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Differences in diet composition of Brazilian adolescent girls with positive or negative score in the Eating Attitudes Test

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Abstract

Dieting, a behavioral phenomenon which is becoming more frequent among adolescents, is certainly involved in the pathogenesis of eating disorders, especially anorexia nervosa (AN), and may result in an unbalanced nutrition. Our study aimed at identifying girls with symptoms of AN and describing their diets. We assessed girls with symptoms by using the Eating Attitudes Test and considered girls with a score ≥20 as having symptoms of AN. To evaluate their diets, a “modified” 24-hour recall was applied on three alternate days. Twenty-one percent of the 279 girls studied showed symptoms of AN. Analysis of the food intake showed that calories, calcium and iron were below the recommendations of the Standing Committee on the Specific Evaluation of Dietary Reference Intakes (DRI Committee) and the National Research Council, while protein and carbohydrate were within the recommended range and fat was above the percentage of recommended total energy intake. Compared to girls without symptoms, they had a significantly smaller intake of calories and iron, and a higher intake of protein. Findings shown in this paper point out the need for intervention in adolescents because their dieting behavior can predispose to an eating disorder.

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References

  1. Wakeling A.: Epidemiology of AN. Psychiatry Res., 62, 3–9, 1996.

    Article  PubMed  CAS  Google Scholar 

  2. Neumark-Sztainer D., Story M., Hannan P.J., Perry C.L., Irving L.M.: Weight-related concerns and behaviors among overweight and nonoverweight adolescents: implications for preventing weight-related disorders. Arch. Pediatr. Adolesc. Med. 156, 171–178, 2002.

    Article  PubMed  Google Scholar 

  3. Boschi V., Siervo M., D’Orsi P., Margiotta N., Trapanese E., Basile F., Nasti G., Papa A., Bellini O., Falconi C.: Body composition, eating behavior, foodbody concerns and eating disorders in adolescent girls. Ann. Nutr. Metab., 47, 284–293, 2003.

    Article  PubMed  CAS  Google Scholar 

  4. Nunes M.A., Barros F.C., Anselmo O.M.T., Camey S., Mari J.D.: Prevalence of abnormal eating behaviours and inappropriate methods of weight control in young women from Brazil: a population-based study. Eat. Weight Disord., 8, 100–106, 2003.

    Article  PubMed  CAS  Google Scholar 

  5. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 4th ed. Washington D.C., (APA) American Psychiatric Association, 1994.

    Google Scholar 

  6. World Health Organization: The ICD-10 Classification of Mental and Behavioral Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneve, 1992.

    Google Scholar 

  7. Vaz F.J., Alcaina T., Guisado J.A.: Food aversions in eating disorders. Int. J. Food. Sci. Nutr., 49, 181–186, 1998.

    Article  PubMed  CAS  Google Scholar 

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

    Article  CAS  Google Scholar 

  9. Feijó R.B., Sukster E.B., Friedrich L., Fialho L., Dziekaniak K.S., Christini P.W., Machado L.R., Gomes K.V., Cardoso I.H.: Food intake habits in a sample of Porto Alegre high schools students [Estudo de hábitos alimentares em uma amostra de estudantes secundaristas de Porto Alegre]. Pediatria (São Paulo), 19, 257–262, 1997.

    Google Scholar 

  10. Vilela J.E.M., Lamounier J.A., Dellaretti F., Marcos A., Barros N., José R., Horta G.M.: Eating disorders in school children [Transtornos alimentares em escolares]. J. Pediatr. (Rio de J.), 80, 49–54, 2004.

    Google Scholar 

  11. Cavadini C., Siega-Ritz A.M., Popkin B.M.: US adolescent food intake trends from 1963 to 1996. Arch. Dis. Child., 83, 18–24, 2000.

    Article  PubMed  CAS  Google Scholar 

  12. Mulvihill C.B., Davies G.J., Rogers P.J.: Dietary restraint in relation to nutrient intake, physical activity and iron status in adolescent females. J. Hum. Nutr. Dietet., 15, 19–31, 2002.

    Article  Google Scholar 

  13. Garner D.M., Olmsted M.P., Bohr Y., Garfinkel P.E.: The Eating Attitudes test: psychometric features and clinical correlates. Physiol. Med., 12, 871–878, 1982.

