Effects of disordered eating behaviors and sedentary lifestyle prevention program in male and female Mexican adolescents

Teresita de Jesús Saucedo-Molina, Frida Josselyn Canales Ramírez, Orquidea Galdina Arellano-Pérez

DOI: https://doi.org/10.17711/SM.0185-3325.2022.039

Abstract


Introduction. Adolescents are the group with the highest risk of developing disordered eating behaviors (DEB). Preventing this problem is of the utmost importance due to the physical and psychological consequences.

Objective. To evaluate the effects of a universal prevention program for disordered eating behaviors (DEB), thin ideal internalization (TII), drive for muscularity (DM), and sedentary lifestyle among Mexican adolescents.

Method. A quasi-experimental study with repeated measures (pre-test, post-test, six-month, and one-year follow-up) was carried out in a non-probabilistic sample of 523 adolescents (46.7% of females) aged 15-19 years (Mage = 16.07). We worked in two private high schools, one of them was designed as control group (CG), and the other as intervention group (IG). For both, female and male adolescents’, data were collected using the Brief Questionnaire for Disordered Eating Behaviors (BQDEB) and the short form of the International Physical Activity Questionnaire (IPAQ). To evaluate TII the Attitudes toward Body Figure Questionnaire was applied in females, while in males Drive for Muscularity Scale (DMS) was used.

Results. After one-year, repeated measures analyses of variance (ANOVAs) revealed a significant reduction of the mean DEBs scores both in female (p = .01) and male (p = .03) adolescents of the IG with respect to CG. In IG, females decreased significantly the mean TII score as well as the mean DM score in males. Physical Activity increased in IG females from pre-test to posttest; however, the effect was not maintained over time.

Discussion and conclusion. These findings have important implications for future interventions with Mexican adolescents. We must take sex differences into account to choose activities and strategies that will enhance the effects of the program.

Keywords


Disordered eating behaviors; thin ideal internalization; drive for muscularity; sedentary lifestyle; Mexican adolescents

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References


American Psychiatric Association [APA]. (2014). Diagnostic and Statistical Manual of Mental Disorders [DSM-V]. Arlington, VA: APA.

Arellano-Pérez, O., Vázquez-Cervantes, M., Fernández, T., & Saucedo-Molina, T. (2019). Drive for muscularity and disordered eating behaviors and its relationship with anthropometric indicators and physical activity in Mexican adolescent men. Eating and Weight Disorders, 24(4), 661-670. doi: 10.1007/s40519-019-00736-2

Berger, U., Schaefer, J., Wick, K., Brix, C., Bormann, B., Sowa, M., … Strauss, B. (2014). Effectiveness of Reducing the Risk of Eating-Related Problems Using the German School-Based Intervention Program, “Torera”, for Preadolescent Boys and Girls. Prevention Science, 15, 557-569. doi: 10.1007/s11121-013-0396-4

Buerger, A., Ernst, V., Wolter, V., Huss, M., Kaess, M., & Hammerle, F. (2019). Treating eating disorders in the real world - MaiStep: A skill-based universal prevention for schools. Preventive Medicine, 123, 324-332. doi: 10.1016/j.ypmed.2019.04.008

Cafri, G., Thompson, J., Ricciardelli, L., McCabe, M., Smolak, L., & Yesalis, C. (2005). Pursuit of the muscular ideal: Physical and psychological consequences and putative risk factors. Clinical Psychology Review, 25(2), 215-239. doi: 10.1016/j.cpr.2004.09.003

Carrillo, V., Rodríguez, A., Loaisa, A., Cool, D., Galindo, M., & Gimeno, E. (2017). Diferencias según género en el tiempo empleado por adolescentes en actividad sedentaria y actividad física en diferentes segmentos horarios del día. Retos: Nuevas Tendencias en Educación Física, Deportes y Recreación, 31, 3-7.

Castillo, I., Solano, S., & Sepúlveda, A. (2016). Programa de Prevención de alteraciones alimentarias y obesidad en estudiantes universitarios mexicanos. Behavioral Psychology, 24(1), 5-28.

Chávez, H., Saucedo-Molina, T., Peña, A., & Unikel, C. (2015). Eating disorders associated risk factors: Trends from 2007-2010. Revista de Investigación Clínica, 67(1), 54-63.

