Relation between the vegetarian diet, disordered eating, and body image in adolescents

Authors

DOI:

https://doi.org/10.12957/demetra.2024.68572

Keywords:

Vegetarianism. Adolescents. Disordered eating behavior. Body imagedisorder. Eatingdisorder.

Abstract

Objective: To assess the relationship between a vegetarian diet, disordered eating, and body image in adolescents. Methods: A cross-sectional study was conducted in two private schools located in the city of São Paulo, with 204 adolescents aged between 15 years and 18 years and 11 months. Body image assessment in boys was conducted using the Male Body Dissatisfaction Scale (short version), while the Body Shape Questionnaire was used for girls. Disordered eating behavior was evaluated using the Eating Attitudes Scale for Adolescents (short version) in both sexes. Individuals who reported not adhering to a vegetarian diet comprised the control group. Statistical analysis was performed according to the behavior of the variables. Results: 92.2% of the studied population consisted of omnivores, with only 7.8% of the sample being vegetarian. In the analysis of the mean scores for body dissatisfaction and disordered eating, no difference was found between the types of diet, although disordered eating was significantly higher among girls. A moderate correlation was observed between disordered eating and body image dissatisfaction in the entire female population and among vegetarians; in boys, the correlation between these variables was weak and only present when considering the entire male population. Conclusions: The frequency of vegetarianism and disordered eating behaviors did not differ between vegetarians and omnivores. However, a relationship was observed between disordered eating and body image dissatisfaction in girls, particularly among vegetarians, highlighting the importance of further investigations in this population.

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Author Biographies

Adriana Paula Giacomelli Stavro, Centro Universitário São Camilo, Departamento de Nutrição, Programa de Pós-Graduação. São Paulo, SP, Brasil

Especialista. Centro Universitário São Camilo, Departamento de Nutrição, Programa de Pós-Graduação – Mestrado Profissional em Nutrição: do Nascimento à Adolescência. São Paulo, SP

Aline de Piano Ganen, Centro Universitário São Camilo, Departamento de Nutrição, Programa de Pós-Graduação. São Paulo, SP, Brasil

Doutora. Centro Universitário São Camilo, Departamento de nutrição, Programa de Pós-Graduação – Mestrado Profissional em Nutrição: do Nascimento à Adolescência. 

References

Sociedade Vegetariana Brasileira.Pesquisa IBOPE Inteligência de abril de 2018 [acesso em 01 abr 2020]. Disponível em: https://www.svb.org.br/images/Documentos/JOB_0416_VEGETARIANISMO.pdf

Campos FAAC, Cheavegatti D. Conocimiento de vegetarianos enrelación a la dieta sana. Rev UrugEnferm. 2017 [Citado 2020 maio 15];12(2):44-54. Available from: https://scholar.google.com.br/scholar?oi=bibs&cluster=7168262193419459807&btnI=1&hl=pt-BR

Vegan Society. Definition of veganism. 2020 [cited 2020 out. 7]. Available from: https://www.vegansociety.com/go-vegan/definition-veganism

Mathieu S, Dorard G. Végétarisme, végétalisme, véganisme: aspects motivationnels et psychologiques associés à l’alimentation sélective. La Presse Medicale. 2016 [citado 2020 abr. 5];45(9):726-733. https://doi.org/10.1016/j.lpm.2016.06.031

Müller P. Vegan Diet in Young Children. In: Michaelsen KF, Neufeld LM, Prentice AM (eds.): Global Landscape of Nutrition Challenges in Infants and Children. Nestlé NutrInst Workshop Ser. 2020;93:103-110. https://doi.org/10.1159/000503348

de Boer J, Schösler H, Aiking H. Towards a reduced meat diet: Mindset and motivation of young vegetarians, low, medium and high meat-eaters. Appetite. 2017;113:387-397. http://doi.org/10.1016/j.appet.2017.03.007

Rosenfeld DL. A comparison of dietarian identity profiles between vegetarians and vegans.FoodQual Prefer. 2019;72:40-44. http://doi.org/10.1016/j.foodqual.2018.09.008.

