Department of Psychology, University of Nottingham, Nottingham, UK.
Department of Psychological and Brain Sciences, University of Louisville, Louisville, KY, USA.
Am J Mens Health. 2024 Sep-Oct;18(5):15579883241279507. doi: 10.1177/15579883241279507.
This study is the first to examine the utility of body mass index (BMI) as an indicator of eating disorder (ED) pathology and fitness for employment for professional male fashion models. We assessed the relationship between experimenter-measured BMI, muscle mass, body fat percentage, and ED severity (EDE-Q score) in male models and nonmodels. Except for higher eating concern, the two groups displayed similar EDE-Q scores after controlling for age. Models relative to nonmodels endorsed significantly greater frequency of compulsive exercise and self-induced vomiting as a means of controlling shape or weight. BMI was a poor indicator of body fat percentage in models. Lower BMI in models, and higher BMI in nonmodels, was associated with higher EDE-Q scores. Interestingly, all the male models with clinically significant EDE-Q scores (≥4.0) had >18.5 experimenter-measured BMI. Higher muscle mass in models, and lower muscle mass in nonmodels, was associated with higher EDE-Q scores. Inversely, lower percentage body fat in models, and higher percentage body fat in nonmodels, was associated with higher EDE-Q scores. BMI, muscle mass, and percentage body fat were associated with ED tendencies in male models and nonmodels. Findings also suggest males with clinical ED symptoms would be overlooked if only low BMI (<18.5) was considered. These results may guide the development of more effective mandates to safeguard models' wellbeing, and men generally.
这项研究首次考察了体重指数（BMI）作为职业男性时装模特饮食障碍（ED）病理和适合就业的指标的效用。我们评估了男性模特和非模特中实验者测量的 BMI、肌肉量、体脂百分比和 ED 严重程度（EDE-Q 评分）之间的关系。在控制年龄后，除了更高的进食关注外，两组的 EDE-Q 评分相似。与非模特相比，模特更频繁地报告强迫性运动和自我诱导呕吐作为控制体型或体重的方法。BMI 是模特体脂百分比的一个很差的指标。模特的 BMI 较低，而非模特的 BMI 较高，与 EDE-Q 评分较高有关。有趣的是，所有 EDE-Q 评分（≥4.0）有临床意义的男性模特的 BMI 均大于 18.5。模特的肌肉量较高，而非模特的肌肉量较低，与 EDE-Q 评分较高有关。相反，模特的体脂百分比较低，而非模特的体脂百分比较高，与 EDE-Q 评分较高有关。BMI、肌肉量和体脂百分比与男性模特和非模特的 ED 倾向有关。研究结果还表明，如果只考虑低 BMI（<18.5），可能会忽略有临床 ED 症状的男性。这些结果可能有助于制定更有效的规定，以维护模特和一般男性的健康。
