Eating Disorders and Stress positively correlated with Body Mass Index in Adolescents at Attaqwa 02 Tarumajaya Middle School
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Background: Poor body perceptions may cause stress that lead to an increased risk of eating disorders that subsequently affect nutritional status. However, this relationship in adolescent is still hardly explored.
Objectives: To examine the relationship between eating disorders, body perception, stress scores and body mass index in adolescents.
Methods: This cross-sectional study involved 33 teenagers aged 13-16 years at Attaqwa 02 Tarumajaya Middle School who were drawn using stratified random sampling. Eating disorders, body perception, stress score were assessed by the Eating Atittude Test-40, Multidimensional Body-Self Relations Questioner Appearance Scale, a modified Depression Anxiety Stress Scale-42, respectively. Body mass index for age z-score (BAZ) was generated from anthropometric measurements. Relationships were tested by Pearson and Partial correlations.
Results: More than half of the respondents were boys (51.5%). Eating disorders (r= 0.399) and stress scores (r= 0.539) significantly and positively associated with BAZ in adolescent. The relationship remained significant although a bit attenuated after adjusted by age (r= 0.375; r= 0.562) and gender (r= 0.388; r= 0.516). No association found between body perception and BAZ (r= -0.027). After adjusted by age (r= -0.107) and gender (r= -0.052) the association remained insignificant.
Conclusion: Eating disorders and stress scores correlated significantly with body mass index z-score in adolescents. Health and nutrition promotion to prevent eating disorder and stress should be encouraged to reduce risk of obesity in adolescent.
Keywords: Eating Disorder, Body Perception, Stress Score, Body Mass Index
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