Body image perception, eating disorder behavior, self-esteem and quality of life: a cross-sectional study among female medical students

J Eat Disord. 2023 Dec 15;11(1):225. doi: 10.1186/s40337-023-00945-2.

Abstract

Background: Eating disorders are strongly associated with body image concerns. Eating disorders tend to significantly impact the current and future health and quality of life of affected persons, their caregivers, and society. As body image is based on a social construct of ideal body image, it is essential to evaluate it in its cultural context.

Methods: The current study explored the relationship among body image perception, perceived stress, eating disorder behaviour and quality of life among female medical students (n = 777). Measurements included Body Shape Questionnaire, Body Image Quality of Life Inventory, Eating Attitudes Test-26 and Rosenberg Self-Esteem Scale. Multivariate analysis was conducted.

Results: There was a significant correlation between eating disorder behaviour and perceived body shape, body image, quality of life and self-esteem among our study participants. We also found eating disorder status was significantly associated with BMI, perceived body shape, quality of life and self-esteem.

Conclusions: This is of clinical implication to female medical students and healthcare professionals to engage early in primary and secondary prevention of eating pathologies. Increasing awareness of these facts among female students can help identify at-risk students and help them seek timely medical help.

Keywords: Body Image perception; Eating disorders; Quality of life; Self-esteem.

Plain language summary

Eating disorders significantly impact the current and future health and quality of life of affected persons, their caregivers, and society. Young people are persistently flooded with social media conceptualizations of what beauty should look like. The current study explored the relationship between how we perceive our body, perceived stress, maladaptive eating behaviours and quality of life among female medical students (n=777). Measurements included those measuring perceived body shape and body image, quality of life, eating attitudes, and self-esteem. We found that a preoccupation with weight and food, crash diets, fasting, binge eating, and purging behaviours was related to how we perceived our body shape, our quality of life and self-esteem among the study participants. This is important for female medical students and healthcare professionals because it enables them to identify students at risk of eating disorders and assist them in obtaining timely medical help, thus promoting early prevention.