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      Eating disorders and associated risk factors among Imam Abdulrahman bin Faisal university preparatory year female students in Kingdom of Saudi Arabia

      research-article
      , MD, SBFM, , MD, SBFM, , PhD, MBChB, , ABFM, MD, , MD, SBFM
      Saudi Medical Journal
      Saudi Medical Journal

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          Abstract

          Objectives:

          To estimate the prevalence of eating disorders among Imam Abdulrahman bin Faisal University (IAU) in Dammam, Kingdom of Saudi Arabia, female students and to investigate the associated factors.

          Methods:

          A cross-sectional study was conducted at IAU, Dammam, Kingdom of Saudi Arabia, in 2016 with 670 participants. Data was collected by self-administered questionnaires, including the Eating attitude test 26 (EAT-26) and the sociocultural attitudes toward appearance questionnaire (SATAQ-4). Eating behavior questions were asked to determine whether the respondents should seek evaluation for an eating disorder (ED) from a professional.

          Results:

          Eating attitude test 26 results showed that 29.4% of participants were categorized at a high level of concern for an ED, and 45.5% were categorized as at risk of having problematic feeding behaviors. Of the participants who scored above 20 on the EAT-26, 60.7% demonstrated high-risk feeding behavior attitudes, and approximately 11.5% who scored a body mass index (BMI) classified as underweight or very underweight required referral to a psychologist. A significant relationship was found between family stress to lose weight and EAT-26 scores above 20. The media was also found to represent external influence to lose weight.

          Conclusion:

          This study concluded that early detection of EDs or problematic feeding behaviors and attitude is vital to minimize the risks to physical health and well-being of the sufferers’ experiences.

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          Most cited references21

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          Review of the prevalence and incidence of eating disorders.

          To review the literature on the incidence and prevalence of eating disorders. We searched Medline using several key terms relating to epidemiology and eating disorders and we checked the reference lists of the articles that we found. Special attention has been paid to methodologic problems affecting the selection of populations under study and the identification of cases. An average prevalence rate for anorexia nervosa of 0.3% was found for young females. The prevalence rates for bulimia nervosa were 1% and 0.1% for young women and young men, respectively. The estimated prevalence of binge eating disorder is at least 1%. The incidence of anorexia nervosa is 8 cases per 100,000 population per year and the incidence of bulimia nervosa is 12 cases per 100,000 population per year. The incidence of anorexia nervosa increased over the past century, until the 1970s. Only a minority of people who meet stringent diagnostic criteria for eating disorders are seen in mental health care. Copyright 2003 by Wiley Periodicals, Inc. Int J Eat Disord 34: 383-396, 2003.
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            Excess mortality of mental disorder.

            We describe the increased risk of premature death from natural and from unnatural causes for the common mental disorders. With a Medline search (1966-1995) we found 152 English language reports on the mortality of mental disorder which met our inclusion criteria. From these reports, covering 27 mental disorder categories and eight treatment categories, we calculated standardised mortality ratios (SMRs) and 95% confidence intervals (CIs) for all causes of death, all natural causes and all unnatural causes; and for most, SMRs for suicide, other violent causes and specific natural causes. Highest risks of premature death, from both natural and unnatural causes, are for substance abuse and eating disorders. Risk of death from unnatural causes is especially high for the functional disorders, particularly schizophrenia and major depression. Deaths from natural causes are markedly increased for organic mental disorders, mental retardation and epilepsy. All mental disorders have an increased risk of premature death.
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              Are eating disorders culture-bound syndromes? Implications for conceptualizing their etiology.

              P Keel, K Klump (2003)
              The authors explore the extent to which eating disorders, specifically anorexia nervosa (AN) and bulimia nervosa (BN), represent culture-bound syndromes and discuss implications for conceptualizing the role genes play in their etiology. The examination is divided into 3 sections: a quantitative meta-analysis of changes in incidence rates since the formal recognition of AN and BN, a qualitative summary of historical evidence of eating disorders before their formal recognition, and an evaluation of the presence of these disorders in non-Western cultures. Findings suggest that BN is a culture-bound syndrome and AN is not. Thus, heritability estimates for BN may show greater variability cross-culturally than heritability estimates for AN, and the genetic bases of these disorders may be associated with differential pathoplasticity.
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                Author and article information

                Journal
                Saudi Med J
                Saudi Med J
                Saudi Medical Journal
                Saudi Medical Journal (Saudi Arabia )
                0379-5284
                September 2018
                : 39
                : 9
                : 910-921
                Affiliations
                [1] From the Department of Family Medicine (Alwosaifer, Alawadh, ALmutairi), King Fahad Military Medical Complex, from the Department of Family Medicine (Abdel Wahab, Boubshait), Imam Abdulrahman bin Faisal University, Dammam, Kingdom of Saudi Arabia, and from the Department of Biostatistics (Abdel Wahab), High Institute of Public Health, Alexandria University, Alexandria, Eygpt
                Author notes
                Address correspondence and reprint request to: Dr. Aisha M. Alwosaifer, Department of Family Medicine, King Fahad Military Medical Complex, Dammam, Kingdom of Saudi Arabia. E-mail: dr.aisha.mohanna@ 123456gmail.com ORCID ID: orcid.org/0000-0002-5927-2161
                Article
                SaudiMedJ-39-910
                10.15537/smj.2018.9.23314
                6201000
                30251735
                517a5f7e-9041-41d7-b7e0-da5c491a233e
                Copyright: © Saudi Medical Journal

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 10 June 2018
                : 10 July 2018
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