Obesity in the University Setting: An Assessment of Risk Factors Associated with College-aged Overweight and Obesity

Objective: Overweight and obesity are increasing among college students, but risk factors have not been evaluated in this population. In this study, we assesses whether abnormal eating perceptions and disordered eating behaviors are associated with a higher frequency of overweight in college students. We also evaluate potential screening questions for overweight young adults. Research Methods: A sample of undergraduates at three universities (n=4201) voluntarily completed an electronic survey containing demographic questions and the Eating Attitudes Test-26 (EAT- 26) questionnaire. Subjects were stratified by BMI classifications of normal weight and overweight/obese, and these groups were evaluated for their relationship with EAT -26 score, purging behaviors, and routine physical activity. Questions expected to be useful screening questions for overweight were selected from the EAT -26 survey and assessed for their relationship to overweight. Results: A modified EAT-26 score of >=11 was associated with overweight (p=0.016). Compared to normal weight subjects, overweight subjects also displayed an increased fear of bingeing, preoccupation with food, desire to be thinner, and dieting behaviors. Mean BMI increased with age and was higher in those reporting physical inactivity (p