Disordered Eating Attitudes and Their Association with Age, BMI, Stress, and Diet in College Students

Objective: College students are at risk of disordered eating, particularly students with overweight/obesity and with higher stress, but little is known about how disordered eating may be related to diet. This study evaluated the associations between the Disordered Eating Attitudes Scale (DEAS) and age, BMI, stress, and diet. Methods: This is a secondary analysis of the baseline data in participants from the Snackability Trial. Participants completed a questionnaire on socio-demographics, DEAS, and snacking, self-reported their weight and height (to calculate BMI), and completed two 24 h non-consecutive dietary recalls (to calculate diet quality using HEI-2015 and snack quality score using an algorithm developed by our group). Associations between variables were assessed with Spearman correlations. Results: A total of 140 participants completed all assessments. The median age was 21.0 and the median BMI was 28.5 kg/m 2 (43.7% had overweight and 41.5% had obesity). A total of 86.4% were females, 41.4% were white, 51.4% were low-income, and 30.7% were Hispanic/Latino. The total DEAS and the subscale ‘Relationship with food’ were positively correlated with stress and BMI ( p < 0.05) but inversely correlated with HEI-2015 ( p < 0.05). The subscales ‘Restrictive and compensatory behaviors’ and ‘Concern about food and weight gain’ were also positively correlated with stress ( p < 0.001). Conclusion: College students with higher disordered eating attitudes also had higher stress and BMI but poorer diet quality. Interventions may be needed for this group to manage stress and improve weight and diet quality, as well as promote awareness about disordered eating attitudes.