Ciao, A., Loth, K., & Neumark-Sztainer, D. (2014). Preventing eating disorder pathology: common and unique features of successful eating disorders prevention programs. Current Psychiatry Reports, 16(7), 453. doi: 10.1007/s11920-014-0453-0

Clark-Carter, D. (2004). Quantitative Psychological Research: A Student’s Handbook. USA: Psychological Press.

Compte, E., Sepúlveda, A., de Pellegrin, Y., & Blanco, M. (2015). Confirmatory factor analysis of the Drive for Muscularity Scale-S (DMS-S) and Male Body Attitudes Scale-S (MBAS-S) among male university students in Buenos Aires. Body Image, 14, 13-19. doi: 10.1016/j.bodyim.2015.02.005

Escoto, M., Álvarez-Rayón, G., Mancilla-Díaz, J., Camacho, J., Franco-Paredes, K., & Lugo, C. (2013). Psychometric properties of the drive for muscularity scale in Mexican males. Eating and Weight Disorders, 18(1), 23-28. doi: 10.1007/s40519-013-0010-6

Escoto, M., Camacho, E., Álvarez, G., Díaz, F., & Morales, A. (2012). Relationship between self-esteem and symptoms of muscle dysmorphia in male bodybuilders. Revista Mexicana de Trastornos Alimentarios, 3(1), 11-18. doi: 10.22201/fesi.20071523e.2012.1.186

Estrada, C., Cruz, J., & Aguirre, R. (2010). Factores socioculturales que influyen en la práctica de actividad física en la infancia y adolescencia de la comunidad de Madrid. Madrid: Servicio de Promoción de la Salud. Retrieved from: https://bit.ly/3p5tfT7 - May 15, 2021.

Lavender, M., Brown, A., & Murray, B. (2017). Men, muscles, and eating disorders: an overview of traditional and musculatury-oriented disordered eating. Current Psychiatry Reports, 19, 32. doi: 10.1007/s11920-017-0787-5

Magallares, A. (2016). Drive for thinness and pursuit of muscularity: the role of gender ideologies. Universitas Psychologica, 15(2), 353-360. doi: 10.11144/Javeriana.upsy15-2.dtpm

Marchand, E., Stice, E., Rohde, P., & Becker, C. B. (2011). Moving from efficacy to effectiveness trials in prevention research. Behaviour Research and Therapy, 49(1), 32-41. doi: 10.1016/j.brat.2010.10.008

McVey, G., Davis, R., Tweed, S., & Shaw, B. (2004). Evaluation of a school-based program designed to improve body image satisfaction, global self-esteem, and eating attitudes and behaviors: A replication study. International Journal of Eating Disorders, 36(1), 1-11. doi: 10.1002/eat.20006

McVey, G., Kirsh, G., Maker, D., Walker, K., Mullane, J., Laliberte, M., … Banks, L. (2010). Promoting positive body image among university students: A collaborative pilot study. Body Image, 7(3), 200-204. doi: 10.1016/j.bodyim.2010.02.005

McVey, G., Tweed, S., & Blackmore, E. (2007). Healthy Schools-Healthy Kids: A controlled evaluation of a comprehensive universal eating disorder prevention program. Body Image, 4(2), 115-136. doi: 10.1016/j.bodyim.2007.01.004

Medina, C., Barquera, S., & Janssen, I. (2013). Validity and Reliability of the International Physical Activity Questionnaire among adults in Mexico. Revista Panamericana de Salud Pública, 34(1), 21-28.

Murray, S., Nagata, J., Griffiths, S., Calzo, J., Brown, T., Mitchison, D., … Mond, J. (2017). The enigma of male eating disorders: A critical review and synthesis. Clinical Psychology Review, 57, 1-11. doi: 10.1016/j.cpr.2017.08.001

Neumark-Sztainer, D., Wall, M. M., Chen, C., Larson, N. I., Christoph, M. J., & Sherwood, N. E. (2018). Eating, activity, and weight-related problems from adolescence to adulthood. American Journal of Preventive Medicine, 55(2), 133-141. doi: 10.1016/j.amepre.2018.04.032

Neumark-Sztainer, D., Wall, M. M., Story M., & Perry, C. L. (2003) Correlates of unhealthy weight-control behaviors among adolescents: Implications for prevention programs. Health Psychology, 22(1), 88-98. doi: 10.1037/0278-6133.22.1.88

Noriega, M., Jaén, P., Santamaría, A., Amigo, M., Antolín, O., Casuso, I., … De-Rufino, P. (2015). Sedentary habits among adolescent students of Cantabria. Retos, 27, 3-7.

