The Relationship Between Disordered Eating Attitudes, Nutritional Knowledge Levels, and Overweight and Obesity Among University Students: A Single-Center Study in Türkiye

Year 2023, , 418 - 424, 18.12.2023

İsmet Çelebi , Hüseyin Koçak , Cüneyt Çalışkan

https://doi.org/10.26453/otjhs.1325665

Abstract

Objective: This study aimed to examine the relationship between irregular eating attitudes and nutritional knowledge levels and obesity and overweight of university students studying at a university in Türkiye.
Materials and Methods: A three-part survey, consisting of socio-demographic information, the Eating Attitude Test-26, and the Nutrition Knowledge Scale, was applied. After the survey, the height and weight of all participants were measured. It was aimed to reach all students, but the survey form was applied to 628 students in total.
Results: The male students had higher average weight, height, and body mass index (BMI) values than the female students. The Eating Attitude Test-26 (EAT-26) score was significantly higher in the female students. The study showed that among the male students who were overweight and obese in terms of BMI, the probability of exceeding the EAT-26 cut-off limit was 4.25 times higher (OR=4.25 [1.38-7.33], p<0.001). Among the female students who were overweight and obese in terms of BMI, the probability of exceeding the EAT-26 cut-off limit was 3.92 times higher (OR=3.92 [2.44-8.04], p<0.001).
Conclusions: Disordered eating attitudes and poor nutritional knowledge levels were more common among those students who were overweight or obese.

Keywords

Eating disorders, nutritional knowledge, obesity, overweight, university students

Project Number

yok

Üniversite Öğrencileri Arasında Düzensiz Yeme Tutum Riski ve Beslenme Bilgi Düzeyinin Fazla Kilo ve Obezite İle İlişkisi: Türkiye’de Tek Merkezi Bir Çalışma

Abstract

Amaç: Bu çalışmada, Türkiye’de bir üniversitede öğrenim gören üniversite öğrencilerinin düzensiz yeme tutumları, beslenme bilgi düzeyleri ile fazla kilo ve obezite arasındaki ilişkinin incelenmesi amaçlanmıştır.
Materyal ve Metot: Sosyodemografik bilgiler, Yeme Tutum Testi-26 (YTT-26) ve Beslenme Bilgi Ölçeği'nden (BBÖ) oluşan üç bölümden oluşan bir anket uygulandı. Anketin ardından tüm katılımcıların boy ve kiloları ölçüldü. Tüm öğrencilere ulaşılması hedeflenmiş ancak anket formu toplamda 628 öğrenciye uygulanmıştır.
Bulgular: Erkek öğrencilerin ortalama ağırlık, boy ve beden kitle indeksi (BKI) değerleri kız öğrencilere göre daha yüksekti. EAT-26 puanı kız öğrencilerde anlamlı olarak yüksekti. Çalışma, BKI açısından fazla kilolu ve obez olan erkek öğrencilerde YTT-26 kesme sınırını aşma olasılığının 4,25 kat daha yüksek olduğunu gösterdi (OR=4,25 [1,38-7,33], p<0,001). BKİ açısından fazla kilolu ve obez olan kız öğrencilerde EAT-26 kesme sınırını aşma olasılığı 3,92 kat daha fazladır (OR=3,92 [2,44-8,04], p<0,001). BKİ açısından fazla kilolu ve obez olan kız öğrencilerde beslenme bilgi düzeyi 0,83 kat daha yüksekti (OR=0,83 [0,44-1,18], p=0,711).
Sonuç: Aşırı kilolu veya obez olan öğrencilerde düzensiz yeme tutumları ve zayıf beslenme bilgisi düzeyleri daha yaygındı.

