Eating Attitudes Research Articles

The Demographic Variation in Nutrition Knowledge and Relationship with Eating Attitudes among Chinese University Students.

There is a noticeable absence of health education among college students. This study aimed to evaluate the extent of general nutrition knowledge among Chinese university students and explore its association with eating attitudes. Data were collected from a group of 273 students in Spring of 2023, using a valid and reliable research instrument consisting of three sections: demographic variables, the General Nutrition Knowledge Questionnaire (GNKQ), and the Eating Attitudes Test (EAT-26). The results were analyzed using SPSS, with correlations and t-tests to examine the relationships between nutritional knowledge and dietary attitudes. Furthermore, the present study employed the random forest (RF) algorithm, a machine learning technique, utilizing the Mean Decrease Impurity (MDI) method to investigate the influence of various features on participants' eating attitudes. The findings revealed that Chinese university students had an average accuracy of over 60% in their nutritional knowledge, but their understanding of the relationship between diet and disease still needs improvement. Moreover, male students had significantly lower nutritional knowledge than female students, and there was a positive correlation between nutritional knowledge and parents' income. The study also found a significant correlation between the level of nutritional knowledge and eating attitudes. RF results indicated that the family income level exhibited the most substantial impact on the eating attitudes of the participants. The study highlights the need for nutrition education curriculum developers to focus more on improving students' nutritional knowledge, with particular attention given to male students, low-income individuals, and those with an abnormal BMI.

14-18 Yaş Arası Ergenler için Bozulmuş Yeme Ölçeği’nin Geliştirilmesi

This study aimed to develop a scale for evaluating disordered eating attitudes and behaviors among adolescents aged 14 to 18. The scale’s factor structure was examined with a total of 1379 participants, revealing 14 items and three sub-dimensions that accounted for 58.46% of the total variance. The scale demonstrated good internal consistency (Cronbach’s alpha = .86) and test-retest reliability (r = .90). Regarding criterion validity, the correlation between the Disordered Eating Scale (DES) and the Eating Disorder Examination Questionnaire (EDE-Q) was found to be .86. Receiver operating characteristic (ROC) analysis results indicated a sensitivity of .930 and a specificity of .91 for the ≥31 cut-off point. Confirmatory factor analysis (CFA) was conducted, and the model fit indexes for both applications were as follows: x2 = 287.43, df = 73, x2/df = 3.94, RMSEA = 0.079, CFI = 0.938, TLI = 0.922, and SRMR = 0.045. These findings supported the three-dimensional model, suggesting that disordered eating can be measured through restriction, weight anxiety, and extraction-control behaviors dimensions with a total of 14 items. The DES is deemed suitable for screening and evaluating negative eating behaviors and potential psychopathology in adolescents, including those with and without clinical eating disorder symptoms.

Lack of Association of Acne Severity with Depression, Anxiety, Stress, and Eating Attitudes: A Cross-Sectional Study.

this study aimed to investigate the relationship between acne severity and depression, anxiety, stress, and negative eating attitudes in patients with acne vulgaris. This study was conducted with 81 patients with acne vulgaris who applied to the dermatology outpatient clinic of Karaman Training and Research Hospital. The patients were asked to complete a sociodemographic data form, the three-factor nutrition questionnaire (TFEQ-21), and the depression anxiety stress scale (DASS-21). Acne severity was assessed using the global acne grading system (GAGS) by an expert dermatologist. Of the 81 patients, 74.1% were female and the average age of the cohort was 22.86 years. The average body mass index of the patients was 21.78 and the GAGS average score was 24.25. Correlation tests revealed the lack of any relationship between the GAGS score and the DASS-21 and TFEQ-21 scale scores (and their subscales). The DASS-21 depression subscale was correlated with the TFEQ-21 total score, and TFEQ-21 emotional eating and TFEQ-21 uncontrolled eating scores. Additionally, a relationship was identified between the DASS21-stress subscale score and TFEQ-21 uncontrolled Eating and TFEQ-21 total score, as well as between the DASS21-anxiety scale and the TFEQ-21 total score and TFEQ-21 uncontrolled eating subscale score. Although no relationship was found between acne severity and depression, anxiety, or eating disorders, these conditions can increase the risk of eating disorders among acne patients. Therefore, it is critical to take the necessary precautions for the treatment of depression and anxiety disorders in this patient population.

