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医学生中问题饮食行为的患病率及饮食失调认知评估

Prevalence of problematic eating behavior and assessment of awareness on eating disorder among medical students.

作者信息

Priyam Aayush, Das Sudipta K, Samantray Swayanka, Ravan Jayaprakash R, Pattnaik Jigyansa I

机构信息

Department of Psychiatry, KIMS, Bhubaneswar, Odisha, India.

出版信息

Ind Psychiatry J. 2024 Jul-Dec;33(2):320-326. doi: 10.4103/ipj.ipj_157_24. Epub 2024 Dec 17.

Abstract

BACKGROUND

There are few studies that highlight the problematic eating behavior of college students; however, similar data on the medical undergraduate population is sparse, especially in India. Awareness among medical students would be considered different compared to other students, owing to their training and education.

AIM

To know the prevalence of problematic eating behavior in medical undergraduate students and to measure the extent of awareness regarding problematic eating behavior present amongst the students.

MATERIALS AND METHODS

The present study was a cross-sectional study conducted over 2 months that included students (1 -4 year and interns) aged 17-30 years, studying MBBS. Ethical approval to do the study was taken from the Institutional Ethics Committee. Purposive sampling was done. Those students who gave informed consent to be a part of this study and were not diagnosed with any severe mental and physical illness were included in this study. Socio-demographic data was collected in a semi-structured proforma. The questionnaire was given to the students to fill up. The questionnaire included EAT-26 (Eating Attitudes Test-26) score for screening the students for problematic eating behavior. For objectively assessing awareness amongst the students regarding the same, a few questions of knowledge, attitude, and practice (KAP) on problematic eating were included in the form. The result was analyzed using SPSS- 25 (Statistical Package for Social Sciences) and appropriate statistical tests.

RESULTS

Among Medical undergraduates, 19.9% had EAT-26 score more than or equal to 20, suggesting some problematic eating behavior. A total of 36.7% of students were obese, while 5.6% were underweight. Gender and background do not play any role in the causation of Problematic Eating Behaviour (PEB). There was a significant difference in the EAT score with respect to the education of the head of the family ( < 0.01), positive history of mental illness in the family ( = 0.01), positive history of childhood obesity ( < 0.01), and positive history of bullying ( < 0.01). Awareness or knowledge about eating disorders is high among MBBS graduates, which could be a protective factor in general.

CONCLUSION

Obesity is a more concerning issue in the medical undergraduate population rather than underweight. Childhood obesity and bullying emerge as important factors affecting the eating attitudes and behavior among medical graduates.

摘要

背景

很少有研究关注大学生的问题饮食行为;然而,关于医学本科学生的类似数据却很稀少,尤其是在印度。由于医学专业学生所接受的培训和教育,他们的认知情况可能与其他学生有所不同。

目的

了解医学本科学生中问题饮食行为的患病率,并衡量学生对问题饮食行为的认知程度。

材料与方法

本研究为一项为期2个月的横断面研究,研究对象为年龄在17 - 30岁、正在攻读医学学士学位的学生(1 - 4年级学生及实习生)。本研究已获得机构伦理委员会的伦理批准。采用目的抽样法。那些自愿参与本研究且未被诊断患有任何严重精神和身体疾病的学生被纳入本研究。通过半结构化表格收集社会人口统计学数据。向学生发放问卷进行填写。问卷包括用于筛查学生问题饮食行为的EAT - 26(饮食态度测试 - 26)得分。为客观评估学生对该问题的认知情况,问卷中还包含了一些关于问题饮食的知识、态度和行为(KAP)的问题。使用SPSS - 25(社会科学统计软件包)进行结果分析,并采用适当的统计检验方法。

结果

在医学本科学生中,19.9%的学生EAT - 26得分大于或等于20,表明存在一些问题饮食行为。共有36.7%的学生肥胖,而5.6%的学生体重过轻。性别和家庭背景在问题饮食行为(PEB)的成因中不起任何作用。EAT得分在家庭户主的教育程度方面存在显著差异(<0.01),在家族精神疾病阳性史方面存在显著差异(=0.01),在儿童期肥胖阳性史方面存在显著差异(<0.01),在欺凌阳性史方面存在显著差异(<0.01)。医学学士毕业生对饮食失调的认知或了解程度较高,这总体上可能是一个保护因素。

结论

在医学本科学生群体中,肥胖问题比体重过轻更令人担忧。儿童期肥胖和欺凌是影响医学毕业生饮食态度和行为的重要因素。

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