Costa I, Gill PR, Morda R, Ali L. "More than a diet": A qualitative investigation of young vegan Women's relationship to food. Appetite. 2019;143:104418. http://doi.org/10.1016/j.appet.2019.104418

Barthels F, Meyer F, Pietrowsky R. Orthorexic and restrained eating behaviour in vegans, vegetarians, and individuals on a diet. Eat Weight Disord. 2018;23(2):159-166. http://doi.org/10.1007/s40519-018-0479-0

Lindeman M, Stark K, Latvala K. Vegetarianism and Eating-Disordered Thinking.EatDisord. 2000;8(2):157-165. http://doi.org/10.1080/10640260008251222

Leal GVS, Philippi ST, Polacow VO, Cordás TA, Alvarenga MS. O que é comportamento de risco para transtornos alimentares em adolescentes? J Bras Psiquiatr. 2013;62(1):62-75. https://doi.org/10.1590/S0047-20852013000100009

Alvarenga MS, Lourenço BH, Philippi ST, Scagliusi FB. Disordered eating among Brazilian female college students. Cad Saúde Pública. 2013;29(5):879-888.https://doi.org/10.1590/S0102-311X2013000500006

Benatar JR, Stewart RAH. Cardiometabolic risk factors in vegans: A meta-analysis of observational studies. PLoSOne. 2018;13(12):e0209086. http://doi.org/10.1371/journal.pone.0209086

Rocha JP, Laster J, Parag B, Shah NU. Multiple Health Benefits and Minimal Risks Associated with Vegetarian Diets. CurrNutr Rep. 2019 [citado 2020 maio 11];8(4):374-381. http://doi.org/10.1007/s13668-019-00298-w

Kahleova H, Levin S, Barnard ND. Vegetarian Dietary Patterns and Cardiovascular Disease. ProgCardiovascDis. 2018;61(1):54-61. http://doi.org/10.1016/j.pcad.2018.05.002

Satija A, Hu FB. Plant-based diets and cardiovascular health. TrendsCardiovasc Med. 2018 [citado 2020 maio 11];28(7):437-441. http://doi.org/10.1016/j.tcm.2018.02.004

Onis M, Onyango AW, Borghi E, Siyam A, Nishidaa C, Siekmanna J. Development of a WHO growth reference for school-aged children and adolescents. Bull WHO. 2007;85(9):660-667.http://doi.org/10.2471/blt.07.043497

Silva WR, Marôco J, Ochner CN, Duarte Bonini Campos JA. Male body dissatisfaction scale (MBDS): proposal for a reduced model. Eat Weight Disord. 2017;22:515-525. http://doi.org/10.1007/s40519-017-0420-y

Silva WR, Costa D, Pimenta F, Maroco J, Campos JADB. Psychometric evaluation of a unified Portuguese-language version of the Body Shape Questionnaire in female university students. Cad Saúde Pública. 2016;32(7):e00133715. http://doi.org/10.1590/0102-311x00133715

Alvarenga MS, Santos TSS, Andrade D. Item Response Theory-based validation of a short form of the Disordered Eating Attitude Scale (DEAS-s) to a Brazilian sample. Cad Saúde Pública. 2020; 36(2):e00169919.http://doi.org/10.1590/0102-311X00169919

Cecon RS, Franceschini SDCC, Peluzio MDCG, Hermsdorff HHM, Priore SE. Overweight and Body Image Perception in Adolescents with Triage of Eating Disorders. Scientific World Journal. 2017;8257329. http://doi.org/10.1155/2017/8257329

Madalosso MM, Schaana B, Vogt Cureaua F. Associação da percepção do peso corporal com a qualidade da dieta de adolescentesbrasileiros. Rev. paul. pediatr. 2020.;38:e2020057. https://doi.org/10.1590/1984-0462/2020/38/2020057.

Barrack MT, West J, Christopher M, Pham-Vera AM. Disordered Eating Among a Diverse Sample of First-Year College Students. J Am Coll Nutr. 2019;38(2):141-148. http://doi.org/10.1080/07315724.2018.1487345

Heiss S, Coffino JA, Hormes JM. Eating and health behaviors in vegans compared to omnivores: Dispelling common myths. Appetite. 2017 [citado 2020;118:129-135.http://doi.org/10.1016/j.appet.2017.08.001

Baş M, Karabudak E, Kiziltan G. Vegetarianism and eating disorders: association between eating attitudes and other psychological factors among Turkish adolescents. Appetite. 2005;44(3):309-315. http://doi.org/10.1016/j.appet.2005.02.002.

