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The risk of eating disorders and bone health in young adults: the mediating role of body composition and fitness

dc.contributor.authorGarrido-Miguel M.
dc.contributor.authorTorres-Costoso A.
dc.contributor.authorMartínez-Andrés M.
dc.contributor.authorNotario-Pacheco B.
dc.contributor.authorDíez-Fernández A.
dc.contributor.authorÁlvarez-Bueno C.
dc.contributor.authorGarcía-Prieto J.C.
dc.contributor.authorMartínez-Vizcaíno V.
dc.date.accessioned2020-09-02T22:18:56Z
dc.date.available2020-09-02T22:18:56Z
dc.date.issued2019
dc.identifier10.1007/s40519-017-0458-x
dc.identifier.citation24, 6, 1145-1154
dc.identifier.issn11244909
dc.identifier.urihttps://hdl.handle.net/20.500.12728/4664
dc.descriptionPurpose: To analyze the independent relationship between the risk of eating disorders and bone health and to examine whether this relationship is mediated by body composition and cardiorespiratory fitness (CRF). Methods: In this cross-sectional study, bone-related variables, lean mass, fat mass (by DXA), risk of eating disorders (SCOFF questionnaire), height, weight, waist circumference and CRF were measured in 487 university students aged 18–30 years from the University of Castilla-La Mancha, Spain. ANCOVA models were estimated to test mean differences in bone mass categorized by body composition, CRF or risk of eating disorders. Subsequently, linear regression models were fitted according to Baron and Kenny’s procedures for mediation analysis. Results: The marginal estimated mean ± SE values of total body bone mineral density for the categories “no risk of eating disorders” and “risk of eating disorders” were 1.239 ± 0.126 < 1.305 ± 0.089, P = 0.021. However, this relationship disappeared after adjustment for any of the parameters of body composition or CRF. Therefore, all body composition parameters (except for lean mass) and CRF turned out to be full mediators in the association between the risk of eating disorders and bone health in young adults. Conclusions: Body composition and CRF mediate the association between the risk of eating disorders and bone health. These findings highlight the importance of maintaining a healthy weight and good CRF for the prevention of the development of eating disorders and for the maintenance of good bone health in young adults. Level of Evidence: Level V, cross-sectional descriptive study. © 2017, Springer International Publishing AG, part of Springer Nature.
dc.language.isoen
dc.publisherSpringer International Publishing
dc.subjectBody composition
dc.subjectBody Mass Index
dc.subjectBone health
dc.subjectCardiorespiratory fitness
dc.subjectCollege students
dc.subjectEating disorders
dc.subjectWaist circumference
dc.subjectadult
dc.subjectArticle
dc.subjectbody composition
dc.subjectbody height
dc.subjectbody weight
dc.subjectbone
dc.subjectbone density
dc.subjectcardiorespiratory fitness
dc.subjectcross-sectional study
dc.subjecteating disorder
dc.subjectfat mass
dc.subjectfemale
dc.subjectfitness
dc.subjecthuman
dc.subjectlean body weight
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectobservational study
dc.subjectrisk
dc.subjectSCOFF questionnaire
dc.subjectuniversity student
dc.subjectwaist circumference
dc.subjectyoung adult
dc.subjectadolescent
dc.subjectbone density
dc.subjectcardiorespiratory fitness
dc.subjecteating disorder
dc.subjectphoton absorptiometry
dc.subjectrisk
dc.subjectSpain
dc.subjectAbsorptiometry, Photon
dc.subjectAdolescent
dc.subjectAdult
dc.subjectBody Composition
dc.subjectBone Density
dc.subjectCardiorespiratory Fitness
dc.subjectCross-Sectional Studies
dc.subjectFeeding and Eating Disorders
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectRisk
dc.subjectSpain
dc.subjectYoung Adult
dc.titleThe risk of eating disorders and bone health in young adults: the mediating role of body composition and fitness
dc.typeArticle


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