Nutr Res Pract.  2010 Feb;4(1):36-42.

Prevalence of overweight and obesity, and dieting attitudes among Caucasian and African American college students in Eastern North carolina: A cross-sectional survey

Affiliations
  • 1Department of Child Development and Family Relations, College of Human Ecology, East Carolina University, 176 Rivers Building, Greenville, NC 27858-4353, USA. siran@ecu.edu
  • 2Department of Nutrition and Dietetics, College of Human Ecology, East Carolina University, NC 27858-4353, USA.

Abstract

A cross-sectional survey was used to investigate the rates of overweight and obesity (BMI > or = 25), and eating attitudes among college students. Data were collected at a large southeastern university. Adolescents (ages 18-25) self-reported weight and height (to calculate BMI), and, in addition to demographic information, completed the eating attitudes (EAT 26) scale to assess dieting tendencies. Significance of the mean BMI differences between gender and ethnic background were assessed by one-way analysis of variance (one-way ANOVA). Chi-square was used to determine whether the rate of those with BMI> or =25 between gender and ethnic background was statistically significant. While 52.7% of the students' BMI were within the normal weight category, 15.2% were underweight, 21.3% were overweight, and 10.8% were obese. The rate of BMI> or =25 differed by gender and ethnicity, with males and African Americans having higher rates. About 12 % of the participants reported disturbed eating behavior, which is lower than previously reported. Even so, results support the generally held belief that disturbed eating attitudes and unhealthy dieting are common among college students, especially among females. At the same time, disturbed eating attitudes are not just the domain of young female students; about 10% of college males reported disturbed eating attitudes. Findings of this study call for obesity prevention/intervention and lifestyle modification outreach programs among college students. Weight status and unhealthy eating behaviors of college students should be a concern to health care professionals. While obese young adults will likely remain obese throughout their adult life, excessive dieting among students, which is linked to eating disorders and other health hazards, does not provide healthy and adequate alternatives for maintaining a normal BMI. Implications for obesity prevention programs are discussed.

Keyword

Obesity; students; dieting; ethnicity; gender

MeSH Terms

Adolescent
Adult
African Americans
Cross-Sectional Studies
Delivery of Health Care
Diet
Eating
Feeding and Eating Disorders
Feeding Behavior
Female
Hazardous Substances
Humans
Life Style
Male
Obesity
Overweight
Prevalence
Thinness
Young Adult
Hazardous Substances

