Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Malaysia.
Nutrients. 2018 Jan 10;10(1):66. doi: 10.3390/nu10010066.
Although there are numerous studies on binge eating behavior in the Western countries, studies on this behavior in Malaysia are still limited. Therefore, this cross-sectional study aimed to determine the risk factors associated with binge eating behavior among adolescents in Malaysia. The study included 356 adolescents (42.7% males and 57.3% females), aged 13 to 16 years. They completed a self-administered questionnaire on demographic and socioeconomic backgrounds, frequency of family meals, family meal environments, family cohesion, perception of body size, self-esteem, depressive symptoms, perfectionistic self-presentation, and binge eating behavior. Furthermore, their weight, height, and waist circumference were measured. It was found that 14.0% of the participants engaged in binge eating behavior (15.2% in females and 12.5% in males). Additionally, it was identified that high levels of depressive symptoms, high levels of body dissatisfaction, poor family cohesion, and low self-esteem were significantly contributed to binge eating behavior after controlling for sex (adjusted ² = 0.165, = 15.056, < 0.001). The findings may suggest that improving the relationships between family members, along with eliminating adolescents' negative emotions could help in the prevention of binge eating behavior among adolescents. The identified modifiable risk factors should be incorporated into binge eating preventive programs to increase the effectiveness of the programs.
尽管西方国家有大量关于暴食行为的研究，但马来西亚关于这种行为的研究仍然有限。因此，这项横断面研究旨在确定与马来西亚青少年暴食行为相关的风险因素。该研究纳入了 356 名青少年（42.7%为男性，57.3%为女性），年龄在 13 至 16 岁之间。他们完成了一份关于人口统计学和社会经济背景、家庭用餐频率、家庭用餐环境、家庭凝聚力、身体大小感知、自尊、抑郁症状、完美主义自我呈现和暴食行为的自我管理问卷。此外，还测量了他们的体重、身高和腰围。研究发现，14.0%的参与者存在暴食行为（女性为 15.2%，男性为 12.5%）。此外，在控制性别后，发现高水平的抑郁症状、高水平的身体不满、较差的家庭凝聚力和较低的自尊与暴食行为显著相关（调整²=0.165，=15.056，<0.001）。这些发现可能表明，改善家庭成员之间的关系，以及消除青少年的负面情绪，有助于预防青少年暴食行为。应将确定的可改变风险因素纳入暴食预防计划中，以提高计划的效果。
