Warner Christopher, Warner Carolynn, Matuszak Theresa, Rachal James, Flynn Julianne, Grieger Thomas A
3rd Infantry Division, Division Behavioral Health, Fort Stewart, GA 31314, USA.
Mil Med. 2007 Feb;172(2):147-51. doi: 10.7205/milmed.172.2.147.
The goal was to determine the prevalence of and risk factors for disordered eating in an entry-level U.S. Army population.
A cross-sectional survey of advanced individual training U.S. Army soldiers at Aberdeen Proving Ground, Maryland, was performed with an anonymous self-report survey containing demographic factors, history (including abuse and psychiatric treatment), and Eating Attitudes Test-26.
Of 1,184 advanced individual training soldiers approached, 1090 participated. The response rate was 91.2% (955 men and 135 women). Forty percent were overweight (body mass index of > or =25), 11% reported a psychiatric history, 26% reported a history of abuse, and 9.8% endorsed disordered eating (male, 7.0%; female, 29.6%), as defined by Eating Attitudes Test-26. Factors that placed soldiers at higher risk for disordered eating were female gender (odds ratio, 5.63; 95% confidence interval, 3.32-9.57; p < 0.00005), overweight (odds ratio, 3.06; 95% confidence interval, 1.92-4.89; p < 0.00005), previous psychiatric treatment (odds ratio, 1.87; 95% confidence interval, 1.04-3.36; p = 0.035), and history of verbal abuse (odds ratio, 2.02; 95% confidence interval, 1.16-3.51; p = 0.014).
Our study shows a higher than expected rate of disordered eating in advanced individual training soldiers with identifiable risk factors. This indicates an important need for further study, effective screening, preventive counseling, and early intervention for treatment.
本研究旨在确定美国陆军新兵群体中饮食失调的患病率及其风险因素。
对马里兰州阿伯丁试验场接受高级单兵训练的美国陆军士兵进行横断面调查，采用匿名自填式调查问卷，内容包括人口统计学因素、病史（包括虐待史和精神治疗史）以及饮食态度测试-26。
在1184名接受调查的高级单兵训练士兵中，1090人参与了调查，应答率为91.2%（955名男性和135名女性）。40%的人体重超重（体重指数≥25），11%的人有精神病史，26%的人有虐待史，9.8%的人认可存在饮食失调（男性为7.0%；女性为29.6%），饮食失调的定义依据饮食态度测试-26。使士兵患饮食失调风险更高的因素包括女性（优势比为5.63；95%置信区间为3.32 - 9.57；p < 0.00005）、超重（优势比为3.06；95%置信区间为1.92 - 4.89；p < 0.00005）、既往精神治疗史（优势比为1.87；95%置信区间为1.04 - 3.36；p = 0.035）以及言语虐待史（优势比为2.02；95%置信区间为1.16 - 3.51；p = 0.014）。
我们的研究表明，在有可识别风险因素的高级单兵训练士兵中，饮食失调发生率高于预期。这表明有必要进一步开展研究、进行有效筛查、提供预防性咨询并尽早进行干预治疗。
