Yeme Tutumu ile Beden Kitle İndeksi Arasındaki İlişki

Yıl 2022, Cilt: 5 Sayı: 1, 181 - 191, 31.05.2022

Seda Çiftçi Sahure Özay Hasar Hülya Demir

https://doi.org/10.52538/iduhes.1081391

Öz

Amaç: Çalışmanın amacı yeme tutumu ile beden kütle indeksi (BKİ) arasındaki ilişkiyi belirlemektir.
Yöntem: Kesitsel çalışmada, kadınların (n=400; 18-64 yaş) vücut ağırlığı ve boyları ölçülerek, BKİ değerleri DSÖ standartlarına göre hesaplanarak normal (18.5–24,9 kg/m2), fazla kilolu (2,5–29,9 kg/m2) veya obez (>30 kg/m2) olarak sınıflandırılırmıştır. Katılımcılara yaş, cinsiyet, gelir, eğitim, medeni durum, aile büyüklüğü, sağlık ve engellilik durumu gibi demografik özellikleri içeren bir anket uygulanmıştır. Yeme bozuklukları ile ilişkili tutum, davranış ve özellikleri değerlendirmek için yeme tutum testi-40'ı (YTT-40) kullanılmıştır. YTT-40’dan otuz veya daha az puan alınması yeme bozukluğu riskini olduğunu ifade etmektedir.

Bulgular: Toplamda, kadınların % 51,7'sinin düzensiz beslenme alışkanlıkları olduğu saptandı. Normal kilolu gruplarda, fazla kilolu gruplarda ve obez gruplarda yeme tutumu bozuk olan kadınların oranı sırasıyla yüzde % 4,5, %19,5 ve %27,5'tir. Obez (22.9±8.8) ve kilolu kadınlar (19.7±8.4) normal kadınlara (16.8±8.6) göre anlamlı olarak daha yüksek YTT-40 puanlarına sahiptir (p<0.01). Yeme bozukluğu riski olan kadınlarda (YTT-40>30 puan) BKİ 31.5±5.7kg/m2 iken yeme bozukluğu riski olmayan kadınlarda (YTT-40≤30 puan) BKİ’i 26.5±5.7 kg/m2’dır. BKİ, eğitim yılı ve EAT-40 puanları arasında pozitif korelasyon saptanmıştır (sırasıyla r=-0.146, p=0.004; r=0.622, p=0.001). Bu çalışma için Cronbach alfa değeri 0.82, önceki araştırmalarla uyumlu bulunmuştur.
Sonuç: BKİ’i daha yüksek olan kadınlar arasında yeme bozukluğu riskinin artması nedeniyle, bu bireylerin tedavinde dikkatli olunmalıdır. Obezite insidansı, yeme bozukluğundan etkilenmektedir.

Anahtar Kelimeler

Beden Kütle İndeksi, Yeme tutumu, Obesite

Destekleyen Kurum

yok

The Relationship Between Eating Attitude and Body Mass Index

Öz

Abstract
Objective: The purpose of this study is to establish the relationship between eating habits and body mass index (BMI).
Methods: In this cross-sectional study, we measured women (n=400; 18-64 years) body weight and height. BMI is calculated and classified according to WHO standards for identifying women’s body weight in normal (18.5–24.9 kg/m2), overweight (2.5–29.9 kg/m2) or obese (>30 kg/m2). A questionnaire was applied to eligible women’s including demographic characteristics such as age, gender, income, education, home ownership, marital status, family size, health, and disability status. We used eating attitude test-40 (EAT-40) to evaluate attitudes, behaviors, and traits consorted with eating disorders. Total EAT scores under or equal thirty suggest risk of an eating disorder.
Results: In total, 51.7 percent of the women exhibited disordered eating habits. In normal weight groups, overweight groups, and obese groups, the proportion of women with disordered eating attitudes was 4.5 percent, 19.5 percent, and 27.5 percent, respectively. Obese women (22.9±8.8) and overweight women (19.7±8.4) have significantly higher EAT-40 scores than normal women (16.8±8.6) (p<0.01). BMI was 31.5±5.7kg/m2 in women at risk of eating disorders (EAT 40>30 points) and 26.5±5.7kg/m2 in women who were not at risk of eating disorders (EAT 40≤30 points). BMI, schooling years, and EAT-40 scores all had a strong positive connection (r=-0.146, p=0.004; r=0.622, p=0.001, respectively). The Cronbach alpha for this study was 0.82, which is in line with previous research.
Conclusion: Because of the increased incidence of EDs risk among women with a higher BMI, particular therapeutic techniques for these patients should be considered. The incidence of obesity is influenced by EDs eating attitude problem.