Variables that explain disordered eating behaviors among women: the mediating role of body dissatisfaction

PurposeTo analyze the role of body dissatisfaction in the relationships of sociocultural influences, depression, and anxiety with disordered eating behaviors (DEB) in a sample of female Mexican university students.MethodsA nonrandom sample of 526 female Mexican university students aged 18 to 25 years completed the Questionnaire of Influence on the Aesthetic Model of Body Shape (CIMEC-26), the Hospital Anxiety and Depression Scale (HADS), the Body Shape Questionnaire (BSQ-8D) and the Eating Attitudes Test (EAT-26).ResultsThrough the mean model (χ2/df (5, n = 526) = 7.298, p = .199; NFI = .996; CFI = .999; RMSEA = .030; SRMR = .011), body dissatisfaction was found to mediate the relationships of influence of advertising, influence of social models and anxiety with DEB (restrictive dieting and bulimia). The variable with the most direct effect on restrictive dieting and bulimia was the influence of advertising. Body dissatisfaction partially mediated this relationship, as the influence of advertising had a significant direct effect on restrictive dieting and bulimia. The final model of direct and indirect effects explained 43% and 22% of the variance in restrictive dieting and bulimia, respectively.ConclusionThe present study showed that body dissatisfaction partially mediated the relationships between influence of advertising, influence of social models, and anxiety with DEB among women. Thus, these variables should be taken into account in prevention and intervention programs targeting BED. Level V: Evidence obtained from a cross-sectional descriptive study.Level VEvidence obtained from a cross-sectional descriptive study.

The Relationship between Eating Attitudes, Body Image Appreciation and their Impact on Self-Esteem among Youth Community in Muar, Malaysia

Introduction: Self-esteem is a major determinant of an individual's body image. Self-esteem issues can lead to inferior body images, which in turn increase the risk of disordered eating. This study will fill a gap in the relationship between eating attitudes, body image appreciation, and their impact on self-esteem among the Muar youth population. Objective: The study aimed to examine the relationship between eating attitudes and body image appreciation and self-esteem among the youth community in Muar. Methods: The study used a cross-sectional study design. A sample of 384 youths aged 18 to 35 years old was selected using a convenience sampling method. An online survey with bilingual questions in Malay and English was distributed for data collection. The study consisted of four sections: demographic data, the Eating Attitudes Test-26 (EAT-26), the Body Appreciation Scale-2 (BAS-2), and the Rosenberg Self-Esteem Scale (RSES). Results: The results indicated that the Muar youth community had good eating attitudes (14.27 ± 12.92), moderately good body self-appreciation (36.70 ± 8.40), and a moderate self-esteem score (17.32 ± 4.40). The regression results proved there was a significant relationship between eating attitudes and body self-appreciation towards self-esteem (p < 0.05), in which oral control and body appreciation were the predictors for self-esteem. Conclusion: The findings contributed to new knowledge regarding the pattern of eating attitudes and body image appreciation, as well as providing an understanding of self-esteem. The relationship showed that the reduction of oral control attitudes and the rise in body image appreciation would have an impact on improving self-esteem.

Dysfunctional eating attitudes and behaviors among French elite athletes: the impact of psychological characteristics and the sporting calendar.

Research on sport psychology suggests that athletes are at risk of developing dysfunctional eating attitudes and behaviors (DEAB), however the origins of these behaviors remain largely unexplored. The present study aims to identify factors (i.e., personality traits, anxiety levels, eating attitudes and behaviors, the internalization of sport thinness norms, and resilience) associated with the development of DEAB among female endurance athletes, in training and competition. A longitudinal follow-up study was conducted among 14 elite female athletes who were tested daily, weekly, and quarterly over 12 months in 2022, for a total of 545 measures. Participants completed questionnaires assessing personality traits, anxiety levels, eating attitudes and behaviors, the internalization of sport thinness norms, and resilience. Descriptive statistics were calculated for all study data, and odds ratios were conducted to compare the variance of psychological factors and sporting factors depending on the level of DEAB and the sport period. Significance was set at p < 0.05. Overall, 28% of our sample of athletes were identified with DEAB. Among those with DEAB, scores for agreeableness, anxiety, and competitive anxiety were significantly higher, while scores for resilience were significantly lower than those without DEAB. During the competitive season, scores for self-regulatory eating attitudes and the internalization of thinness norms were significantly higher than during the training period. Our results suggest a greater probability of DEAB among athletes who exhibit the trait of agreeableness, experience anxiety during competition, and lack resilience. The competitive season was also identified as a period conducive for developing DEAB compared with the training period. Based on these results our study suggests preventive measures that can be implemented with athletes displaying these traits, with a particular emphasis during the competitive phase.

