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Eur Eat Disord Rev. 2008 Nov;16(6):427-35. doi: 10.1002/erv.876.

Cross-cultural differences in the macronutrient intakes of women with anorexia nervosa in Australia and Singapore.

Author information

1
Child and Adolescent Mental Health Services, Northern Sydney Central Coast Area Health Service, New South Wales, Australia. nsoh@nsccahs.health.nsw.gov.au

Abstract

AIM:

To compare the macronutrient intakes of women with and without anorexia nervosa (AN) across cultures.

METHOD:

Participants were women with AN (n = 39) and without AN (n = 89) of North European and East Asian backgrounds recruited in Australia and Singapore. Energy and the percentage energy contributed by protein (%protein), fat (%fat) and carbohydrate (%CHO) were assessed from participant's diet histories and analysed in terms of cultural group, acculturation, socio-economic status (SES) and education level.

RESULTS:

AN status was associated with lower energy and higher %CHO. Greater %protein was associated with greater acculturation to Western culture and lower SES, but not AN. Greater %fat was associated with lower SES and lower acculturation in women with AN, but with higher acculturation in controls. Greater %CHO was also associated with higher SES.

CONCLUSION:

The findings may represent Western diets' higher protein and fat contents, 'Western' knowledge of weight-loss diets, and affordability of low fat foods.

PMID:
18567064
DOI:
10.1002/erv.876
[Indexed for MEDLINE]

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