Prevalence of screening-detected eating disorders in Chinese females and exploratory associations with dietary practices

Hunna Watson, R.M. Hamer, L.M. Thornton, C.M. Peat, S.C. Kleiman, S. Du, H. Wang, C.M. Bulik

    Research output: Contribution to journalArticle

    7 Citations (Scopus)

    Abstract

    © 2014 John Wiley & Sons, Ltd and Eating Disorders Association. Objective China is undergoing dramatic Westernization, hence may be able to provide unique insights into the role of sociocultural factors in disease. The purpose of this exploratory study was two-fold: to describe the prevalence of screening-detected eating disorders and disordered eating in China at the first occasion of assessment in the large-scale China Health and Nutrition Survey (CHNS) and to explore the associations between dietary practices and disordered eating. Regarding the first objective, participants are provincially representative and in subsequent waves will be followed longitudinally. Method CHNS participants were recruited using multistage, cluster random sampling, beginning in 1989. In this study, participants comprised 259 female adolescents (12-17 years) and 979 women (18-35 years) who participated in the CHNS 2009 survey, which is the first CHNS survey to assess disordered eating. Dietary practice-disordered eating associations were investigated with logistic regression adjusting for age, body mass index, and urbanization. Results Of the participants, 6.3% (95% CI: 4.8, 8.2) of adults and 7.8% (95% CI: 5.0, 12.0) of adolescents had a screening-detected eating disorder. Dietary practices had non-significant associations with disordered eating at the general population level, except for protein consumption among women. There was evidence that skipping meals and a high-fat diet may confer risk. Discussion Screening-detected eating disorders in China are lower in prevalence than in developed countries. Dietary practices had fairly limited associations with disordered eating at the general population level; protein consumption, skipping meals, and a high-fat diet are candidate dietary practice exposures for disordered eating.
    Original languageEnglish
    Pages (from-to)68-76
    JournalEuropean Eating Disorders Review
    Volume23
    Issue number1
    DOIs
    Publication statusPublished - 2015

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    China
    Eating
    Nutrition Surveys
    Health Surveys
    High Fat Diet
    Meals
    Urbanization
    Feeding and Eating Disorders
    Nuclear Family
    Developed Countries
    Population
    Proteins
    Body Mass Index
    Logistic Models

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    Watson, Hunna ; Hamer, R.M. ; Thornton, L.M. ; Peat, C.M. ; Kleiman, S.C. ; Du, S. ; Wang, H. ; Bulik, C.M. / Prevalence of screening-detected eating disorders in Chinese females and exploratory associations with dietary practices. In: European Eating Disorders Review. 2015 ; Vol. 23, No. 1. pp. 68-76.
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    abstract = "{\circledC} 2014 John Wiley & Sons, Ltd and Eating Disorders Association. Objective China is undergoing dramatic Westernization, hence may be able to provide unique insights into the role of sociocultural factors in disease. The purpose of this exploratory study was two-fold: to describe the prevalence of screening-detected eating disorders and disordered eating in China at the first occasion of assessment in the large-scale China Health and Nutrition Survey (CHNS) and to explore the associations between dietary practices and disordered eating. Regarding the first objective, participants are provincially representative and in subsequent waves will be followed longitudinally. Method CHNS participants were recruited using multistage, cluster random sampling, beginning in 1989. In this study, participants comprised 259 female adolescents (12-17 years) and 979 women (18-35 years) who participated in the CHNS 2009 survey, which is the first CHNS survey to assess disordered eating. Dietary practice-disordered eating associations were investigated with logistic regression adjusting for age, body mass index, and urbanization. Results Of the participants, 6.3{\%} (95{\%} CI: 4.8, 8.2) of adults and 7.8{\%} (95{\%} CI: 5.0, 12.0) of adolescents had a screening-detected eating disorder. Dietary practices had non-significant associations with disordered eating at the general population level, except for protein consumption among women. There was evidence that skipping meals and a high-fat diet may confer risk. Discussion Screening-detected eating disorders in China are lower in prevalence than in developed countries. Dietary practices had fairly limited associations with disordered eating at the general population level; protein consumption, skipping meals, and a high-fat diet are candidate dietary practice exposures for disordered eating.",
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    Prevalence of screening-detected eating disorders in Chinese females and exploratory associations with dietary practices. / Watson, Hunna; Hamer, R.M.; Thornton, L.M.; Peat, C.M.; Kleiman, S.C.; Du, S.; Wang, H.; Bulik, C.M.

