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Is Ramadan fasting correlated with disordered eating behaviours in adolescents?

Eating Disorders Jul 18, 2019

Düzçeker Y, et al. - Researchers investigated if Ramadan fasting as a spiritual factor with prolonged hunger has a cross-sectional relationship with disordered eating behaviors. Among 238 fasting and 49 non-fasting adolescents, they evaluated the risk of disordered eating using the Eating Attitudes Test-26 (EAT-26) and Three Factor Eating Questionnaire-R18 (TFEQ-R18). Using Stunkard’s Figure Rating Scale, body image dissatisfaction was rated. A 24-hour dietary recall was used to assess nutritional status. The groups showed no significant difference between energy intake, EAT-26 and TFEQ-R18 scores (except the emotional eating sub-scores). Fasting for religious purposes was reported in 202 (97.5%) adolescents whereas only 8 (3.4%) reported fasting for losing weight. Thirty-nine (16.8%) adolescents who fasted for religious purposes had EAT-26 total scores in the pathological range. During Ramadan, adolescents' motivation to fast was related to spiritual decisions rather than weight control or other factors and there appeared no correlation of Ramadan fasting with disordered eating behaviors or body image dissatisfaction.
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