Reference

1. Ogden CL, Carroll MD, McDowell MA, Flegal K. Obesity among Adults in the United States - No Statistically Significant Change Since 2003-2004. NCHS Data brief. 2007; 10:1–8. PMID: 19389313.
2. U.S. Obesiry Trends. Center for Disease Control and Prevention [Internet]. cited 2009 January 27. Available from: http://www.cdc.gov.obesity/data/trends.html.
3. Healthy People 2010. 2000. 2nd ed. Washington: U.S. Department of Health and Human Services.
4. Winkleby MA, Gardner CD, Taylor CB. The influence of gender and socioeconomic factors on Hispanic/white differences in BMI. Prev Med. 1996; 25:203–211. PMID: 8860286.
5. McTigue KM, Garrett JM, Popkin BM. The natural history of the development of obesity in a cohort of young U.S. adults between 1981 and 1998. Ann Int Med. 2002; 136:857–864. PMID: 12069559.
Article
6. F as in fat: How obesity policies are failing America. Trust for America's Health [Internet]. cited 2009 January 27. Available from: http://healthyamericans.org/reports/obesity2007/Obesity2007Report.pdf.
7. Behavioral Risk Factor Surveillance System 2007. North Carolina State Center for Health Statistics [Internet]. cited 2009 January 27. Available from: http://www.schs.state.nc.us/SCHS/brfss/2007/nc/all/rf2.html.
8. Dutton GR, Martin PD, Brantley PJ. Ideal weight goals of African American women participating in a weight management program. Body Image. 2004; 3:305–310. PMID: 18089162.
Article
9. Botta RA. The mirror of television: A comparison of Black and White adolescents' body image. J Commun. 2000; 50:144–159.
Article
10. Cachelin FM, Monreal TK, Juarez LC. Body image and size perception of Mexican American women. Body Image. 2006; 3:67–75. PMID: 18089210.
11. Perez M, Joiner TE. Body image dissatisfaction and disordered eating in Black and White women. Int J Eat Disord. 2002; 33:342–350. PMID: 12655631.
Article
12. Racette SB, Deusinger SS, Strube MJ, Highstein GR, Deusinger RH. Weight changes, exercise and dietary patterns during freshman and sophomore years of college. J Am Coll Health. 2005; 53:245–251. PMID: 15900988.
Article
13. Shroff H, Thompson JK. The tripartite influence model of body image and eating disturbance: A replication with adolescent girls. Body Image. 2006; 3:17–23. PMID: 18089205.
Article
14. Ackard DM, Peterson CB. Association between puberty and disordered eating, body image, and other psychological variables. Int J Eat Disord. 2001; 29:187–194. PMID: 11429981.
Article
15. Tiggemann M. Body dissatisfaction and adolescent self-esteem: Perspective findings. Body Image. 2005; 2:129–135. PMID: 18089181.
16. SAT Scores, Costs and Admissions Data. East Carolina University [Internet]. cited 2009 January 27. http://collegeapps.about.com/od/collegeprofiles/p/east-carolina.htm.
17. 2000 Census Brief. Issued June 2008. US Census Bureau: School Enrollment [Internet]. cited 2009 December 14. Available from: http://www.census.gov/prod/2001pubs/c2kbr01-12.pdf.
18. Healthy weight assessment for adults. Center for Disease Control and Prevention [Internet]. cited 2009 January 27. http://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html.
19. Garner DM, Olmsted MP, Bohr Y, Garfinkel PE. The eating attitude test: Psychometric features and clinical correlates. Psychol Med. 1982; 12:871–878. PMID: 6961471.
20. Gary TL, Gross SM, Browne DC, LaVeist TA. The College Health and Wellness Study: Baseline Correlates of Overweight among African Americans. J Urban Health. 2006; 83:253–265. PMID: 16736374.
Article
21. Nelson TF, Gortmaker SL, Subramanian SV, Cheung L, Wechsler H. Disparities in overweight and obesity among US college students. Am J Health Behav. 2007; 31:363–373. PMID: 17511571.
Article
22. Center for Disease Control and Prevention. Youth Risk Behavior Surveillance: National College Health Risk Behavior Survey -- United States, 1995. MMWR Morb Mortal Wkly Rep. 1997; 46:1–54. PMID: 9011775.
23. Frederick DA, Gordon BF, Grigorian DA, Jarcho JM. The UCLA body project I: Gender and ethnic differences in self-objectification and body satisfaction among 2,206 undergraduates. Sex Roles. 2007; 57:317–327.
Article
24. Huang TT, Harris KJ, Lee RE, Nazir N, Born W, Kaur H. Assessing overweight, obesity, diet, and physical activity in college students. J Am Coll Health. 2003; 52:83–86. PMID: 14765762.
Article
25. Nelson WL, Hughes HM, Katz B, Searight HR. Anorexics eating attitudes and behaviors of male and female college students. Adolescence. 1999; 34:621–633. PMID: 10658869.
26. Allan J, Mayo K, Michel Y. Body size values of white and black women. Res Nurs Health. 1993; 16:323–333. PMID: 8210470.
Article
27. Parker S, Nichter M, Nichter N, Vuckovic N, Sims C, Ritenbaugh C. Body image and weight concerns among African-American and white adolescent females: Differences that make a difference. Hum Org. 1995; 54:103–114.
28. Geller J, Srikameswaran S, Cockell SJ, Zaitsoff SL. Assessment of shape - and weight-based self-esteem in adolescents. Int J Eat Disord. 2000; 28:339–345. PMID: 10942921.
29. Brooks-Gunn J, Warren MP, Rosso J, Gargiulo J. Validity of self-report measures of girls' pubertal status. Child Dev. 1987; 58:829–841. PMID: 3608653.
Article
Full Text Links
  • NRP
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr