Cross-cultural adaptation and translation into Brazilian Portuguese of the instruments Sick Control One Stone Fat Food Questionnaire (SCOFF), Eating Disorder Examination Questionnaire (EDE-Q) and Clinical Impairment Assessment Questionnaire (CIA)

Abstract Introduction Eating disorders (EDs) affect up to 13% of young people and are associated with significant morbidity and mortality. Nevertheless, important, internationally recognized instruments for brief ED screening (Sick Control One Stone Fat Food Questionnaire [SCOFF]), symptom severity assessment and diagnosis (Eating Disorder Examination Questionnaire [EDE-Q]) and assessment of ED-associated psychosocial impairment (Clinical Impairment Assessment Questionnaire [CIA]) were not yet available in Brazilian Portuguese. Our objective was to perform the cross-cultural adaptation and translation into Brazilian Portuguese of the instruments SCOFF, EDE-Q and CIA. Method The process involved a series of standardized steps, as well as discussions with experts. First, the relevance and adequacy of the scales' items to our culture and population were extensively discussed. Then, two independent groups translated the original documents, creating versions that were compared. With the participation of external ED experts (i.e., who did not take part in the translation process), synthesized versions were produced. The syntheses were then applied to a focal group of patients with ED (n = 8). After that step, a preliminary version of the three scales in Brazilian Portuguese was produced and sent for back-translation by two English native speakers, who worked independently. A synthesis of the back-translations, along with the preliminary versions in Brazilian Portuguese, were sent to the original authors. Results The Brazilian Portuguese versions of SCOFF, EDE-Q and CIA were approved by the original authors and are now available for use. Conclusion This study provides important tools for the ED research field in Brazil.

Prevalencia del riesgo de trastornos de la conducta alimentaria en una población de estudiantes de secundaria, bogotá-colombia / Prevalence of eating disorders risk in a population of high school students, bogotá - colombia / Prevalência de risco de trastornos do comportamento alimentar em população de estudantes do ensino medio, bogotá - colombia

Objetivo: Describir la prevalencia de riesgo de trastornos de la conducta alimentaria, estado nutricional y consumo de alimentos en una población escolar de secundaria de colegios públicos y privados. Materiales y Métodos: Aplicación del cuestionario SCOFF, toma de medidas antropométricas y encuesta de frecuencia de consumo de alimentos a 671 estudiantes de dos colegios públicos y dos privados de la ciudad de Bogotá. Resultados: Se encontró una prevalencia del 30,1% de riesgo de presentar TCA; de ésta, el riesgo en las mujeres es de 41,3%. En cuanto al estado nutricional se observó mayor frecuencia de riesgo en la clasificación normal y en instituciones públicas con un 31,3%. Del total de la población 7,6% presenta talla baja, 16% exceso de peso y 5,1% bajo. Conclusiones: La prevalencia de riesgo de trastornos alimentarios es mayor en las mujeres, con clasificación nutricional normal (73,7%) y en instituciones educacionales públicas.

Objective: To describe the prevalence of eating disorders risk, nutritional status and food consumption in a high school population of public and private schools. Materials and Methods: The SCOFF questionnaire application, anthropometric measurements and food consumption frequency survey to 671 students from two public and two private schools in the city of Bogotá. Results: A prevalence of 30.1% risk of presenting ACT was found; of that, the risk in women is 41.3%. Regarding nutritional status, there was a greater frequency of risk in the normal classification and in public institutions with 31.3%. 7.6% of the total population were of low stature, 16% were overweight and 5.1% were underweight. Conclusions: Prevalence of eating disorders risk is higher in women, with normal nutritional status (73.7%) and in public educational institutions.

Objetivo: Descrever a prevalência de risco de transtornos do comportamento alimentar, estado nutricional e consumo de alimentos em uma população de estudantes do ensino médio de escolas públicas e privadas. Materiais e métodos: A aplicação do questionário SCOFF, medidas antropométricas e levantamento de freqüência de consumo de alimentos para 671 estudantes de duas escolas públicas e duas privadas da cidade de Bogotá. Resultados: Foi encontrada uma prevalência de 30,1% de risco de apresentação do ACT; Disso, o risco em mulheres é de 41,3%. Quanto ao estado nutricional, houve uma maior freqüência de risco na classificação normal e em instituições públicas com 31,3%. 7,6% da população total eram de baixa estatura, 16% tinham sobrepeso e 5,1% estavam abaixo do peso. Conclusões: A prevalência do risco de transtorno alimentar é maior em mulheres, com estado nutricional normal (73,7%) e em instituições públicas de ensino.

Oral Manifestations of Suspected Eating Disorders among Women of 20-25 Years in Bangalore City, India.

To detect the presence of eating disorders (EDs) and clinical findings in 20-25 years old women residing in professional college hostels in Bangalore city, India, a cross-sectional study was conducted. One hundred seventeen women of the 128 selected randomly participated in the study. SCOFF [Sick, Control, One-stone (14 lbs/6.5 kg), Fat, Food] Questionnaire was used for screening suspected cases of anorexia nervosa (AN) and bulimia nervosa (BN). Examination was done for systemic findings, extra-oral and intra-oral manifestations of EDs. Data obtained were analyzed using SPSS (version 13.0). The response rate was 71.3%, of which 42.7% were suspected to have EDs by SCOFF. Examination showed significantly higher prevalence of periomylolysis (p=0.004), dental caries (p=0.004), and tooth sensitivity (p=0.001) in suspected cases. The study succeeded at ‘case-finding’ of EDs with a significant prevalence of oral manifestations in suspected cases. Thus, dentists play a major role for early detection and prompt further referral of co-morbid disorders, like EDs.