Epidemiology of eating disorders among US adults

Udo, Tomoko; Grilo, Carlos M.

doi:10.1097/yco.0000000000000814

Cited by 17 publications

(12 citation statements)

References 63 publications

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“…In a previously published review, the death rate due to suicide in eating disorders was reported as 0%-5.3% (Öncü and Sakarya 2013). Many studies conducted so far consistently show that the risk of suicide is higher in eating disorder patients than in the normal population (Ahn et al 2019, Rania et al 2021, Udo and Grilo 2022. This article aims to determine the frequency of suicidal behavior and the factors that increase the risk of suicide in patients with eating disorders.…”

Section: Introductionmentioning

confidence: 99%

Suicidal Behavior in Eating Disorders

Kaloğlu

Hocaoğlu

2023

Psikiyatride Güncel Yaklaşımlar

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Many studies have shown that people with eating disorders have higher rates of suicidal ideation, suicide attempts, and completed suicide than the general population. One of the diseases with the highest suicide rate among psychiatric disorders is anorexia nervosa. Some hypotheses have been proposed to explain possible causes of increased suicidal behavior in eating disorders. Some conditions common to eating disorders and suicidal behavior, such as dissatisfaction with the body and interoceptive deficits, have been cited. It has been conclusively shown that psychiatric comorbidity, especially the co-diagnosis of depression, increases the risk of suicide in patients with eating disorders. However, increased suicidal behavior in eating disorders cannot be explained by comorbidity alone. The interpersonal psychological theory of suicide (IPTS), developed by Joiner, aims to understand why people commit suicide and to explain the differences in individual suicidal behavior. Some researchers have thought that the increased suicidal behavior of people with eating disorders, especially anorexia nervosa patients, is expected from the perspective of IPTS. The compensatory behaviors of patients with eating disorders, such as vomiting or chronic restrictive food intake, are painful and challenging actions for the body. It can be considered that repeated encounters with painful and challenging experiences form a habit in the individual and reduce pain avoidance. When viewed from the IPTS perspective, decreased pain avoidance may explain the increased suicide attempts and completed suicides of individuals. Clinicians working with eating disorder patients must conduct regular and comprehensive assessments of suicide. Comorbidities such as major depression, anxiety disorder, and substance-use disorder should not be overlooked in patients with eating disorders and should be taken seriously.

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Section: Introductionmentioning

confidence: 99%

Suicidal Behavior in Eating Disorders

Kaloğlu

Hocaoğlu

2023

Psikiyatride Güncel Yaklaşımlar

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“…In the present study, we compared the features of research participants with binge-type eating disorders (bulimia nervosa and/or binge-eating disorder; BN/BED) recruited from the community into the Binge Eating Genetics Initiative Study (BEGIN) based on whether they reported ever accessing treatment or not. BN/BED are serious and prevalent mental health illnesses affecting an estimated 1.1-3.8% of the population (4). Both disorders involve binge eating, which is the consumption of a large amount of food accompanied by a sense of loss of control over eating.…”

Section: Introductionmentioning

confidence: 99%

“…In BED, such compensatory behaviors do not regularly occur. BN/BED carry signi cant mental and physical health morbidity and are associated with elevated suicide attempt risk and functional impairment (4,5). Yearly, 3.3 million healthy life years are conservatively estimated to be lost worldwide from eating disorders (6).…”

Section: Introductionmentioning

confidence: 99%

Sociodemographic and Clinical Characteristics of Treated and Untreated Adults with Bulimia Nervosa and/or Binge-eating Disorder Recruited for a Large-Scale Research Study

