Risk of eating disorders and its association with body image concerns, depression, anxiety and stress among medical students in a college in Kerala

Background: Eating disorders are one of the most under-recognised psychiatric conditions which can lead to considerable morbidity. With their high workloads, academic pressure, and peer influence, medical students may be more likely to develop eating disorders. This study aimed to assess the prevalence of eating disorders among medical students in a college in Kerala.  It was also planned to find its association with body shape concerns, depression, anxiety and stress. Methods: A cross-sectional study was conducted among 472 undergraduate medical students and interns at a medical college in Kerala. Socio-demographic proforma, Eating Attitudes Test-26 (EAT-26), Body Shape Questionnaire-8C (vBSQ-8C), Depression, Anxiety and Stress Scale-21(DASS-21)-were administered after obtaining informed written consent. Statistical analysis was done using the chi-square test and Pearson correlation. Results: The prevalence of risk of eating disorders among medical students was 19.1%. Depression, anxiety and stress were significantly associated with the risk of eating disorders (p=0.034, p=0.001 and p=0.001, respectively). A positive correlation was found between the risk of eating disorders, body shape concerns and body mass index (p=0.001). Conclusion: A considerable risk of eating disorders was noted among medical students in Kerala. Body shape concerns and symptoms suggestive of depression, anxiety, and stress showed a significant association with the risk of eating disorders. Increased awareness and early identification can help institute timely interventions.