Evaluation of the Relationship Between Eating Disorder Risk and Anthropometric Measurements: A Cross-Sectional Study with Faculty of Health Sciences Students

Yıl 2025, Cilt: 9 Sayı: 2, 1 - 9, 28.08.2025

Gül Eda Kılınç

https://doi.org/10.71230/arsagbil.1572117

Öz

Bu çalışmada sağlık bilimleri alanında öğrenim gören üniversite öğrencilerinde REZZY yeme bozukluğu ölçeği ile antropometrik ölçümler arasındaki ilişkinin değerlendirilmesi amaçlanmıştır. Kesitsel olarak planlanan bu araştırmanın örneklemini 18-25 yaş aralığındaki 149 sağlık bilimleri alanında öğrenim görmekte olan üniversite öğrencisi oluşturmakta olup antropometrik ölçümleri değerlendirilmiştir. Yeme bozukluğu taraması için REZZY yeme bozukluğu ölçeği kullanılmıştır. Veriler SPSS 27.0 programı ile değerlendirilmiştir. REZZY yeme bozukluğu üzerine etki eden değişkenler binary lojistik regresyon analiziyle belirlenmiştir. Öğrencilerin %51’inde yeme bozukluğu riski saptanmıştır. Kız öğrencilerin anlamlı düzeyde daha fazla yeme bozukluğu riskine sahip olduğu belirlenmiştir (p<0,05). Yeme bozukluğu açısından riskli gruptakilerde vücut ağırlığı, bel çevresi ve kas kütlesinin anlamlı düzeyde düşük olduğu saptanmıştır (p<0,05). Fazla kilolu ve obez öğrenciler ile bel/boy oranı sınıflamasına göre riskli ve tedavi gerektiren öğrencilerin daha düşük yeme bozukluğu riskine sahip olduğu görülmüştür (p<0,05). Kadınlarda erkeklere göre yeme bozukluğu riski 2,919 kat daha fazla bulunmuştur (p<0,05). Beden kütle indeksine göre zayıf ve normal olan bireylerin fazla kilolu ve obezlere göre yeme bozukluğu riski 4,182 kat daha fazla olarak saptanmıştır (p<0,05). Obezite prevelansının son zamanlarda artışıyla birlikte odak noktası değişmekte ve obez bireyler yeme bozukluğu riski açısından daha ön planda olabilmektedir. Dolayısıyla yeme bozuklukları açısından normal ağırlıkta ve zayıf bireyler göz ardı edilebilmektedir. Bu bireylerde yeme bozukluğu değişkenlik gösterebilmekte ve bu kitleye yönelik kapsamlı çalışmaların arttırılması gerektiği düşünülmektedir.

Anahtar Kelimeler

Rezzy , Üniversite öğrencileri , Antropometrik ölçüm , Yeme bozukluğu

Evaluation of the Relationship Between Eating Disorder Risk and Anthropometric Measurements: A Cross-Sectional Study with Faculty of Health Sciences Students

Öz

This study aimed to evaluate the relationship between the REZZY eating disorders scale and anthropometric measurements in health sciences university students. 149 health sciences university students were evaluated. In the study, anthropometric measurements were evaluated. REZZY eating disorders scale was used for eating disorder screening. The data were evaluated with SPSS 27.0 program. Variables affecting REZZY eating disorders were determined by binary logistic regression analysis. Risk of eating disorder was detected in 51% of the students. Female students had a significantly higher risk of eating disorders (p<0.05). Body weight, waist circumference and muscle mass were found to be significantly lower in those at risk for eating disorders (p<0.05). It was observed that overweight and obese students and the students who were at risk according to waist/height ratio classification and required treatment had a significantly lower risk of eating disorder (p<0.05). Risk of eating disorder in women was found to be 2.919 times higher (p<0.05). Risk of eating disorder was found to be 4.182 times higher for individuals who were underweight and normal according to their body mass index (p<0.05). It is thought that eating disorders may differ in these individuals and comprehensive studies on this population should be increased.

Anahtar Kelimeler

Anthropometric measurements , Eating disorder , REZZY , University students

Etik Beyan

Ethics Committee Declaration Ethics committee approval (No. 08/80, date 25.04.2022) was received from Ankara University Clinical Research Ethics Committee. After being informed about the study, participants who agreed to participate voluntarily signed the "Informed Consent Form".

