Screening for eating disorders using SCOFF-F among 964 active and students in Haute-Vienne

Introduction and purpose of the study: Eating disorders (APD) including anorexia nervosa (AM), bulimia nervosa (BN), binge eating disorder (HB) and night-time hyperphagia (HN) are severe psychiatric conditions. TCA screening can be done using SCOFF-F. The goal of our work was: - to detect the TCA using SCOFF-F among students and active workers of Haute-Vienne; - to look for the factors associated with a positive SCOFF-F. Material and methods: This prospective study was conducted for 5 months in 6 occupational health departments and a university medicine service. Using an anonymous self-questionnaire, declarative data concerning age, BMI, presence of ACT, physical activities were collected. The SCOFF-F was also realized (positive if 2 out of 5 positive responses). Statistical analysis included Student's t-tests, Chi 2, and logistic regression. Results and statistical analysis: In total, 964 people with an average age of 34.3 ± 12.6 years were included. Mean BMI was 24.4 ± 4.6 kg / m 2 , with 4.7% undernourished and 12.2% obese. Note that 26.7% were students. Individuals reported having AM, BN, HB, and HN in 2.5%, 4.0%, 3.6%, and 2.8% of cases, respectively. The SCOFF-F was positive in 13.7% of the cases, and more importantly in the students (46.9% vs 23.6%, p < 0.0001). In multivariate analysis, lower age, females, higher BMI, high-level sport activity, quality of life impaired by disorders, and reported TCA were positively associated with positive SCOFF-F (OR = 1, 03, p = 0.01; OR = 2.17, p = 0.009; OR = 1.09, p = 0.002; OR = 3.00, p = 0.002; OR = 5.3, p < 0.0001 and OR = 4.20, p < 0.0001 respectively). For reported TCA, a positive SCOFF-F was more specifically associated with BN and HN (OR = 4.6, p = 0.001 and OR = 5.64, p = 0.002 respectively). Conclusion: Our study provides the first data on TCA screening in adults in Haute-Vienne. The SCOFF-F has detected nearly 14% of TCA, which is consistent with the literature. In our population, it seems more specifically positive in case of BN and HN reported. Although we did not find an association based on socio-occupational status, students remain a risk-prone population that is easy to find in university medicine using SCOFF-F.