Evidence map›Paper›PMID 41409537›Full record

ArticleHealth psychology and behavioral medicine2025

Disordered eating, self-esteem, and physical activity among Tunisian adolescents: public health insights and validation of the Arabic Ede-Q.

Fairouz Azaiez, Sameh Ben Bechir, Amayra Tannoubi, Halil İbrahim Ceylan, Valentina Stefanica, Ghada Boussayala, John Elvis Hagan, Abdullah H Allihebi, Abdulhafed Mabrouk Gawar, Ahmedov Farruh and 1 more

Abstract read
In one paragraph

Article in Health psychology and behavioral medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Fairouz AzaiezHigh Institute of Sport and Physical Education of Gafsa, University of Gafsa, Gafsa, Tunisia.
Sameh Ben BechirResearch Laboratory Education, Motricité, Sport et Santé, LR19JS01, High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia.
Amayra TannoubiHigh Institute of Sport and Physical Education of Gafsa, University of Gafsa, Gafsa, Tunisia.
Halil İbrahim CeylanPhysical Education of Sports Teaching Department, Faculty of Sports Sciences, Atatürk University, Erzurum, Türkiye.
Valentina StefanicaDepartment of Physical Education and Sport, Faculty of Sciences, Physical Education and Informatics, National University of Science and Technology Politehnica Bucharest, Pitesti University Center, Pitesti, Romania.
Ghada BoussayalaHigh Institute of Sport and Physical Education of Gafsa, University of Gafsa, Gafsa, Tunisia.
John Elvis HaganNeurocognition and Action-Biomechanics-Research Group, Faculty of Psychology and Sports Science, Bielefeld University, Postfach, Bielefeld, Germany.
Abdullah H AllihebiDepartment of Physical Education, College of Sport Sciences and Physical Activity, King Saud University, Riyadh, Saudi Arabia.
Abdulhafed Mabrouk GawarFaculty of Physical Education and Sport Sciences of Tripoli, Université of Tripoli, Tripoli, Libya.
Ahmedov FarruhSamarkand State University, Department of Physical Education, Samarkand, Uzbekistan.
Ismail DergaaHigh Institute of Sport, and Physical Education of Ksar Said, University of Manouba, Manouba, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Disordered eating behaviors are a growing public health concern among adolescents, with implications for both physical and psychological well-being. The availability of culturally valid assessment tools is critical for early identification and prevention. Objectives: This study aimed to (i) examine how self-esteem, sport participation, and Body Mass Index (BMI) predict eating disorder symptoms in a large cohort of Tunisian schoolchildren, and (ii) assess the psychometric properties of the Arabic version of the Eating Disorder Examination Questionnaire (EDE-Q). Methods: A total of 1,748 adolescents (629 boys, 1119 girls; mean age ≈ 16.8 years) from Zaghouan, Tunisia, completed self-report assessments of BMI, self-esteem (Rosenberg Self-Esteem Scale), physical and sports activity, and disordered eating (Arabic EDE-Q). Correlation, regression, and confirmatory factor analyses were conducted. Results: Eating disorders were negatively associated with physical activity (boys: r = -0.456; girls: r = -0.260; Conclusions: Self-esteem and BMI are significant predictors of disordered eating, underscoring the need for integrated public health strategies that promote mental well-being and healthy body image among adolescents. The validated Arabic EDE-Q offers a reliable tool for screening and monitoring disordered eating in Arabic-speaking youth populations, enabling early intervention in school-based mental health programs.

Indexed as

Adolescent healthbody image perceptioncross-cultural assessmentpsychometric validationpsychosocial risk factors

Identifiers

PMID41409537
PMCPMC12707080

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.