R. Sands et al., DISORDERED EATING PATTERNS, BODY-IMAGE, SELF-ESTEEM, AND PHYSICAL-ACTIVITY IN PREADOLESCENT SCHOOL-CHILDREN, The International journal of eating disorders, 21(2), 1997, pp. 159-166
Objective: Eating disorders have been typically defined as an ''adoles
cent problem.'' As a result of emerging evidence which indicated this
health problem to be evident in the pre-pubescent age range, this stud
y aimed to establish prevalence and factors associated with eating/die
ting, physical activity, and body image among a nonclinical, naturalis
tically-derived sample of preadolescent (aged 10 and 11) school childr
en (n = 61). Method: This cohort of children, which represented the en
tire grade 6 class of a suburban Elementary school, was measured for b
ody image satisfaction [silhouettes], a participation in activity inde
x, a self-worth scale and a measure of eating attitudes & behavior [Ea
ting and Me scale [E & M]]. Results: The longitudinal assessment of bo
dy image [3 measures over 9 months] indicated signs of stability of ''
actual'' assessments of body image for males, but marked changes for f
emales who preferred to be ideally ''chunkier'' in stature over time.
Physical activity was only implicated with bulimia for the male sub-gr
oup. The E & M scale reported a Cronbach's alpha of .76, with two fact
ors [bulimia; drive for thinness/anorexia] representing 65% of the tot
al variance. Moderate internal validity [r .58] between body dissatisf
action on the E & M scale and the silhouette measure was observed. Dis
cussion: These results demonstrated that body image views and concerns
appeared before puberty, that gender differences prevailed with respe
ct to eating/dieting, activity and body image, and that the E & M scal
e has emerged as a promising research tool. The longitudinal nature of
this study of eating disorders also promotes the need for qualitative
research methodology and attention to pre-pubertal cognitive/perceptu
al processes. (C) 1997 by John Wiley & Sons, Inc.