Body image perception, eating disorder behavior, self-esteem and quality of life: a cross-sectional study among female medical students

BackgroundEating disorders are strongly associated with body image concerns. Eating disorders tend to significantly impact the current and future health and quality of life of affected persons, their caregivers, and society. As body image is based on a social construct of ideal body image, it is essential to evaluate it in its cultural context.MethodsThe current study explored the relationship among body image perception, perceived stress, eating disorder behaviour and quality of life among female medical students (n = 777). Measurements included Body Shape Questionnaire, Body Image Quality of Life Inventory, Eating Attitudes Test-26 and Rosenberg Self-Esteem Scale. Multivariate analysis was conducted.ResultsThere was a significant correlation between eating disorder behaviour and perceived body shape, body image, quality of life and self-esteem among our study participants. We also found eating disorder status was significantly associated with BMI, perceived body shape, quality of life and self-esteem.ConclusionsThis is of clinical implication to female medical students and healthcare professionals to engage early in primary and secondary prevention of eating pathologies. Increasing awareness of these facts among female students can help identify at-risk students and help them seek timely medical help.

Relation between orthorexia nervosa and healthy orthorexia: A latent profile analysis

Orthorexic eating behaviors can be conceptualized as a bidimensional construct encompassing an orthorexia nervosa dimension (ON) and a healthy orthorexia dimension (HO). Although variable-centered studies showed that ON and HO are distinguishable orthorexic eating behaviors, the evidence of whether they can co-occur or be distinct in subgroups of individuals is still limited. The present study aimed to address previous person-centered studies' limitations by examining profiles of ON and HO among a convenience sample of 251 French-speaking Canadian adults (85.7% women; Mage = 33.56). Profile membership was examined as function of participants characteristics such as age, gender, body mass index, frequency of physical activity and sports and vegetarianism. The relation between profile membership, intuitive eating and disordered eating attitudes and behaviors was also assessed. Latent profile analysis (LPA) were used to estimate profiles of ON and HO. Results from LPA did not provide support for the distinguishability of ON and HO. Indeed, they revealed the presence of two profiles showing co-occurring levels of ON and HO that only differed quantitatively: low (68.9% of the sample; low levels of ON and HO) or moderate orthorexic eating behaviors (31.1%; moderate levels of ON and HO). Participants who declared being vegetarian and being more frequently involved in physical activities and sports were more likely to belong to the moderate orthorexic eating behaviors' profile. Finally, participants from the moderate orthorexic eating behaviors' profile showed higher levels of disordered eating attitudes and behaviors, whereas those from the low orthorexic eating behaviors’ profile showed higher levels of intuitive eating. Findings from the present study question the distinguishability of ON and HO dimensions. They also suggest that, similarly to ON, HO is also related to higher eating and lifestyle preoccupations.

Structure and factorial invariance of a brief version of the Eating Attitudes Test in Peruvian university students.

University students often experience significant changes in their eating habits, which can increase the risk of developing eating disorders (ED). This situation calls for the creation of brief assessment tools to identify college students who may be most at risk. The aim of the study was to determine the psychometric properties of the Eating Attitudes Test-8 (EAT-8) in a Peruvian university population; additionally, the possible differences in the scores of the instrument according to sociodemographic variables, such as gender and age, were examined. A psychometric study was conducted on 610 participants (M = 24.3, SD = 2.16, and 61.5% female), aged 19 to 31 years, belonging to four universities of different professional careers. The unidimensional eight-item model was found to have fit indices that confirm acceptable factorial validity (X2/df = 3.23, CFI = 0.984, TLI = 0.977, RMSEA = 0.061, SRMR = 0.049) and an internal consistency of 0.833 for the Cronbach's alpha coefficient and 0.838 for the McDonald's omega coefficient. In addition, the EAT-8 was reported to be invariant according to gender and age; likewise, there were no significant differences in the age and gender categories. The EAT-8 has solid psychometric properties, including validity, reliability, and invariance, in the Peruvian university population, which supports its ability to assess the risk of developing ED in this specific group.

