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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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Volume 29, Issue 2


Disordered eating and body image issues and their associated factors among adolescents in urban secondary schools in Sarawak, Malaysia

Whye Lian Cheah
  • Corresponding author
  • Faculty of Medicine and Health Sciences, Department of Community Medicine and Public Health, Universiti Malaysia Sarawak, Sarawak, Malaysia
  • Email
  • Other articles by this author:
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/ Helmy Hazmi
  • Faculty of Medicine and Health Sciences, Department of Community Medicine and Public Health, Universiti Malaysia Sarawak, Sarawak, Malaysia
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Ching Thon Chang
  • Faculty of Medicine and Health Sciences, Department of Nursing, Universiti Malaysia Sarawak, Sarawak, Malaysia
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Published Online: 2015-11-04 | DOI: https://doi.org/10.1515/ijamh-2015-0044


Eating disorders are common health issues among the adolescents. The objective of this study was to determine the prevalence of eating disorders and their relationship with body mass index, body part satisfaction and perception on body weight among urban secondary school children. It was a cross-sectional study conducted in Kuching, Sarawak. Data was collected using a self-administered questionnaire that consist of the Eating Attitude Test-26 (EAT-26), perception on body part satisfaction and body weight, and anthropometric measurement. Data was entered and analysed using SPSS version 22. A total of 329 respondents participated in this study with 59% females and 60.5% Malays. There were 14.3% of the respondents overweight and obese, with higher percentage among males (19.3%). About 18.5% of the respondents were found to be at risk of eating disorders with higher prevalence among males (19.3%). More females reported to have higher prevalence of body part dissatisfaction (46.9%) and body weight (37.6%) compared to males (40%, 28.1%). The statistical results indicated there were significant associations between EAT-26 and body mass index (BMI) (p=0.039), body part satisfaction (p=0.004), and perception of body weight (p=0.038). Eating disorders are becoming more prevalent amongst adolescents, particularly among males. As eating disorder are strongly associated with adolescent mental and physical health, intervention programme on their developmental challenges and issues for both males and females should be in place particularly in the school education syllabus.

Keywords: adolescents; anthropometric measurement; EAT-26; eating disorder


  • 1.

    Latzer Y, Tzischinsky O, Asaiza F. Disordered eating related behaviors among Arab schoolgirls in Israel: an epidemiological study. Int J Eat Disorder 2007;40:263–70.CrossrefWeb of ScienceGoogle Scholar

  • 2.

    Nasser M. Culture and weight consciousness. J Psychosom Res 1988;32:573–7.CrossrefPubMedGoogle Scholar

  • 3.

    Herpertz S, Hagenah U, Vocks S, Wietersheim Jv, Cuntz U, et al. The diagnosis and treatment of eating disorders. Dtsch Arztebl Int 2011;108:678–85.PubMedWeb of ScienceGoogle Scholar

  • 4.

    Chisuwa N, O’Dea JA. Body image and eating disorders amongst Japanese adolescents. A review of the literature. Appetite 2010;54:5–15.CrossrefPubMedWeb of ScienceGoogle Scholar

  • 5.

    Howk HW, van Hoken D. Review of the prevalence and incidence of eating disorders. Int J Eat Disorder 2003;34:383–96.CrossrefGoogle Scholar

  • 6.

    Nogami Y. Eating disorders in Japan: a review of the literature. Psychiat Clin Neuros 1997;51:339–46.CrossrefGoogle Scholar

  • 7.

    Makino M, Hashizume M, Yasushi M, Tsuboi K, Dennerstein L. Factors associated with abnormal eating attitudes among female college students in Japan. Arch Womens Ment Health 2006;9:203.PubMedCrossrefGoogle Scholar

  • 8.

    Gan WY, Mohd Nasir MT, Zalilah MS, Hazizi AS. Disordered eating behaviors, depression, anxiety and stress among Malaysian university students. J Coll Student 2011;45:296–309.Google Scholar

  • 9.

    Kuan PX, Ho HL, Shuhaili MS, Siti AA, Henry GR. Gender differences in body mass index, body weight perception and weight loss strategies among undergraduates in Universiti Malaysia Sarawak. Malayis J Nutr 2011;17:67–75.Google Scholar

  • 10.

    Leh SL, Mohd Nasir MT, Hazizi AS. Factors associated with physical activity level among adolescents in Sarawak. J Phys Act Sports Exerc 2014;2:7–14.Google Scholar

  • 11.

    Preti A, Pinna C, Nocco S, Pilia S, Mulliri E, et al. Rural/urban differences in the distribution of eating disorder symptoms among adolescents from community samples. Aust NZ J Psychiat 2007;41:525–35.Web of ScienceCrossrefGoogle Scholar

  • 12.

