medigraphic.com
ISSN 0185-3325 (Print)
Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz

2022, Number 6

<< Back Next >>

Salud Mental 2022; 45 (6)

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

Saucedo-Molina TJ, Canales RFJ, Arellano-Pérez OG

Language: English
References: 57
Page: 309-318
PDF size: 247.52 Kb.


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 oneyear, 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.


REFERENCES

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

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

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

  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 universalprevention for schools. Preventive Medicine, 123, 324-332. doi: 10.1016/j.ypmed.2019.04.008

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

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

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

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

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

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

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

  12. Escoto, M., Camacho, E., Álvarez, G., Díaz, F., & Morales, A. (2012). Relationshipbetween 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

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

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

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

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

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

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

  19. 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

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

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

  22. 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

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

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

  25. 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.

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

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

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

  29. 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

  30. Pope, H., Olivardia, R., Gruber, A., & Borowiecki, J. (1999). Evolving ideals of malebody 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::AIDEAT8%3E3.0.CO;2-D

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

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

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

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

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

  36. 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 lostiempos de comida en adolescentes mexicanos. Nutrición Hospitalaria, 32(3),1082-1090.

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

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

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

  40. Shamah-Levy, T., Vielma-Orozco, E., Heredia-Hernández, O., Romero-Martínez, M.,Mojica-Cuevas, J., Cuevas-Nasu, L., … Rivera-Dommarco, J. (2020). EncuestaNacional 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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

  57. World Health Organization [WHO]. (2020). Guidelines on physical activity andsedentary behaviour. Retrieved from: https://apps.who.int/iris/bitstream/handle/10665/336656/9789240015128-eng.pdf?sequence=1&isAllowed=y - March08, 2022.




2020     |     www.medigraphic.com