    CAS  Google Scholar 

  14. Wlodarczyk-Bisaga K., Dolan B.: A two-stage epidemiological study of abnormal eating attitudes and their prospective risk factors in Polish schoolgirls. Psychol. Med., 26, 1021–1032, 1996.

    Article  PubMed  CAS  Google Scholar 

  15. Martinez M.A., Menendez M.D., Sanchez T.M.J., Seoane V.M., Suarez G.P.: Anorexic behavior in a population of high-school students of a health area. Aten. Primaria, 25, 313–9, 2000.

    Article  Google Scholar 

  16. Jones J.M., Bennett S., Olmsted M.P., Lawson M.L., Rodin G.: Disordered eating attitudes and behaviours in teenaged girls: a school-based study. C.M.A.J.,165, 547–551, 2001.

    CAS  Google Scholar 

  17. Miotto P., De Coppi M., Frezza M., Preti A.: The spectrum of eating disorders: prevalence in an area of Northeast Italy. Psychiatry Res., 119, 145–154, 2003.

    Article  PubMed  Google Scholar 

  18. Nishizawa Y., Kida K., Nishizawa K., Hashiba S., Saito K., Mita R.: Perception of self-physique and eating behavior of high school students in Japan. Psychiatry Clin. Neurosci. 57, 189–96, 2003.

    Article  PubMed  Google Scholar 

  19. Nunes M.A., Bagatini L.F., Abuchaim A.L., Kunz A., Ramos D., Silva A., Somenzi L., Pinheiro A.: Eating disorders: considerations about the Eating Attitudes Test (EAT) [Distúrbios da conduta alimentar: considerações sobre o Teste de Atitudes Alimentares (EAT)]. Revista ABP-APAL, 16: 7–10, 1994.

    Google Scholar 

  20. Dunker K.L.L., Philippi S.T.: Evaluation of the food intake of adolescents: 24-hour dietary recall “modified”. In: The Fifth International Conference on Dietary Assessment Methods, January, Chiang Rai, Thailand, 2003.

    Google Scholar 

  21. Philippi S.T., Szarfarc S.C., Latterza A.R.: Virtual Nutri [software]. Version 1.0. São Paulo: Nutrition Departament, Public Health Faculty, USP, 1996.

    Google Scholar 

  22. Trumbo P., Schlicker S., Yates A.A., Poos M.: Dietary Reference Intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. J. Am. Diet. Assoc., 102, 1621–1630, 2002.

    Article  PubMed  Google Scholar 

  23. National Research Council. Recommended Dietary Allowances. Washington, National Academy Press, 1989.

    Google Scholar 

  24. Darnall B.D., Smith J.E., Craighead L.W., Lamounier J.A.: Modification of the cognitive model for bulimia via path analysis on a Brazilian adolescent sample. Addict. Behav., 24, 47–57, 1999.

    Article  PubMed  CAS  Google Scholar 

  25. Bighetti F.: Translation and Validation of the Eating Attitude Test (EAT-26) in female adolescents in Ribeirão Preto city-SP. [Tradução e validação do Eating Attitudes Test (EAT-26) em adolescentes do sexo feminino na cidade de Ribeirão Preto- SP]. Master dissertation, Universidade de São Paulo, São Paulo, SP, Brazil, 2003.

    Google Scholar 

  26. Mintz L.B., O’Halloran M.S.: The Eating Attitudes Test: validation with DSM-IV eating disorder criteria. J. Pers. Assess., 74, 489–503, 2000.

    Article  PubMed  CAS  Google Scholar 

  27. Schneider D.: International trends in adolescent nutrition. Soc. Sci. Med,. 51, 955–967, 2000.

    Article  CAS  Google Scholar 

  28. Thibault L., Roberge A.G.: The nutritional status of subjects with anorexia nervosa. Int. J. Vitam. Nutr. Res., 57, 447–452, 1987.

    PubMed  CAS  Google Scholar 

  29. Fernstrom M.H., Weltzin T.E., Neuberger S., Srinivasagam N., Kaye W.H.: Twenty-four-hour food intake in patients with AN and in healthy control subjects. Biol. Psychiatry, 36, 696–702, 1994.

    Article  PubMed  CAS  Google Scholar 

  30. Nuñez C., Moreiras O., Carbajal A.: Pautas para el tratamiento dietético de pacientes com anorexia nerviosa basadas en la evaluación de su estado nutritivo. Rev. Clin. Esp., 195, 226–233, 1995.

