–94. Norway: University of Bergen.Google Scholar