Hostname: page-component-76fb5796d-22dnz Total loading time: 0 Render date: 2024-04-26T10:45:51.725Z Has data issue: false hasContentIssue false

Eating disorders and their correlates in high school adolescents of Northern Italy

Published online by Cambridge University Press:  11 October 2011

Anna Linda Toselli*
Affiliation:
Dipartimenio di Scienze Sanitarie Applicate e Psicocomporiamentali, Sezione di Scienza dell'Alimentazione, Università degli Studi di Pavia, Pavia
Simona Villani*
Affiliation:
Dipartimento di Scienze Sanitarie Applicate e Psicocomportamentali, Sezione di Statistica Medica ed Epidemiologia, Università degli Studi di Pavia, Pavia
Antonio Maria Ferro
Affiliation:
Dipartimento di Salute Mentale, ASL 2 di Savona, Savona
Anna Verri
Affiliation:
Dipartimento di Scienze Sanitarie Applicate e Psicocomportamentali, Sezione di Statistica Medica ed Epidemiologia, Università degli Studi di Pavia, Pavia
Laura Cucurullo
Affiliation:
Dipartimento di Salute Mentale, ASL 2 di Savona, Savona
Alessandra Marinoni
Affiliation:
Dipartimento di Scienze Sanitarie Applicate e Psicocomportamentali, Sezione di Statistica Medica ed Epidemiologia, Università degli Studi di Pavia, Pavia
*
Address for correspondence: Dr. A. Toselli, Dr. S. Villani, Dipartimento di Scienze Sanitarie Applicate e Psicocomportamentali, Via Bassi 21, 27100 Pavia(Italy). Fax: +39-0382-98.7554 E-mail: svillani@unipv.it E-mail: antoselli@aliceposta.it
Address for correspondence: Dr. A. Toselli, Dr. S. Villani, Dipartimento di Scienze Sanitarie Applicate e Psicocomportamentali, Via Bassi 21, 27100 Pavia(Italy). Fax: +39-0382-98.7554 E-mail: svillani@unipv.it E-mail: antoselli@aliceposta.it

Summary

Objective – The study investigated eating disordered behaviours and life-habits correlated in a large sample of Northern Italian adolescents of both sexes. Methods – The study had a cross-sectional design. 2595 students (2,146 responders; mean age 17.2±1.7 years) attending high schools in Savona (Italy) in April and May 2001 were sampled. To assess eating attitudes, the Inventory for the Screening of Eating Disorders (ISED) was self-administered. Inquiries regarding possible risk factors for eating disorders were also made: socio-economic status, body weight, smoking and alcohol drinking habits, illegal drugs use. Results – Females scored significantly higher than males at ISED (13.4±7.7 vs. 7.6±5.8). 28.5% of females had a total ISED score above the cut-off point (18/19). Unhealthy eating behaviours were strongly associated with higher BMI, body image disturbance and illegal drugs use in both sexes; age had significant role only in males. No significant association between disordered eating behaviours and socio-economic status, smoking habit and alcohol consumption were found. Conclusions – Symptoms of eating disorders are quite spread in the Northern Italian female adolescents and associate with illegal drugs use. These data, with not negligible frequency of unhealthy eating behaviours and attitudes in males too, suggest that primary and secondary preventive interventions for teen-agers should be got ready.

Declaration of Interest: 1) the study received the financial support by Regione Liguria and ASL 2 of Savona; 2) the study didn't receive any forms of financing by pharmaceutical company support and any honoraria for consultancies or interventions was received by each author in the last two years; 3) any other involvements that might be considered a conflict of interest in connection with the submitted article. The authors state that if and when the manuscript accepted for publication, they automatically agree to transfer the copyright to the publisher