Eating Attitudes of Patients with Celiac Disease in Brazil: A Nationwide Assessment with the EAT-26 Instrument.

Celiac disease (CD) is an immune-mediated enteropathy triggered by the ingestion of gluten in genetically predisposed individuals. In this sense, a gluten-free diet is the only safe treatment available. Due to the restrictions resulting from this eating pattern, this treatment may impair the relationship of the people with CD with food, increasing the risk of a disordered eating attitude, which is associated with eating disorders. The EAT-26 is a validated instrument already applied worldwide in different populations, and higher scores are suggestive of eating attitudes prone to evolve into eating disorders. Studies carried out in other countries have already shown that people with CD are prone to developing eating disorders; however, no study has been carried out with this theme in the population with CD in Brazil. We carried out a nationwide cross-sectional study in three steps: (i) study design and instrument; (ii) recruitment of participants and ethics; (iii) statistical analysis. A total of 385 participants were included in our sample, 96.36% of them being women. The internal consistency of the applied self-administered Brazilian version of the EAT-26 online questionnaire presented a satisfactory Cronbach's alpha of 0.812, and in total, 36.1% of the respondents were classified with a disordered eating attitude. No differences were found among the scores of participants when divided by categories regarding gender, average monthly income, age, and educational level. However, scores classified as a disordered eating attitude were found in respondents with a body mass index classified as overweight and obese. Our study highlights that disordered eating attitudes are present in overweight and obese women with celiac disease; thus, public health politics are needed to prevent and treat these attitudes.

Investigating the Link between Eating Attitudes, Taste and Odour Preferences and the Chemical Senses.

To examine if higher degrees of pathological eating attitudes in a non-clinical sample are associated with odour and taste perception and preferences based on psychophysical ratings. A total of 80 female university students completed the eating attitudes test (EAT-26), followed by four chemosensory measures including olfactory and gustatory perception plus perceptual ratings and preferences for food odours and tastes. There were no significant correlations between EAT-26 scores and measures of olfactory and gustatory perception. However, a significant interaction effect indicated higher degrees of pathological eating attitudes may be associated with differential sensitivity to sweet and fatty food odours compared to those with lower levels of pathological eating attitudes. This was the first study to examine pathological eating attitudes using food stimuli with a non-clinical sample. The results remain preliminary until replication. However, the findings highlight the need for development of measures of disordered eating attitudes and behaviours that go beyond caloric restriction.

Effectiveness of an e-Health Quasi-Randomized Controlled Universal Prevention Program for Eating Disorders in Spanish Adolescents

Eating disorders (EDs) and sub-threshold conditions are prevalent in the adolescent population. Unfortunately, most preventive interventions have been targeted at emerging adults and the effectiveness of online prevention programs has yet to be determined in adolescents. This study sought to examine the short-term effectiveness of a universal e-Health psychoeducational prevention program for EDs compared to a control (non-intervention) group in Spanish adolescents. Using a quasi-randomized trial design, a total of 161 [% girls: 45.96; Mage(SD) = 12.43 (0.43)] adolescents from 5 participating schools were allocated to two intervention arms: (1) psychoeducational intervention (n = 79) and (2) wait-list control (n = 82). The intervention was delivered over 3 months through 3 modules that were accessible 24/7 and 3 school sessions guided by the students´ tutors focusing on nutrition, promoting a healthy lifestyle, mitigating body concerns, and social pressures. Participants completed an online assessment battery including the Eating Attitudes Test (EAT-26) and measures of self-esteem, family disruption, compliance with the Mediterranean diet, and lifestyle. Correlational analysis showed small to moderate relationships between self-esteem and family function (rho = 0.413, p = 0.001), BMI (body mass index) and the EAT-26 dieting subscale (rho = 0.417, p = 0.001), physical activity and the bulimia subscale (rho = − 0.237, p = 0.003), and self-esteem and the dieting subscale (rho = − 0.223, p = 0.004). At the post-intervention assessment, the intervention group showed a statistically significant reduction in ED risk (EAT-26) (d = − 0.323, p = 0.040) and the oral control subscale (d = 0.327, p = 0.038). The e-health intervention including tutor-led digital components was effective for reducing ED risk in children. Results must be interpreted with caution due to the low statistical power and the limited sample size. Large scale randomized controlled trials with longer follow-ups will be needed to bolster the evidence.

