Vegetarianism and Eating Disorder Risk Behavior in Adolescents from São Paulo, Brazil
DOI:
https://doi.org/10.14306/renhyd.16.3.74Keywords:
Vegetarianism, Adolescents, Eating disorder, Diet, Binge eating, Compensatory behaviorsAbstract
Objective: To evaluate eating disorders risk behaviors and unhealthy weight control practices among adolescents who consider themselves as vegetarians and those who are omnivorous.
Material and Methods: A cross-sectional study was conducted in 12 technical schools in the city of São Paulo, Brazil. The sample included 1167 adolescents (51% female), aged 14 to 19 (mean age, 16). Adolescents stated whether they were currently vegetarian, and the sample was dichotomized as vegetarian and non-vegetarian. The two groups were compared as regards weight status, eating disorder risk behavior, unhealthy weight control methods and the perception of healthy eating.
Results: About 4% of the sample was currently vegetarian, most of them female (70.8%), and females were 2.89 times more likely to be vegetarian than males. No relationship was found between the vegetarian status and unhealthy weight control behavior; however the vegetarian group considered their diet to be healthier than the non-vegetarian group (P=.04).
Conclusions: The frequency of vegetarianism, as well the frequency of eating disorder risk behaviors had no association in this adolescent sample from São Paulo, Brazil.
References
American Dietetic Association (ADA). Position of the American Dietetic Association of Canada: vegetarian diets. J Am Diet Assoc. 2009;109:1266-82.
Gaspar S. Vegetarianismo adolescente como uma expressão da anorexia nervosa: apresentação de uma proposta analítica. Anal Psicol. 1999;2:307-16.
Lea E, Worsley A. The cognitive contexts of beliefs about the healthiness of meat. Public Health Nutr. 2002;5:37-45.
Marlow HJ, Hayes WK, Soret S, Carter RL, Schwab ER, Sabaté J. Diet and the environment: does what you eat matter? Am J Clin Nutr. 2009;89:S1699-703.
Perry CL, McGuire MT, Neumark-Sztainer D, Story M. Characteristics of vegetarian adolescents in a multiethnic urban population. J Adol Health. 2001;29:406-16.
Robinson-O’Brien R, Perry CL, Wall M, Story M, Neumark-Sztainer D. Adolescent and young adult vegetarianism: better dietary intake and weight outcomes but increased risk of disordered eating behaviors. J Am Diet Assoc. 2009;109:648-55.
Aloufy A, Latzer Y. Diet or health – the linkage between vegetarianism and anorexia nervosa. Harefuah. 2006;145:526-31.
Bas M, Karabudak E, Kiziltan G. Vegetarianism and eating disorders: association between eating attitudes and other psychological factors among Turkish adolescents. Appetite. 2005;44:309-15.
Klopp SA, Heiss CJ, Smith HS. Self-report vegetarianism may be a marker for college women at risk for disordered eating. J Am Diet Assoc. 2003;103:745-7.
Neumark-Sztainer D, Story M, Resnick MD, Blum RW. Adolescent vegetarians: A behavioral profile of a school-based population in Minnesota. Arch Pediatr Adolesc Med. 1997;151:833-8.
Dunker KLL, Philippi ST. Hábitos e comportamentos alimentares de adolescentes com sintomas de anorexia nervosa. Rev Nutr. 2003;16:51-60.
Nunes MA, Barros FC, Olinto AMT, Camey S, Mari JDJ. Prevalence of abnormal eating behaviours and inappropriate methods of weight control in young women from Brazil: a population-based study. Eat Weight Disord. 2003;8:100-6.
Vilela JEM, Lamounier JA, Filho MAD, Neto JRB, Horta GM. Eating disorders in school children. J Pediatr. 2004;80:49-54.
Moya T, Fleitlich-Bilyka B, Goodman R. Brief report: Young people at risk for eating disorders in Southeast Brazil. J Adolesc. 2006;29:313-7.
Souza-Kaneshima AM, França AA, Kneube DPF, Kaneshima EN. Ocorrência de anorexia nervosa e distúrbio de imagem corporal em estudantes do ensino médio de uma escola da rede pública da cidade de Maringá, Estado do Paraná. Acta Sci Health Sci. 2006;28:119-27.
Alves E, Vasconcelos FAG, Calvo MCM, Neves J. Prevalência de sintomas de anorexia nervosa e insatisfação com a imagem corporal em adolescentes do sexo feminino do Município de Florianópolis, Santa Catarina, Brasil. Cad Saúde Pública. 2008;24:503-12.
Ferreira JES, Veiga GV. Eating disorder risk behavior in Brazilian adolescents from low socio-economic level. Appetite. 2008;51:249-55.
Vale AMO, Kerr LRS, Bosi MLM. Risk behaviors for eating disorders among female adolescents from different social strata in the Brazilian Northeastern. Ciênc Saúde Colet. 2011;16:121-32.
Neumark-Sztainer D, Story M, Hannan PJ, Croll J. Overweight status and eating patterns among adolescents: where do youths stand in comparison with the healthy people 2010 objectives? Am J Public Health. 2002;92:844-51.
Greene-Finestone LS, Campbell MK, Evers SE, Gutmanis IA. Attitudes and health behaviors of young adolescent omnivores and vegetarians: a school based study. Appetite. 2008;51:104-10.
Farmer B, Larson BT, Fulgoni VL, Rainville AJ, Liepa GU. A vegetarian dietary pattern as a nutrient-dense approach to weight management: an analysis of National Health and Nutrition Examination Survey 1999-2004. J Am Diet Assoc. 2011;111:819-27.
Fisak BF, Peterson RD, Tantleff-Dunn S, Molnar JM. Challenging previous conceptions of vegetarianism and eating disorders. Eat Weight Disord. 2006;11:195-200.
Pesquisa de orçamentos familiares 2008-2009. Antropometria e estado nutricional de crianças, adolescentes e adultos no Brasil. Rio de Janeiro: IBGE; 2010.
American Dietetic Association (ADA). Position of the American Dietetic Association: vegetarian diets. J Am Diet Assoc. 1997;97:1317-21.
Dunham L, Kollar LM. Vegetarian eating for children and adolescents. J Pediatric Health Care. 2006;20:27-34.
Freitas ECB, Alvarenga MS, Scaglisui FB. Avaliação do conhecimento nutricional e freqüência de ingestão de grupos alimentares em vegetarianos e não vegetarianos. Rev Bras Nutr Clin. 2006;21:267-72.
Bedford JL, Barr SI. Diets and selected lifestyle practices of self-defined adult vegetarians from a population-based sample suggest they are more ‘health conscious’. Int J Behav Nutr Phys Act. 2005;2:4.
American Dietetic Association (ADA). Position of the American Dietetic Association of Canada: vegetarian diets. J Am Diet Assoc. 2003;103:748-65.
Martins MCT, Alvarenga MS, Vargas SVA, Sato KSCJ, Scagliusi FB. Ortorexia nervosa: reflexões sobre um novo conceito. Rev Nutr. 2011;24:345-57.
American Dietetic Association (ADA). Total diet approach to communicating food and nutrition information. J Am Diet Assoc. 2007;107:1224-32.
Hay PH. The epidemiology of eating disorder behaviors: An Australian community-based survey. J Eat Disord. 1998;23:371-82.
Ferreira JES, Veiga GV. Eating disorder risk behavior in Brazilian adolescents from low socio-economic level. Appetite. 2008;51:249-55.