Type
Original Papers
Copyright
Copyright © Cambridge University Press 2005

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Bramon-Bosch, E., Troop, N.A. & Treasure, J.L. (2000). Eating disorders in males: a comparison with female patients. European Eating Disorders Review 8, 321328.3.0.CO;2-G>CrossRefGoogle Scholar
Carlat, D.J. & Camargo, C.A. (1991). Review of bulimia nervosa in males. American Journal of Psychiatry 148, 831843.Google ScholarPubMed
Choquet, M. & Ledoux, S. (1991). Us Trouble des Conduits Alimentaires. Institut National de la Science et de la Recherche Medicale: Paris.Google Scholar
Cotrufo, P., Barretta, V., Monteleone, P. & Maj, M. (1998). Full-syndrome, partial-syndrome and subclinical eating disorders: an epidemiological study of female students in Southern Italy. Acta Psychiatrica Scandinava 98, 112115.CrossRefGoogle ScholarPubMed
Crisp, A.H., Burns, T. & Bhat, A.V. (1986). Primary anorexia nervosa in the male and female: a comparison of clinical features and prognosis. British Journal of Medical Psychology 59, 123132.CrossRefGoogle ScholarPubMed
Dalle Grave, R., De Luca, L. & Oliosi, M. (1997). Eating attitudes and prevalence of eating disorders: a survey in secondary schools in Lecce, Southern Italy. Eating and Weight Disorders 1, 3437.CrossRefGoogle Scholar
Devaud, C, Jeannin, A., Nerring, F., Ferron, C. & Michaud, P.A. (1998). Eating disorders among female adolescents in Switzerland: prevalence and associations with mental and behavioural disorders. International Journal of Eating Disorders 24(2). 207216.3.0.CO;2-W>CrossRefGoogle Scholar
Eagles, J.M., John Stone, M.I., Hunter, D., Lobban, M. & Millar, H.R. (1995). Increasing incidence of anorexia nervosa in the female population of North East Scotland. American Journal of Psychiatry 152, 12261271.Google Scholar
Favaro, A. & Santonastaso, P. (2000). Construction and validation of a new screening questionnaire for eating disorders: the Inventory for the Screening of Eating Disorders (ISED). Epidemiologia e Psichiatria Sociale 9, 2635.CrossRefGoogle ScholarPubMed
Haugh, N.A., Heinberg, L.J. & Guarda, A.S. (2001). Cigarettes smoking and its relationship to other substance use among eating disordered in-patients. Eating and Weight Disorders 6, 130139.Google Scholar
Heatherton, T.F., Nichols, P., Mahamedi, F. & Keel, P. (1995). Body weight, dieting and eating disorder symptoms among college students, 1982 to 1992. American Journal of Psychiatry 152, 16231629.Google ScholarPubMed
Holderness, C.C., Brooks-Gunn, J. & Warren, M.P. (1994). Co-morbidity of eating disorders and substance abuse: Review of the literature. International Journal of Eating Disorders 16, 134.3.0.CO;2-T>CrossRefGoogle ScholarPubMed
Hsu, L.K. (1996). Epidemiology of eating disorders. Psychiatric Clinics of North America 19, 681700.CrossRefGoogle ScholarPubMed
Kaltiala-Heino, R., Rissanen, A., Rimpela, M. & Rantanen, P. (1999). Bulimia and bulimic behavoiur in middle adolescence: more common than thought? Acta Psychiatrica Scandinavica 100, 3339.CrossRefGoogle Scholar
Keel, P.K., Klump, K.L., Leon, G.R. & Fulkerson, J.A. (1998). Disordered eating in adolescent males from a school-based sample. International Journal of Eating Disorders 23, 125132.3.0.CO;2-M>CrossRefGoogle ScholarPubMed
Jones, J.M., Bennett, S., Olmsted, M.P., Lawson, M.L. & Rodin, G. (2001). Disordered eating attitudes and behaviours in teen aged girls: a school-based study. CMAJ 165(5), 547552.Google ScholarPubMed
Lanzi, G., Rossi, G., Balottin, U., Brisone, G., Citterio, A., Leonardi, G., Martelli, T., Scelsa, B., Tebaldi, C. & Zambrino, C.A. (1997). Disturbi del comportamento alimentare: studio epidemiologico di 434 adolescenti. Minerva Pediatrica 49, 249260.Google Scholar
Marinoni, A., Degrate, A., Villani, S., Gerzeli, S., Carolei, A., Bagnasco, G., Palestra, M., Fratti, C. & Ferretti, M.A. (1996). Pianeta Giovani: Salute, Atteggiamenti, Eventi. Edizioni La Goliardica Pavese: Pavia.Google Scholar
Marinoni, B. (2002). Epidemiologia dei disturbi del comportamento alimentare in giovani adolescenti. Tesi di Laurea in Medicina e Chirurgia. Relatore: Prof.ssa Alessandra Marinoni.Google Scholar
