Male eating disorders in midlife—possible links between excessive sports and hormones

Kummer, Kai K.; Mangweth‐Matzek, Barbara

doi:10.1080/13685538.2022.2154571

Cited by 3 publications

(1 citation statement)

References 54 publications

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“…The AMS scale is a tool to assess symptoms of aging [ 55 ], and high scores on the AMS scale have been shown to be indicative of a possible testosterone deficiency [ 56 ]. An age-related decline in testosterone could, therefore, be responsible for men developing eating disorders or associated symptoms at older age (see [ 57 ▪ ] for a review of this topic).…”

Section: Epidemiology and Treatment In Menmentioning

confidence: 99%

Update on the epidemiology and treatment of eating disorders among older people

Mangweth‐Matzek

Kummer

Hoek

2023

Current Opinion in Psychiatry

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Purpose of review We reviewed the recent literature on the epidemiology and treatment of eating disorders among middle-aged and older women and men. Recent findings Recent studies show that among older female persons, the prevalence rates with full diagnoses of eating disorders based on DSM-IV or DSM-5 criteria are between 2.1 and 7.7%, and among older men less than 1%. These studies show that the prevalence of eating disorders decreases by age in women, but it does not get towards zero even in very high age. Middle age, with a peak around 50, is also a critical time for the occurrence of eating disorders in men. Women who reported severe menopausal symptoms showed more eating disorder pathology compared with those with low symptoms during menopausal transition. Summary Eating disorders do occur in middle and older age of both sexes. Shame and stigmatization have decreased, and medical awareness and explicit assessment of eating behavior in all age groups have developed. What puberty is for eating disorders in adolescence and young age is menopausal transition for midlife women. Also in men, associations with hormonal disturbances are possible. Treatment approaches should consider treatment strategies tailored to older women and men, addressing the context of midlife and aging.

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Section: Epidemiology and Treatment In Menmentioning

confidence: 99%

Update on the epidemiology and treatment of eating disorders among older people

Mangweth‐Matzek

Kummer

Hoek

2023

Current Opinion in Psychiatry

Self Cite

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Eating disorders: etiology, risk factors, and suggestions for prevention

Keski-Rahkonen

2024

Current Opinion in Psychiatry

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Purpose of review The incidence of eating disorders has increased worldwide. This narrative review gives an overview of research on etiology and risk factors of eating disorders published in 2022–2024. Recent findings Eating disorders arise from a complex set of risk factors. The recent increase in incidence of eating disorders can be linked to root causes that include sociocultural pressure to conform to unrealistic and gendered body ideals, rise in obesogenic environments, and the global COVID-19 pandemic. Recent studies have shown that screen time and social media intensify sociocultural pressure to look a certain way. Individual-specific risk factors also increase the likelihood of onset of eating disorders. These include sports, stressful and traumatic life events, family factors, and psychological factors, including disgust sensitivity, aversive experiences, low self-esteem, perfectionism, neuroticism, obsessive-compulsive and impulsive features, and emotional dysregulation. Preexisting mental health conditions, particularly anxiety, depression, and posttraumatic stress disorder, and neurodevelopmental conditions, such as autism and attention-deficit hyperactive disorder, are also associated with increased eating disorder risk. Genetic and biological factors contribute both to risk and resiliency. Summary The risk factors of eating disorders are well established. Future studies should focus on increasing resilience and preventive interventions.

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