Tsai Mei-Rong, Chang Yu-Jhen, Lien Pei-Ju, Wong Yueching
School of Nutrition, College of Health Care and Management, Chungshan Medical University, 110 Sec. 1, Jien-Kuo North Road, Taichung City 402, Taiwan, ROC.
Asia Pac J Clin Nutr. 2011;20(2):196-205.
The purpose of this study was to investigate body weight satisfaction, eating attitudes and dietary intake related to eating disorders of female junior high school students in Taiwan.
In a cross-sectional survey, 835 female junior high school students participated in this study. The questionnaire items included respondents' demographic information as well as weight and body image concerns. Developmental and attitudinal scales such as the body shape-related teasing scale, Pubertal Development Scale, Eating Attitudes Test-26 (EAT-26) and 24-hour dietary recall were also used to collect data. Data were analyzed using a Student's t test, chi-square test and logistic regression.
Disturbed eating attitudes and behaviors were found in 10.4 % of participants (measured by EAT-26?20). The multivariate logistic regressions showed that disturbed eating attitudes and behaviors were associated with weight/shape-related teasing experiences and dissatisfaction with body weight. The reported intakes of energy, protein, fat, carbohydrate, cholesterol, zinc and vitamins B-6, B-12, were significantly lower in participants with disturbed eating patterns than in participants without disturbed eating. Conversely, participants with disturbed eating patterns had higher dietary and crude fiber intake than participates without disturbed eating.
Disturbed eating behaviors exist among female adolescents in Taiwan, and these behaviors jeopardize their necessary dietary intake requirements. More research using the EAT-26 as a measure to predict the quality and quantity of food intake among female adolescents warrants further study.
本研究旨在调查台湾地区初中女生与饮食失调相关的体重满意度、饮食态度和饮食摄入情况。
在一项横断面调查中，835名初中女生参与了本研究。问卷项目包括受访者的人口统计学信息以及体重和身体形象问题。还使用了与发育和态度相关的量表，如体型相关取笑量表、青春期发育量表、饮食态度测试26项（EAT - 26）和24小时饮食回顾来收集数据。数据采用学生t检验、卡方检验和逻辑回归进行分析。
10.4%的参与者存在饮食态度和行为紊乱（通过EAT - 26≥20测量）。多因素逻辑回归显示，饮食态度和行为紊乱与体重/体型相关的取笑经历以及对体重的不满有关。饮食模式紊乱的参与者报告的能量、蛋白质、脂肪、碳水化合物、胆固醇、锌以及维生素B - 6、B - 12的摄入量显著低于饮食模式未紊乱的参与者。相反，饮食模式紊乱的参与者的膳食纤维摄入量高于饮食模式未紊乱的参与者。
台湾地区女性青少年中存在饮食行为紊乱，这些行为危及她们必要的饮食摄入需求。更多使用EAT - 26作为预测女性青少年食物摄入量质量和数量的研究值得进一步探讨。