    In: European Eating Disorders Review, Vol. 23, No. 1, 2015, p. 68-76.

    Research output: Contribution to journalArticle

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    AU - Watson, Hunna

    AU - Hamer, R.M.

    AU - Thornton, L.M.

    AU - Peat, C.M.

    AU - Kleiman, S.C.

    AU - Du, S.

    AU - Wang, H.

    AU - Bulik, C.M.

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    N2 - © 2014 John Wiley & Sons, Ltd and Eating Disorders Association. Objective China is undergoing dramatic Westernization, hence may be able to provide unique insights into the role of sociocultural factors in disease. The purpose of this exploratory study was two-fold: to describe the prevalence of screening-detected eating disorders and disordered eating in China at the first occasion of assessment in the large-scale China Health and Nutrition Survey (CHNS) and to explore the associations between dietary practices and disordered eating. Regarding the first objective, participants are provincially representative and in subsequent waves will be followed longitudinally. Method CHNS participants were recruited using multistage, cluster random sampling, beginning in 1989. In this study, participants comprised 259 female adolescents (12-17 years) and 979 women (18-35 years) who participated in the CHNS 2009 survey, which is the first CHNS survey to assess disordered eating. Dietary practice-disordered eating associations were investigated with logistic regression adjusting for age, body mass index, and urbanization. Results Of the participants, 6.3% (95% CI: 4.8, 8.2) of adults and 7.8% (95% CI: 5.0, 12.0) of adolescents had a screening-detected eating disorder. Dietary practices had non-significant associations with disordered eating at the general population level, except for protein consumption among women. There was evidence that skipping meals and a high-fat diet may confer risk. Discussion Screening-detected eating disorders in China are lower in prevalence than in developed countries. Dietary practices had fairly limited associations with disordered eating at the general population level; protein consumption, skipping meals, and a high-fat diet are candidate dietary practice exposures for disordered eating.

    AB - © 2014 John Wiley & Sons, Ltd and Eating Disorders Association. Objective China is undergoing dramatic Westernization, hence may be able to provide unique insights into the role of sociocultural factors in disease. The purpose of this exploratory study was two-fold: to describe the prevalence of screening-detected eating disorders and disordered eating in China at the first occasion of assessment in the large-scale China Health and Nutrition Survey (CHNS) and to explore the associations between dietary practices and disordered eating. Regarding the first objective, participants are provincially representative and in subsequent waves will be followed longitudinally. Method CHNS participants were recruited using multistage, cluster random sampling, beginning in 1989. In this study, participants comprised 259 female adolescents (12-17 years) and 979 women (18-35 years) who participated in the CHNS 2009 survey, which is the first CHNS survey to assess disordered eating. Dietary practice-disordered eating associations were investigated with logistic regression adjusting for age, body mass index, and urbanization. Results Of the participants, 6.3% (95% CI: 4.8, 8.2) of adults and 7.8% (95% CI: 5.0, 12.0) of adolescents had a screening-detected eating disorder. Dietary practices had non-significant associations with disordered eating at the general population level, except for protein consumption among women. There was evidence that skipping meals and a high-fat diet may confer risk. Discussion Screening-detected eating disorders in China are lower in prevalence than in developed countries. Dietary practices had fairly limited associations with disordered eating at the general population level; protein consumption, skipping meals, and a high-fat diet are candidate dietary practice exposures for disordered eating.

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