    Yates A, Edman J, Aruguete M. Ethnic differences in BMI and body self-dissatisfaction among Whites, Asian subgroups, Pacific Islander, and African-Americans. J Adolescent Health 2004;34:300–07.CrossrefGoogle Scholar

  • 13.

    Arriaza CA, Mann T. Ethnic differences in eating disorder symptoms among college students: the confounding role of body mass index. J Am Coll Health 2001;49:309–15.PubMedCrossrefGoogle Scholar

  • 14.

    Garner DM, Garfinkel PE. The eating attitude test: an index of the symptoms of anorexia nervosa. Psychol Med 1979;9:273–279.PubMedCrossrefGoogle Scholar

  • 15.

    Dan SP, Mohd Nasir MT, Zalilah MS. Determination of factors associated with physical activity levels among adolescents attending school in Kuantan, Malaysia. Malalys J Nutr 2011;17:175–87.Google Scholar

  • 16.

    Koay CY. Body image and nutritional practice among school adolescents in Ipoh (Malay language). Bachelor of Sciences (Nutrition and Community Health) Thesis. Serdang, Malaysia: Universiti Putra Malaysia, 1988.Google Scholar

  • 17.

    Tsai MR, Chang YJ, Lien PJ, Wong Y. Survey on eating disorders related thoughts, behaviors and dietary intake in female junior high school students in Taiwan. Asia Pac J Clin Nutr 2011;20:196–205.PubMedGoogle Scholar

  • 18.

    Yang S, Choi Y, Lee H. Eating attitude, ego-Identity, and self-esteem among the urban high school girls. J Korean Neurosychiatr Assoc 2001;40:477–86.Google Scholar

  • 19.

    Nishizawa Y, Kida K, Nishizawa K, Hashiba S, Saito K, et al. Perception of self-physique and eating behavior of high school students in Japan. Psy Clin N 2003;57:189–96.Google Scholar

  • 20.

    Makino M, Tsuboi K, Dennerstein L. Comparative epidemiological study of attitudes to eating between students in China and Japan. Presented at the Asian Pacific Eating Disorders Congress, Hilton-on-the-Park, Melbourne, 2002.Google Scholar

  • 21.

    McCabe M, Ricciardelli LA. Parent, peer and media influences on body image and strategies to both increase and decrease body size among adolescent boys and girls. Adolescence 2001;36:225–40.PubMedGoogle Scholar

  • 22.

    O’Dea JA, Yager Z. Body image and eating disorders in male adolescents and young men. In: Swain PL, editor. New Developments in Eating Disorders Research. Hauppauge, NY, USA: Nova Science Publishers, 2006: 1–36.Google Scholar

  • 23.

    Al-Adawi S, Dorvlo ASS, Burke DT, Moosa S, Al-Bahlani S. A survey of anorexia nervosa using the Arabic version of the EAT-26 and “gold standard” interviews among Omani adolescents. Eat Weight Disord 2002;7:304–311.PubMedCrossrefGoogle Scholar

  • 24.

    Hayashi F, Takimoto H, Yoshita K, Yoshiike N. Perceived body size and desire for thinness of young Japanese women: A population-based survey. Br J Nutr 2006;96:1154–62.CrossrefPubMedGoogle Scholar

  • 25.

    Ohtahara H, Ohzeki T, Hanaki K, Motozumi H, Shiraki K. Abnormal perception of body weight is not solely observed in pubetal girls: Incorrect body image in children and its relationship to body weight. Acta Psychiat Scand 1993;87:218–22.CrossrefGoogle Scholar

  • 26.

    Littleton HL, Ollendick T. Negative body image and disordered eating behavior in children and adolescents: what places youth at risk and how can these problems be prevented? Clin Child Fam Psych 2003;6:51–66.CrossrefGoogle Scholar

About the article

Corresponding author: Whye Lian Cheah, PhD, Senior Lecturer, Faculty of Medicine and Health Sciences, Department of Community Medicine and Public Health, Universiti Malaysia Sarawak, Lot 77, Section 22 KTLD, Jalan Tun Ahmad Zaidi Adruce, 93150 Kuching, Sarawak, Malaysia, Phone: +6082 581000, E-mail: wlcheah@fmhs.unimas.my

Received: 2015-05-11

Accepted: 2015-08-16

Published Online: 2015-11-04

Published in Print: 2017-04-01

Conflict of interest statement: None declared.

Citation Information: International Journal of Adolescent Medicine and Health, Volume 29, Issue 2, 20150044, ISSN (Online) 2191-0278, ISSN (Print) 0334-0139, DOI: https://doi.org/10.1515/ijamh-2015-0044.

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