Carrino

Flatt

Pawar

et al. 2023

Preprint

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Background: Eating disorders affect millions of people worldwide, but most never receive treatment. The majority of clinical research on eating disorders has focused on individuals recruited from treatment settings, which may not represent the broader population of people with eating disorders. This study compared the characteristics of individuals with eating disorders based on whether they self-reported accessing treatment or not, to identify potential differences and contribute to a better understanding of the diverse needs and experiences of individuals with eating disorders. Methods: The study population included 762 community-recruited individuals (85% female, M ± SD age = 30 ± 7 y) with bulimia nervosa and/or binge eating disorder (BN/BED) enrolled in the Binge-Eating Genetics Initiative (BEGIN) United States study arm. Participants completed self-report surveys on demographics, treatment history, past and current eating disorder symptoms, weight history, and current mental health and gastrointestinal comorbidity. Untreated participants (n = 291, 38%) were compared with treated participants (n = 471, 62%) who self-reported accessing BN/BED treatment at some point in their lives. Results: Untreated participants disproportionately self-identified as male and as a racial or ethnic minority compared with treated participants. Treated participants reported a more severe illness history, specifically, an earlier age at onset, more longstanding and frequent ED symptoms over their lifetime, and higher body dissatisfaction and comorbid mental health symptoms (i.e., depression, anxiety, ADHD) at the time of the study. Those who reported a history of inpatient or residential treatment displayed the most severe illness history, whereas those who reported outpatient treatment had a less severe illness history, and untreated individuals had the mildest illness history. Conclusions: Individuals from historically overlooked or marginalized populations were less likely to access treatment. Those who accessed treatment had more severe ED and comorbid symptoms, which may have motivated them to seek treatment. Clinic-based recruitment samples may not accurately represent all individuals with EDs, particularly those with milder symptoms and those with gender or racial/ethnic diversity. The results of this study indicate that community-based recruitment is crucial for improving the ability to apply research findings to broader populations and to reduce disparities in medical research. Trial Registration: ClinicalTrials.gov NCT04162574 (https://clinicaltrials.gov/ct2/show/NCT04162574)

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“…More than 90% of affected adults are female [5], while this proportion may be lower in children and adolescents [6]. Concurring mental disorders are the norm (> 70%) [7,8], especially anxiety, mood and personality disorders [3,5,8,9]. Autism spectrum disorder traits might be present in up to one out of three patients approximately [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Hypercarbia in Hospitalized Children and Adolescents with Anorexia Nervosa as a Predictive Marker for Readmission: A Prospective Study

Viaño-Nogueira

Aparicio-López

Prieto-Campo

et al. 2023

Preprint

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Background Readmissions in anorexia nervosa (AN) are a common though understudied outcome. No organic alterations have been related to the likeliness of readmission to date. This study evaluated clinical and laboratory alterations associated to the risk of AN-related hospital readmissions in children and adolescents. Methods A prospective study was performed with every person ≤18 years old admitted due to AN destabilization to the Eating Disorder Ward of a freestanding children's hospital in Madrid (Spain) from November 2018 to October 2019. Both subtypes of AN were included. The participants were evaluated upon admission, at discharge and six months after discharge. T-tests or Mann-Whitney U tests were used for means comparison. Pearson or Spearman correlations were used for measuring the association between two variables. Logistic regression models were developed to evaluate the relationship between scoring methods and readmission. Results 154 persons were admitted during the study period. 131 met the inclusion criteria. Median age was 15.1 years (interquartile range 13.5-16.4). 71% of participants were malnourished at admission. 33 participants (25 %) had been previously admitted due to an eating disorder. Remarkable venous pH decrease and pCO2 elevation remained stable during the follow-up period. Hypercarbia at discharge was associated with readmission being twice more likely. The odds of readmission increased as discharge pCO2 rose. These findings did not depend on the AN subtype or the participant sex. Electrolytes persisted within the normal range. Conclusions Hypercarbia and respiratory acidosis are common alterations in children and adolescents hospitalized due to AN destabilization. Hypercarbia persists for at least 6 months after discharge, despite clinical improvement, and is associated with higher odds of readmission. This is the first study to identify a laboratory alteration as a potential indicator of readmission in AN. Further research is needed to fully understand the consequences of hypercarbia on people diagnosed of AN.

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Epidemiology of eating disorders among US adults

Cited by 17 publications

References 63 publications

Suicidal Behavior in Eating Disorders

Suicidal Behavior in Eating Disorders

Sociodemographic and Clinical Characteristics of Treated and Untreated Adults with Bulimia Nervosa and/or Binge-eating Disorder Recruited for a Large-Scale Research Study

Hypercarbia in Hospitalized Children and Adolescents with Anorexia Nervosa as a Predictive Marker for Readmission: A Prospective Study

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