The mediating role of emotional eating in the relationship between aggression and eating attitudes

Aims: Negative emotions and thoughts are known to be associated with eating problems. In recent years, strong relationships have been established between disordered eating attitudes and aggression, which are important in the growth of increasing eating disorders. This article examines the mediatory role of emotional eating in the relationship between aggression and disordered eating attitudes in adult individuals. &#x0D; Methods: The study included 293 participants, including 70 males and 223 females, accessed through a convenience sampling method. In the study, participants completed the Demographic Information Form, the Eating Attitude Test, the Buss-Perry Aggression Scale, and the Turkish Emotional Eating Scale. &#x0D; Results: Participants with disordered eating attitudes and emotional eating were found to have significantly higher average aggression scores than participants with healthy eating attitudes and without emotional eating. There has been a positive significant relationship between hostility and emotional eating and between hostility and disordered eating attitudes. The results of the structural equation model showed that among the types of aggression, only hostility and all disordered eating attitudes (preoccupation with eating, restriction, social pressure) played an instrumental role in the relationship. &#x0D; Conclusion: Hostility and emotional eating behavior should be addressed in different preventive studies and intervention programs in which disordered eating attitudes seem in the fields of both mental health and health sciences.

Why are street foods consumed? A machine learning ensemble approach to assess consumption intention of street foods

Street food promotes a country's society, culture, and economy. Most studies on street food have focused on food quality, eating habits, and eating motivation. However, despite the evident popularity of street foods among tourists, the intention to consume street foods has been underexplored. This study extended the theory of planned behavior by considering five additional factors to provide a more holistic measurement of the intention to consume street foods. Analyzing these factors using machine learning ensemble techniques, specifically the random forest classifier and artificial neural network. The different algorithms were then subjected to their corresponding optimization processes to determine the classification model's best parameters and optimum output for assessing intention to consume street foods in the Philippines, which yielded high accuracy rates of 93 % and 94.6 %, respectively. Variables such as convenience, hedonic eating value, self-efficacy, and attitude were found to be highly significant. The study collected 80,050 data points from 1,061 valid responses, indicating that consumers' decisions regarding the consumption of street food are influenced by individuals who hold significant importance in their lives. Moreover, consumers exercise their agency in the consumption of street foods, utilizing their resources and patronage to contribute to the societal and economic benefits associated with such consumption within the country. Given the freshness of most street food items being prepared on-site, this instilled greater confidence in their choice. The findings of on the intention to consume street food in a cultural perspective can be leveraged by government officials to promote and advertise street foods, highlighting their connection to the country's culture, diversity, and society.

Pregnancy through the Looking-Glass: correlates of disordered eating attitudes among a sample of Lebanese pregnant women

IntroductionDespite the risks of gestational disordered eating for both the mother and fetus, research into this subject is scarce within developing countries, particularly in Lebanon. Our study’s objective was to delve into the predictors of disordered eating attitudes during pregnancy among a sample of Lebanese pregnant women while assessing the potential mediating effect of body dissatisfaction between psychosocial factors and disordered eating attitudes in pregnancy.MethodsWe framed a cross-sectional study, built on self-report measures. Pregnant women of 18 years old and above were recruited from all the Lebanese governorates through an online survey (N = 433).ResultsThe results showed that higher pregnancy-specific hassles (Beta = 0.19), media and pregnant celebrities’ influence (Beta = 0.22), and body dissatisfaction (Beta = 0.17) were significantly associated with increased disordered eating attitudes in pregnancy; whereas higher perceived social support (Beta = -0.03), lower socio-economic status (Beta = -0.84), and multigravidity (Beta = -0.96) were significantly associated with less disordered eating attitudes during pregnancy. Body dissatisfaction mediated the association between pregnancy-specific hassles and disordered eating attitudes, and between social appearance concerns and disordered eating attitudes.ConclusionOur study highlighted that antenatal care, particularly in Lebanon, should no longer be limited to biological monitoring but rather seek to identify possible eating disorders and mental health threats. Further investigations following longitudinal designs should pursue identifying additional correlates of gestational disordered eating in the clinical context, in furtherance of consolidating screening programs and building targeted treatment strategies.

