Eating Disorders Risk, Depression and Body Dissatisfaction among Iranian Females Participating in Sports

Background: The prevalence of eating disorders among young adults is rapidly increasing. However, a few studies have examined the risk of eating disorders and psychological factors of body dissatisfaction and stress in females of non-Western societies. The current study was designed to assess the correlations between eating disorders risk and body image and depression among Iranian females. Methods: The participants were 221 females attending sports clubs in Tehran. The 26-item Eating Attitudes Test (EAT-26), Photographic Figure Rating Scale, and the Beck Depression Inventory were used. An EAT-26 score of ≥ 20 was considered as eating disorder risk cutoff. Results: Approximately 50% of the participants were at higher risk of developing eating disorders. Additionally, 62.4% reported a history of overeating, and 43% reported the experience of being unable to control their eating and food intake. Using Spearman correlation analysis, we found significant associations between eating disorders risk and depression, body dissatisfaction, and anthropometric indices. In addition, weight control behaviors were prevalent in subjects, with dieting (43%) and exercise (31.2%) being the most prevalent strategies. Conclusion: This study found a high prevalence of disordered eating. The findings revealed that poor psychological state may increase eating disorders risk. This warrants improving awareness and developing appropriate interventions targeting depression and body image satisfaction among females.