Kaynakça

• 1. Ali, A. M., Hori, H., Kim, Y., & Kunugi, H. (2021). Predictors of Nutritional Status, Depression, Internet Addiction, Facebook Addiction, and Tobacco Smoking Among Women With Eating Disorders in Spain. Front. Psychiatry, 12. doi:10.3389/fpsyt.2021.735109
• 2. Alkazemi, D., Zafar, T. A., Ebrahim, M., & Kubow, S. (2018). Distorted weight perception correlates with disordered eating attitudes in Kuwaiti college women. The International journal of eating disorders, 51(5), 449-458. doi:10.1002/eat.22852
• 3. Alvarez-Rayón, G., Mancilla-Díaz, J. M., Vázquez-Arévalo, R., Unikel-Santoncini, C., Caballero-Romo, A., & Mercado-Corona, D. (2004). Validity of the Eating Attitudes Test: A study of Mexican eating disorders patients. Eat Weight Disord, 9(4), 243-248. doi:10.1007/BF03325077 4. Chooi, Y. C., Ding, C., & Magkos, F. (2019). The epidemiology of obesity. Metabolism, 92, 6-10. doi:https://doi.org/10.1016/j.metabol.2018.09.005
• 5. Da Luz, F. Q., Hay, P., Touyz, S., & Sainsbury, A. (2018). Obesity with comorbid eating disorders: associated health risks and treatment approaches. Nutrients, 10(7), 829.
• 6. Derks, I. P. M., Sijbrands, E. J. G., Wake, M., Qureshi, F., van der Ende, J., Hillegers, M. H. J., . . . Jansen, P. W. (2018). Eating behavior and body composition across childhood: a prospective cohort study. Int. J. Behav. Nutr., 15(1), 96. doi:10.1186/s12966-018-0725-x
• 7. Eladawi, N., Helal, R., Niazy, N. A., & Abdelsalam, S. (2018). Prevalence and Associated Factors of Eating Disorders in Weight Management Centers in Tanta, Egypt. Chin Med J (Engl), 131(1), 50-55. doi:10.4103/0366-6999.221270
• 8. Fruh, S. M. (2017). Obesity: Risk factors, complications, and strategies for sustainable long-term weight management. J Am Assoc Nurse Prac, 29(S1), S3-S14. doi:10.1002/2327-6924.12510
• 9. Gardner, B., & Rebar, A. L. (2019). Habit formation and behavior change. In ORE of Psychology.
• 10. Garner, D. M., & Garfinkel, P. E. (1979). The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychol Med, 9(2), 273-279. doi:10.1017/s0033291700030762
• 11. Garner, D. M., & Garfinkel, P. E. (1979). The Eating Attitudes Test: an. index of the symptoms of anorexia nervosa. Psychological Medicine, 9: 273-279.
• 12. Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The Eating Attitudes Test: psychometric features and clinical correlates. Psychol. Med., 12(4), 871-878. doi:10.1017/S0033291700049163
• 13. Gutin, I. (2018). In BMI we trust: reframing the body mass index as a measure of health. Soc. Theory Health, 16(3), 256-271.
• 14. Köse, G., & Tayfur, M. (2021). BMI, physical activity, sleep quality, eating attitudes, emotions: which one is affected by mindful eating? Prog. Nutr., 23(1), 1-11. doi:ttps://doi.org/10.23751/pn.v23i1.9194
• 15. Lauby-Secretan, B., Scoccianti, C., Loomis, D., Grosse, Y., Bianchini, F., & Straif, K. (2016). Body Fatness and Cancer — Viewpoint of the IARC Working Group. NEJM., 375(8), 794-798. doi:10.1056/NEJMsr1606602
• 16. Mangweth-Matzek, B., Hoek, H. W., Rupp, C. I., Lackner-Seifert, K., Frey, N., Whitworth, A. B., . . . Kinzl, J. (2014). Prevalence of eating disorders in middle-aged women. The International journal of eating disorders, 47(3), 320-324. doi:10.1002/eat.22232
• 17. Mares, S. H. W., Burger, J., Lemmens, L. H. J. M., van Elburg, A. A., & Vroling, M. S. (2022). Evaluation of the cognitive behavioural theory of eating disorders: A network analysis investigation. Eat. Behav., 44, 101590. doi:https://doi.org/10.1016/j.eatbeh.2021.101590
• 18. Marshall, C., Lengyel, C., & Utioh, A. (2012). Body dissatisfaction among middle-aged and older women. Can J Diet Pract Res, 73(2), e241-e247. doi:10.3148/73.2.2012.e241
