Kız Üniversite Öğrencilerinde Yeme Tutumunun Kişisel Beden İmajı Algısı ile İlişkisi

Amaç: Bu çalışma üniversite öğrencilerinin yeme tutumlarına ilişkin bilgi sahibi olmak ve bu tutumları kişisel beden algıları ile ilişkilendirmek üzere yürütülmüştür. Bireyler ve Yöntem: Çalışmanın örneklemini Ankara’nın farklı üniversitelerinde ve bölümlerinde öğrenim görmekte olan 500 gönüllü kız öğrenci oluşturmuştur. Öğrencilerin yaş ortalaması 21.3±1.90 yıldır (17-29 yaş). Rastgele randomize olarak seçilen katılımcılarla yüz yüze görüşme yapılarak, genel özelliklerini belirlemeye yönelik bir soru kağıdı ve Yeme Tutumu Testi-26 (EAT-26) uygulanmıştır. EAT-26 skoru 20’ye eşit veya 20’nin üzerinde olan öğrenciler yeme sorunları olan bireyler olarak tanımlanmıştır. Beden kütle indeksi (BKİ) katılımcıların bildirdiği vücut ağırlığı ve boy uzunluğu değerleri kullanılarak kilogram/ metrekare (kg/m2) cinsinden hesaplanmıştır. Katılımcılar BKİ değerlerine göre zayıf (0.05), BKİ, kişisel beden algısı ve bunun doğruluğuna göre önemli farklılık göstermektedir (her biri için p

Relation Between Eating Attitudes and Personal Body Image Perception Among Female University Students

Aim: This study was conducted to obtain knowledge on the eating attitudes in a group of university students and relate their attitudes with their body perceptions. Subjects and Methods: Study population was 500 female students who attended different programs of universities in Ankara, Turkey. The mean age of students was 21.3±1.90 years (17-29 years). The participants who randomly enrolled in this study were interviewed face to face and completed a questionnaire on their general characteristics and Eating Attitudes Test- 26 (EAT-26). Students with an EAT-26 score equal to or greater than 20 were identified as having eating problems. Body Mass Index (BMI) was calculated from self-reported weight and height measurements by weight in kilograms/height in meters squared (kg/m2). They were classified into four groups according to their BMI values: underweight (<18.5), normal (18.5-24.9), overweight (25.0-29.9) and obese (&#8805;30.0). Students were enquired in terms of their body image perception as ‘too thin’, ‘thin’, ‘just right’, ‘fat’ or ‘too fat’, and those were associated with their BMI values. Results: Of the 500 participants, 8.8% had a total EAT-26 score above the cut off point with a median value 8.0 (0.0-37.0). EAT-26 score of participants did not differ by age, grade, the program which they attended or their accommodation (p> 0.05). However, it differed significantly by BMI, body image perception and their actual BMI classification (p<0.05 for each). Of the 44 participants who had an EAT-26 score above 20, 13.6%, 68.2%, 13.6% and 4.5% were respectively underweight, normal, overweight and obese. A statistically significant difference in the frequency of participants by BMI and body image perception was found (&#967;2= 243.557, p=0.001). In general, 71.0% of students reported their body image accurate to their actual BMI values. Conclusion: Although a small number of students with abnormal eating attitudes was recorded in this study, eating attitudes significantly differed with BMI and students’ body image perception. Students with BMI values <18.5 kg/m2 or &#8805;25 kg/m2 and unrealistic self-body image should be taken into consideration in concern with eating attitudes.

