Author(s): Nisha. S., Nisha E.K., Athira, Muhammed Rafi I.

Email(s): nishahemanth1978@gmail.com , muhammedrafipersonal@gmail.com

DOI: 10.52711/2454-2660.2026.00021   

Address: Nisha. S.1, Nisha E.K.2, Athira3, Muhammed Rafi I.4
1Principal, Mental Health Nursing, Red Crescent College of Nursing, Kozhikode, Kerala, India.
2HOD, Mental Health Nursing, Red Crescent College of Nursing, Kozhikode, Kerala, India.
3Lecturer, Nursing Research, Red Crescent College of Nursing, Kozhikode, Kerala, India.
4 HOD, Nursing Research, Red Crescent College of Nursing, Kozhikode, Kerala, India.
*Corresponding Author

Published In:   Volume - 14,      Issue - 2,     Year - 2026


ABSTRACT:
Eating disorders represent serious psychiatric illnesses with major physical and psychological health consequences, especially among adolescents. Early identification of eating disorder risk is critical for timely intervention and reducing morbidity and mortality. To assess the prevalence of eating disorder risk among adolescents in selected educational institutions of Kozhikode district and to evaluate the association between eating disorder risk and selected demographic variables. A descriptive cross-sectional study was conducted among 100 adolescents aged 13–18 years selected using convenience sampling from two coaching centers in Kozhikode district from April 1 to April 30, 2025. Data collection included a socio-demographic questionnaire and the Modified Eating Attitudes Test-26 (EAT-26) to assess eating disorder risk. Based on total scores, eating disorder risk was categorized as low concern (0–9), middle concern (10–19), and clinically significant risk (=20). Data were analyzed using descriptive statistics and Chi-square tests for association with demographic factors, with p < 0.05 considered significant. Among participants, 63% were aged 13–15 years, 62% were high school students, and 68% belonged to nuclear families. The majority (75%) preferred homely food and 85% followed a mixed diet. Prevalence of eating disorder risk was as follows: low concern 52%, middle concern 31%, and clinically significant risk 17%. Physical activity showed a significant association with eating disorder risk (?² = 28.37, p < 0.05), whereas age, religion, place of residence, type of family, BMI, food habits, educational status, income, school location, food preference, and meal skipping showed no significant associations. Eating disorder risk is prevalent among adolescents in Kozhikode, with nearly half exhibiting moderate or high-risk levels. Physical activity is a significant associated factor. Increasing awareness, early screening, and targeted interventions in educational settings are urgently needed.


Cite this article:
Nisha. S., Nisha E.K., Athira, Muhammed Rafi I. Prevalence of Eating Disorder Risk among Adolescents in selected Educational Institutions of Kozhikode District, Kerala, India. International Journal of Nursing Education and Research. 2026;14(2):107-0. doi: 10.52711/2454-2660.2026.00021

Cite(Electronic):
Nisha. S., Nisha E.K., Athira, Muhammed Rafi I. Prevalence of Eating Disorder Risk among Adolescents in selected Educational Institutions of Kozhikode District, Kerala, India. International Journal of Nursing Education and Research. 2026;14(2):107-0. doi: 10.52711/2454-2660.2026.00021   Available on: https://ijneronline.com/AbstractView.aspx?PID=2026-14-2-4


