EATING BEHAVIOR DISORDERS and BODY PERCEPTION of NUTRITION and DIETETICS STUDENTS: A CROSS SECTIONAL STUDY

Yıl 2019, Cilt: 2 Sayı: 2, 38 - 44, 01.12.2019

Şenay Burçin Alkan , Rabia Solak , Ezgi Gürbüz , Burcu Özcan , Hilal Özkan , Zeynep Zülal Dikici , Rabia Sima Karaman

Öz

Eating behavior disorder risk and body perception were evaluated in 141 students of Department of Nutrition and Dietetics (87.9% female, 12,1% male). Data was collected through face-to-face survey method. Eating Attitude Test-40, ORTO-11 and Body Perception Scale (Stunkard scale) were applied to the students. Body composition analysis was performed with bioelectrical impedance method. In the evaluation, the risks of eating behavior disorder of female and male students were 6.5 and 5.9%, respectively. The mean scores of ORTO-11 were 29.3±4.6 and 28.2±3.3, respectively. 50.8% of the female students and 58.8% of the male students think that they have the appropriate body weight. There was no significant difference in YTT-40 and ORTO-11 score averages between groups according to class, accommodation, meal skipping status, body perception and body mass index classification. The tendency to orthorexia nervosa decreases significantly as the body mass index increases.

Anahtar Kelimeler

Nutrition and Dietetics, orthorexia nervosa, body perception

BESLENME ve DİYETETİK BÖLÜMÜ ÖĞRENCİLERİNDE YEME DAVRANIŞ BOZUKLUĞU ve BEDEN ALGISI: KESİTSEL BİR ÇALIŞMA

Öz

Beslenme ve Diyetetik Bölümü öğrencilerinde yeme davranış bozukluğu riski ve beden algısının değerlendirildiği çalışmaya yaş aralığı 18-23 yıl olan 141 öğrenci (%87,9’u kız, %12,1’i erkek) katılmıştır. Öğrencilere ait bilgiler yüz yüze ve anket teknikleri ile toplanmıştır. Öğrencilere Yeme Tutum Testi-40, ORTO-11 ve Beden Algısı Ölçeği (Stunkard ölçeği) uygulanmış. Biyoelektrik impedans yöntemi ile vücut kompozisyonu analizi yapılmıştır. Yapılan değerlendirmede kız ve erkek öğrencilerin yeme davranış bozukluğu oranı sırasıyla %6,5 ve 5,9; ORTO-11 ölçek puan ortalamaları ise sırasıyla 29,3±4,6 ve 28,2±3,3 bulunmuştur. Kız öğrencilerin %50,8’si erkeklerin %58,8’i normal vücut ağırlığında olduğunu düşünmektedir. Beslenme ve Diyetetik Bölümü’nde öğrenim gören kız ve erkek öğrencilerde yeme davranış bozukluğu oranı düşük bulunmuştur. Sınıf, kalınan yer, öğün atlama durumu, beden algısı ve beden kütle indeksi sınıflamasına göre gruplar arasında YTT-40 ve ORTO-11 puan ortalamaları açısından anlamlı fark bulunmamıştır. Beden kütle indeksi arttıkça ortoreksiya nervozaya eğilim anlamlı olarak azalmaktadır.

