International Journal of Human Ecology

대한가정학회 (The Korean Home Economics Association)
권호 표지

Effect of Weight-Related Concerns and Dietary Behavior on Eating Disorder Risk in Korean Women

  • Kim, Jung-Hyun (Dept. of Home Economics Education, Chung-Ang University) ;
  • Lim, Yun-Sook (Dept. Food and Nutrition, Kyung Hee University) ;
  • Jun, In-Kyung (Dept. of Home Economics Education, Chung-Ang University)
  • 발행 : 2008.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

This study investigated the relationships between eating disorder risk, body image perception, weight control, and dietary habits in Korean women. Body shape perception, the Eating Attitude Test (EAT-26) and dietary habit information were collected by a self-administered questionnaire to 373 adult women and the data were analyzed by the Chi-square test. 31.4% of the women were classified in the eating disorder group by a score of over 20 points on the EAT-26. Compared to the normal group, more women in the eating disorder risk group perceived that a thin body shape was the ideal body shape and were dissatisfied with their body shape. This group was also more interested in weight control and more likely to try weight control methods. The eating disorder risk group was more likely to skip meals and snacks than the normal group. In addition, they had a greater appetite and a higher frequency of overeating than the normal group. Over 30% of the Korean women surveyed were categorized at high risk of eating disorders. They were more likely to overestimate body weight and shape and tried to control their weight by inappropriate methods. To prevent eating disorders in adult women, nutrition education programs should incorporate strategies to change inaccurate self-body image and to disseminate information about healthy weight control methods.

