Department of Nutrition and Dietetics, School of Health Sciences, University of Applied Sciences and Arts Western Switzerland (HES-SO), Geneva, Switzerland.
Geneva University Hospitals, Geneva, Switzerland.
Eat Weight Disord. 2020 Jun;25(3):567-575. doi: 10.1007/s40519-019-00645-4. Epub 2019 Feb 7.
The present study explored the potential factors associated with disordered eating behaviors and attitudes in older women.
Women aged 60-75 years were recruited in the community (n = 203) and completed questionnaires. The Eating Disorder Examination-Questionnaire (EDE-Q) was used to evaluate disordered eating behaviors and attitudes. The independent variables were BMI, age, importance of appearance, importance of body competence, cognitive reappraisal, and fear of age-related appearance changes. Spearman correlation analyses and zero-inflated negative binomial regression models were used to analyze the data.
BMI was positively associated with EDE-Q restraint, EDE-Q eating concern, and EDE-Q frequency of objective binge-eating episodes. Importance of appearance was positively related to EDE-Q restraint, and fear of age-related appearance changes to EDE-Q eating concern and objective binge-eating episodes. Cognitive reappraisal was negatively associated with EDE-Q eating concern and excessive exercise in bivariate associations, but the relationships disappeared in the multivariate analyses.
BMI, importance of appearance, and fear of age-related appearance changes turned out to be positively associated with eating disordered behaviors and attitudes, similarly to what can be observed in middle-aged samples. However, the role of cognitive reappraisal was unclear and should be investigated further.
Level V: cross-sectional descriptive study.
本研究旨在探讨与老年女性饮食障碍行为和态度相关的潜在因素。
在社区招募了 60-75 岁的女性（n=203），并完成了问卷调查。使用饮食障碍检查问卷（EDE-Q）评估饮食障碍行为和态度。自变量为 BMI、年龄、外貌重要性、身体能力重要性、认知重评和对与年龄相关的外貌变化的恐惧。采用 Spearman 相关分析和零膨胀负二项回归模型进行数据分析。
BMI 与 EDE-Q 节食、EDE-Q 进食关注和 EDE-Q 客观暴食发作频率呈正相关。外貌重要性与 EDE-Q 节食呈正相关，对与年龄相关的外貌变化的恐惧与 EDE-Q 进食关注和客观暴食发作频率呈正相关。认知重评在双变量关联中与 EDE-Q 进食关注和过度运动呈负相关，但在多变量分析中这些关系消失了。
BMI、外貌重要性和对与年龄相关的外貌变化的恐惧与饮食障碍行为和态度呈正相关，这与中年人群中的观察结果相似。然而，认知重评的作用尚不清楚，需要进一步研究。
V 级：横断面描述性研究。
