Prevalence of Eating Disorders among Female College Students of Northern Broader University, Arar, Kingdom of Saudi Arabia


  • Waseem Fatima Department of Clinical Nutrition, Northern Border University
  • Rizwan Fatima Department of Education, Jamia Millia Islamia New Delhi
  • Nida Suhail Anwar Department of Medical Lab Technology, Northern Border University



Eating disorders, EAT -26, BMI, age at menarche, Female students.


Objective: The study aimed at examining the prevalence and correlates of eating disorder among female college students of Northern Broader University, Arar city, Kingdom of Saudi Arabia.

Methods: A cross sectional survey was conducted among female college students. The total sample size was 160 (66.66% of total population of college) and stratified random sampling technique was used to select female students age ranged between 18 and 23 years from faculty of medical and faculty of applied medical science. Subjects were ask to fill pre tested questionnaire about socioeconomic status, age at menarche, body image and Eating attitude test 26 (EAT 26), there height and weight were measured and BMI was calculated.

Results: Out of 160 female college students only 120 (75%) returned completely filled questionnaires and they were considered for statistical analysis. It was found that, 32 (26.66%) of study population scored 20 or above, which is the cutoff point of EAT-26, indicating negative eating attitudes. There was significant difference found in prevalence of disordered eating attitudes in different BMI ranges. However, the association between student’s age at menarche and abnormal eating attitude was not statistically significant.

Conclusion: The findings support our hypothesis of a relatively high rate of abnormal eating attitudes (as reflected by high EAT-26 score) in this population. The results have important implication for increasing awareness about an emerging clinical problem. The prevalence of eating disorder is the most useful measure for planning health care facilities, as it indicates the demand for care.


[1] Mathers CD, Vos ET, Stevenson CE, Begg SJ. The Australian Burden of Disease Study: measuring the loss of health from diseases, injuries and risk factors. Med J Aust 2000; 172(12): 592-6.
[2] Quick VM, Byrd-Bredbenner C, Neumark-Sztainer D. Chronic illness and disordered eating: a discussion of the literature. Advances in nutrition (Bethesda, Md) 2013; 4(3): 277-86.
[3] Dalal P, Sivakumar T. Moving towards ICD-11 and DSM-V: Concept and evolution of psychiatric classification. Indian Journal of Psychiatry 2009; 51(4): 310-9.
[4] Miller MN, Pumariega AJ. Culture and eating disorders: a historical and cross-cultural review. Psychiatry 2001; 64(2): 93-110.
[5] Sullivan C, Cottone RR. Emergent Characteristics of Effective Cross-Cultural Research: A Review of the Literature. Journal of Counseling & Development 2010; 88(3): 357-62.
[6] Cummins LH, Simmons AM, Zane NWS. Eating Disorders in Asian Populations: A Critique of Current Approaches to the Study of Culture, Ethnicity, and Eating Disorders. American Journal of Orthopsychiatry 2005; 75(4): 553-74.
[7] Pinhas L, Morris A, Crosby RD, Katzman DK. Incidence and age-specific presentation of restrictive eating disorders in children: a Canadian Paediatric Surveillance Program study. Archives of Pediatrics & Adolescent Medicine 2011; 165(10): 895-9.
[8] Striegel-Moore RH, Bulik CM. Risk factors for eating disorders. The American Psychologist 2007; 62(3): 181-98.
[9] Sullivan PF. Mortality in anorexia nervosa. The American Journal of Psychiatry. 1995; 152(7): 1073-4.
[10] Shuriquie N. Eating disorders: a transcultural perspective. Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit 1999; 5(2): 354-60.
[11] Latzer Y, Azaiza F, Tzischinsky O. Not just a western girls' problem: eating attitudes among Israeli-Arab adolescent boys and girls. International Journal of Adolescence and Youth 2014; 19(3): 382-94.
[12] Amir SJ-FSCaTMN. Disordered Eating and its Association with Overweight and Health-Related Quality of Life Among Adolescents in Selected High Schools of Tehran. Child Psychiatry & Human Development 2015; 46(3).
[13] Bas M, Asci FH, Karabudak E, Kiziltan G. Eating attitudes and their psychological correlates among Turkish adolescents. Adolescence 2004; 39(155): 593-9.
[14] Fath Al Alim M Abdelrahim, NHA, Abdelghani Alshaikh Eating disorders symptoms among a university students: an exploratory study. Sudan Med J 2012; 48(3).
[15] Musaiger AO. Overweight and Obesity in Eastern Mediterranean Region: Prevalence and Possible Causes. Journal of Obesity 2011; 2011.
[16] Mousa TY, Al-Domi HA, Mashal RH, Jibril MA. Eating disturbances among adolescent schoolgirls in Jordan. Appetite 2010; 54(1): 196-201.
[17] Kazim AA AM, Karavetian M (The Prevalence and Determents of Eating disorders among Emirati Female Students Aged 14–19 Years in Ajman, UAE. J Food Nutr Disor 2017; 6(2).
[18] Rauof M, Ebrahimi H, Asghari Jafarabadi M, Malek A, Babapour Kheiroddin J. Prevalence of Eating Disorders Among Adolescents in the Northwest of Iran. Iranian Red Crescent Medical Journal 2015; 17(10).
[19] Musaiger AO, Al-Mannai M, Tayyem R, Al-Lalla O, Ali EYA, Kalam F, et al. Risk of disordered eating attitudes among

