Skip to main content
Log in

The influence of definitions on the prevalence of eating problems in an adolescent population

  • Original Research Paper
  • Published:
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Objective: The definitions of eating problems vary widely as they integrate cognitive, behavioural and physiological components to different degrees. The aim of this study was to show how much these differences affect the prevalence of eating problems in an adolescent population. Method: All of the 9131 adolescents in a Norwegian county participated in a health study, 8042 (88.1%) of whom gave valid responses to a questionnaire covering various aspects of eating problems, and had their weight and height measured. Results: The prevalence of eating problems ranged from 0.3 to 47.0% depending on the definitions used. The various definitions also gave different gender ratios, although the prevalences increased with age in females only. Conclusions: The various definitions of eating problems had a low degree of correlation and led to quite variable prevalences. All of them showed that the prevalence of eating problems was higher in females, but their prevalence in males was also considerable.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Austin S.B.: Prevention research in eating disorders: theory and new directions. Psychol. Med., 30, 1249–1262, 2000.

    Article  PubMed  CAS  Google Scholar 

  2. Garner D.M., Garfinkel P.E.: The Eating Attitude Test: An index of the symptoms of anorexia nervosa. Psychol. Med., 12, 273–279, 1979.

    Article  Google Scholar 

  3. Garner D.M., Olmsted M.P., Bohr Y., Garfinkel P.E.: The Eating Attitude Test: Psychometric features and clinical correlates. Psychol. Med., 12, 871–878, 1982.

    Article  PubMed  CAS  Google Scholar 

  4. Wells J.E., Coope P.A., Gabb D.C., Pears R.K.: The factor structure of the Eating Attitude Test with adolescent schoolgirls. Psychol. Med., 15, 141–146, 1985.

    Article  PubMed  CAS  Google Scholar 

  5. Johnson-Sabine E., Wood K.Y., Patton G., Mann A., Wakeling A.: Abnormal eating attitudes in London schoolgirls — a prospective epidemiological study: factors associated with abnormal response on screening questionnaires. Psychol. Med., 18, 615–622, 1988.

    Article  PubMed  CAS  Google Scholar 

  6. Buddeberg-Fischer B., Bernet R., Sieber M., Schnid J., Buddeberg C.: Epidemiology of eating behaviour and weight distribution in 14- to 19-year-old Swiss students. Acta Psychiatr. Scand., 93, 296–304, 1996.

    Article  PubMed  CAS  Google Scholar 

  7. Pastore D.R., Fisher M., Friedman S.B.: Abnormalities in weight status, eating attitudes and eating behaviors among urban high school students. J. Adolesc. Health, 18, 312–319, 1996.

    Article  PubMed  CAS  Google Scholar 

  8. Button E.J., Loan P., Davies J., Sonuga- Barke E.J.S.: Self esteem, eating problems and psychological well-being in a cohort of schoolgirls aged 15-16: A questionnaire and interview study. Int. J. Eat. Disord., 21, 39–47, 1997.

    Article  PubMed  CAS  Google Scholar 

  9. Lavik N.J., Clausen S.E., Pedersen W.: Eating behaviour, drug use, psychopathology and parental bonding in adolescents in Norway. Acta Psychiatr. Scand. 84, 387–390, 1991.

    Article  PubMed  CAS  Google Scholar 

  10. Wichstrøm L.: Social, psychological and physical correlates of eating problems. A study of the general adolescent population in Norway. Psychol. Med., 25, 567–579, 1995.

    Article  PubMed  Google Scholar 

  11. French S.A., Perry C.L., Leon G.R., Fulkerson J.A.: Food preference, eating patterns and physical activity among adolescents: Correlates of eating disorders symptoms. J. Adolesc. Health 15, 286–294, 1994.

    Article  PubMed  CAS  Google Scholar 

  12. Morande G., Celada J., Casas J.: Prevalence of eating disorders in Spanish school-age population. J. Adolesc. Health, 24, 212–219, 1999.

    Article  PubMed  CAS  Google Scholar 

  13. Heatherton T.F., Nichols P., Mahamedi F., Keel P.: Body weight, dieting and eating disorder symptoms among college students, 1982 to 1992. Am. J. Psychiatry, 152, 1623–1629, 1995.

    PubMed  CAS  Google Scholar 

  14. Patton G.C., Selzer R., Coffey C., Carlin J.B., Wolfe R.: Onset of adolescent eating disorders: population based cohort study over 3 years. Br. Med. J., 318, 765–768, 1999.

    Article  CAS  Google Scholar 

  15. Devaud C., Jeannin A., Narring F., Ferron C., Michaud P.A.: Eating disorders among female adolescents in Switzerland: Prevalence and associations with mental and behavioral disorders. Int. J. Eat. Disord., 24, 207–216, 1998.

    Article  PubMed  CAS  Google Scholar 

  16. Fung K.P., Lee J., Lau S.P., Chow O.K.W., Wong T.W., Davis D.P.: Properties and clinical implications of body mass indices. Arch. Dis. Child., 65, 516–519, 1990.

    Article  PubMed  CAS  Google Scholar 

  17. Must A., Dallal G.E., Dietz W.H.: Reference data for obesity: 85th and 95th percentiles of body mass index (wt/ht2) and triceps skinfold thickness. Am. J. Clin. Nutr., 53, 839–846, 1991.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. Björnelv M.D..

Rights and permissions

Reprints and permissions

About this article

Cite this article

Björnelv, S., Mykletun, A. & Dahl, A.A. The influence of definitions on the prevalence of eating problems in an adolescent population. Eat Weight Disord 7, 284–292 (2002). https://doi.org/10.1007/BF03324974

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03324974

Key words

Navigation