키워드

참고문헌

  1. Alison, E., Mellin, Dianne Neumark-Sztainer. Joan Patterson, Joseph Sockalosky. (2004). Unhealthy weight management behavior among adolescent girls with type 1 diabetes mellitus: The role of familial eating patterns and weight-related concerns. Journal of adolescent Health, 35, 278-289 https://doi.org/10.1016/S1054-139X(03)00535-4
  2. Allaz, A. F., Bernstein, M., Rouget, P., Archinard, M., & Morabis, A. (1998). Body weight preoccupation in Middle-age and ageing women: A general population survey. International Journal of Eat Disorder, 23, 287-294. https://doi.org/10.1002/(SICI)1098-108X(199804)23:3<287::AID-EAT6>3.0.CO;2-F
  3. Berg, P., Wertheim, E. H., Thompson, J. K., & Paxton, S. J. (2002). Development of body image, eating disturbance, and general psychological functioning in adolescent females: A replication using covariance structure modeling in an Australian sample. International Journal of Eating Disorder, 32, 46-51 https://doi.org/10.1002/eat.10030
  4. Buddeberg-Fischer, B., Bernet, R., Sieber, M., Schmid, J., & Buddeberg, C. (1996). Epidemiology of eating behaviour and weight distribution in 14- to 19-year-old Swiss students. Acta Psychiatrica Scandinavica, 93, 296-304 https://doi.org/10.1111/j.1600-0447.1996.tb10651.x
  5. Calro, M., Simonetta, G., Calro, M., & Paolo, A. (2001). Risk factors for eating disorders in Italian adolescents. Journal of Adolescent Health, 29, 385. https://doi.org/10.1016/S1054-139X(01)00338-X
  6. Garfinkel, P. E., Lin, E., Goering, P., Spegg, C., Goldbloom, P. S., & Kennedy, S. (1995). Bulimia nervosa in a Canadian Community samples: prevalence and comparison of subgroup. Am J Psychiatry, 152, 1052- 1058. https://doi.org/10.1176/ajp.152.7.1052
  7. Garner, D. M. & Garfinkel, P. E. (1980). Sociocultural factors in the development of anorexia nervosa. Psychological Medicine, 10, 647-656 https://doi.org/10.1017/S0033291700054945
  8. Gormally, J., Black, S., Daston, S., & Radin, D. (1982). The assessment of binge eating severity among obese persons. Addictive Behaviors, 7, 47-55 https://doi.org/10.1016/0306-4603(82)90024-7
  9. Hahn, O. S., Yoo, H. J., Kim, C. Y., Lee, C., Min, B. K., & Park, I. H. (1990). The epidemiology and personality characteristics of eating disorders in Korea. The Seoul J Psychiatry, 15(4), 270-287
  10. Johnsen, L. A. P., Gorin, A., Stone, A. A., & Grange, D. (2003). Characteristics of binge eating among women in the community seeking treatment for binge eating or weight loss. Eating Behaviors, 3, 295- 305 https://doi.org/10.1016/S1471-0153(02)00088-0
  11. Jung, I. K. & Back, B. N. (2003). A study on dietary behaviors by degree of depression in college students in Korea. J Asian Regional Association for Home Economics, 10(3), 155-163
  12. Kim, G. S. & Kang, Y. J. (2007). The effect of female adolescent body-related variables, self-esteem and internal control on eating disorder behavior. J Korean Home Management Association, 25(3), 77-87
  13. Kim, K. N. & Kim, Y. H. (2004). Factors related to eating disorder behavior in university students. Journal of Korean Home Economics Association, 42(2), 83-97
  14. Kim, Y. S. & Kong, S. S. (2004). A study on weight-control behaviors, eating disorder symptoms and depression among female adolescents. J Korea Acad Psych Mental Health Nurs, 13(3), 304-314
  15. Lee, D. T., Kang, H. S., Kim, J. H., Cha, K. S., & Kim, W. J. (2003). Eating attitude and weight control strategy in Korea college men and women. Nutrition Science, 6(3), 167-172
  16. Lee, S. Y., Kim, S. W., & Kang, J. H. (2001). The prevalence of eating disorder risk group among high school students in Seoul-Relationship of eating disorder symptoms with anxiety and depression tendency-. J Korean Society for the study of obesity, 10(4), 376-391
  17. Masheb, R. M. & Grilo, C. M. (2003). The nature of body image disturbance in patients with binge eating disorder. International Eating Disorder, 33, 333-341 https://doi.org/10.1002/eat.10139
  18. Ministry of Health & Welfare. Report on 2001. (2002). National Health and Nutrition Survey -Health Behavior-.
  19. Nothwehr, F. (2004). Attitudes and behaviors related to Medicine, 39, 674-680
  20. Paek, Y. J., Kang, H. E., Leem, K. E., Leem, S. Y.,Hwang, S. J., & Yoo, T. W. (2001). EAT score according to weight control, depression level and body mass index (BMI). J Korean Acad Fam Med, 22(5), 690-697
  21. Pafumi, C., Ciotta, L., Farina, M., Bosco, P., Chiarenza, M., Pernicone, G., Calcagno, A., Evola, F., Cavallayro, A., Iemmola, A., & Cianci, A. (2002). Evaluation of bone mass in young amenorrheic women with anorexia nervosa. Minerva Ginecol. 54(6), 487- 491.
  22. Park, H. S., Lee, H. O., & Sung, C. J. (1997). Body image, eating problems and dietary intakes among female college students in urban area of Korea. Korean J Community Nutrition, 2(24), 505-514
  23. Patton, G. C., Selzer, R., Coffey, C., Carlin, J. B., & Wolfe, R. (1999). Onset of adolescent eating disorders: population based cohort study over 3 years. BMJ, 318, 765-768 https://doi.org/10.1136/bmj.318.7186.765
  24. Rather, G. & Messner, K. (1993). Detection of eating disorders in a small rural town; an epidemiological study. Psycho Med. 23, 175-184 https://doi.org/10.1017/S0033291700038964
  25. Sciacca, J. P., Melby, C. L., Hyner, G., Brown, A. C., & Femea, P. L. (1991). Body mass index and perceived weight status in young adults. J Comm Health, 16, 159-168 https://doi.org/10.1007/BF01323974
  26. Sohng, K. Y. & Park, C. S. (2003). Eating habits, trend of disordered eating, weight reduction practice and body size evaluation of college students in Seoul. Journal of Korean Women's Health Nursing Academic Society, 9(4), 457-466
  27. Stein, D., Meged, B., Gar-hanin, T., Blank, S., Elizur, A., & Weizman, A. (1997). Partial eating disorders in a community sample of female adolescents. J Am Acad Child Adolesc Psychiatry, 36, 1116-1123 https://doi.org/10.1097/00004583-199708000-00019
  28. Valerie Forman-Hoffman. (2004). High prevalence of abnormal eating and weight control practices among U.S. high-school students. Eating Behavior, 5, 325- 336 https://doi.org/10.1016/j.eatbeh.2004.04.003
  29. Vander Wal, J. S. & Thomas, N. (2004). Predictors of body image dissatisfaction and disturbed eating attitudes and behaviors in African American and Hispanic girls. Eating Behaviors, 5, 291-301 https://doi.org/10.1016/j.eatbeh.2004.04.001
  30. Wlodarczyk-Bisaga, K. & Dolan, B. (1996). A two-stage epidemiological study of abnormal eating attitudes and their prospective risk factors in Polish schoolgirls. Psychol Med, 26, 1021-1032 https://doi.org/10.1017/S0033291700035340
  31. Wong, Y. (2003). Female beauticians may be a high risk group for developing eating disorders. Nutrition Research, 23, 1297-1302 https://doi.org/10.1016/S0271-5317(03)00130-1
  32. Yoo, H. J, Cho, S. M, Kim, S. Y., Kim, C. Y., & Hong, T. Y. (1996). The epidemiology of eating disorders in Korean adolescents. Korean J Psychopath, 5(1), 130-137
  33. Yoo, W. S. (2004). A Study on eating disorders and related factors in high school girls. Master Thesis Korea National University of Education
  34. Zuckerman, D. M., Colby, A., Ware, N. C., & Lazerson, J. S. (1986). The prevalence of bulimia among college students. Am J Pub Health, 76, 1135-1137 https://doi.org/10.2105/AJPH.76.9.1135