Sultana Mst Sadia, Islam Md Saiful, Sayeed Abu, Koly Kamrun Nahar, Baker Katya, Hossain Rakib, Ahmed Sanjida, Ferdous Most Zannatul, Mubarak Mahfuza, Potenza Marc N, Sikder Md Tajuddin
Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh.
Center for Advanced Research Excellence in Public Health, Savar, Dhaka, 1342, Bangladesh.
J Eat Disord. 2022 Nov 14;10(1):163. doi: 10.1186/s40337-022-00680-0.
Maladaptive eating behaviors like food addiction (FA) are common among students, and orthorexia nervosa (ON) is being evaluated as a new condition among eating disorders (EDs). Moreover, dietary diversity (DD) is recognized as an important component of a healthy diet. Thus, the current study sought to examine the prevalence of ON and FA as well as the factors associated with ON, FA, and DD among university students in Bangladesh during the COVID-19 pandemic.
Four-thousand-and-seventy-six students were recruited and completed an online survey consisting of the Bratman Orthorexia test, the modified Yale Food Addiction Scale, and a questionnaire based on the Food and Agriculture Organizations' guidelines. Inferential statistics, bivariate and multivariable linear regression were used for analyzing data.
ON and FA were observed in 1.7% and 7.5% of participants, respectively, with 43.8% exhibiting Health Fanatic eating attitude. The mean DD score was 5.96 (SD = 1.56). Students with ON consumed more legumes, nuts, seeds, and vegetables including dark green leafy vegetables whereas students with FA consumed more organ meats and eggs. Students who were older-aged, married, formerly smoked, had fitness goals, and had guilty feelings about violating food rules were more likely to have ON, whereas those who were female, were married, actively smoked, and were overweight and obese were more likely to have FA.
The findings suggest that students from Bangladesh are at risk of FA, and less so for ON. These entities and low DD deserve more research attention in Bangladesh to increase awareness and ensure appropriate interventions.
诸如食物成瘾（FA）之类的不良饮食行为在学生中很常见，而正位饮食失调（ON）正在被评估为饮食失调（EDs）中的一种新情况。此外，饮食多样性（DD）被认为是健康饮食的一个重要组成部分。因此，本研究旨在调查在新冠疫情期间孟加拉国大学生中ON和FA的患病率以及与ON、FA和DD相关的因素。
招募了4076名学生并让他们完成一项在线调查，该调查包括布拉特曼正位饮食失调测试、改良的耶鲁食物成瘾量表以及一份基于联合国粮食及农业组织指南的问卷。使用推断统计、双变量和多变量线性回归来分析数据。
分别有1.7%和7.5%的参与者存在ON和FA，43.8%的参与者表现出健康狂热饮食态度。DD的平均得分是5.96（标准差=1.56）。患有ON的学生食用更多的豆类、坚果、种子以及包括深绿叶蔬菜在内的蔬菜；而患有FA的学生食用更多内脏肉和蛋类。年龄较大、已婚、曾经吸烟、有健身目标以及对违反饮食规则有负罪感的学生更有可能患有ON，而女性、已婚、积极吸烟以及超重和肥胖的学生更有可能患有FA。
研究结果表明孟加拉国学生有患FA的风险，患ON风险较低。在孟加拉国，这些情况和低DD值得更多的研究关注，以提高认识并确保采取适当的干预措施。