Psychometric properties of an Arabic translation of the short 9-item drive for muscularity scale (DMS-9)

BackgroundAfter the original 15-item Drive for Muscularity Scale developed by McCreary et al. in 2004, a more theoretically based scale that replicates the original DMS subscales with a better conceptual clarity and a shorter number of items, i.e., the DMS-9, has recently been developed by Chaba et al. in 2018. We sought to contribute to the literature especially under the Arab context, by investigating the psychometric properties of an Arabic translation of the DMS-9 in a sample of Arabic-speaking Lebanese university students of both genders.MethodsUniversity students (N = 402; 55.2% females) from multiple universities in Lebanon were invited to fill the survey in this cross-sectional designed study (December 2022 and January 2023). Our sample was chosen using the snowball technique; a soft copy of the questionnaire was created using google forms software, and an online approach was conceived to proceed with the data collection.ResultsUsing an Exploratory Factor Analysis-to- Confirmatory Factor Analysis strategy, we found that the original two-factor model of the DMS proposed in the parent study was adequately replicated in our sample. The two DMS-9 factor scores showed very good McDonald’s omega values (ω > 0.8). Findings also showed that gender invariance was achieved at the configural, metric, and scalar levels. Additionally, drive for muscularity scores correlated in the expected way with other study variables, providing support for the convergent and divergent validity of the Arabic DMS-9. Specifically, we found that greater drive for muscularity attitudes and behaviors significantly correlated with more severe muscle dysmorphic symptoms, inappropriate eating attitudes, muscle bias internalization, and lower body appreciation.ConclusionFindings preliminarily suggest that the Arabic DMS-9 is psychometrically sound and suitable tool to assess the drive for muscularity construct among Arabic-speaking community adults. Making the Arabic DMS-9 available will hopefully benefit the scientific community working in Arab settings, promote local and international research in this area, and offer descriptive data on how drive for muscularity may interfere with health indicators in the general Arab population.

Psychometric properties of an Arabic translation of the body appreciation scale (BAS-2) and its short forms (BAS-2SF) in a community sample of Lebanese adults

ObjectivesThe present study sought to examine the factor structure, reliability, validity and gender invariance of the Arabic Body Appreciation Scale (BAS-2), and its two short forms (the 3-item and 2-item BAS-2SF) among community Lebanese Arabic-speaking adults.MethodsWe carried-out an online cross-sectional survey. The 10-item BAS-2, the functionality appreciation scale and the Eating Attitudes Test-26 were completed by 826 Lebanese community adults (57.9% females, aged 25.42 ± 8.44 years).ResultsThe Arabic 10-item, 3-item and 2-item BAS-2 converged on a one-factor solution, and demonstrated high internal consistency (McDonald’s ω value of .92, .88, and .86 respectively). All indices suggested that configural, metric, and scalar invariance was supported across gender. The 3-item and 2-item BAS-2SF were highly correlated with the original BAS-2 (r > 0.9). Higher 10-item, 3-item and 2-item BAS-2 scores correlated significantly and strongly with more positive eating attitudes and greater functionality appreciation, and higher 10-item BAS-2 scores correlated positively and weakly with BMI, supporting convergent validity.ConclusionThe present work contributes to the literature by providing a psychometrically sound Arabic-translation of the BAS-2 and short-forms, benefitting both researchers and clinicians.

Eating Attitudes From a Cardiometabolic Risk Perspective: Psoriasis Sample

Objective: In this study, we aimed to compare psoriasis patients with healthy controls in terms of impaired eating attitudes and to investigate the relationship of eating attitudes with cardiometabolic and clinical parameters, anxiety, depression, and quality of life. &#x0D; Methods: 45 psoriasis patients and 45 healthy controls were included in the study. Personal and clinical information form, eating attitude test (EAT-40), body mass index (BMI) and MetS criteria were used for all participants. Psoriasis patients were evaluated with clinical information form, hospital anxiety and depression scale (HADS), dermatological quality of life index (DQLI), psoriasis area and severity index (PASI).&#x0D; Results: The data of the patient and control groups differed in terms of doing sports, impaired EAT, BMI groups, and metabolic syndrome (MetS). Abnormal eating attitudes such as negative body image, inability to control oneself in eating, overeating, and some restrictive attitudes were significantly higher in the psoriasis group. Overeating, overeating or stress-induced emotional eating, presence of MetS, weight dissatisfaction, frequent dieting to lose weight, some compensatory behaviours, and loss of self-control were significantly higher in patients with BMI&gt;25. EAT points; showed a positive moderate correlation with BMI and HAD-Anxiety. DQLI results; showed a moderate positive correlation with HADAnxiety and PASI scores.&#x0D; Conclusion: Our study is the first to reveal what kind of disordered eating attitudes are at risk for cardiometabolic diseases in psoriasis patients. In psoriasis patients, the rate of not being able to control their eating behaviour is high. Our results primarily highlight the relationship that can be explained by autonomic reactivity between anxiety and difficulty resisting food cravings. Professional support including psychoeducational, cognitive behavioural therapy, and acceptance-based therapies should be provided to reduce maladaptive reactions and anxiety by improving self-regulation skills.

