Zakhour M, Haddad C, Sacre H, Tarabay C, Zeidan R K, Akel M, Hallit R, Kheir N, Obeid S, Salameh P, Hallit S
Faculty of Science, Lebanese University, Fanar, Lebanon
Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
Rev Epidemiol Sante Publique. 2021 Jun;69(3):134-144. doi: 10.1016/j.respe.2021.02.003. Epub 2021 May 6.
The objective of this study was to evaluate the impact of the interaction between body dissatisfaction and gender on eating disorders (restrained eating, binge eating, orthorexia nervosa, and emotional eating) among a sample of Lebanese adults.
This cross-sectional study, conducted between January and May 2018, enrolled 811 participants selected randomly from all Lebanese Mohafazat. The mean age of the participants was 27.6±11.8 years. The majority were females (66.5%), had a high level of education (73.2%), and low income (77.9%). This study used the following scales: body dissatisfaction subscale of the Eating Disorder Inventory-second version, binge eating scale, Dutch restrained eating scale, orthorexia nervosa scale (ORTHO-15 scale), emotional eating scale, perceived stress scale, Hamilton Anxiety Rating Scale, and Hamilton Depression Rating Scale.
Body dissatisfaction was positively correlated to restrained eating (r=0.293, P<0.001), emotional eating (r=0.073, P=0.042) and binge eating (r=0.250, P<0.001). The interaction between body dissatisfaction and gender was significantly associated with more restrained eating (Beta=0.01, P<0.001) and orthorexia nervosa (Beta=-0.09, P<0.001), but not with emotional (Beta=-0.43, P=0.103) and binge eating (Beta=-0.08, P=0.358). When stratifying the analysis by gender, the results revealed that higher body dissatisfaction was significantly associated with more restrained eating in both genders, but particularly among women. Body dissatisfaction was significantly associated with higher emotional eating in men only and with higher orthorexia nervosa tendencies and behaviors in females only.
The interaction between body dissatisfaction and gender was significantly associated with orthorexia nervosa and restrained eating but not with binge or emotional eating. Higher body dissatisfaction was significantly associated with higher restrained eating, more pronounced in women, while it was significantly associated with higher orthorexia tendencies (lower ORTO-15 scores) in women only. Body dissatisfaction was associated with emotional eating in men only.
本研究的目的是评估黎巴嫩成年人样本中身体不满与性别之间的相互作用对饮食失调（节食、暴饮暴食、神经性正食症和情绪化进食）的影响。
这项横断面研究于2018年1月至5月进行，从黎巴嫩所有省份随机选取了811名参与者。参与者的平均年龄为27.6±11.8岁。大多数为女性（66.5%），受教育程度高（73.2%），收入低（77.9%）。本研究使用了以下量表：饮食失调量表第二版的身体不满分量表、暴饮暴食量表、荷兰节食量表、神经性正食症量表（ORTHO - 15量表）、情绪化进食量表、感知压力量表、汉密尔顿焦虑评定量表和汉密尔顿抑郁评定量表。
身体不满与节食（r = 0.293，P < 0.001）、情绪化进食（r = 0.073，P = 0.042）和暴饮暴食（r = 0.250，P < 0.001）呈正相关。身体不满与性别的相互作用与更多的节食（β = 0.01，P < 0.001）和神经性正食症（β = - 0.09，P < 0.001）显著相关，但与情绪化进食（β = - 0.43，P = 0.103）和暴饮暴食（β = - 0.08，P = 0.358）无关。按性别分层分析时，结果显示较高的身体不满在两性中均与更多的节食显著相关，但在女性中尤为明显。身体不满仅在男性中与较高的情绪化进食显著相关，仅在女性中与较高的神经性正食症倾向和行为显著相关。
身体不满与性别的相互作用与神经性正食症和节食显著相关，但与暴饮暴食或情绪化进食无关。较高的身体不满与较高的节食显著相关，在女性中更为明显，而仅在女性中与较高的神经性正食症倾向（较低的ORTO - 15得分）显著相关。身体不满仅在男性中与情绪化进食相关。
