Citation Information :
Goswami M, Garg A. Knowledge, Attitude and Practice of Eating Disorders among Children and Adolescents Engaged in Sports: A Cross-sectional Study. Int J Clin Pediatr Dent 2022; 15 (2):135-142.
Aim and objective: To assess the knowledge, attitude, and practices regarding eating disorders among children and adolescents, engaged in sports.
Materials and methods: A total sample of 650 children was recruited and further divided into two groups on the basis of age. Group, I comprised of children and adolescents between 10–14 years of age and Group II between 15–18 years of age. A self-instructed open ended questionnaire was used in English and Hindi. The sports included were Basketball, Yoga, Wrestling, Judo, Cricket, Gymnastics, Boxing, Badminton, Table Tennis and others based on the availability of children in each sport.
Result: The mean knowledge, attitude, and practice of Bulimia nervosa in Group I was 0.228 ± 0.41, 2.69 ± 0.586, and 0.000, respectively. The mean knowledge, attitude, and practice of Anorexia nervosa in Group I was 4.76 ± 1.2, 0.22 ± 0.41, and 1.17 ± 0.908. The mean knowledge, attitude, and practice of Binge eating disorders in Group I was 0.22 ± 0.41, 1.65 ± 0.50, and 0.18 ± 0.39, respectively. The mean knowledge, attitude, and practice of Bulimia nervosa in Group II were 3.717 ± 1.21, 0.34 ± 0.56, and 0.145 ± 0.35. The mean knowledge, attitude, and practice of Anorexia nervosa in Group II were 5.26 ± 1.17, 0.34 ± 0.56, and 1.12 ± 0.85. The mean knowledge, attitude, and practice of Binge eating disorders in Group II were 0.34 ± 0.56, 1.76 ± 0.42, and 0.28 ± 0.60.
Conclusion: The likely chance of developing an eating disorder and habits practiced related to Bulimia nervosa and Anorexia nervosa was found higher among adolescents between 15–18 years of age. However, these findings were found similar for Binge eating disorders among both age groups.
American Academy of Sports Dentistry. Position statements. 2018.
Johnson C, Powers PS, Dick R. Athletes and eating disorders: the national collegiate athletic association study. Int J Eating Disord 1999;26:179–188. DOI: 10.1002/(sici)1098-108x(199909)26:2<179::aid-eat7>3.0.co;2-z
Ravaldia C, Vannacci A, Zucchi T et al. Eating disorders and body image disturbances among ballet dancers, gymnasium users and bodybuilders. Psychopathology 2003;36:247–254. DOI: 10.1159/000073450
American Psychiatric Association. Diagnostic and statistical manual of mental disorders 4th ed. 1994, Washington, DC: Author.
Stice E. Risk and maintenance factors for eating pathology: a meta-analytic review. Psychol Bull 2002;128:825–848. DOI: 10.1037/0033-2909.128.5.825
Sundgot-Borgen J. Eating disorders among male and female elite athletes. Brit J Sports Med 1999;33:434–434. DOI: 10.1136/bjsm.33.6.434
Braet C, Claus L, Goossens L, et al. Differences in eating styles between overweight and normal-weight youngsters. J Health Psychol 2008; 13:733–743. DOI: 10.1177/1359105308093850
Goossens L, Braet C, Van Durme K, et al. The parent-child relationship as predictor of eating pathology and weight gain in preadolescents. J Clin Child Adolesc Psychol 2012;41(4):445–457. DOI: 10.1080/15374416.2012.660690
Goswami S, Sachdeva S, Sachdeva R. Body image satisfaction among female college students. Indian Psychiatry J 2012;21(2):168–172. DOI: 10.4103/0972-6748.119653
Dixit S, Agarwal GG, Singh JV, et al. A study on consciousness of adolescent girls about their body image. Indian J Commun Med 2011; 36(3):197. DOI: 10.4103/0970-0218.86520
Priya D, Prasanna KS, Sucharitha S, et al. Body image perception and attempts to change weight among female medical students at Mangalore. Indian J Commun Med 2010;35(2):316–320. DOI: 10.4103/0970-0218.66886
Keel PK, Klump KL. Are eating disorders culture-bound syndromes? Implications for conceptualizing their etiology. Psychol Bull 2003; 129:747–769. DOI: 10.1037/0033-2909.129.5.747
Khandelwal SK, Sharan P, Saxena S. Eating disorders: an Indian Perspective. Int J Soc Psychiatry 1995;132–146. DOI: 10.1177/002076409504100206
Stigler MH, Arora M, Dhavan P, et al. Weight-related concerns and weight-control behaviors among overweight adolescents in Delhi, India: a cross-sectional study. Int J Behav Nutr Phys Act 2011;8(1):9. DOI: 10.1186/1479-5868-8-9
Lee S, Chiu HF, Chen CN. Anorexia nervosa in Hong Kong. Why not more in Chinese? Br J Psychiatry 1989;154:683–68. DOI: 10.1192/bjp.154.5.683
Rashmi B, Patil SS, Angadi MM, et al. A cross-sectional study of the pattern of body image perception among female students of BBM college in Vijayapur, North Karnataka. J Clin Diagn Res 2016; 10(7):LC05-LC09. DOI: 10.7860/JCDR/2016/20764.8180
Barry A, Lippman SB. Anorexia nervosa in males. Postgrad Med 1990; 87:161–165, 168.
Morande G, Celada J, Casas JJ. Prevalence of eating disorders in a spanish school population. J Adolesc Health 1999;24(3):212–219. DOI: 10.1016/s1054-139x(98)00025-1
Kjelsas E, Bjørnstrøm C, Götestam KG. Prevalence of eating disorders in female and male adolescents (14–15 y). Eat Behav 2004;5:13–25. DOI: 10.1016/S1471-0153(03)00057-6
Martinsen M, Bratland-Sanda S, Erikson AK, et al. Dieting to win or to be thin? A study of dieting and disordered eating among adolescents elite athletes and non-athlete controls. Brit J Sports Med 2010; 44:70–76. DOI: 10.1136/bjsm.2009.068668