adolescents in seven Arab countries by gender and obesity: a cross-cultural study. Appetite 2013; 60(1): 162-7.
[20] Al-Adawi S, Dorvlo AS, Burke DT, Al-Bahlani S, Martin RG, Al-Ismaily S. Presence and severity of anorexia and bulimia among male and female Omani and non-Omani adolescents. J Am Acad Child Adolesc Psychiatry 2002; 41(9): 1124-30.
[21] Allihaibi MM. Disordered eating attitudes among secondary schoolgirls in Al-Iskan sector, Makkah Al-Mukarramah, Saudi Arabia. International Journal of Medical Science and Public Health 2015; 4(7).
[22] Al-Subaie A. Eating Attitute Teast In Arabic: Psycometric Features And Normetic Data Saudi Medical Journal 1998; 19(6).
[23] Rafia Bano DEA, S. Shahida Banu. A Study on the Prevalence And Severity of Eating Disorders among the Young Population of Hail City in Saudi Arabia. Global Journal for Research Analysis 2013; 2(6).
[24] Fallatah1 A, MA-H, HA-G. Eating Disorders among Female Adolescents in Jeddah Scientific Cooperations Medical Workshops 2015; (21-22 July).
[25] Garner DM, Olmsted MP, Bohr Y, Garfinkel PE. The eating attitudes test: psychometric features and clinical correlates. Psychological Medicine 1982; 12(4): 871-8.
[26] Nasser M. The EAT speaks many languages: Review of the use of the EAT in eating disorders research. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity 1997; 2(4): 174-81.
[27] Al-Subaie A, Al-Shammari S, Bamgboye E, Al-Sabhan K, Al-Shehri S, Bannah AR. Validity of the Arabic version of the eating attitude test. International Journal of Eating Disorders 1996; 20(3): 321-4.<321::AID-EAT12>3.0.CO;2-2
[28] Smink FRE, van Hoeken D, Hoek HW. Epidemiology of Eating Disorders: Incidence, Prevalence and Mortality Rates. Current Psychiatry Reports 2012; 14(4): 406-14.
[29] Eapen V, Mabrouk AA, Bin-Othman S. Disordered eating attitudes and symptomatology among adolescent girls in the United Arab Emirates. Eating Behaviors 2006; 7(1): 53-60.
[30] Haleama Al Sabbah SM. Disordered Eating Attitudes and Exercise Behavior among Female Emirati College Students in the United Arab Emirates: A Cross- Sectional Study. Arab Journal of Nutrition and Exercise 2016; 1(1).
[31] Thomas J KSea, abdul rehama AA eating attitude and body image concern among female university students in the united Arab emirates Appetite 2010; 54.
[32] Nasser M. Comparative study of the prevalence of abnormal eating attitudes among Arab female students of both London and Cairo universities. Psychological Medicine 1986; 16(3): 621-5.






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