Miotto, P., De Coppi, M., Frezza, M. & Preti, A. (2003). The spectrum of eating disorders: prevalence in an area of Northeast Italy. Psychiatric Research 119(1-2), 145154.CrossRefGoogle Scholar
Patton, G.C., Selzer, R., Coffet, C, Carlin, J.B. & Wolfe, R. (1999). Onset of adolescent eating disorders: population based cohort study over 3 years. British Medical Journal 318, 765768.CrossRefGoogle ScholarPubMed
Pellai, A., Brizzi, L., Curci, R., Sancini, S., Saporetti, G., Speich, S. & Tosetto, C. (2002). Assessment of eating disorders-related risk in a cohort of adolescents living in Northern Italy. Results from a multi-center study. Minerva Pediatrica 54, 139145.Google Scholar
Ressler, A. (1998). “A body to die for”: eating disorders and body-image distortion in women. International Journal of Fertility Women's Medicine 43, 133138.Google ScholarPubMed
Robinson, T.N., Killer, J.D., Litt, I.F., Hammer, L.D., Wilson, D.M., Favish Haydel, K., Hayward, C. & Barr Taylor, C. (1996). Ethnicity and body dissatisfaction: Are Hispanic and Asian girls at increased risk for eating disorders? Journal of Adolescent Health 19, 384393.CrossRefGoogle ScholarPubMed
Rogers, L., Resnick, M.D., Mitchell, J.E. & Blum, R.W. (1997). The relationship between socio-economic status and eating disordered behaviors in a community sample of adolescent girls. International Journal of Eating Disorders 22, 1523.3.0.CO;2-5>CrossRefGoogle Scholar
Ross, H.E. & Ivis, F. (1999). Binge eating and substance use among male and female adolescents. International Journal of Eating Disorders 26, 245260.3.0.CO;2-R>CrossRefGoogle ScholarPubMed
Ruggiero, G.M., Mantero, M., Asti, M., Agostinelli, M.L., Casaccio, F., Garghentini, P.G., Zozzini, C, Zita, G. & Penati, G. (1999). Eating Attitudes Test and culture: a study in Northern and Southern Italy. Eating and Weight Disorders 4, 8994.CrossRefGoogle ScholarPubMed
Ruggiero, G.M., Prandin, M. & Mantero, M. (2001). Eating disorders across Europe. European Eating Disorders Review 9, 292300.CrossRefGoogle Scholar
Santonastaso, P., Zanetti, T., Sala, A., Favaretto, G., Vidotto, G. & Favaro, A. (1996). Prevalence of eating disorders in Italy: a survey on a sample of 16-year-old female students. Psychotherapy and Psychosomatics 65, 158162.CrossRefGoogle ScholarPubMed
Striegel-Moore, R.H. & Huydic, S. (1993). Problem drinking and symptoms of disordered eating in female high school students. International Journal of Eating Disorders 14, 417425.3.0.CO;2-N>CrossRefGoogle ScholarPubMed
Striegel-Moore, R.H., Schreiber, G.G., Lo, A., Crawford, P., Obarzanek, E. & Rodin, J. (2000). Eating disorder symptoms in a cohort of 11 to 16 year old black and white girls: The NHLBI Growth and Health Study. International Journal of Eating Disorders 27, 4966.3.0.CO;2-E>CrossRefGoogle Scholar
Thomas, C.L., James, A.C. & Bachmann, M.O. (2002). Eating attitudes in English secondary school students: Influences of ethnicity, gender, mood, and social class. International Journal of Eating Disorders 31,9296.CrossRefGoogle ScholarPubMed
Vetrone, G., Cuzzolaro, M. & Antonozzi, I. (1997). Clinical and sub-threshold eating disorders: case detection in adolescent schoolgirls. Eating and Weight Disorders 1, 2433.CrossRefGoogle Scholar
von Ranson, K.M., Iacono, W.G. & McGue, M. (2002). Disordered eating and substance use in an epidemiological sample: I. Associations within individuals. International Journal of Eating Disorders 31, 389403.CrossRefGoogle Scholar
Welch, S.L., Fairburn, C.G. (1998). Smoking and bulimia nervosa. International Journal of Eating Disorders 23, 433437.3.0.CO;2-X>CrossRefGoogle ScholarPubMed
Westenhoefer, J. (2001). Prevalence of eating disorders and weight control practice in Germany in 1990 and 1997. International Journal of Eating Disorders 29, 477481.CrossRefGoogle ScholarPubMed
Whitaker, A.H. (1992). An epidemiological study of anoretic and bulimic symptoms in adolescent girls: implications for pediatricians. Pediatric Annals 21, 752759.CrossRefGoogle Scholar
Wichstrom, L. (1995). Social, psychological and physical correlates of eating problems. A study of the general adolescent population in Norway. Psychological Medicine 25, 567579.CrossRefGoogle ScholarPubMed