From: Eating disorders in the Arab world: a literature review
Country/ Population | Authors (year) | Participants | Study design | Measures | Eating disorder-related variables | M (SD)/OR [95% CI]/ r |
---|---|---|---|---|---|---|
Algeria, Jordan, Kuwait, Libya, Palestinians residing in al-Khalil, Syria, UAE | Musaiger et al., (2013) [26] | N = 4698, 2240 male, 2458 female, age 15–18 | Cross sectional | EAT 26 | Disturbed eating behavior: twice as high in females than in males in Jordan, Libya, Palestinians residing in al-Khalil and Syria | Disturbed eating behavior: (p < 0.000), males as reference Jordan OR 2.96 [2.19–4.01] Libya OR 2.02 [1.37–2.98] Palestinians residing in al-Khalil OR 2.11 [1.39–3.22] Syria OR 2.75 [2.02–3.77] |
Bahrain | Al-Sendi, Shetty, & Musaiger (2004) [82] | N = 504, 249 male, 257 female, age 12–17 | Cross sectional | FRS (self- developed) | Body dissatisfaction: female: 50%, male: 30% | not reported |
Egypt | Ford, Dolan, & Evans (1990) [10] | N = 218, 61 male, mean age = 20.0, 169 female, mean age = 19.5, university students | Cross sectional | FRS (self- developed) | Thin ideal: female: ideal shape significantly thinner than their actual shape; male & female: preference for thinness | Discrepancy between current and ideal figure: t = 3.67, p = 0.001. Mean discrepancy: female 0.56–1.02, male − 0.02-1.00 M (SD) = Female current 3.75 (0.9), ideal 3.19 (0.9). Male current 4.18 (1.1), ideal 4.2 (0.7) |
Jordan | Madanat, Hawks, & Angeles (2011) [83] | N = 800, female | Cross sectional | 9- figure silhouettes | Body dissatisfaction: 66% | not reported |
Jordan | Mousa, Mashal, Al-Domi, & Jibril (2010) [84] | N = 326, female, age: 10–16 | Cross sectional | EAT 26 BSQ |Western norms | Body dissatisfaction: 21.2%. Association between EAT and BSQ. | BSQ: M (SD) = 79.1 (34.5), 21.2% above cutoff χ2 (1, 326) = 104.8, p < 0.01 |
Jordan | Zawawi (2014) [85] | N = 170, female, age: 20–55, fitness center users | Cross sectional | BSQ | Body dissatisfaction: 31.01% | M (SD) = 3.19 (10.3) |
Kuwait | Ebrahim, Alkazemi, Zafar, & Kubow (2019) [86] | N = 400, Male, university students | Cross sectional | Body Builder Image Grid | Body dissatisfaction: 69%, desire to lose body fat associated with disordered eating attitudes | OR = 1.898 [1.214–2.967], p = 0.005 |
Kuwait | Musaiger & Al- Mannai (2013) [26] | N = 228, female, university students, age 19–25 | Cross sectional | Questions validated by Field et al., 2005, translated into Arabic | Body dissatisfaction: non-obese: 30%, obese: 81%. 21.6% of non-obese perceived themselves as overweight | not reported |
Lebanon | Zeeni, Gharibeh, & Katsounari (2013) [23] | N = 400, female, university students in Cyprus (n = 200) and Lebanon (n = 200) | Cross sectional | Dutch eating behavior questionnaire | Association between restrained and emotional eating | M (SD): restrained = 29.20 (0.71), emotional eating = 37.76 (0.98), external eating = 33.33 (0.51), p < 0.05, |
Qatar | Bener, Kamal, Tewfik, & Sabuncuoglu (2006) [35] | N = 800, male, age 14–19 | Case control (dieting) | Adolescent dieting scale Self- reporting questionnaire | Extreme dieting: 10.1% | not reported |
Qatar | Musaiger, Shahbeek, & Al-Mannai (2004) [15] | N = 535, male, age 20–67, primary health care center visitors | Cross sectional | 9- figure silhouettes | Desire to be thin: 21.6%, low education 40%, mid-level education 45%, high education 53%. Desire to be thin was associated with age and education | Thin ideal, education: p = 0.0001, age > 40 years p = 0.0001 |
Saudi Arabia | Al- Subaie (2000) [87] | N = 1179, female, mean age = 16.1 | Cross sectional | EDI 2 DT | Desire to be thin: 15.9% | M = 6.7, SD not reported |
Saudi Arabia | Fallatah, Al-Hemairy, & Al-Ghamidi (2015) [66] | N = 425,female, age 15–18 | Cross sectional | EAT 26 | Prevalence of dieting not reported | Dieting: 9.38 (7.0) |
UAE | Eapen, Mabrouk, & bin Othman (2006) [20] | N = 495, female, age 13–18 | Cross sectional | EAT 40 | Thin ideal: 66% preferred a slimmer body than their actual body. Desire to be thin associated with elevated EAT 40 scores | p < 0.0001 |
Country | Authors (year) | Participants | Study design | Measures | Eating disorder-related variables | M (SD)/OR [95% C.I.]/ r |
UAE | O’Hara et al., (2016) [74] | N = 420, female, mean age = 23.12, university students | Cross sectional | EAT 26 Teasing frequency from Project eating attitudes and teens Weight and body related shame and guilt scale | Dieting associated with body dissatisfaction | r = 0.66, p < 0.001 |
UAE | Sawadi, Bener, & Darmaki (2000) [88] | N = 540, female, age 11–19 | Cross sectional | Adolescent dieting scale | Dieting: 89.4% dieting, 9.1% extreme dieting | not reported |
UAE | Schulte & Thomas (2013) [89] | N = 361, 284 female, 77 male, age 11–19, university students | Cross sectional | EAT 26 | Body image dissatisfaction: 73%, female: 78%, male: 58%, body dissatisfaction associated with desire to be thin and elevated EAT score | Desire to be thin: χ2(2) = 27.083, p < 0.001, EAT: t(348), p < 0.001 |
UAE | Schulte (2016) [90] | N = 236, mean age = 19.78 | Cross sectional | Body esteem scale, emotional eating scale, Weight and body related shame and guilt scale | Disturbed eating behavior and body dissatisfaction associated with binge eating | M (SD): body related shame = 8.00 (8.00), body related guilt = 11.50 (9.00). Associations with binge eating: disturbed eating behavior: p < 0.001, body dissatisfaction: p < 0.001 |
UAE | Thomas, Khan, & Abdulrahman (2010) [14] | N = 228, female, mean age = 19.8, university students | Cross sectional | EAT 26 FRS | Body dissatisfaction: 74.8%, association between body image dissatisfaction and disturbed eating behavior | r = 0.27, p = 0.01 |