{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T16:29:42Z","timestamp":1793464182428,"version":"4.5.0"},"reference-count":53,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T00:00:00Z","timestamp":1737590400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>Problematic Internet use has been associated with eating disorders. An increasing number of young adults are using social media, and a variety of content promoting anorexia and bulimia (pro-anorexia and pro-bulimia) has been identified. The aim of this study is to qualitatively analyze this content to understand how it affects individuals with eating disorders or those at risk. Content selection was carried out through non-random intentional sampling and based on the following criteria: the most prominent content on each platform in terms of the number of interactions, created within less than 5\u202fyears old, and displaying pro-ana and\/or pro-mia content in English or Spanish. In total, 6 digital platforms were analyzed, including 57 resources (videos, images, blog entries, chat messages, PDF files, and group descriptions). The discourse was analyzed using both quantitative and qualitative approaches. The analyzed content includes numerous tips and tricks promoting eating disorders. Additionally, a widespread positive sentiment towards low weight and thinness was observed, while negative sentiments were associated with eating, gaining weight, etc. It has been demonstrated that self-esteem in adolescents and young adults can be affected by social media use, leading to body dissatisfaction that may result in increased use of these platforms with access to pro-anorexia and pro-bulimia content, which can contribute to the development of these disorders. The continuous variation and removal of this content, and the health problems it poses, requires further study of these digital resources and how users access them, in order to establish preventive measures to ensure health in the future.<\/jats:p>","DOI":"10.3389\/fpubh.2025.1464172","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T15:53:53Z","timestamp":1737647633000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":9,"title":["Problematic internet use and its relationship with eating disorders"],"prefix":"10.3389","volume":"13","author":[{"given":"Claudia","family":"Ruiz-Centeno","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Cueto-Gal\u00e1n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Miguel","family":"Pena-Andreu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9s","family":"Fontalba-Navas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,1,23]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"62","DOI":"10.20960\/nh.04180","article-title":"Redes sociales y ciberacoso en los trastornos de la conducta alimentaria","volume":"39","author":"de Diego D\u00edaz Plaza","year":"2022","journal-title":"Nutr Hosp"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"292","DOI":"10.2174\/157340012803520513","article-title":"Internet addiction: a brief summary of research and practice","volume":"8","author":"Cash","year":"2012","journal-title":"Curr Psychiatr Rev"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"592","DOI":"10.1111\/add.12016","article-title":"Problematic computer game use among adolescents, younger and older adults","volume":"108","author":"Festl","year":"2013","journal-title":"Addiction"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"852","DOI":"10.1002\/eat.23282","article-title":"Examining the self-reported advantages and disadvantages of socially networking about body image and eating disorders","volume":"53","author":"Cavazos-Rehg","year":"2020","journal-title":"Int J Eat Disord"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"710","DOI":"10.54097\/ehss.v22i.13340","article-title":"The influences of social media on eating disorder risk","volume":"22","author":"Ye","year":"2023","journal-title":"J. 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pr\u00f3-ana: comunidades emocionais e espa\u00e7os de sociabilidade na web","volume":"26","author":"Formighieri Giordani","year":"2021","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1186\/s40337-016-0108-0","article-title":"Emotion regulation difficulties in anorexia nervosa: associations with improvements in eating psychopathology","volume":"4","author":"Rowsell","year":"2016","journal-title":"J Eat Disord"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"879","DOI":"10.1556\/2006.2021.00083","article-title":"Fear of missing out (FoMO) and internet use: a comprehensive systematic review and meta-analysis","volume":"10","author":"Akbari","year":"2021","journal-title":"J Behav Addict"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"628","DOI":"10.1007\/s11469-018-9959-8","article-title":"Neuroticism, trait fear of missing out, and phubbing: the mediating role of state fear of missing out 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