Kaynakça

• 1. Da Luz, F.Q., Hay, P., Touyz, S. and Sainsbury, A. (2018). Obesity with comorbid eating disorders: associated health risks and treatment approaches. Nutrients, 10(7), 829. https://doi.org/10.3390/nu10070829.
• 2. Stice, E., Gau, J.M., Rohde, P. and Shaw, H. (2017). Risk factors that predict future onset of each DSM–5 eating disorder: Predictive specificity in high-risk adolescent females. Journal of Abnormal Psychology, 126(1), 38. https://doi.org/10.1037/abn0000219.
• 3. Lukács, A., Wasilewska, M., Sopel, O., Tavolacci, M.P., Varga, B., Mandziuk, M. and Kiss-Tóth, E. (2021). Risk of eating disorders in university students: an international study in Hungary, Poland and Ukraine. International Journal of Adolescent Medicine and Health, 33(6), 415-420. https://doi.org/10.1515/ijamh-2019-0164.
• 4. Saha, S., Al Mamun, M.A. and Kabir, M.R. (2022). Factors affecting fast food consumption among college students in South Asia: a systematic review. Journal of the American Nutrition Association, 41(6), 626-636. https://doi.org/10.1080/07315724.2021.1940354.
• 5. Miyake, Y., Okamoto, Y., Takagaki, K. and Yoshihara, M. (2023). Changes in Eating Attitudes and Risk for Developing Disordered Eating Behaviors in College Students with Subthreshold Eating Disorders: A Cohort Study. Psychopathology, 56(4), 276-284. https://doi.org/10.1159/000527604.
• 6. Barakat, S., McLean, S. A., Bryant, E., Le, A., Marks, P., Touyz, S. and Maguire, S. (2023). Risk factors for eating disorders: findings from a rapid review. Journal of Eating Disorders, 11(1), 8. https://doi.org/10.1186/s40337-022-00717-4.
• 7. Suarez-Albor, C.L., Galletta, M. and Gómez-Bustamante, E.M. (2022). Factors associated with eating disorders in adolescents: A systematic review. Acta Bio Medica: Atenei Parmensis, 93(3). https://doi.org/10.23750/abm.v93i3.13140.
• 8. Túry, F., Güleç, H. and Kohls, E. (2010). Assessment methods for eating disorders and body image disorders. Journal of Psychosomatic Research, 69(6), 601-611. https://doi.org/10.1016/j.jpsychores.2009.05.012.
• 9. Aydemir, Ö., Köksal, B., Sapmaz, S.Y. and Yüceyar, H. (2015). Kadın üniversite ögrencilerinde REZZY Yeme Bozukluklari Ölçegi Türkçe formunun güvenilirlik ve geçerliligi/Reliability and validity of Turkish form of SCOFF Eating Disorders Scale. Anadolu Psikiyatri Dergisi, 16, 31. https://doi.org/10.5455/apd.174219.
• 10. Bayram, H.M., Çelik, Z.M. and Güneş, F.E. (2021). Beslenme Durumunun ve Beslenme ile İlişkili Bazı Hastalıkların Saptanmasında Boyun Çevresi Ölçümü. Kafkas Journal of Medical Sciences, 11(1), 100-110. https://doi.org/10.5505/kjms.2021.60476
• 11. Liang, J., Wang, Y., Dou, L., Li, H., Liu, X., Qiu, Q. and Qi, L. (2015). Neck circumference and prehypertension: the cardiometabolic risk in Chinese study. Journal of Hypertension, 33(2), 275. https://doi.org/10.1097/HJH.0000000000000396.
• 12. Ben‐Noun, L., Sohar, E. and Laor, A. (2001). Neck circumference as a simple screening measure for identifying overweight and obese patients. Obesity Research, 9(8), 470-477. https://doi.org/10.1038/oby.2001.61.
• 13. World Heath Organization. (2011). Waist circumference and waist-hip ratio: report of a WHO expert consultation, Geneva, 8-11 December 2008.
• 14. Lohman, T.G. (1988). Anthropometric standardization reference manual. Human kinetics books, 55-68.
• 15. World Heath Organization. (2003). Diet, nutrition, and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation (Vol. 916). World Health Organization.
• 16. Ashwell, M. and Hsieh, S. D. (2005). Six reasons why the waist-to-height ratio is a rapid and effective global indicator for health risks of obesity and how its use could simplify the international public health message on obesity. International Journal of Food Sciences and Nutrition, 56(5), 303-307. https://doi.org/10.1080/09637480500195066.