Fatima W, Ahmad LM. Prevalence of disordered eating attitudes among adolescent girls in Arar City, Kingdom of Saudi Arabia. Health Psychol Res. 2018;6(1):31-35. http://doi.org/10.4081/hpr.2018.7444

Jankauskiene R, Baceviciene M, Trinkuniene L. Examining Body Appreciation and Disordered Eating in Adolescents of Different Sports Practice: Cross-Sectional Study. Int J Environ Res Public Health. 2020;(11):4044. http://doi.org/10.3390/ijerph17114044

Al-Kloub MI, Al-Khawaldeh OA, ALBashtawy M, Batiha AM, Al-Haliq M. Disordered eating in Jordanian adolescents.Int J NursPract.2019;25:e12694. http://doi.org/10.1111/ijn.12694

Mairs R, Nicholls D. Assessment and treatment of eating disorders in children and adolescents. ArchDisChild. 2016;101(12):1168-1175. http://doi.org/10.1136/archdischild-2015-309481

Batista M, ŽigićAntić L, Žaja O, Jakovina T, Begovac I. Predictors of eating disorder risk in anorexia nervosa adolescents. Acta ClinCroat. 2018;57(3):399-410.http://doi.org/10.20471/acc.2018.57.03.01.

Treasure J, Duarte TA, Schmidt U. Eating disorders.Lancet. 2020;395:899-911.https://doi.org/10.1016/S0140-6736(20)30059-3

Verschueren M, ClaesL,PalmeroniN,Bogaerts A, Gandhi A,Moons P, et al. Eating Disorder Symptomatology in Adolescent Boys and Girls: Identifying Distinct Developmental Trajectory Classes. J Youth Adolesc. 2020;49(2):410-426. http://doi.org/10.1007/s10964-019-01174-0.

Leal Greisse VS, Philippi ST, Alvarenga MS. Unhealthy weight control behaviors, disordered eating, and body image dissatisfaction in adolescents from São Paulo, Brazil. Braz J Psychiatry. 2020;42(3):264-270. http://doi.org/10.1590/1516-4446-2019-0437

Lee Y, Lee KS. Relationship between unhealthy weight control behaviors and substance use patterns among Korean adolescents: results from the 2017 national youth risk behavior survey. Public Health. 2019;174:56-64. http://doi.org/10.1016/j.puhe.2019.06.005

Fortes LS, Morgado FFR, Ferreira MEC. Fatores associados ao comportamento alimentar inadequado em adolescentes escolares. ArchClinPsychiatry. 2013;40(2):59-64. http://doi.org/10.1590/s0101-60832013000200002.

Jalali-Farahani S, Chin YS, Mohd Nasir MT, Amiri P. JALALI-FARAHANI, Saraet al. Disordered Eating and its Association with Overweight and Health-Related Quality of Life Among Adolescents in Selected High Schools of Tehran. Child Psychiatry Hum Dev. 2015;46(3):485-492. http://doi.org/10.1007/s10578-014-0489-8.

Fidelix YL, Silva DAS, Pelegrini A, Silva AF, Petroski EL. Insatisfação com a imagem corporal em adolescentes de uma cidade de pequeno porte: associação com sexo, idade e zona de domicílio. RevBrasCineantropom Desempenho Hum. 2011;13(3):202-207. http://doi.org/10.5007/1980-0037.2011v13n3p202

Calzo JP, Masyn KE, Corliss HL, Scherer EA, Field AE, Austin SB. Patterns of body image concerns and disordered weight- and shape-related behaviors in heterosexual and sexual minority adolescent males. Dev Psychol. 2015;51(9):1216-25. http://doi.org/10.1037/dev0000027

Dion J, Hains J, Vachon P, Plouffe J, Laberge L, Perron M, McDuff P, Kalinova E, Leone M. Correlates of Body Dissatisfaction in Children. J Pediatr. 2016;171:202-7. http://doi.org/10.1016/j.jpeds.2015.12.045

Murray SB, Griffiths S, Mond JM. Evolving eating disorder psychopathology: conceptualising muscularity-oriented disordered eating. Br J Psychiatry. 2016;208(5):414-5. http://doi.org/10.1192/bjp.bp.115.168427

