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Is Ramadan fasting correlated with disordered eating behaviours in adolescents?

Eating Disorders Aug 28, 2019

Düzçeker Y, Akgül S, Durmaz Y, et al. - Among 238 fasting and 49 non-fasting adolescents, researchers investigated examined how Ramadan fasting, a spiritual factor with prolonged hunger, is associated with disordered eating behaviors. In June 2016 (11th–29th days of Ramadan), they performed this study. The Eating Attitudes Test-26 (EAT-26) and Three Factor Eating Questionnaire-R18 (TFEQ-R18) were used to assess the risk of disordered eating. Using Stunkard’s Figure Rating Scale and a 24-hour dietary recall, they rated body image dissatisfaction and assessed nutritional status, respectively. The analysis revealed that the groups had no significant difference regarding 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 there were only 8 (3.4%) who reported fasting for losing weight. In 39 (16.8%) adolescents who fasted for religious purposes, the EAT-26 total scores were in the pathological range. Findings thereby suggest spiritual decisions rather than weight control or other factors as the motivation factors for adolescents to fast during Ramadan. No correlation of Ramadan fasting with disordered eating behaviors or body image dissatisfaction was noted.
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