• 17. Hill, L.S., Reid, F., Morgan, J.F. and Lacey, J.H. (2010). SCOFF, the development of an eating disorder screening questionnaire. International Journal of Eating Disorders, 43(4), 344-351. https://doi.org/10.1002/eat.20679.
• 18. Richter, F., Strauss, B., Braehler, E., Adametz, L. and Berger, U. (2017). Screening disordered eating in a representative sample of the German population: Usefulness and psychometric properties of the German SCOFF questionnaire. Eating Behaviors, 25, 81-88. https://doi.org/10.1016/j.eatbeh.2016.06.022.
• 19. Kutz, A.M., Marsh, A.G., Gunderson, C.G., Maguen, S. and Masheb, R.M. (2020). Eating disorder screening: a systematic review and meta-analysis of diagnostic test characteristics of the SCOFF. Journal of General Internal Medicine, 35, 885-893. https://doi.org/10.1007/s11606-019-05478-6.
• 20. Mac-Ginty, S., Lira, D., Lillo, I., Moraga, E., Cáceres, C., Araya, R. and Prina, M. (2024). Association Between Socioeconomic Position and Depression, Anxiety and Eating Disorders in University Students: A Systematic Review. Adolescent Research Review, 1-17. https://doi.org/10.1007/s40894-023-00230-y.
• 21. Nervosa, B. (2014). Detection of eating disorders in university students using SCOFF questionnaire. International Journal of Development Research, 4(8), 1634–1637. Retrieved from http://www.journalijdr.com/detection-eating-disorders-university-students-using-scoff-questionnaire
• 22. Shaikh, M.A. and Kayani, A. (2014). Detection of eating disorders in 16-20 year old female students--perspective from Islamabad, Pakistan. The Journal of the Pakistan Medical Association, 64(3), 334-336.
• 23. Kabakuş Aykut, M. and Bilici, S. (2022). The relationship between the risk of eating disorder and meal patterns in University students. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 27(2), 579-587. https://doi.org/10.1007/s40519-021-01179-4.
• 24. Kocaay, F., Ayyildiz, P. and Şanlier, N. (2022). Enquiring into Experiences of Fear, Posttraumatic Stress and Nutritional Habits of Medical Students during the COVID-19 Pandemic. Duzce Medical Journal, 24(3), 307-314. https://doi.org/10.18678/dtfd.1192388.
• 25. Memon, A.A., Adil, S.E.e.R., Siddiqui, E. U., Naeem, S. S., Ali, S. A. and Mehmood, K. (2012). Eating disorders in medical students of Karachi, Pakistan-a cross-sectional study. BMC Research Notes, 5(1), 1-7. http://www.biomedcentral.com/1756-0500/5/84.
• 26. Sanchez-Armass, O., Raffaelli, M., Andrade, F.C.D., Wiley, A.R., Noyola, A.N.M., Arguelles, A.C., and Aradillas-Garcia, C. (2017). Validation of the SCOFF questionnaire for screening of eating disorders among Mexican university students. Eating and weight disorders : EWD, 22(1), 153–160. https://doi.org/10.1007/s40519-016-0259-7
• 27. Tavolacci, M.P., Ladner, J. and Dechelotte, P. (2021). COVID-19 pandemic and eating disorders among university students. Nutrients, 13(12), 4294. https://doi.org/10.3390/nu13124294.
• 28. Ko, N., Tam, D.M., Viet, N.K., Scheib, P., Wirsching, M. and Zeeck, A. (2015). Disordered eating behaviors in university students in Hanoi, Vietnam. Journal of Eating Disorders, 3(1), 1-7. https://doi.org/10.1186/s40337-015-0054-2.
• 29. Al Mestaka, N., Alneyadi, A., AlAhbabi, A., AlMatrushi, A., AlSaadi, R., and Alketbi, L.B. (2023). Prevalence of probable eating disorders and associated risk factors in children and adolescents aged 5–16 years in Al Ain City, United Arab Emirates: observational case–control study. Journal of Eating Disorders, 11(1), 114. https://doi.org/10.1186/s40337-023-00840-w. 30. Štefanová, E., Bakalár, P. and Baška, T. (2020). Eating-disordered behavior in adolescents: associations with body image, body composition and physical activity. International Journal of Environmental Research and Public Health, 17(18), 6665. https://doi.org/10.3390/ijerph17186665.