Pila E, Mond JM, Griffiths S, Mitchison D, Murray SB. A thematic content analysis of #cheatmeal images on social media: Characterizing an emerging dietary trend. Int J Eat Disord. 2017;50(6):698-706. http://doi.org/10.1002/eat.22671

Kneube D, Teixeira PC, Carvalho PHB, Alvarenga MS, Ganen AP. Body checking, drive for muscularity, and commitment to exercise in Brazilian Air Force entrants. Rev Bras PsicolEsporte. 2020 [cited 2020 Nov 16];10(2):165-183. Available from: https://portalrevistas.ucb.br/index.php/RBPE/article/download/11341/7021

Klimek P, Murray SB, Brown T, Gonzales IVM, Blashill AJ. Thinness and muscularity internalization: Associations with disordered eating and muscle dysmorphia in men. Int J Eat Disord. 2018;51(4):352-357. http://doi.org/10.1002/eat.22844

Frayon S, Cavaloc Y, Wattelez G, Cherrier S, Touitou A, Zongo P, et al. Body image, body dissatisfaction and weight status of Pacific adolescents from different ethnic communities: a cross-sectional study in New Caledonia. Ethn Health. 2020;25(2):289-304. http://doi.org/10.1080/13557858.2017.1398818

Lavender JM, Brown TA, Murray SB. Men, Muscles, and Eating Disorders: an Overview of Traditional and Muscularity-Oriented Disordered Eating. CurrPsychiatry Rep. 2017;19(6):32-38. http://doi.org/10.1007/s11920-017-0787-5

Baker JH, Higgins Neyland MK, Thornton LM, Runfola CD, Larsson H, Lichtenstein P, Bulik C. Body dissatisfaction in adolescent boys. DevPsychol. 2019;55(7):1566-1578. http://doi.org/10.1037/dev0000724

Choi E, Choi I. The associations between body dissatisfaction, body figure, self-esteem, and depressed mood in adolescents in the United States and Korea: A moderated mediation analysis. J Adolesc. 2016;53:249-259. http://doi.org/10.1016/j.adolescence.2016.10.007

Liu, W., Lin, R., Guo, C.et al. Prevalence of body dissatisfaction and its effects on health-related quality of life among primary school students in Guangzhou, China. BMC Public Health. 2019;19(213):1-8. https://doi.org/10.1186/s12889-019-6519-5

Batista M, ŽigićAntić L, Žaja O, Jakovina T, Begovac I. Predictors of eating disorder risk in anorexia nervosa adolescents. Acta ClinCroat (Tisak). 2018;57(3):399-410. http://doi.org/10.20471/acc.2018.57.03.01.

Triches RM, Giugliani ERJ. Insatisfação corporal em escolares de dois municípios da região Sul do Brasil. Rev Nutr. 2007;20(2):119-128. http://doi.org/10.1590/s1415-52732007000200001

Gomes JP, Legnani E, Legnani RFS, Gregório NP, Souza RK. Associação entre comportamento alimentar, consumo de cigarro, drogas e episódios depressivos em adolescentes.Rev Nutr. 2010;23(5):755-762. http://doi.org/10.1590/s1415-52732010000500006

Sonneville KR, Grilo CM, Richmond TK, Thurston IB, Jernigan M, Gianini L, et al. Prospective association between overvaluation of weight and binge eating among overweight adolescent girls. J Adolesc Health. 2015;56(1):25-9. http://doi.org/10.1016/j.jadohealth.2014.08.017

Calzo JP, Austin SB, Micali N. Sexual orientation disparities in eating disorder symptoms among adolescent boys and girls in the UK. Eur Child Adolesc Psychiatry. 2018;27(11):1483-1490. http://doi.org/10.1007/s00787-018-1145-9

Published

2024-12-06

How to Cite

1.
Stavro APG, Ganen A de P. Relation between the vegetarian diet, disordered eating, and body image in adolescents. DEMETRA [Internet]. 2024 Dec. 6 [cited 2025 May 22];19:e68572. Available from: https://www.e-publicacoes.uerj.br/demetra/article/view/68572

Issue

Section

Food and Nutrition in Collective Health