Anahtar Kelimeler

Beslenme ve Diyetetik, ortoreksiya nervoza, beden algısı

Kaynakça

• Agopyan, A., Kenger, E. B., Kermen, S., Ulker, M. T., Uzsoy, M. A., & Yetgin, M. K. (2019). The relationship between orthorexia nervosa and body composition in female students of the nutrition and dietetics department. Eating and Weight Disorders, 24(2), 257–266. https://doi.org/10.1007/s40519-018-0565-3
• Alkan, S., Ersoy, N., Eskici, G., & Ersoy, G. (2017). Assessment of eating attitudes and healthy lifestyle behaviors of females students studying nutrition and dietetics. Indian Journal of Nutrition and Dietetics, 54(1), 1–13.
• Alpar, R. (2016). Spor, sağlık ve eğitim bilimlerinden örneklerle uygulamalı istatistik ve geçerlik-güvenirlik. Ankara: Detay Yayıncılık.
• American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5. baskı). Arlington, VA: American Psychiatric Publishing.
• Arusoğlu, G., Kabakçi, E., Köksal, G., & Merdol, T. K. (2008). Orthorexia Nervosa and Adaptation of ORTO-11 into Turkish. Turkish Journal of Psychiatry, 19(3).
• Bratman, S., & Knight, D. (2000). Health food junkies: Overcoming the obsession with healthful eating. Broadway Books.
• Brytek-Matera, A. (2012). Orthorexia nervosa - An eating disorder, obsessive-compulsive disorder or disturbed eating habit? Psychoterapia, ss. 55–60.
• Costa, C. B., Hardan-Khalil, K., & Gibbs, K. (2017, Aralık 2). Orthorexia Nervosa: A Review of the Literature. Issues in Mental Health Nursing, C. 38, ss. 980–988. https://doi.org/10.1080/01612840.2017.1371816
• Donini, L. M., Marsili, D., Graziani, M. P., Imbriale, M., & Cannella, C. (2005). Orthorexia nervosa: validation of a diagnosis questionnaire. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 10(2), e28–e32.
• Dunn, T. M., & Bratman, S. (2016). On orthorexia nervosa: A review of the literature and proposed diagnostic criteria. Eating Behaviors, 21, 11–17. https://doi.org/10.1016/j.eatbeh.2015.12.006
• Garner, D. M., & Garfinkel, P. E. (1979). The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychological Medicine , 9, 273–279.
• Gezer, C., & Kabaran, S. (2013). Beslenme ve diyetetik bölümü kız öğrencileri arasında görülen ortoreksiya nervosa riski [The risk of orthorexia nervosa for female students studying nutrition and dietetics]. SDU Journal of Health Science Institute, 4(1), 14–22.
• Gonidakis, F., Sigala, A., Varsou, E., & Papadimitriou, G. (2009). A study of eating attitudes and related factors in a sample of first-year female Nutrition and Dietetics students of Harokopion University in Athens, Greece. Eating and Weight Disorders, 14(2–3). https://doi.org/10.1007/BF03327809
• Karakus, B., Hidiroglu, S., Keskin, N., & Karavus, M. (2017). Orthorexia nervosa tendency among students of the department of nutrition and dietetics at a university in Istanbul. Clin Istanbul, 4(2), 117–123. https://doi.org/10.14744/nci.2017.20082
• Kiziltan, G., & Karabudak, E. (2008). Risk of abnormal eating attitudes among turkish dietetic students. Adolescence, 43(171), 681–690.
• Korinth, A., Schiess, S., & Westenhoefer, J. (2010). Eating behaviour and eating disorders in students of nutrition sciences. Public Health Nutrition, 13(1), 32–37. https://doi.org/10.1017/S1368980009005709
• Mahn, H. M., & Lordly, D. (2015). A review of eating disorders and disordered eating amongst nutrition students and dietetic professionals. Canadian Journal of Dietetic Practice and Research, 76(1), 38–43. https://doi.org/10.3148/cjdpr-2014-031
• Mealha, V., Ferreira, C., Guerra, I., & Ravasco, P. (2013). Students of dietetics & nutrition; a high risk group for eating disorders? Nutricion Hospitalaria, 28(5), 1558–1566. https://doi.org/10.3305/nh.2013.28.5.6695
• Mitchison, D., & Mond, J. (2015). Epidemiology of eating disorders, eating disordered behaviour, and body image disturbance in males: a narrative review. Journal of Eating Disorders, 3(1), 20.
• Nergiz-Unal, R., Bilgiç, P., & Yabancı, N. (2014). High tendency to the substantial concern on body shape and eating disorders risk of the students majoring Nutrition or Sport Sciences. Nutrition research and practice, 8(6), 713–718.
• Ozenoglu, A., Unal, G., Ercan, A., Kumcagiz, H., & Alakus, K. (2015). Are Nutrition and Dietetics Students More Prone to Eating Disorders Related Attitudes and Comorbid Depression and Anxiety than Non-Dietetics Students? A. Ozenoglu et al. Food and Nutrition Sciences, 6, 1258–1266. https://doi.org/10.4236/fns.2015.614131
• Rocks, T., Pelly, F., Slater, G., & Martin, L. A. (2017). Eating attitudes and behaviours of students enrolled in undergraduate nutrition and dietetics degrees. Nutrition & Dietetics, 74(4), 381–387. https://doi.org/10.1111/1747-0080.12298
• Savaşır, I., & Erol, N. (1989). Anoreksiya Nevroza Belirtileri Indeksi. Psikoloji Dergisi, 7, 19–25.
• Stice, E., Johnson, S., & Turgon, R. (2019, Haziran 1). Eating Disorder Prevention. Psychiatric Clinics of North America, C. 42, ss. 309–318. https://doi.org/10.1016/j.psc.2019.01.012
• Strother, E., Lemberg, R., Stanford, S. C., & Turberville, D. (2012). Eating Disorders in Men: Underdiagnosed, Undertreated, and Misunderstood. Eating Disorders, 20(5), 346–355. https://doi.org/10.1080/10640266.2012.715512
• Stunkard, A. J., Sorensen, T., & Schulsinger, F. (1983). Use of the Danish Adoption Register for the study of obesity and thinness. Res Publ Assoc Res Nerv Ment Dis, 60, 115–120.
• WHO. (2019). Nutrition - Body mass index - BMI. Tarihinde 29 Aralık 2019, adresinden erişildi http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi
• Yu, Z., & Tan, M. (2016). Disordered Eating Behaviors and Food Addiction among Nutrition Major College Students. Nutrients, 8(11), 673. https://doi.org/10.3390/nu8110673