Background/Objectives: Eating disorders (EDs) are rising among adolescents. BMI, diet, and physical activity influence ED risk, but their interactions are complex and vary by population. Considering sociocultural changes, this study investigated the prevalence and risk factors for EDs in Romanian adolescents. We evaluated demographic factors, BMI, dietary behaviors, physical activity (PA), and previous specialist consultations using the Eating Attitudes Test-26 (EAT-26) and assessed the psychometric properties of the EAT-26 in this population. Methods: A cross-sectional study included 423 youths aged 13 to 20 from Cluj-Napoca. Participants completed an online survey on demographics, BMI, diet, physical activity, and previous health consultations. ED risk was assessed using the EAT-26. Confirmatory and exploratory factor analyses were conducted on the EAT-26, and binary logistic regression identified predictors of ED risk. Results: The prevalence of ED risk was 26.5%, with females having 1.61 times higher odds than males. Consulting a weight or mental health specialist increased the odds of increased ED risk (OR = 3.76). Higher BMI showed a trend in the unadjusted model (OR = 1.06). An initial CFA of the EAT-26 showed a suboptimal fit. Over 60% of the sample reported frequent consumption of ultra-processed foods. Conclusions: Our findings highlight a significant ED risk in Romanian youth, filling a critical gap in regional public health evidence. Despite limitations due to the cross-sectional design and self-reported data, the results stress the need for measures promoting balanced diets, positive body image, and improved mental health access to reduce the growing prevalence of adolescent ED risk in Romania.

Background/Objectives: Parental weight stigma and bias can shape how parents talk about weight and health with their children, yet their interplay in Romania is unexplored. We examined how parents’ experienced stigma, internalized bias, and explicit antifat attitudes relate to weight- and health-focused conversations with 5–17-year-olds, and whether these links vary by child weight status. Methods: In a cross-sectional survey of 414 Romanian parents, we assessed stigma (teasing/unfair treatment), internalized bias (WBIS-M), antifat attitudes (AFA, UMBFAT), and frequency of health (healthy eating/PA) versus weight-focused talks and comments. BMI-derived child weight status was classified via WHO percentiles. Multivariate regressions and mediation analyses tested predictors and indirect effects. Results: Nearly 80% of parents discussed weight at least sometimes; higher child BMI percentile and parental internalized bias independently predicted more weight conversations (β = 0.44 and β = 0.25, both p < 0.001). Internalized bias mediated the effect of experienced stigma on weight talk (indirect effect = 0.105, 95% CI [0.047, 0.172]). Explicit antifat attitudes drove comments about others’ weight (β = 0.17, p = 0.002). Health-focused talks were unrelated to stigma or bias but were more frequent among parents with higher education, better self-rated health, and lower BMI. Conclusions: Parents’ internalized weight bias—shaped by stigma—fuels weight-focused conversations, especially when children have higher BMI, while antifat attitudes underlie negative comments about others. Interventions should reduce parental internalized bias and train supportive, health-centered communication to curb weight stigma transmission.

Background/Objectives: No study has evaluated a gamified nutrition-education platform for adolescents in Eastern Europe. This pilot study described short-term changes in nutrition literacy, dietary engagement and reported food habits after one session with AHOPE, an automated gamified platform, among Romanian adolescents. Methods: In a single-arm pre–post study, 332 adolescents aged 10–19 years began one session and 155 (46.7%) completed it, answering three scales, including an adapted forced-choice Adolescent Food Habits Checklist, immediately before and after. Paired tests used Benjamini–Hochberg correction; moderation and predictor analyses were exploratory. Results: All six outcome scores were higher after the session (all p_BH < 0.001; dz 0.42–0.73, largest for nutrition literacy). Of 23 food-habit items, 17 shifted toward the healthier response, with the largest shifts for the foods taught in the modules. Interaction tests gave no evidence that change differed by sex, age band or family affluence (all p_BH ≥ 0.90), although power was limited (low-affluence group, n = 18). Conclusions: Among completers, who were more affluent than non-completers, self-reported nutrition literacy, dietary engagement and food-habit responses were higher immediately after one session. These changes may reflect short-term intentions; the design cannot establish causation, persistence or behavioural change, which require a controlled trial with delayed follow-up.