Olivardia, R., Pope, H., & Hudson, J. (2000). Muscle dysmorphia in male weightlifters: acase-control study. American Journal of Psychiatry, 157(8), 1291-1296. doi: 10.1176/appi.ajp.157.8.1291

Parent, M., & Bradstreet, C. (2017). Integrating self-concept into the relationship between drive for muscularity, and disordered eating and depression, among men. Psychology of Men & Masculinity, 18(1), 1-11. doi: 10.1037/men0000038

Park, J. H., Moon, J. H., Kim, H. J., Kong, M. H., & Oh, Y. H. (2020). Sedentary Lifestyle: Overview of Updated Evidence of Potential Health Risks. Korean Journal of Family Medicine, 41(6), 365-373. doi: 10.4082/kjfm.20.0165

Pérez-Lizaur, A. B., Palacios, G. B., & Castro Becerra, A. L. (2014). Sistema Mexicano de Alimentos Equivalentes. México: Fomento de Nutrición y Salud.

Pope, H., Gruber, A., Choi, P., Olivardia, R., & Phillips, K. (1997). Muscle dysmorphia: An unrecognized form of body dysmorphic disorder. Psychosomatics, 38(6), 548-557. doi: 10.1016/S0033-3182(97)71400-2

Pope, H., Olivardia, R., Gruber, A., & Borowiecki, J. (1999). Evolving ideals of male body image as seen through action toys. International Journal of Eating Disorders, 26(1), 65-72. doi: 10.1002/(SICI)1098-108X(199907)26:1%3C65::AID-EAT8%3E3.0.CO;2-D

Raich, R., Portell, M., & Peláez-Fernández, M. (2010). Evaluation of a school-based programme of universal eating disorders prevention: Is it more effective in girls at risk? European Eating Disorders Review, 18(1), 49-57. doi: 10.1002/erv.968

Raich, R., Sánchez, D., & López, G. (2008). Alimentación, modelo estético femenino y medios de comunicación: Cómo formar alumnos críticos en educación secundaria (2nd Ed.). Barcelona: Graó.

Rodgers, R, Ganchou, C., Franko, D., & Chabrol, H. (2012). Drive for muscularity and disordered eating among French adolescent boys: A sociocultural model. Body Image, 9(3), 318-323. doi: 10.1016/j.bodyim.2012.03.002

Sánchez-Carracedo, D., Fauquet, J., López-Guimerà, G., Leiva, D., Puntí, J., Trepat, E., … Palao, D. (2016). The MABIC project: An effectiveness trial for reducing risk factors for eating disorders. Behaviour Research and Therapy, 77, 23-33. doi: 10.1016/j.brat.2015.11.010

Saucedo-Molina, T., & Unikel, C. (2010). Disordered eating, internalization of the body thin-ideal and body mass index in high school and college students from a private institution in Hidalgo, Mexico. Salud Mental, 33(1), 11-19.

Saucedo-Molina, T., Rodríguez, J., Oliva, L., Villarreal, M., León, R., & Fernández, T. (2015). Relación entre el índice de masa corporal, la actividad física y los tiempos de comida en adolescentes mexicanos. Nutrición Hospitalaria, 32(3), 1082-1090.

Saucedo-Molina, T., Villarreal, M., Oliva, L., Unikel, C., & Guzmán, R. (2018). Disordered eating behaviors and sedentary lifestyle prevention among young Mexicans: a pilot study. Health Education Journal, 77(8), 872-883. doi: 10.1177/0017896918782279

Sepúlveda, A., Carrobles, J., & Gandarillas, A. (2008). Gender, school and academic year differences among Spanish university students at high-risk for developing an eating disorder: An epidemiological study. BMC Public Health, 8(1), 102. doi: 10.1186/1471-2458-8-102

Sepúlveda, A., Carrobles, J., Gandarillas, A., Poveda, J., & Pastor, V. (2007). Prevention program for disturbed eating and body dissatisfaction in a Spanish university population: A pilot study. Body Image, 4(3), 317-328. doi: 10.1016/j.bodyim.2007.05.001

Shamah-Levy, T., Vielma-Orozco, E., Heredia-Hernández, O., Romero-Martínez, M., Mojica-Cuevas, J., Cuevas-Nasu, L., … Rivera-Dommarco, J. (2020). Encuesta Nacional de Salud y Nutrición 2018-19: Resultados Nacionales. Cuernavaca, México: Instituto Nacional de Salud Pública. Retrieved from https://ensanut.insp.mx/encuestas/ensanut2018/doctos/informes/ensanut_2018_informe_final.pdf

Stice, E., Rohde, P., & Shaw, H. (2013). The Body Project: A dissonance-based eating disorder prevention intervention. Facilitator guide (2nd Ed.). New York: Oxford Press.