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  • 1.Karataş Y, Öztürk Y. Gençlerin Önemli Sağlık Sorunları. III. Halk Sağlığı Günleri Kongre Kitabı, Kayseri 5-7 Mayıs 1993, s. 25-33.
  • 2.Yörükoğlu A. Gençlik Çağı, Ruh Sağlığı ve Ruhsal Sorunları. Türkiye İş Bankası Kültür Yayınları, Ankara, Tisa Matbaası, 1985, s. 277-282.
  • 3.Mazıcıoğlu MM, Öztürk A. Üniversite 3 ve 4. sınıf öğrencilerinde beslenme alışkanlıkları ve bunu etkileyen faktörler. Erciyes Tıp Dergisi 2003;25(4):172-178.
  • 4.Güleç M, Yabancı N, Göşgeldi E, Bakır B. Ankara’da iki kız öğrenci yurdunda kalan öğrencilerin beslenme alışkanlıkları. Gülhane Tıp Dergisi 2008;50:102-109.
  • 5.Lutter JM, Jaffee L. The Bodywise Woman. Melpomene Institute, Champaign, Human Kinetic Publishers, 1996.
  • 6.Bresolin L. Body image and health counseling for women. Arch Fam Med 1990;2:1084-1087.
  • 7.Aşçı FH, Tüzün M, Koca C. An examination of eating attitudes and physical activity levels of Turkish university students with regard to self-presentational concern. Eat Behav 2006;7:362–367.
  • 8.Furnham A, Badmin N, Sneade EI. Body image dissatisfaction: Gender differences in eating attitudes, self-esteem, and reasons for exercise. J Psychol 2002;136(6):581-596.
  • 9.Oktan V, Şahin M. Kız ergenlerde beden imajı ile benlik saygısı arasındaki ilişkinin incelenmesi. Uluslararası İnsan Bilimleri Dergisi 2010;7(2):543-556.
  • 10.Neighbors LA, Sobal J. Prevalence and magnitude of body weight and shape dissatisfaction among university students. Eat Behav 2007;8:429–439.
  • 11.Chang VW, Christakis NA. Self-perception of weight appropriateness in the United States. Am J Prevent Med, 2003;24(4):332-339.
  • 12.Gordon RA. Eating disorders East and West: a culture- bound syndrome unbound. In Nasser M, Katzman MA, Gordon RA (Eds.), Eating disorders and cultures in transition. New York, Brunner-Routledge, 2001, p. 1-23.
  • 13.Duncan DT, Wolin KY, Scharoun-Lee M, Ding EL, Warner ET, Bennett GG. Does perception equal reality? Weight misperception in relation to weight-related attitudes and behaviors among overweight and obese US adults. Int J Behav Nutr Phys Act 2011;8:20.
  • 14.Mintz LB, O’Halloran MS. The eating attitudes test: validation with DSMIV eating disorder criteria. J Pers Assess 2000;74:489–503.
  • 15.Park J, Beaudet MP. Eating Attitudes and their correlates among Canadian women concerned about their weight. Eur Eat Disord Rev 2007;15:311–320.
  • 16.Geller J, Cockell SJ, Goldner EM. Inhibited expression of negative emotions and interpersonal orientation in anorexia nervosa. Int J Eat Disord 2000;28(1):8-19.
  • 17.Buddeberg-Fischer B, Bernet R, Sieber M, Schmid J, Buddeberg C. Epidemiology of eating behaviour and weight distribution in 14- to 19-year-old Swiss students. Acta Psychiatr Scand 1996;93:296–304.
  • 18.Graber J, Tyrka A, Brooks-Gunn J. How similar are correlates of different subclinical eating problems and bulimia nervosa? J Child Psychol Psychiatr 2003;44:262–273.
  • 19.Thomas J, Khan S, Abdulrahman AA. Eating attitudes and body image concerns among female university students in the United Arab Emirates. Appetite 2010;54:595-598.
  • 20.Baş M, Aşçı H, Karabudak E, Kızıltan G. Eating attitudes and their psychological correlates among Turkish adolescents. Adolescence 2004;39(155):593- 599.
  • 21.Baş M, Karabudak E, Kızıltan G. Vegetarianism and eating disorders: association between eating attitudes and other psychological factors among Turkish adolescents. Appetite 2005;44:309-315.
  • 22.Dorsey RR, Eberhardt MS, Ogden CL. Racial/ethnic differences in weight perception. Obesity (Silver Spring) 2009;17(4):790-795.
  • 23.T.C. Sağlık Bakanlığı Sağlığın Geliştirilmesi Genel Müdürlüğü. Türkiye Beden Ağırlığı Algısı Araştırması, Anıl Matbaacılık Ltd. Şti, Yayın No: 894, Ankara, 2012. Erişim: http://sbu.saglik.gov.tr/Ekutuphane/kitaplar/ bedenagir_tr.pdf Erişim tarihi: 2 Ağustos 2013.
  • 24.Rahman M, Berenson AB. Self-perception of weight and its association with weight-related behaviors in young reproductive-age women. Obstet Gynecol 2010;116(6):1274–80.
  • 25.Cash TF, Pruzinsky T (Eds). Body image: A handbook of theory, research, and clinical practice. New York: The Guilford Press, 2004.
  • 26.Çiftçi FS, Uskun E. Bir üniversitedeki öğrencilerin beden algısı ve beslenme alışkanlıkları, ve aralarındaki ilişki. 15. Ulusal Halk Sağlığı Kongresi, 2-6 Ekim 2012, Bursa, Kongre Kitabı sf:324-327. Erişim: http:// kongre.hasuder.org.tr/index.php/uhsk15/uhsk15/paper/ view/269 Erişim tarihi: 17 Temmuz 2013.
  • 27.Aslan D. Beden algısı ile ilgili sorunların yaratabileceği beslenme sorunları. TTB Sürekli Tıp Eğitimi Dergisi 2004;13:326-329.
  • 28.Başterzi AD, Tüzer V, Alagöz MS, Uysal AÇ, Göka E. Estetik Cerrahi Hastalarında Yeme Tutumu ve Beden Algısı. Yeni Symposium 2003;41(1):3-6.
  • 29.McVey G, Davis R, Tweed S, Shaw BF. Evaluation of a school-based program designed to improve body image satisfaction, global self-esteem, and eating attitudes and behaviors: A replication study. Int J Eat Disord 2004;36:1–11.