School of Biomedical and Health Sciences, University of Western Sydney, Campbelltown, Australia.
J Womens Health (Larchmt). 2009 Jul;18(7):1081-9. doi: 10.1089/jwh.2008.1174.
We compared the health burden of eating-disordered behavior with that of overweight in a community-based sample of women aged 18-42 years residing in the Australian Capital Territory region of Australia. Participants (n = 4643) completed self-report measures of eating disorder psychopathology, health-related quality of life and health service utilization. Body mass index (BMI) was derived from self-reported height and weight.
Overweight was associated with marked impairment in physical health functioning and comparatively little impairment in psychosocial functioning, whereas eating-disordered behavior was associated with marked impairment in psychosocial functioning and comparatively little impairment in physical health functioning. Further, (1) impairment in psychosocial functioning associated with eating-disordered behavior was greater than impairment in physical health functioning associated with overweight, and (2) impairment in physical health functioning associated with eating-disordered behavior was greater than impairment in psychosocial functioning associated with overweight. Overweight and eating-disordered behavior were associated with similarly elevated rates of primary care consultations during the past 6 months and of lifetime treatment from a health professional for an eating or weight problem.
In young adult women, the health burden of eating-disordered behavior may be more substantial than previously recognized. Better information concerning the spectrum of disordered eating that exists at the population level needs to be made available. Eating-disordered behavior warrants greater attention when considering the public health burden of obesity and in developing programs to reduce this burden.
我们比较了澳大利亚首都地区年龄在 18-42 岁之间的社区女性样本中饮食失调行为和超重的健康负担。参与者（n=4643）完成了饮食障碍心理病理学、健康相关生活质量和卫生服务利用的自我报告措施。体重指数（BMI）由自我报告的身高和体重得出。
超重与身体健康功能明显受损有关，而与心理健康功能受损相对较小有关，而饮食失调行为与心理健康功能明显受损有关，而身体健康功能受损相对较小。此外，（1）与饮食失调行为相关的心理健康功能受损大于与超重相关的身体健康功能受损，（2）与饮食失调行为相关的身体健康功能受损大于与超重相关的心理健康功能受损。超重和饮食失调行为都与过去 6 个月内主要医疗咨询的发生率和终身接受健康专业人员治疗饮食或体重问题的发生率显著升高有关。
在年轻成年女性中，饮食失调行为的健康负担可能比以前认识到的更为严重。需要提供更多关于人群中存在的紊乱饮食的信息。在考虑肥胖的公共卫生负担以及制定减轻这一负担的计划时，饮食失调行为值得更多关注。
