Vilela João E M, Lamounier Joel A, Dellaretti Filho Marcos A D, Barros Neto José R, Horta Gustavo M
Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
J Pediatr (Rio J). 2004 Jan-Feb;80(1):49-54.
To determine the prevalence of possible eating disorders and inappropriate eating behaviors in school children from six municipalities in the state of Minas Gerais, Brazil.
Cross-sectional study. The Bulimic Investigatory Test of Edinburgh (BITE), Eating Attitude Test (EAT), and Body Image Test were applied to 1,807 public school students with age ranging from 7 to 19 years.
According to the EAT, 241 students (13.3%), mostly females, had inappropriate eating behaviors. Nineteen students (1.1%) had a BITE score indicating a possible diagnosis of bulimia nervosa. We found that 1,059 students (59%) were unhappy with their body image; 731 students (40%) were on a diet; and 1,014 (56%) exercised to loose weight. In addition, 218 students (12%) presented binge-eating and 175 students (10%) used purgative methods to control weight.
We observed a high prevalence of possible eating disorders and inappropriate eating behaviors in the study population, especially among female adolescents. These results are similar to those reported for developed countries. The present findings are relevant for the clinical care of children and adolescents and can serve as the basis for future works aimed at increasing our understanding of the risk factors for these illnesses.
确定巴西米纳斯吉拉斯州六个市学童中可能存在的饮食失调和不当饮食行为的患病率。
横断面研究。对1807名年龄在7至19岁的公立学校学生进行了爱丁堡贪食症调查测试(BITE)、饮食态度测试(EAT)和身体意象测试。
根据EAT测试,241名学生(13.3%)存在不当饮食行为,其中大多数为女性。19名学生(1.1%)的BITE得分表明可能被诊断为神经性贪食症。我们发现,1059名学生(59%)对自己的身体意象不满意;731名学生(40%)在节食;1014名学生(56%)通过锻炼来减肥。此外,218名学生(12%)出现暴饮暴食,175名学生(10%)使用泻药控制体重。
我们观察到研究人群中可能存在的饮食失调和不当饮食行为的患病率很高,尤其是在女性青少年中。这些结果与发达国家报告的结果相似。目前的研究结果与儿童和青少年的临床护理相关,可为今后旨在增进我们对这些疾病危险因素理解的研究提供依据。