Yan Huey-Yeu, Liu Chieh-Yu, Tseng Mei-Chih Meg, Lee Tzu-Ying, Mu Pei-Fan, Lin Hung-Ru
School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City 112303, Taiwan.
Department of Nursing, University of Kang Ning, Taipei City 114311, Taiwan.
Healthcare (Basel). 2023 Jan 24;11(3):338. doi: 10.3390/healthcare11030338.
Binge eating (BE) is considered a marker of obesity and overweight and a significant characteristic of feeding and eating disorders. Despite the high prevalence of obesity on college campuses, the issue of BE among college students in Taiwan has received little attention. The aim of this study was to investigate BE behavior among overweight college students in Taiwan and associated factors.
This study utilized a cross-sectional survey. A total of 300 overweight college students were recruited through convenience sampling. Data were collected using a self-administered Binge Eating Scale (BES) and a body weight composition monitor (Model No. OMRON, HBF-126) and analyzed using descriptive statistics, correlation analysis, and regression analysis.
The average BES score was 10.67 (SD = 6.66, 0-34). With a BES score of 17 as the cut-off point, 17.3% (n = 52) of the participants were found to have moderate or severe BE behavior. Analysis of the demographic and psychosocial data using Spearman's rho rank correlation coefficient revealed that sex, body mass index (BMI), uncontrolled eating, weight loss diets, academic stress, peer competition, interpersonal distress, and unpleasant or major life events were significantly correlated with BE behavior and its probability (r = -0.14-0.15, < 0.05). Furthermore, logistic regression analysis indicated that the odds ratio of the BES scores of female participants and those who stated to have experienced uncontrolled eating, weight loss diets, peer competition, and interpersonal distress was 1.05-6.04 times those of male participants and those without such experiences ( < 0.05).
The study found that nearly one-fifth of participants presented moderate to severe levels of BE behaviors, and these were significantly correlated with sex and external environmental stress. This study suggests early intervention from campus psychological health personnel to provide proper therapy.
暴饮暴食（BE）被认为是肥胖和超重的一个标志，也是进食障碍的一个显著特征。尽管大学校园里肥胖现象普遍，但台湾大学生中的暴饮暴食问题却很少受到关注。本研究的目的是调查台湾超重大学生的暴饮暴食行为及其相关因素。
本研究采用横断面调查。通过便利抽样招募了300名超重大学生。使用自行填写的暴饮暴食量表（BES）和体重成分监测仪（欧姆龙型号HBF - 126）收集数据，并进行描述性统计、相关性分析和回归分析。
BES平均得分为10.67（标准差=6.66，范围0 - 34）。以BES得分为17作为临界点，发现17.3%（n = 52）的参与者有中度或重度暴饮暴食行为。使用斯皮尔曼等级相关系数对人口统计学和社会心理数据进行分析，结果显示性别、体重指数（BMI）、无节制饮食、减肥饮食、学业压力、同伴竞争、人际困扰以及不愉快或重大生活事件与暴饮暴食行为及其可能性显著相关（r = -0.14 - 0.15，P < 0.05）。此外，逻辑回归分析表明，女性参与者以及表示有过无节制饮食、减肥饮食、同伴竞争和人际困扰经历的参与者的BES得分的优势比是男性参与者以及没有此类经历的参与者的1.05 - 6.04倍（P < 0.05）。
研究发现近五分之一的参与者表现出中度至重度的暴饮暴食行为，且这些行为与性别和外部环境压力显著相关。本研究建议校园心理健康人员尽早进行干预，提供适当的治疗。
