Eating Disorders in University Students and Their Relationship with Body Image

University students are a population at particular risk for developing eating disorders, influenced by body image dissatisfaction and lifestyle factors. Despite this, little is known about how eating disorder risk relates to objective body composition measures and perceived body image in this group. The aim was to assess the risk of developing eating disorders in university students using the SCOFF questionnaire and correlate the findings with body composition and body image perception. A total of 500 students, both male and female, aged 18 to 30 years old, were evaluated anthropometrically using the InBody 270 device. Body image perception was assessed using Stunkard’s silhouettes, and participants completed the five-question SCOFF questionnaire. A high prevalence of eating disorders risk (44 %) was observed, with a significant association with sex (chisquare, p < 0.01), as women showed a higher frequency of risk (63 %). Individuals at risk of EDs had higher weight, BMI, body fat, and lower muscle mass (t-test, p = 0.001, p = 0.000, p = 0.0001, and p = 0.01, respectively). A significant relationship was also found between eating disorder risk and body image dissatisfaction (chi-square, p < 0.0001). Risk analysis revealed that females are 2.5 times more likely to develop eating disorders, and body image dissatisfaction increases this risk by fourfold. The most common condition identified was binge eating disorder, affecting 63 % of at-risk individuals. The high frequency of eating disorders observed among university students is notable, with associated risk factors, such as sex and body image perception, aligning with previous findings. The results highlight that female sex, body image underestimation, and dissatisfaction are key risk factors for developing eating disorders. These findings support the development of targeted interventions to prevent this condition.