• 19. Mazzolani, B. C., Smaira, F. I., Esteves, G. P., Santo André, H. C., Amarante, M. C., Castanho, D., . . . Nicoletti, C. F. (2021). Influence of Body Mass Index on Eating Habits and Food Choice Determinants Among Brazilian Women During the COVID-19 Pandemic. Front. Nutr., 8(442). doi:10.3389/fnut.2021.664240
• 20. McCuen-Wurst, C., Ruggieri, M., & Allison, K. C. (2018). Disordered eating and obesity: associations between binge eating-disorder, night-eating syndrome, and weight-related co-morbidities. Ann. N. Y. Acad. Sci, 1411(1), 96.
• 21. Melissa, R., Lama, M., Laurence, K., Sylvie, B., Jeanne, D., Odile, V., & Nathalie, G. (2020). Physical Activity in Eating Disorders: A Systematic Review. Nutrients, 12(1), 183. Retrieved from https://www.mdpi.com/2072-6643/12/1/183
• 22. MFSS. (2020). The Ministry of Family and Social Services Retrieved from https://ailevecalisma.gov.tr/uploads/athgm/uploads/pages/indirilebilir-yayinlar/67-turkiye-aile-yapisi-arastirmasi-2013-tespitler-oneriler.pdf.
• 23. Nuttall, F. Q. (2015). Body Mass Index: Obesity, BMI, and Health: A Critical Review. Nutr Today, 50(3), 117-128. doi:10.1097/nt.0000000000000092
• 24. Öztayıncı, N., & Özel, H. G. (2018). Does eating attitude change with body mass index in normal body weight, overweight and obese women? Clin. Nutr, 37, S265. doi:https://doi.org/10.1016/j.clnu.2018.06.1932 25. Pereira, A. T., Maia, B., Bos, S., Soares, M. J., Marques, M., Macedo, A., & Azevedo, M. H. (2008). The Portuguese short form of the Eating Attitudes Test-40. Eur Eat Disord Rev, 16(4), 319-325. doi:10.1002/erv.846
• 26. Rivas, T., Franco, K., Bersabé, R., & Montiel, C. B. (2013). Spanish version of the eating attitudes test 40: dimensionality, reliability, convergent and criterion validity. Span J Psychol, 16, E59. doi:10.1017/sjp.2013.61
• 27. Royall Dawna MSc, R., Editor. (2012). Improving body image. Can J Diet Pract Res, 73(2), 56-56. doi:10.3148/73.2.2012.56
• 28. Santonicola, A., Gagliardi, M., Guarino, M. P. L., Siniscalchi, M., Ciacci, C., & Iovino, P. (2019). Eating Disorders and Gastrointestinal Diseases. Nutrients, 11(12), 3038. Retrieved from https://www.mdpi.com/2072-6643/11/12/3038
• 29. Savasir, I., & Erol, N. (1989). Anoreksiya Nevroza Belirtileri İndeksi. Turk Psikol. Derg., 7, 19-25.
• 30. Sogari, G., Velez-Argumedo, C., Gómez, M. I., & Mora, C. (2018). College Students and Eating Habits: A Study Using An Ecological Model for Healthy Behavior. Nutrients, 10(12). doi:10.3390/nu10121823
• 31. Thomé, K. M., Pinho, G. M., & Hoppe, A. (2018). Consumption values and physical activities: consumers’ healthy eating choices. Br Food J.
• 32. Trindade, A. P., Appolinario, J. C., Mattos, P., Treasure, J., & Nazar, B. P. (2018). Eating disorder symptoms in Brazilian university students: a systematic review and meta-analysis. Braz J Psychiatry, 41, 179-187.
• 33. TUIKSTAT. (2020). The Results of Address Based Population Registration System, 2020. 37210. Retrieved from https://data.tuik.gov.tr/Bulten/Index?p=The-Results-of-Address-Based-Population-Registration-System-2020-37210&dil=2#:~:text=The%20median%20age%20of%20the,33.1%20to%2033.4%20for%20females.
• 34. TURKSTAT. (2020). İstatistiklerle Kadın, 2020. Retrieved from file:///C:/Users/Elitebook/Downloads/%C4%B0statistiklerle_Kad%C4%B1n_05.03.2021.pdf
• 35. Verplanken, B., & Orbell, S. (2022). Attitudes, habits, and behavior change. Annu. Rev. Psychol., 73, 327-352.
• 36. WHO. (2021). World Health Organisation. Health Topics. Body Mass Index (BMI). . Retrieved from https://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi