Associated factors and screening for feeding and eating disorders in Paraguayan general population

Main Article Content

Iván Barrios
https://orcid.org/0000-0002-6843-7685
Adriana Piris-Jara
https://orcid.org/0000-0003-3198-1406
Miguel Ángel Montiel-Alfonso
https://orcid.org/0000-0002-9541-4614
Carlos Ríos-González
https://orcid.org/0000-0002-0123-3880
Diego Solís-Ávalos
https://orcid.org/0000-0003-2188-3976
Oscar García
https://orcid.org/0000-0002-0944-0614
Rodrigo Navarro
https://orcid.org/0000-0003-3322-1769
Israel González-Urbieta
Marcelo O’Higgins
https://orcid.org/0000-0002-8257-0183
Osvaldo Melgarejo
https://orcid.org/0000-0002-3410-775X
José Almirón-Santacruz
Noelia Ruiz Díaz
https://orcid.org/0000-0002-5321-9589
Jorge Villalba-Arias
https://orcid.org/0000-0002-1153-2673
João Mauricio Castaldelli-Maia
https://orcid.org/0000-0001-9621-2291
Antonio Ventriglio
https://orcid.org/0000-0002-3934-7007
Julio Torales
https://orcid.org/0000-0003-3277-7036

Abstract

Introduction: feeding and eating disorders are associated with significant physical effects and psychosocial morbidity, as well as a negative impact on people's quality of life.
Objective: to determine the proportion of patients at risk of suffering from a feeding and eating disorder in the general Paraguayan population.
Methodology: observational, descriptive, cross-sectional study, of cross-association and temporally prospective. An online survey was disseminated nationwide through social media (Facebook, Twitter, Instagram) and messaging applications apps (WhatsApp, Telegram). Sociodemographic data were collected and the participants answered the Eating Disorder Examination Questionnaire (S-EDE-Q), in search of eating disorders. Descriptive statistics were used for all variables. Student's t test and ANOVA were used to look for associations, as appropriate. Odds ratio was used to quantify the risks.
Results: 375 people participated, of which 70,9 % were female, with a mean age of 31 ± 9 years. A mean of 2,09 ± 1.5 points was obtained on the Eating Disorder Examination Questionnaire (S-EDE-Q) and it was found that 51 participants had signs of suffering from some type of eating disorder.
Conclusion: 13,6 % of the participants in this research have signs of suffering from some type of eating disorder, women are 2.4 times more likely to suffer from an eating disorder and there are a series of factors that are associated with a greater risk for the development of some type of eating disorder.

Article Details

How to Cite
1.
Barrios I, Piris-Jara A, Montiel-Alfonso M Ángel, Ríos-González C, Solís-Ávalos D, García O, Navarro R, González-Urbieta I, O’Higgins M, Melgarejo O, Almirón-Santacruz J, Ruiz Díaz N, Villalba-Arias J, Castaldelli-Maia JM, Ventriglio A, Torales J. Associated factors and screening for feeding and eating disorders in Paraguayan general population. Rev. Nac. (Itauguá) [Internet]. 2021 Jul. 15 [cited 2025 Jan. 18];13(1):4-18. Available from: https://revistadelnacional.com.py/index.php/inicio/article/view/36
Section
Artículo Original

References

Hay P. Current approach to eating disorders: a clinical update. Intern Med J. 2020;50(1):24-29. doi:10.1111/imj.14691

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5a ed. Arlington VA: Amer Psychiatric Pub Incorporated; 2013.

World Health Organization. International Classification of Diseases. 11a ed. Geneva: WHO; 2019.

Almirón MD, O’Higgins MG, González IA, Almirón JdJ, Torales JC. Eating Disorders and Basic Body Awareness Therapy: A “Physiotherapy in Mental Health” approach. An. Fac. Cienc. Méd. (Asunción). 2020;53(3):109-114. doi:10.18004/anales/2020.053.03.109

Sánchez MLZ, Marín IR. Distorsión de la imagen corporal en la anorexia nerviosa. Programa de prevención desde la educación física escolar. Revista Fuentes 2005;6:1-11.

Hudson JI, Hiripi E, Pope HG Jr, Kessler RC. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biological Psychiatry 2007;61(3):348-358. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1892232/pdf/nihms19542.pdf

Dalle Grave R, Calugi S. Eating disorder not otherwise specified in an inpatient unit: the impact of altering the DSM-IV criteria for anorexia and bulimia nervosa. Eur Eat Disord Rev. 2007;15(5):340-349. doi:10.1002/erv.805

Fairburn CG, Bohn K. Eating disorder NOS (EDNOS): an example of the troublesome "not otherwise specified" (NOS) category in DSM-IV. Behav Res Ther. 2005;43(6):691-701. doi:10.1016/j.brat.2004.06.011

Vázquez Arévalo R, López Aguilar X, Ocampo Tellez-Girón MT, Mancilla-Diaz JM. El diagnóstico de los trastornos alimentarios del DSM-IV-TR al DSM-5. Rev. Mex. de trastor. aliment. 2015;6(2):108-120. doi:10.1016/j.rmta.2015.10.003

Jenkins PE, Hoste RR, Meyer C, Blissett JM. Eating disorders and quality of life: a review of the literature. Clin Psychol Rev. 2011;31(1):113-121. doi:10.1016/j.cpr.2010.08.003

Hilbert A, Hoek HW, Schmidt R. Evidence-based clinical guidelines for eating disorders: international comparison. Curr Opin Psychiatry. 2017;30(6):423-437. doi:10.1097/YCO.0000000000000360

Hay PJ, Touyz S, Claudino AM, Lujic S, Smith CA, Madden S. Inpatient versus outpatient care, partial hospitalisation and waiting list for people with eating disorders. Cochrane Database Syst Rev. 2019;1(1):CD010827. doi:10.1002/14651858.CD010827.pub2

Peláez-Fernández MA, Javier Labrador F, Raich RM. Validation of eating disorder examination questionnaire (EDE-Q)--Spanish version--for screening eating disorders. Span J Psychol. 2012;15(2):817-824. doi:10.5209/rev_sjop.2012.v15.n2.38893

Peláez-Fernández MA, Labrador FJ, Raich RM. Norms for the Spanish version of the Eating Disorders Examination Questionnaire (S-EDE-Q). Psicothema. 2013;25(1):107-114. doi:10.7334/psicothema2012.18

Ortiz Cuquejo LM, Aguiar C, Samudio Domínguez GC, Troche Hermosilla A. Trastornos de la conducta alimentaria en adolescentes: una patología en auge?. Pediatr. (Asunción). 2017;44(1):37-42. doi: 10.18004/ped.2017.abril.37-42

Muñoz Navarro SR. ¿Cuántos sujetos necesito para mi estudio?. Medwave. 2014;14(6):e5995. doi:10.5867/medwave.2014.06.5995

Linardon J, Brennan L, de la Piedad Garcia X. Rapid response to eating disorder treatment: A systematic review and meta-analysis. Int J Eat Disord. 2016;49(10):905-919. doi:10.1002/eat.22595

Gómez-Restrepo C, Rincón CJ, Castro-Diaz S. Prevalencia y factores asociados a conductas de riesgo alimentario en población indígena de Colombia. Rev. Mex. de trastor. aliment. 2017;8(2):113-122.

Ponce Torres C, Turpo Espinoza K, Salazar Pérez C, Viteri-Condori L, Carhuancho Aguilar J, Taype Rondan Á. Trastornos de la conducta alimentaria en estudiantes de medicina de una universidad de Perú. Rev Cubana Salud Pública. 2017;43(4):552-563.

Hoek HW. Review of the worldwide epidemiology of eating disorders. Curr Opin Psychiatry. 2016;29(6):336-339. doi:10.1097/YCO.0000000000000282

Parodi CA. Ansiedad, depresión y trastorno de la imagen corporal en pacientes que consultan en la Unidad de Obesidad del Hospital de Clínicas. Mem. Inst. Investig. Cienc. Salud. 2015;3(13):64-74. doi:10.18004/Mem.iics/1812-9528/2015.013(03)64-74

Crow SJ, Eckert ED. Anorexia Nervosa and Bulimia Nervosa. En: Fatemi SH, Clayton PJ, editores. The Medical Basis of Psychiatry. New York, NY: Springer; 2016. p. 211–228.

Torales J, Barrios I, Amadeo G, Ebner B, Figueredo V, Garbett M, et al. Satisfacción corporal en bailarinas y no bailarinas. Mem. Inst. Investig. Cienc. Salud. 2017;15(2):79-84. doi:10.18004/mem.iics/1812-9528/2017.015(02)79-084

Klos LA, Sobal J. Marital status and body weight, weight perception, and weight management among U.S. adults. Eat Behav. 2013;14(4):500-507. doi:10.1016/j.eatbeh.2013.07.008

Sato Y, Fukudo S. Gastrointestinal symptoms and disorders in patients with eating disorders. Clin J Gastroenterol. 2015;8(5):255-363.

Gosling SD, Vazire S, Srivastava S, John OP. Should we trust web-based studies? A comparative analysis of six preconceptions about internet questionnaires. Am Psychol. 2004;59(2):93-104. doi:10.1037/0003-066X.59.2.93

Eisenberg D, Nicklett EJ, Roeder K, Kirz NE. Eating disorder symptoms among college students: prevalence, persistence, correlates, and treatment-seeking. J Am Coll Health. 2011;59(8):700-707. doi:10.1080/07448481.2010.546461