Keywords

Beslenme bilgisi, fazla kilo, obezite, üniversite öğrencileri; yeme bozukluğu

Supporting Institution

yok

Project Number

yok

Thanks

yok

References

• World Health Organization. Controlling the global obesity epidemic 2022. http://www.who.int/nutrition/topics/obesity/en/. Accessed October 28, 2022.
• Bhuyan SS, Chandak A, Smith P, Carlton EL, Duncan K, Gentry D. Integration of public health and primary care: a systematic review of the current literature in primary care physician mediated childhood obesity interventions. Obesity Research & Clinical Practice. 2015;9(6):539-552. doi:10.1016/j.orcp.2015.07.005
• Leung AWY, Chan RSM, Sea MMM, Woo J. An overview of factors associated with adherence to lifestyle modification programs for weight management in adults. Int. J. Environ. Res. 2017;14(8):922 doi:10.3390/ijerph14080922
• Gray LA, Alava MH, Kelly MP, Campbell MJ. Family lifestyle dynamics and childhood obesity: evidence from the millennium cohort study. BMC Public Health. 2018;18:500. doi:10.1186/s12889-018-5398-5
• Brown CL, Perrin EM. Obesity prevention and treatment in primary care. Academic Pediatrics. 2018;18(7):736-745. doi:10.1016/j.acap.2018.05.004
• Al Banna MH, Brazendale K, Khan MSI, Sayeed A, Hasan MT, Kundu S. Association of overweight and obesity with the risk of disordered eating attitudes and behaviors among Bangladeshi university students. Eating Behaviors. 2021;40:101474. doi:10.1016/j.eatbeh.2021.101474
• Gungor BN. Evaluation of the relationship between nutrition knowledge level, emotional eating and depression in adults aged 20-64 years living in Balıkesir Karesi district. Eastern Mediterranean University, Health Sciences Institute, Master's thesis, KKTC. 2021
• Taş TY, İçen S, Gül H, Döğer E. A cross-sectional study on the correlates of food addiction symptoms in adolescents seeking treatment for obesity: eating attitudes and gender differences. Journal of Addictive Diseases. 2022;40(3):326-335.
• Smink FRE, Van Hoeken D, Hoek HW. Epidemiology of eating disorders: incidence, prevalence and mortality rates. Current Psychiatry Reports. 2012;14(4):406-414.
• Auerbach RP, Alonso J, Axinn WG, et al. Mental disorders among college students in the World Health Organization world mental health surveys. Psychological Medicine. 2016;46(14):2955-2970. doi:10.1017/S0033291716001665
• Kabakuş Aykut M, Bilici S. The relationship between the risk of eating disorder and meal patterns in University students. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2022;7(2):579-587. doi:10.1007/s40519-021-01179-4
• Lukács A, Wasilewska M, Sope O, et al. Risk of eating disorders in university students: an international study in Hungary, Poland and Ukraine. Int J Adolesc Med Health. 2020;33:415-420. doi:10.1515/ijamh-2019-0164
• O’Brien G, Davies M. Nutrition knowledge and body mass index. Health Education Research. 2007;22(4):571-575. doi:10.1093/her/cyl119
• Akkartal Ş, Gezer C. Is nutrition knowledge related to diet quality and obesity, Ecology of Food and Nutrition. 2019;59(2):119-129.
• Azizi M, Aghaee N, Ebrahimi M, Ranjbar K. Nutrition knowledge, the attitude and practices of college students. Facta Universitatis. 2011;9(3):349–357.
• Ergüney-Okumuş FE, Sertel-Berk HÖ. The psychometric properties of the eating attitudes test short form (EAT-26) in a college sample. Psychology Study. 2019;40(1):57-78.
• Pengpid S, Peltzer K, Ahsan GU. Risk of eating disorders among university students in Bangladesh International Journal of Adolescent Medicine and Health. 2015;2(1):93-100 doi:10.1515/ijamh-2014-0013
• Öngün Yılmaz H, Aydın Haklı D, Toğuç H, et al. Nutrition knowledge scale (NKS): development, factor structure, and validation for healthy adults. Progress in Nutrition. 2021;23(3):28-35. doi:10.23751/pn.v23i3.11030
• World Health Organization. Body mass index. https://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bm. Accessed October 10, 2022.
• Turkish Statistical Institute. Türkiye Health Survey 2023. https://data.tuik.gov.tr/Bulten/Index?p=Turkiye-Saglik-Arastirmasi-2019-33661. Accessed February 15, 2023.
• Jura M, Kozak LP. Obesity and related consequences to ageing. Age (Dordr). 2016;38(1):23. doi:10.1007/s11357-016-9884-3
• Tapera R, Merapelo MT, Tumoyagae T, et al. The prevalence and factors associated with overweight and obesity among University of Botswana students. Cogent Medicine. 2017;4(1), 1357249. doi:10.1080/2331205X.2017.1357249
• Cooper AJ, Gupta SR, Moustafa AF, Chao AM. Sex/gender differences in obesity prevalence, comorbidities, and treatment. Current Obesity Reports. 2021;10:458-466
• Piko BF, Kiss H, Gráczer A, Fitzpatrick KM. Risk of disordered eating in emerging adulthood: media, body and weight-related correlates among Hungarian female university students. Journal of Preventive Medicine and Hygiene. 2022;63(1):83-89. doi:10.15167/2421-4248/jpmh2022.63.1.2375
• Musaiger AO, Al-Mannai M, Tayyem R, et al. Risk of disordered eating attitudes among adolescents in seven Arab countries by gender and obesity: a cross-cultural study. Appetite. 2013;60:162-167. doi:10.1016/j.appet.2012.10.012
• Şengör G, Gezer C. Food addiction and its relationship with disordered eating behaviours and obesity. Eating and weight disorders-studies on anorexia, Bulimia and Obesity. 2019;24:1031-1039.
• Spronk I, Kullen C, Burdon C, O'Connor H. Relationship between nutrition knowledge and dietary intake. Br J Nutr. 2014;28:1713–1726. doi:10.1017/S0007114514000087
• Akkarta Ş, Gezer C. Is nutrition knowledge related to diet quality and obesity? Ecology of Food And Nutrition. 2020;59(2):119-129. doi:10.1080/03670244.2019.1675654
• Valmorbida JL, Goulart MR, Busnello FM, Pellanda LC. Nutritional knowledge and body mass index: A cross-sectional study. Revista Da Associação Médica Brasileira. 2017;63(9):736-740. doi:10.1590/1806-9282.63.09.736
• Miller LM, Cassady DL. The effects of nutrition knowledge on food label use. A review of the literature. Appetite. 2015;92:207-16. doi:10.1016/j.appet.2015.05.029