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Objective: To analyze the risk behavior for bulimia among female adolescents from public and private high schools.

Methods: A cross-sectional study with a random sample of 850 female students aged 15-18 years was carried out in a city in northeastern Brazil, using the Bulimic Investigatory Test of Edinburgh (BITE) to assess the risk behavior for bulimia. Data were analyzed using the Statistical Package for the Social Sciences (SPSS) software and the Pearson's chi-square , Fisher's exact and robust Poisson regression tests, adopting the significance level of 5%.

Results: Less than half of the sample (42.0%) showed standards of dietary risk and weight control practices; in 1.4% of the sample, bulimia signs were already installed. Fear of gaining weight was reported by 62.8% of the subjects. Risk practices were lower among students from public schools; (Odds Ratio - OR - 0.82; confidence interval of 95% - 95%CI - 0.69-0.97). Among restrictive practices, fasting for a whole day was the most applied (29.9% of the students). Among individuals who were at risk situation, almost half believed to have normal eating habits (prevalence ratio - PR - 0.42; 95%CI 0.36-0.49). Individuals who consider their eating habits normal, who are afraid of gaining weight, those who seek emotional comfort in food and follow strict diets had higher risk for bulimia (p<0.05).

Conclusions: The number of female adolescent students with risk behavior practices for bulimia is high, and the frequency of those unaware of this situation is also very high. Risk situations emerge as a collective health problem, and individuals from private schools were more likely to be in this situation.

Titel:	RISK BEHAVIOR FOR BULIMIA AMONG ADOLESCENTS.
Autor/in / Beteiligte Person:	Brandt, LMT ; Fernandes, LHF ; Aragão, AS ; Luna, TPDC ; Feliciano, RM ; Auad, SM ; Cavalcanti, AL
Link:	Volltext (PDF)
Zeitschrift:	Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo, Jg. 37 (2019-04-01), Heft 2, S. 217-224
Veröffentlichung:	2017- : Sao Paulo : Sociedade De Pediatria De Sao Paulo ; <i>Original Publication</i>: Sao Paulo : Sociedade De Pediatria De Sao Paulo, 2019
Medientyp:	academicJournal
ISSN:	1984-0462 (electronic)
DOI:	10.1590/1984-0462/;2019;37;2;00008
Schlagwort:	Adolescent Adolescent Health statistics & numerical data Brazil epidemiology Cross-Sectional Studies Female Humans Prevalence Random Allocation Risk Assessment Adolescent Behavior psychology Bulimia epidemiology Bulimia psychology Diet, Reducing adverse effects Diet, Reducing psychology Feeding Behavior physiology Feeding Behavior psychology Life Style
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English; Portuguese [Rev Paul Pediatr] 2019 Apr-Jun; Vol. 37 (2), pp. 217-224. <i>Date of Electronic Publication: </i>2019 Feb 25. MeSH Terms: Bulimia* / epidemiology ; Bulimia* / psychology ; Diet, Reducing* / adverse effects ; Diet, Reducing* / psychology ; Feeding Behavior* / physiology ; Feeding Behavior* / psychology ; Life Style* ; Adolescent Behavior / *psychology ; Adolescent ; Adolescent Health / statistics & numerical data ; Brazil / epidemiology ; Cross-Sectional Studies ; Female ; Humans ; Prevalence ; Random Allocation ; Risk Assessment Comments: Erratum in: Rev Paul Pediatr. 2019 Apr-Jun;37(2):261. (PMID: 30942254) References: J Adolesc Health. 2002 Aug;31(2):166-75. (PMID: 12127387) ; J Psychosom Res. 2002 Nov;53(5):1007-20. (PMID: 12445590) ; J Nerv Ment Dis. 1957 Apr-Jun;125(2):181-201. (PMID: 13481715) ; J Pediatr (Rio J). 2004 Jan-Feb;80(1):49-54. (PMID: 14978549) ; Body Image. 2004 Jan;1(1):43-56. (PMID: 18089140) ; J Contemp Dent Pract. 2008 Sep 01;9(6):73-81. (PMID: 18784862) ; Child Adolesc Psychiatr Clin N Am. 2009 Jan;18(1):31-47. (PMID: 19014856) ; Int J Eat Disord. 2010 Jan;43(1):59-64. (PMID: 19260040) ; Eat Disord. 2009 May-Jun;17(3):211-24. (PMID: 19391020) ; Cien Saude Colet. 2011 Jan;16(1):121-32. (PMID: 21180821) ; Arch Gen Psychiatry. 2011 Jul;68(7):724-31. (PMID: 21727255) ; Int J Dent. 2012;2012:632907. (PMID: 22505907) ; J Clin Pediatr Dent. 2011 Winter;36(2):155-60. (PMID: 22524077) ; Appetite. 2013 Jan;60(1):13-19. (PMID: 23063606) ; Int J Eat Disord. 2013 Nov;46(7):677-83. (PMID: 23625589) ; Cad Saude Publica. 2013 May;29(5):879-88. (PMID: 23702994) ; Nutrients. 2013 Dec 16;5(12):5140-60. (PMID: 24352092) ; Matern Child Health J. 2014 Oct;18(8):1803-13. (PMID: 24357083) ; Curr Psychiatry Rep. 2014 May;16(5):441. (PMID: 24705938) ; Int J Eat Disord. 2014 Nov;47(7):727-37. (PMID: 25139374) ; Eur Child Adolesc Psychiatry. 2015 Oct;24(10):1153-67. (PMID: 26226918) ; Indian J Psychiatry. 2015 Jul;57(Suppl 2):S286-95. (PMID: 26330646) ; Psychiatry Res. 2015 Dec 15;230(2):722-4. (PMID: 26455761) ; J Sch Nurs. 2019 Jun;35(3):169-177. (PMID: 29073811) ; J Eat Disord. 2017 Oct 26;5:47. (PMID: 29093817) ; Br J Psychiatry. 1987 Jan;150:18-24. (PMID: 3651670) Entry Date(s): Date Created: 20190228 Date Completed: 20200123 Latest Revision: 20200225 Update Code: 20231215 PubMed Central ID: PMC6651302

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RISK BEHAVIOR FOR BULIMIA AMONG ADOLESCENTS.