A systematic review and meta‐analysis of the prevalence and odds of eating disorders in patients with celiac disease and vice‐versa

Nikniaz, Zeinab; Beheshti, Samineh; Farhangi, Mahdieh Abbasalizad; Nikniaz, Leila

doi:10.1002/eat.23561

Cited by 18 publications

(14 citation statements)

References 49 publications

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“…A recent meta-analysis has also identified a bidirectional association between coeliac disease and EDs. In particular, patients with AN are at a significantly greater risk of coeliac disease than healthy adults without AN [ 88 ]. Further, researchers argue that symptoms of ED commonly mimic those of chronic inflammatory GI and endocrine disease, including inflammatory bowel disease and diabetes type 1 and 2, emphasising the importance of screening for possible co-occurrence [ 89 ].…”

Section: Gastrointestinal Microbiota and Autoimmune Reactionsmentioning

confidence: 99%

Risk factors for eating disorders: findings from a rapid review

Barakat

Aouad²,

Boakes³

et al. 2023

J Eat Disord

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Background Risk factors represent a range of complex variables associated with the onset, development, and course of eating disorders. Understanding these risk factors is vital for the refinement of aetiological models, which may inform the development of targeted, evidence-based prevention, early intervention, and treatment programs. This Rapid Review aimed to identify and summarise research studies conducted within the last 12 years, focusing on risk factors associated with eating disorders. Methods The current review forms part of a series of Rapid Reviews to be published in a special issue in the Journal of Eating Disorders, funded by the Australian Government to inform the development of the National Eating Disorder Research and Translation Strategy 2021–2031. Three databases were searched for studies published between 2009 and 2021, published in English, and comprising high-level evidence studies (meta-analyses, systematic reviews, moderately sized randomised controlled studies, moderately sized controlled-cohort studies, or population studies). Data pertaining to risk factors for eating disorders were synthesised and outlined in the current paper. Results A total of 284 studies were included. The findings were divided into nine main categories: (1) genetics, (2) gastrointestinal microbiota and autoimmune reactions, (3) childhood and early adolescent exposures, (4) personality traits and comorbid mental health conditions, (5) gender, (6) socio-economic status, (7) ethnic minority, (8) body image and social influence, and (9) elite sports. A substantial amount of research exists supporting the role of inherited genetic risk in the development of eating disorders, with biological risk factors, such as the role of gut microbiota in dysregulation of appetite, an area of emerging evidence. Abuse, trauma and childhood obesity are strongly linked to eating disorders, however less conclusive evidence exists regarding developmental factors such as role of in-utero exposure to hormones. Comorbidities between eating disorders and mental health disorders, including personality and mood disorders, have been found to increase the severity of eating disorder symptomatology. Higher education attainment, body image-related factors, and use of appearance-focused social media are also associated with increased risk of eating disorder symptoms. Conclusion Eating disorders are associated with multiple risk factors. An extensive amount of research has been conducted in the field; however, further studies are required to assess the causal nature of the risk factors identified in the current review. This will assist in understanding the sequelae of eating disorder development and in turn allow for enhancement of existing interventions and ultimately improved outcomes for individuals.

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Section: Gastrointestinal Microbiota and Autoimmune Reactionsmentioning

confidence: 99%

Risk factors for eating disorders: findings from a rapid review

Barakat

Aouad²,

Boakes³

et al. 2023

J Eat Disord

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“…As suggested by current literature (32), this prevalence is slightly increased in AN compared to the global population, where the expected prevalence is around 1.4% (33). This phenomenon could be explained with the need to follow a life‐long strict gluten‐free diet and to be cautious concerning food composition and crosscontamination (34), that could contribute to the development of disordered eating attitudes and behaviors (35), as supported by a recent meta‐analysis (36). Moreover, an increased risk to develop AN in CeD patients, with a hazard ratio of 1.46, was recently proven in a large cohort from Sweden (37).…”

Section: Discussionmentioning

confidence: 99%

Five‐Year Inpatient Management of Teenagers With Anorexia Nervosa

Trovato¹,

Capriati²,

Bolasco³

et al. 2022

J. pediatr. gastroenterol. nutr.

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Objectives:In patients with Anorexia Nervosa (AN) malnutrition can lead to life-long nutritional treatments. The refeeding process can combine natural feeding (NF) with specific nutritional strategies, including oral nutritional supplements (ONS) and nasogastric feeding (NGF). Aims of the present study were to assess the efficacy of hospital protocol and identify the most effective inpatient nutritional strategies for weight restoration.Methods:All patients hospitalized from April 2015 to April 2020 were enrolled. According to hospital protocol, NF was proposed to all patients; ONS were combined with NF if caloric intake was <70% of the requirements and NGF was added if caloric intake did not reach 30% in the first week from admission.Results:Overall, 186 patients [M = 20; median age 14 (interquartile range 1316)] were included. Nutritional issues were the main indication to admission (56.6%). A significant effect of combination treatment, with a shorter duration of hospitalization when using ONS with NGF in addition to NF was found (ß: —20.28 [95% confidence interval —34.92:—5.65], P < 0.001). Only one patient showed a significant but limited increase of liver enzymes.Conclusions:We provide a safe and effective standardized protocol to treat the malnutrition of teenagers with AN in an inpatient setting. Malnutrition was the most important cause of admission, and more than half of the patients admitted were severely malnourished. The combination of NF, ONS, and NGF was the most effective strategy to achieve the weight restoration; however, this result should be validated on larger series of patients treated with NGF and NF.

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“…Autism spectrum disorder shares some common features with ED, especially the restrictive ones, which should be considered in the differential diagnosis ( 15 , 16 ). ED can also coexist with other mental or organic disorders, such as depression, celiac disease, or diabetes ( 17 ).…”

Section: Epidemiologymentioning

confidence: 99%

Adolescents With Eating Disorders in Pediatric Practice – The European Academy of Paediatrics Recommendations

et al. 2022

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In the face of the growing number of adolescents suffering from eating disorders (EDs) and access to psychiatric care limited by the epidemiological and demographic situation, the primary care pediatrician’s role in diagnosing and treating EDs is growing. The European Academy of Paediatrics (EAP) decided to summarize knowledge about EDs and formulate recommendations to support European pediatricians and improve care for adolescents with EDs.

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A systematic review and meta‐analysis of the prevalence and odds of eating disorders in patients with celiac disease and vice‐versa

Cited by 18 publications

References 49 publications

Risk factors for eating disorders: findings from a rapid review

Risk factors for eating disorders: findings from a rapid review

Five‐Year Inpatient Management of Teenagers With Anorexia Nervosa

Adolescents With Eating Disorders in Pediatric Practice – The European Academy of Paediatrics Recommendations

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