"Drunkorexia": exploring the who and why of a disturbing trend in college students' eating and drinking behaviors

J Am Coll Health. 2014;62(8):570-7. doi: 10.1080/07448481.2014.947991.

Abstract

Objective: "Drunkorexia," limiting food intake before alcohol consumption, increases college students' risk for negative alcohol-related health consequences. The current study tested whether (1) women engage in drunkorexia more frequently than men; (2) weight control motivations explain sex differences in drunkorexia; and (3) among women, weight control motivations are a particularly strong predictor of drunkorexia for heavier drinkers.

Participants: Undergraduate males and females (N = 63) recruited during fall of 2011.

Methods: PARTICIPANTS self-reported their alcohol consumption, drunkorexia, and weight control motivations online.

Results: Findings supported hypotheses: weight control motivations explained why women engage in drunkorexia more than men; and the weight control motivation → drunkorexia relation was strongest for heavier- (vs lighter-) drinking women.

Conclusion: Women have more weight concerns than men, which makes them more likely to engage in drunkorexia. Heavy-drinking women with strong weight control motivations are at greatest risk for drunkorexia. Interventions should help students more safely reconcile pressures to be thin and drink alcohol.

Keywords: alcohol; gender; nutrition.

MeSH terms

  • Adolescent
  • Alcohol Drinking in College / psychology*
  • Feeding Behavior / psychology*
  • Female
  • Humans
  • Male
  • Nutrition Surveys
  • Students / psychology*
  • Students / statistics & numerical data
  • Universities / trends*
  • Young Adult