REFERENCES:
1.    Suarez-Albor CL, Galletta M, Gómez-Bustamante EM. Factors associated with eating disorders in adolescents: A systematic review. Acta Biomed. 2022; 93(3): e2022253.
2.    Krishna S, Olickal JJ, Sarma PS, Thankappan KR, KR T. Prevalence and Factors Associated With Eating Disorder Risk Among College Students in Kerala, India: A Cross-Sectional Study. Cureus. 2025; 17(3).
3.    Whitaker AH. Epidemiological study of anorectic and bulimic symptoms in adolescent girls: implications for pediatricians. Pediatr Ann. 1992; 21(11):752-9.
4.    Qian J, Wu Y, Liu F, et al. An update on the prevalence of eating disorders in the general population: a systematic review and meta-analysis. Eat Weight Disord. 2021 Apr.
5.    Faujdar R, Sharma A, Jeswani M, et al. Prevalence of Eating Disorder among Indian Adolescent Students. Res J Med Sci. 2024; 18:304-307.
6.    Karthika K. Prevalence of Eating Disorders among Adolescents in Kottayam District, Kerala. Int Conf Mark Technol Soc. 2020.
7.    Garfinkel PE, Newman A. The Eating Attitudes Test: validation in a female population and implications for clinical use. Psychol Med. 1979; 9(2):273-9.
8.    Tomy C, Mathew KA, Jith A. Risk of eating disorders and its association with body image concerns, depression, anxiety and stress among medical students in Kerala. Kerala J Psychiatry. 2021; 34(2): 105-11.
9.    Hadaye RS, Rahini S. Prevalence of eating disorders among senior college students in a metropolitan city. J Educ Health Promot. 2024; 13(1):343.
10.    Rajakumar BA, Dulipala P, Kiran R. Prevalence and Risk Factors of Eating Disorders among Students in Guntur, South India: A Cross-Sectional Study. Int J Prevent Evid Based Med. 2024.
11.    Jain S, Singhal H, Barlingay R, Malhotra K. Association of Socioeconomic Factors With Disordered Eating: An Empirical Study In India. Int J Behav Sci. 2024; 18(2):98-103.
12.    Mr. Mukesh Kumar. A Quasi Experimental Study to assess the effectiveness of Structured Teaching Programme on Knowledge regarding eating disorders among adolescent girls in selected senior secondary school at Sangrur Punjab India. Int. J. Nur. Edu. and Research. 2020; 8(2): 241-244.
13.    P. Balakrishnan. A Comparative study to assess the knowledge and attitude of adolescents (16-18 years) regarding alcoholism and its hazards between selected rural and urban Pre-University College at Bangalore. Asian J. Nur. Edu. & Research. 2011; 1(1): 31-36.
14.    Lissa Paul,Ramya K. R.. Knowledge and Attitude towards Alcoholism among Adolescents. Asian J. Nur. Edu. and Research. 2012; 2(4): 212-214
15.    Hepsi Bai J. Knowledge of Parent’s of Adolescents Regarding Adolescence Health. Asian J. Nur. Edu. & Research. 2014; 4(2): 232-234.
16.    Linta T Abraham, Usha M Thomas, Sheela Williams, Anitha V N, Janet Mathias. A Study to Assess the Lifestyle Associated Risk Factors for Selected Non Communicable Diseases and to Determine the Effectiveness of Structured Teaching Programme on Health Promotive behaviors among Adolescents in the selected PU Colleges of Mysore. Asian J. Nur. Edu. & Research. 2014; 4(2): 182-186.
17.    Ramya K. R., Kiran Batra. Perception and Knowledge of Coronary Heart Disease among Adolescents of Kerala. Asian J. Nur. Edu. and Research. 2015; 5(3): 327-330.
18.    Sumanpreet Kaur. A Descriptive Study to Assess the Prevalence of Cardiovascular risk factors among Adolescents in Selected Schools of Banga, District Shaheed Bhagat Singh Nagar, Punjab. Asian J. Nur. Edu. and Research. 2016; 6 (3): 361-370.
19.    Reeta Jebakumari, Nalini Jayavanth Santha. Adolescents – Need to be Cared!. Int. J. Adv. Nur. Management. 2014; 2(2): 112-117.
20.    S. R. Peter. A Comparative Study to Assess the knowledge and Self Expressed Practice Regarding Minor Disorders during Pregnancy and its Home Management among Thin and Obese Pregnant Women with View to Develop Booklet in Selected Government Hospital, Raipur (C.G.). Int. J. Adv. Nur. Management. 2014; 2(3): 132--133.
21.    Sukhbir Kaur, Triza Jiwan. Comparison of Adjustment among Adolescent Boys and Girls of Substance Using Parents. Int. J. Adv. Nur. Management. 2016; 4(3): 264-270.
22.    Hemaxi Patel, Jeenath Justin Doss, Suneesah. A Study to Evaluate the Effectiveness of Planned Teaching Programme on Knowledge regarding Healthy Life Style to Prevent Cardio Vascular Disease among Adolescents in Selected College at Rajkot. Int. J. of Advances in Nur. Management. 2018; 6(2): 146-148.
23.    Dr. Nisha S, Prof Nisha EK, Mrs. Athira, Prof Muhammed Rafi I. Prevalence of Eating Disorder Risk Among Adolescents in Selected Educational Institutions of Kozhikode District, Kerala, India. Red Crescent College of Nursing, Kozhikode, Kerala, India. April 2025.


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