    PubMed  Google Scholar 

  31. Nova E., Varela P., Lopez-Vidriero I., Toro O., Cenal M.J., Casas J., Marcos A.: A one-year follow-up study in AN. Dietary pattern and anthropometrical evolution. Eur. J. Clin. Nutr., 55, 547–54, 2001.

    Article  PubMed  CAS  Google Scholar 

  32. Hadigan C.M., Anderson E.J., Miller K.K., Hubbard J.L., Herzog D.B., Klibanski A., Grinspoon S.K.: Assessment of macronutrient and micronutrient intake in women with AN. Int. J. Eat. Disord., 28, 284–292, 2000.

    Article  PubMed  CAS  Google Scholar 

  33. Roberts S.J., McGuiness P.J., Bilton R.F., Maxwell S.M.: Dieting behavior among 11-15-year-old girls in Merseyside and the Northwest of England. J. Adolesc. Health, 25, 62–67, 1999.

    Article  PubMed  CAS  Google Scholar 

  34. Gama C.M.: Food consuption and nutricional status of adolecentes from private school and from a state-run school in Vila Mariana, Säo Paulo. Consumo alimentar e estado nutricional de adolescentes matriculados em escolas de rede particular e estadual do bairro de Vila Mariana. Doctoral thesis. Universidade Federal de São Paulo, São Paulo, SP, Brazil, 1999.

    Google Scholar 

  35. Priore S.E.: Body composition and food habits of the adolescents: a contribution to the interpretation of nutritional status indicators. [Composição corporal e hábitos alimentares de adolescentes:uma contribuição à interpretação de indicadores do estado nutricional.] Doctoral thesis, Universidade Federal de São Paulo, São Paulo, SP, Brazil, 1998.

    Google Scholar 

  36. Tirapegui J.: Nutrição: Fundamentos e Aspectos Atuais. São Paulo, Ed. Atheneu, 2000.

    Google Scholar 

  37. Clavien H., Theintz G., Rizzoli R., Bonjour J-P.: Does puberty alter dietary habits in adolescents living in a western society? J. Adolesc. Health, 19, 68–75, 1996.

    Article  PubMed  CAS  Google Scholar 

  38. Casotti L., Ribeiro A., Santos C., Ribeiro P.: Food consumer and nutrition: theorical and pratical difficulties. [Consumo de alimentos e nutrição: dificuldades práticas e teóricas]. Cadernos de Debate, 6, 26–39, 1998.

    Google Scholar 

  39. Martin A.R., Nieto J.M.M., Jiménez M.A.R., Ruiz J.P.N., Vásquez M.C.D., Fernández Y.C., Gómez M.A., Fernández C.C.: Unhealthy eating behaviour in adolescents. Eur. J. Epidemiol., 15, 643–648, 1999.

    Article  PubMed  CAS  Google Scholar 

  40. Parízková J.: Dietary habits and nutritional status in adolescents in Central and Eastern Europe. Eur. J. Clin. Nutr,. 54, S36–40, 2000.

    Article  Google Scholar 

  41. Rolland-Cachera M.F., Bellisle F., Deheeger M.: Nutritional status and food intake in adolescents living in Western Europe. Eur. J. Clin. Nutr., 54, S41–S46, 2000.

    Article  Google Scholar 

  42. Kazapi I.M., Di Pietro P.F., Avancini S.R.P., Freitas S.F.T., Tramonte V.L.C.G.: Energy and macronutrients consumption by adolescents from public private schools. [Consumo de energia e macronutrientes por adolescentes de escolas públicas e privadas]. Rev. Nutr., 14, 27–33, 2001.

    Article  Google Scholar 

  43. Stang J., Story M.T., Harnack L., Neumark-Sztainer D.: Relationship between vitamin and mineral supplement use, dietary intake, and dietary adequacy among adolescents. J. Am. Diet. Assoc., 100, 905–910, 2000.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Course of Applied Human Nutrition, University of São Paulo, Brazil

    K. L. L. Dunker

  2. Public Health School, University of São Paulo, Brazil

    S. T. Philippi

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  1. K. L. L. Dunker
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  2. S. T. Philippi
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Correspondence to K. L. L. Dunker.

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Dunker, K.L.L., Philippi, S.T. Differences in diet composition of Brazilian adolescent girls with positive or negative score in the Eating Attitudes Test. Eat Weight Disord 10, e70–e75 (2005). https://doi.org/10.1007/BF03327554

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