Objective To investigate the status of eating disorders among overweight and obese adolescents as well as provide the basis for developing obesity precautionary and eating disorders.
Methods 910 adolescents of grade 4 to 6 in primary schools and grade 1 to 3 in junior middle schools were recruited in Bengbu by cluster random sampling to examine the association between obesity and eating disorders.
Results A total of 203 children (22.3%) were overweight and obese, 547 children (60.1%) were normal weight and 160 children (17.6%) were low weight. The prevalence of overweight and obese in boys were significantly higher than those in girls (30.6% vs. 13.0%; χ 2 = 40.55, P<0.01). Compared with normal weight group and low weight group, the scores of drive for thinness (DT), body dissatisfaction (BD), low self-esteem (LSE) and eating disorder risk composite (EDRC) were significantly higher in overweight and obese group ( P<0.05). There was a positive association between the scores of DT ( r = 0.19), BD ( r = 0.30), LSE ( r = 0.09), interceptive deficits (ID) ( r = 0.08) and EDRC ( r s = 0.11) with body mass index (BMI) ( P< 0.05).
Conclusion Eating disorders were associated with overweight and obesity of adolescents. A targeted strategies and measures should be conducted.
【摘要】 目的 了解蚌埠市超重肥胖青少年进食障碍相关症状和心理行为特征, 为预防青少年肥胖和进食障碍的发 生提供科学依据。 方法 采用分层整群抽样的方法, 抽取蚌埠市小学四年级至初中三年级共 910 名学生, 并进行问卷调査 和体格测量, 分析超重肥胖与进食障碍的相关性。 结果 共发现超重肥胖学生 203 名, 占 22.3%; 正常体重学生 547 名, 占 60.1%; 低体重学生 160 名, 占 17.6%。男生超重肥胖率 (30.6%, 147名)髙于女生 (13.0%, 56名), 差异有统计学意义 (χ 2 = 40.55, P<0.01)。超重肥胖组青少年瘦身倾向、不满体型、低自尊感和饮食障碍危险评分得分均髙于体重正常组和低体重 组 ( F 值分别为7.83, 29.37, 3.99, 17.03, P值均<0.05); 且瘦身倾向、不满体型、低自尊感和内感受缺陷得分与体质量指数均 呈正相关 ( r 值分别为 0.19, 0.30, 0.09, 0.08, P值均<0.05)。随着体质量指数的增加, 青少年进食障碍的总体危险性增髙 ( r s = 0.11, P<0.01)。 结论 青少年肥胖所导致的一系列身心问题, 增加个体患进食障碍的风险。应积极预防肥胖的发生, 矫 正和干预青少年进食障碍。