Objective: The fact that young people's excessive internet use, which can be defined as addiction, may cause health problems, including eating disorders and obesity. This cross-sectional descriptive study aimed to determine the associations between internet addiction and the eating attitudes of university students. Material and Methods: This study was conducted with 509 undergraduate students. The short version of Young's Internet Addiction Test was used to identify internet addiction, and Eating Attitude Test was used to determine irregular eating patterns. Results: As internet addiction increased, the risk of eating disorders, obesity anxiety, and excessive interest in losing weight among the participants increased simultaneously (p<0.001). The regression analysis revealed that internet addiction might be associated with the eating attitudes of university students (R2=0.03, df1,2=1-507, F=15.185, p<0.001). The body mass index (BMI) of all problematic internet users was ≥30 kg/m2 (30.5±8.31). Conclusion: Although the internet has become an essential part of our lives, excessive use may bring the risk of addiction and also may trigger eating disorders. In this study, it was observed that internet addiction might cause an increase in BMI. Accordingly, as the students actualize the contents on the internet in real life and the effects on their eating behavior and choices increase, the risk of impairment in their eating attitudes increases. Consequently, there is a need to raise awareness about being a conscious internet user.
Keywords: Students; internet addiction disorder; eating behavior; feeding and eating disorders; obesity
Amaç: Bağımlılık olarak da tanımlanabilecek olan genç bireylerin aşırı internet kullanımı, yeme bozuklukları ve obezite gibi sağlık sorunlarına yol açabilir. Bu kesitsel tanımlayıcı çalışmada, üniversite öğrencilerinin internet bağımlılık düzeyleri ile yeme tutumları arasındaki ilişkinin belirlenmesi amaçlanmıştır. Gereç ve Yöntemler: Bu çalışma, 509 lisans öğrencisi ile gerçekleştirilmiştir. Çalışmada, öğrencilerin internet bağımlılığını belirlemek için Young'ın İnternet Bağımlılığı Testi'nin kısa versiyonu, düzensiz yeme örüntülerini belirlemek için ise Yeme Tutum Testi kullanılmıştır. Bulgular: Çalışmadan elde edilen verilere göre üniversite öğrencilerinin internet bağımlılık düzeyleri arttıkça yeme bozuklukları riski, obezite kaygıları ve kilo vermeye aşırı ilgileri de aynı anda artmaktadır (p<0,001). Regresyon analizi bulguları, internet bağımlılığının üniversite öğrencilerinin yeme tutumları ile ilişkili olabileceğini ortaya koymaktadır (R2=0,03, df1,2=1-507, F=15,185, p<0,001). Üniversite öğrencileri arasında tüm problemli internet kullanıcılarının beden kİtle indeksi (BKİ) ≥30 kg/m2 (30,5±8,31) olarak tespit edilmiştir. Sonuç: İnternet, hayatımızın vazgeçilmez bir parçası hâline gelse de aşırı kullanımının bağımlılık riskini de beraberinde getirdiği ve yeme bozukluklarını tetikleyebildiği unutulmamalıdır. Bu çalışmada, internet bağımlılığının BKİ üstünde artışa neden olabileceği gözlenmiştir. Dolayısıyla üniversite öğrencilerinin internetteki içerikleri gerçek hayatlarına uyguladıkça ve bu durumun yeme davranışlarına ve seçimlerine etkileri arttıkça yeme tutumlarında bozulma riski de artmaktadır. Sonuç olarak, toplumda bilinçli bir internet kullanıcısı olma konusunda farkındalık yaratılmasına ihtiyaç olduğu görülmektedir.
