High prevalence of eating disorders not otherwise specified in northwestern Spain: population-based study

Larrañaga, Alejandra; Docet, María F.; García-Mayor, Ricardo V.

doi:10.1007/s00127-012-0473-1

Cited by 28 publications

(15 citation statements)

References 32 publications

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“…An Austrian study assessing the prevalence of eating disorders among 715 women aged 40-60 years found three (0.4%) women presenting symptoms of anorexia nervosa without amenorrhea [ 6 ]. Another European population-based study reported a 0.17% lifetime risk of AN in woman above 45 years [ 5 ]. An American study assessing weight and eating disorders symptoms in 1849 women aged 50 and above, found that 1.6% of them were underweight (<18.5 kg/m2) [ 7 ].…”

Section: Epidemiologymentioning

confidence: 96%

“…It has not been established whether presentations of AN in middle aged and older women represent a continuation of a lifelong illness or late age onset of the disease. In a Spanish population-based study new cases of eating disorders including AN above the age of 45 were observed [15]. However, the data collected from one of the largest national referral centres in the UK suggests that AN in patients above 50 years is a chronic and enduring mental illness with the age of onset being under 25 years [16].…”

Section: Epidemiologymentioning

confidence: 97%

“…Epidemiological data shows, that the former group is predominant one, however rarely eating disroders developes in later life [5].…”

Section: Introductionmentioning

confidence: 99%

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Eating disorders in older women

et al. 2015

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Eating disorders (EDs) are disturbances that seriously endanger the physical health and often the lives of sufferers and affect their psychosocial functioning. EDs are usually thought of as problems afflicting teenagers. However, the incidence in older women has increased in recent decades. These cases may represent either late-onset disease or, more likely, a continuation of a lifelong disorder. The DSM-5 classification differentiates 4 categories of eating disorder: anorexia nervosa, bulimia nervosa, binge-eating disorders and other specified feeding and eating disorders. The weight loss and malnutrition resulting from EDs have widespread negative consequences for physical, mental and social health. The main risk factors for developing long-term consequences are the degree of weight loss and the chronicity of the illness. Most of the cardiac, neurological, pulmonary, gastric, haematological and dermatological complications of EDs are reversible with weight restoration. EDs are serious illnesses and they should never be neglected or treated only as a manifestation of the fashion for dieting or a woman's wish to achieve an imposed standard feminine figure. Additionally, EDs are associated with high risk of morbidity and mortality. The literature concerning EDs in older, postmenopausal women is very limited. The main aim of this paper is to ascertain the epidemiology and prognosis of EDs in older women, and to review their diagnosis and management.

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Section: Epidemiologymentioning

confidence: 96%

Section: Epidemiologymentioning

confidence: 97%

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Eating disorders in older women

et al. 2015

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“…13 Thirteen (24.5%) studies reported interviewing participants using [clinical] interviews based on DSM-IV criteria, without specifying details. The remaining 3 studies reported sample sizes ranging from between 30 000 to over 250,000 participants, the 2 two largest using either self-report (N 5 252,838), 77 or interview (N 5 100,000) 59 to assess ED prevalence. Eight of these 10 studies were American.…”

Section: Data Collectionmentioning

confidence: 99%

Transitioning from DSM‐IV to DSM‐5: A systematic review of eating disorder prevalence assessment

Dahlgren

Wisting

2016

Intl J Eating Disorders

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Objective: The objective of this study was to systematically review the literature on assessment of eating disorder prevalence during the DSM-IV era .Method: A PubMed search was conducted targeting articles on prevalence, incidence and epidemiology of eating disorders. The review was performed in accordance with PRISMA guidelines, and was limited to DSM-IV based eating disorder diagnoses published between 1994 and 2015.Results: A total of 74 studies fulfilled inclusion criteria and were included in the study. Results yielded evidence of over 40 different assessment instruments used to assess eating disorder prevalence, with the EAT-40 being the most commonly used screening instrument, and

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“…Since the advent of the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (known as DSM-5) and broadening of the diagnostic criteria for anorexia nervosa, investigators have seen a substantial increase in the prevalence of anorexia nervosa 6,7 . Although the disease most commonly affects young women, a population-based study in Europe reported a 0.17% lifetime prevalence of anorexia nervosa in women >45 years of age 8 . Anorexia nervosa might also affect adolescent boys and men, although disease prevalence was 8.1 times higher in women than in men in a population-based study in the USA 9 .…”

Section: Introductionmentioning

confidence: 99%

The endocrine manifestations of anorexia nervosa: mechanisms and management

2016

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Anorexia nervosa is a psychiatric disorder characterized by altered body image, persistent food restriction and low body weight, and is associated with global endocrine dysregulation in both adolescent girls and women. Dysfunction of the hypothalamic-pituitary axis includes hypogonadotrophic hypogonadism with relative oestrogen and androgen deficiency, growth hormone resistance, hypercortisolaemia, non-thyroidal illness syndrome, hyponatraemia, and hypooxytocinaemia. Serum levels of leptin, an anorexigenic adipokine, are suppressed and levels of ghrelin, an orexigenic gut peptide, are elevated in women with anorexia nervosa; however, levels of peptide YY, an anorexigenic gut peptide, are paradoxically elevated. Although most, but not all, of these endocrine disturbances are adaptive to the low energy state of chronic starvation and reverse with treatment of the eating disorder, many contribute to impaired skeletal integrity, as well as neuropsychiatric comorbidities, in individuals with anorexia nervosa. Although 5–15% of those affected by anorexia nervosa are men, only limited data exists regarding the endocrine impact of the disease in adolescent boys and men. Further research is needed to understand the endocrine determinants of bone loss and neuropsychiatric comorbidities in anorexia nervosa in both women and men, as well as to formulate optimal treatment strategies.

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High prevalence of eating disorders not otherwise specified in northwestern Spain: population-based study

Abstract: The incidence and prevalence of EDNOS are the highest in the ED cases; furthermore, new cases of ED are observed above the age of 45, which are remarkable data.

Cited by 28 publications

References 32 publications

Eating disorders in older women

Eating disorders in older women

Transitioning from DSM‐IV to DSM‐5: A systematic review of eating disorder prevalence assessment

The endocrine manifestations of anorexia nervosa: mechanisms and management

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