O.4.5-6 Psychosocial approach of dysfunctional eating attitude and behaviors in endurance sport: comparison of competitive and practice periods

Abstract Purpose Most of the determinants of the dysfunctional eating attitude and behaviors (DEAB) mentioned so far have been reported in aesthetic sports or weight categories and may therefore not be representative of all endurance athletes. Moreover, to our knowledge, very few studies have focused on the evolutionary nature of these variables during a sports season. The objective of this research was to identify the triggers of the implementation of inappropriate behaviors for the health and performance of endurance athletes. Methods The sample consisted of 14 French female athletes aged 18 or over who practiced an endurance sport more than 12 hours a week for more than 5 years. All athletes were at the national or international level. For one year, participants answered online questionnaires through an Athlete Management System. They were followed daily on the sports period, weekly on self-regulation of eating attitude in sport, and self-perceptions and quarterly on psychosocial parameters related to DEAB. Results The ANOVA performed showed that anxiety levels were higher and resilience levels lower in athletes with DEAB compared to other athletes, and anxiety levels tended to increase during competitive periods only in athletes with DEAB. On the other hand, the level of resilience of athletes does not vary significantly depending on the period of competition or training. The analyses performed revealed also indicate dietary regulation behaviors and a higher level of internalization of slimming standards when athletes were in competition compared to training phases. Conclusions Although DEAB are an increasing concern in the sport context, the specificity of DEAB in athletes can represent a challenge for stakeholders. It seems necessary that stakeholders from all fields to have a precise knowledge of the personal characteristics related to sports practice that could favor the DEAB development, to be able to carry out an appropriate evaluation allowing subsequently to propose avenues of intervention adapted to the realities of them. Support/Funding Source This research project was supported by the French athletics federation and financially supported by “Sport pour elles, FDJ”.

Is There a Link Between Sleep Quality and a Tendency for Eating Disorders?

Aim: Poor sleep quality has been associated with an increased risk of developing eating disorders, and unhealthy eating behaviours. The aim of the study was to explore the potential link between sleep quality and eating disorders. Subjects and Method: This descriptive, observational, and cross-sectional study was conducted with 357 (84 male; 273 female) university students between the ages of 18-25 years. Exclusion criteria included being diagnosed with chronic disease and psychiatric disorders, being pregnant and lactating, using drugs that affect sleep patterns, being shift workers, and participants who did not complete the questionnaire. The questionnaire consisted of six parts including Pittsburgh Sleep Quality Index (PSQI), Three-Factor Eating Questionnaire (TFEQ-21), SCOFF (REZZY) Eating Disorders Scale, anthropometric measurements, demographic properties, and nutritional habits. Results: The prevalence of poor sleep quality was found to be 63% and there was no significant difference between gender in terms of sleep quality (p=0.769). There was significant relationship between total TFEQ 21 (p=0.02), SCORF (REZZY) (p&lt;0.001) scores and sleep quality. Uncontrolled eating behaviours was found higher in students with poor sleep quality (p&lt;0.05). Age, body mass index (kg/m2), and smoking were not significant predictors of sleep quality. However, participants with a tendency towards eating disorders behaviour were found to have a significantly higher risk of poor sleep quality (odds ratio [OR]: 2.338, 95% confidence interval [CI]: 1.444-3.785, p=0.001), as were those with a tendency towards emotional eating behaviour (OR: 1.575, 95% CI: 1.022-2.427, p=0.040). Conclusion: Students with poor sleep quality had higher levels of uncontrolled eating behaviour and a tendency towards unhealthy eating attitudes than those with good sleep quality.