Anahtar Kelimeler: Öğrenciler; internet bağımlılığı bozukluğu; yeme alışkanlığı; beslenme ve yeme bozuklukları; obezite
- Hinojo-Lucena FJ, Aznar-Díaz I, Cáceres-Reche MP, Trujillo-Torres JM, Romero-Rodríguez JM. Problematic internet use as a predictor of eating disorders in students: a systematic review and meta-analysis study. Nutrients. 2019;11(9):2151. [Crossref] [PubMed] [PMC]
- American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorder. 5th ed. Washington, DC: American Psychiatric Publishing, Inc; 2013. [Crossref]
- Saul J, Rodgers RF, Saul M. Adolescent eating disorder risk and the social online world: an update. Child Adolesc Psychiatr Clin N Am. 2022;31(1):167-77. [Crossref] [PubMed]
- Giordano S. Eating disorders and the media. Curr Opin Psychiatry. 2015;28(6):478-82. [Crossref] [PubMed]
- Crombie AP, Ilich JZ, Dutton GR, Panton LB, Abood DA. The freshman weight gain phenomenon revisited. Nutr Rev. 2009;67(2):83-94. [Crossref] [PubMed]
- Chen HY, Yarnal C, Bram B. "Borrowing happiness from the future": exploring college students' own experiences on health-related lifestyles. Journal of College & Character. 2017;18(2):112-29. [Crossref]
- Thorpe MG, Kestin M, Riddell LJ, Keast RS, McNaughton SA. Diet quality in young adults and its association with food-related behaviours. Public Health Nutr. 2014;17(8):1767-75. [Crossref] [PubMed]
- Young KS. Internet addiction a new clinical phenomenon and its consequences. American Behavioral Scientist. 2004;48(4):402-15. [Crossref]
- Van Den Eijnden RJJM, Lemmens JS, Valkenburg PM. The Social Media Disorder Scale: Validity and psychometric properties. Computers in Human Behavior. 2016;61:478-87. [Crossref]
- Oksanen A, Garcia D, Sirola A, Näsi M, Kaakinen M, Keipi T, et al. Pro-anorexia and anti-pro-anorexia videos on YouTube: sentiment analysis of user responses. J Med Internet Res. 2015;17(11):e256. [Crossref] [PubMed] [PMC]
- Syed-Abdul S, Fernandez-Luque L, Jian WS, Li YC, Crain S, Hsu MH, et al. Misleading health-related information promoted through video-based social media: anorexia on YouTube. J Med Internet Res. 2013;15(2):e30. [Crossref] [PubMed] [PMC]
- Holland G, Tiggemann M. "Strong beats skinny every time": disordered eating and compulsive exercise in women who post fitspiration on Instagram. Int J Eat Disord. 2017;50(1):76-9. [Crossref] [PubMed]
- Smith AR, Hames JL, Joiner TE Jr. Status update: maladaptive Facebook usage predicts increases in body dissatisfaction and bulimic symptoms. J Affect Disord. 2013;149(1-3):235-40. [Crossref] [PubMed]
- Tiggemann M, Slater A. NetGirls: the Internet, Facebook, and body image concern in adolescent girls. Int J Eat Disord. 2013;46(6):630-3. [Crossref] [PubMed]
- Turner PG, Lefevre CE. Instagram use is linked to increased symptoms of orthorexia nervosa. Eat Weight Disord. 2017;22(2):277-84. [Crossref] [PubMed] [PMC]
- Walker M, Thornton L, De Choudhury M, Teevan J, Bulik CM, Levinson CA, et al. Facebook use and disordered eating in college-aged women. J Adolesc Health. 2015;57(2):157-63. [Crossref] [PubMed] [PMC]
- Carrotte ER, Vella AM, Lim MS. Predictors of "liking" three types of health and fitness-related content on social media: a cross-sectional study. J Med Internet Res. 2015;17(8):e205. [Crossref] [PubMed] [PMC]
- Dakanalis A, Carrà G, Calogero R, Fida R, Clerici M, Zanetti MA, et al. The developmental effects of media-ideal internalization and self-objectification processes on adolescents' negative body-feelings, dietary restraint, and binge eating. Eur Child Adolesc Psychiatry. 2015;24(8):997-1010. [Crossref] [PubMed]
- Murray RS, Larry JS. Shaum's Outlines of Theory and Problems of Statistics. 4th ed. New York: The McGraw-Hill Companies, Inc; 2008.
