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Characteristics of Malaysian 16-year-old girls who reported regular binge eating episodes and the associated risk factors: a descriptive study

  • Yi-Ting Tang ORCID logo , Jia Xian Liew ORCID logo and Weng-Tink Chooi ORCID logo EMAIL logo
Published/Copyright: September 15, 2023

Abstract

Objectives

Adolescents may suffer from binge eating (BE), that refers to consuming a large amount of food in a short period of time and accompanied by feelings of loss of control (LOC) over eating. This study compared the prevalence of BE between 16-year-old Malaysian girls from two types of public schools, Malay-English-medium and Chinese-Malay-English-medium schools. Additionally, this study identified associated risk factors of those who presented regular BE episodes, including LOC eating, anxiety, body mass index (BMI), body dissatisfaction (BD) and eating disorders (EDs) psychopathology.

Methods

398 participants completed self-reports assessing BE symptoms, LOC eating, state anxiety, trait anxiety, EDs psychopathology, and BD. They also reported heights and weights. Descriptive statistics, t-tests, chi-square tests, and Z-test for independent proportions were conducted.

Results

There was no significant difference in either the prevalence of BE or EDs psychopathology between participants from the two types of schools. 71 (17.8 %) participants reported moderate-to-severe symptoms of BE, and 46 (11.6 %) reported moderate-to-severe levels of LOC eating. Those who reported moderate-to-severe symptoms of BE reported significantly higher levels of LOC eating, BD, drive to be thinner, BMI, state anxiety, and EDs psychopathology, compared to those who reported none-to-minimal BE.

Conclusions

BE and LOC eating appeared to be relatively common among secondary school girls in Malaysia. The relatively high prevalence of BE amongst adolescents in our sample highlighted the importance of early identification of signs for BE as preventive measures from developing EDs psychopathology among children and adolescents. We propose that attitudes towards eating and body image-related concerns should be included in school screenings aimed at preventing psychological problems in minors.


Corresponding author: Weng-Tink Chooi, PhD, School of Social Sciences, Universiti Sains Malaysia, Gelugor, Pulau Pinang, Malaysia, E-mail:

Award Identifier / Grant number: 1001/PSOSIAL/8016107

  1. Ethical approval: This study was approved by the Human Research Ethics Committee, Universiti Sains Malaysia (USM/JEPeM/20010065).

  2. Informed consent: Informed consent was obtained from all individuals included in this study.

  3. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  4. Competing interests: Authors state no conflict of interest.

  5. Research funding: This work was supported by the Universiti Sains Malaysia Research University grant [1001/PSOSIAL/8016107]. The funder has no role in the study design, data collection, analysis and interpretation of data, in the writing of the report, and in the decision to submit the article for publication.

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Received: 2023-05-12
Accepted: 2023-08-26
Published Online: 2023-09-15

© 2023 Walter de Gruyter GmbH, Berlin/Boston

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