Stice, E., Rohde, P., Butryn, M., Shaw, H., & Marti, C. (2015). Effectiveness trial of a selective dissonance-based eating disorder prevention program with female college students: Effects at 2- and 3-year follow-up. Behavior Research and Therapy, 71, 20-26. doi: 10.1016/j.brat.2015.05.012

Stice, E., Rohde, P., Gau, J., & Shaw, H. (2012). Effect of a dissonance-based prevention program on risk for eating disorder onset in the context of eating disorder risk factors. Prevention Science, 13(2), 129-139. doi: 10.1007/s11121-011-0251-4

Stice, E., Rohde, P., Shaw, H., & Gau, J. (2011). An effectiveness trial of a selected dissonance-based eating disorder prevention program for female high school students: Long-term effects. Journal of Consulting and Clinical Psychology, 79(4), 500-508. doi: 10.1037/a0024351

Stice, E., Shaw, H., & Marti, C. (2007). A meta-analytic review of eating disorder prevention programs: Encouraging findings. Annual Review of Clinical Psychology, 3, 207-231. doi: 10.1146/annurev.clinpsy.3.022806.091447

Stice, E., Shaw, H., Becker, C., & Rohde, P. (2008). Dissonance-based interventions for the prevention of eating disorders: Using persuasion principles to promote health. Prevention Science, 9(2), 114-128. doi: 10.1007/s11121-008-0093-x

Stice, E., Shaw, H., Burton, E., & Wade, E. (2006). Dissonance and healthy weight eating disorder prevention programs: A randomized efficacy trial. Journal of Consulting and Clinical Psychology, 74(2), 263-275. doi: 10.1037/0022-006X.74.2.263

Strother, E., Lemberg, R., Stanford, S., & Turberville, D. (2012). Eating disorders in men: underdiagnosed, undertreated and misunderstood. Eating Disorders, 20(5), 346-355. doi: 10.1080/10640266.2012.715512

Unikel-Santoncini, C., Bojórquez-Chapela, I., & Carreño-García, S. (2004). Validation of a short questionnaire to measure risky eating behaviors. Salud Pública de México, 46(6), 509-515. doi: 10.1590/s0036-36342004000600005

Unikel-Santoncini, C., Díaz de León-Vázquez, C., Rivera-Márquez, J., Bojorquez-Chapela, I., & Méndez-Ríos, E. (2019). Dissonance-based Program for Eating Disorders Prevention in Mexican University Students. Psychosocial Intervention, 28(1), 29-35. doi: 10.5093/pi2018a17

Unikel-Santoncini, C., Juárez, F., & Peresmitré, G. (2006). Psychometric properties of the attitudes towards body figure questionnaire in Mexican female students and patients with eating disorders. European Eating Disorders Review, 14, 430-435. doi: 10.1002/erv.757

Warschburger, P., & Zitzmann, J. (2018). The Efficacy of a Universal School-Based Prevention Program for Eating Disorders among German Adolescents: Results from a Randomized-Controlled Trial. Journal of Youth and Adolescence, 47(6), 1317-1331. doi: 10.1007/s10964-018-0852-3

Wolter, V., Hammerle, F., Buerger, A., & Ernst, V. (2021). Prevention of eating disorders-Efficacy and cost-benefit of a school-based program (“MaiStep”) in a randomized controlled trial (RCT). International Journal of Eating Disorders, 54(10), 1855-1864. doi: 10.1002/eat.23599

World Health Organization [WHO]. (2012). Physical activity and young people. Retrieved from: http://www.who.int/dietphysicalactivity/factsheet_young_people/en/ - November 15, 2020.

World Health Organization [WHO]. (2018). Physical activity. Retrieved from: https://www.who.int/news-room/fact-sheets/detail/physical-activity - November 15, 2020.

World Health Organization [WHO]. (2020). Guidelines on physical activity and sedentary behaviour. Retrieved from: https://apps.who.int/iris/bitstream/handle/10665/336656/9789240015128-eng.pdf?sequence=1&isAllowed=y - March 08, 2022.