- Pawlikowski M, Altstötter-Gleich C, Brand M. Validation and psychometric properties of a short version of Young's Internet Addiction Test. Computers in Human Behavior. 2013;29(3):1212-23. [Crossref]
- Kutlu M, Savci M, Demir Y, Aysan F. Turkish adaptation of Young's Internet Addiction Test-Short Form: a reliability and validity study on university students and adolescents. Anatolian Journal of Psychiatry. 2016;17:69-76. [Crossref]
- Meerkerk GJ. Pwned by the internet: Explorative research into the causes and consequences of compulsive internet use. University Medical Center Rotterdam. 2007. Cited: November 18, 2022. Available from: [Link]
- Garner DM, Garfinkel PE. The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychol Med. 1979;9(2):273-9. [Crossref] [PubMed]
- Savaşır I, Erol N. Yeme tutum testi: Anoreksia nervosa belirtiler indeksi. Journal of Psychology. 1989;7(23):19-25. [Link]
- Bolton RN, Parasuraman A, Hoefnagels A, Migchels N, Kabadayi S, Gruber T, et al. Understanding Generation Y and their use of social media: a review and research agenda. Journal of Service Management. 2013;24(3):245-67. [Crossref]
- Chen IH, Strong C, Lin YC, Tsai MC, Leung H, Lin CY, et al. Time invariance of three ultra-brief internet-related instruments: Smartphone Application-Based Addiction Scale (SABAS), Bergen Social Media Addiction Scale (BSMAS), and the nine-item Internet Gaming Disorder Scale- Short Form (IGDS-SF9) (Study Part B). Addict Behav. 2020;101:105960. [Crossref] [PubMed]
- Kuss DJ, Griffiths MD. Online social networking and addiction--a review of the psychological literature. Int J Environ Res Public Health. 2011;8(9):3528-52. [Crossref] [PubMed] [PMC]
- Monacis L, de Palo V, Griffiths MD, Sinatra M. Social networking addiction, attachment style, and validation of the Italian version of the Bergen Social Media Addiction Scale. J Behav Addict. 2017;6(2):178-86. [Crossref] [PubMed] [PMC]
- Hardie E, Tee MY. Excessive internet use: the role of personality, loneliness and social support networks in internet addiction. Australian Journal of Emerging Technologies and Society. 2007;5(1):34-47. ISSN 1449-0706
- Afifi TO, Sareen J, Fortier J, Taillieu T, Turner S, Cheung K, et al. Child maltreatment and eating disorders among men and women in adulthood: Results from a nationally representative United States sample. Int J Eat Disord. 2017;50(11):1281-96. [Crossref] [PubMed] [PMC]
- Brierley ME, Brooks KR, Mond J, Stevenson RJ, Stephen ID. The body and the beautiful: health, attractiveness and body composition in men's and women's bodies. PLoS One. 2016;11(6):e0156722. [Crossref] [PubMed] [PMC]
- Cao F, Su L. Internet addiction among Chinese adolescents: prevalence and psychological features. Child Care Health Dev. 2007;33(3):275-81. [Crossref] [PubMed]
- Alkan H, Doğan B. A research of the relationship between high school students' social media usage and their well-being. International Journal of Educational Research Review. 2018;3(4):97-102. [Crossref]
- Rodgers RF, Skowron S, Chabrol H. Disordered eating and group membership among members of a pro-anorexic online community. Eur Eat Disord Rev. 2012;20(1):9-12. [Crossref] [PubMed]
- Rouleau CR, von Ranson KM. Potential risks of pro-eating disorder websites. Clin Psychol Rev. 2011;31(4):525-31. [Crossref] [PubMed]
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