2019年全球饮食负担——暴饮暴食的危害

2021-03-07 MedSci原创 MedSci原创

饮食失调表现为持续的紊乱的饮食行为,可干扰日常的社会和心理功能。

饮食失调表现为持续的紊乱的饮食行为,可干扰日常的社会和心理功能。神经性厌食症和神经性贪食症是2019年全球疾病、损伤和风险因素研究(GBD)中仅有的进食障碍,但暴饮暴食症和其他特定的进食或进食障碍(OSFED)更为普遍。本研究试图评估暴食症和OSFED在全球的患病率和负担,并提出一个将其纳入GBD的案例。

危险因素研究(GBD)是一项流行病学研究,它量化了全球、地区和国家各级疾病、伤害和危险因素造成的死亡率和残疾。GBD使用伤残调整生命年(DALY)作为负担指标。一个伤残调整生命年等于因死亡或残疾而失去一年健康生命。计算方法是将以寿命损失年(YLS)为单位的致命负担与以残疾年(YLDs)为单位的非致命负担相加。

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研究者收集了GBD 2019神经性厌食症和神经性贪食症流行病学数据库的研究、两篇系统综述。纳入标准为:报告两种或两种以上饮食失调(神经性厌食症、神经性贪食症、暴食症或OSFED)的患病率非零,并根据DSM-IV或DSM-5诊断使用模拟的比例和2019年GBD饮食障碍患病率估计了2019年GBD中未代表的全球病例。然后对暴食症和OSFED的残疾权重以及残疾调整生命年(DALYs)进行估计。估计是用95%的不确定区间(UIs)来表示的。

最后分析包括了54项研究,其中36项来自高收入国家。结果显示,2019年全球饮食障碍病例数为4190万(95%UI27.9 59.0),其中包括1730万(11.3 24.9)人患有暴饮暴食症和2460万(14.7 39.7)人患有OSFED(与2019年GBD 1360万[10.2 17.5]人患有饮食障碍)。暴饮暴食症和OSFED在全球共造成370万(95%UI2.06.5)伤残调整生命年,使2019年的总伤残调整生命年达到660万(3.810.6)。

估计的饮食失调患病率和比例

女性的负担高于男性(470万[95%UI2.77.6]伤残调整生命年vs 200万[1.13.2]伤残调整生命年),女性的饮食失调负担在25- 29岁达到高峰,男性为30-34岁。

2019年全球饮食失调患病率(按诊断、性别和年龄)

在GBD 2019中,进食障碍(仅包括神经性厌食症和神经性贪食症)被列为2019年全球第伤残调整生命年原因第110位和YLDs原因第55位,分别占所有伤残调整生命年和YLDs的0.1%和0.3%。如果将暴饮暴食症和OSFED纳入研究,则DALYs和YLDs的进食障碍等级将分别提高到73和33位。

这项研究结果表明,将暴饮暴食症和OSFED正式纳入GBD是可行的,也是重要的,反过来也能更好地代表全球的饮食障碍负担。饮食失调患病率和负担将对政府资助饮食失调研究和卫生保健产生影响。鉴于现有治疗的缓解率不理想,预防和治疗饮食失调的创新至关重要。此外,这项工作强调了未来流行病学研究的必要性,以便在大规模全国代表性调查中调查饮食失调的患病率。

参考文献:Damian F Santomauro, Sarah Melen, Deborah Mitchison, Theo Vos, Harvey Whiteford, Alize J Ferrari. The hidden burden of eating disorders: an extension of estimates from the Global Burden of Disease Study 2019. Lancet Psychiatry 2021. Published Online March 3, 2021. https://doi.org/10.1016/S2215-0366(21)00040-7

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    2021-04-05 ms7000000859354088

    学习了

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    2021-04-01 Zhlzeng169

    拒绝暴饮暴食

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    2021-03-08 科研科研科研

    暴饮暴食的危害

    0

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    2021-03-08 ms4000000981297947

    有用

    0

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