FORMS AND PECULIARITIES OF EATING DISORDERS IN ADOLESCENTS WITH EXCESS ADIPOPEXIS

• Main Authors: Наталья Николаевна Миняйлова, Юрий Иванович Ровда, Юлия Николаевна Шишкова, Ирина Валериевна Силантьева
• Format: Article
• Language: Russian
• Published: The Publishing House Medicine and Enlightenment 2017-05-01
• Series: Мать и дитя в Кузбассе
• Subjects: пищевое поведение; подростки; избыточное жироотложение; индекс массы тела
• Online Access: http://mednauki.ru/index.php/MD/article/view/67
• ISSN: 1991-010X; 2542-0968

Eating disorders play a leading role in pathogenesis of the abdominal obesity. The correction of eating behavior promotes an individual approach to an obesity therapy in adolescents and increases its compliance. The aim of the research: is to study peculiarities and frequency of eating behavior and its disorders in adolescents with excess adipopexis. Methods and material:  a cross-sectional study including the questionnaire survey of 163 teenagers aged 11-17 (average age 13,5±2,1), among them 91 with BMI (kg/m2)>85-97 percentile and 72 with BMI <85 percentile (comparison group), comparable in age and sex. Eating disorders and their types were estimated with a modified questionnaire DEBQ (Holland), developed by Van Strein et al. Results:  62,6% of patients with BMI > 85-97 percentile (average score– 2,9) had restrictive eating behavior, 26,4% (average score – 2,9) – external, 11% (average score – 2,83) – emotiogenic; in comparison group 22,2% (р=0,000),  73,6% (р=0,000) and 4,2% (р=0,114) respectively. Among respondents with obesity 69,2% denied hyperphagia, 12,1 % gave a vague answer and only 18,7% were certain about their increased appetite. In the comparison group (with BMI<85 percentile) 33,3% estimated their appetite as excessive, and it’s 1,8 times higher  (р=0,034), than among children with obesity (with gender differentiation: 79,2% were girls, р=0,000). Independently of the obesity gravity 35,3% patients (according to the individual questionnaire) denied having an excess weight, without gender differentiation [42,6% – boys и 57,4% - girls, р=0,127], though every other (51,9%) had a severe degree of obesity.  Conclusion: the obtained results demonstrate that adolescents with excess adipopexis overrate their eating behavior in terms of restriction, probably they distort the questionnaire data giving out desirable for valid, what proves the definition of “inefficient restrictive eating behavior”.