Department of Health Education and Behavior, University of Florida, Gainesville, Florida 32611-8210, USA.
J Am Coll Health. 2013;61(5):311-3. doi: 10.1080/07448481.2013.792259.
"Drunkorexia" merges prior literature identifying positive relationships between (a) alcohol use/abuse and disordered eating/eating disorders, (b) alcohol use/abuse and physical activity, and (c) disordered eating/eating disorders and physical activity. The term, highlighting an individual's proactive and/or reactive weight management behaviors (ie, disordered eating, physical activity) in relation to alcohol consumption, originated in news editorials and has recently gained recognition via use in scholarly publications. The purpose of this commentary is to recommend discontinuing use of the term "drunkorexia" due to (a) inconsistent definitions of drunkorexia across investigations, (b) drunkorexia being a misnomer, and (c) the medical community's lack of recognition/acceptance of drunkorexia. Because the behaviors encompassed by drunkorexia are of concern to researchers and health professionals, future investigations are still warranted. However, until a medically recognized term/phrase is accepted, scholars should utilize more appropriate characterizations such as "weight-conscious drinkers," "weight management behaviors of drinkers," or "Eating Disorders Not Otherwise Specified" (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision).
“酒醉厌食症”(Drunkorexia)结合了先前的文献,确定了以下三个方面之间的正相关关系:(a) 饮酒/酗酒与饮食失调/饮食障碍,(b) 饮酒/酗酒与身体活动,以及 (c) 饮食失调/饮食障碍与身体活动。该术语强调了个体在与酒精摄入相关的情况下,主动和/或被动的体重管理行为(即饮食失调、身体活动),起源于新闻社论,最近通过在学术出版物中的使用而得到认可。本评论的目的是建议停止使用“酒醉厌食症”一词,原因是:(a) 对酒醉厌食症的定义在不同的调查中不一致,(b) 酒醉厌食症是一个用词不当,以及 (c) 医学界对酒醉厌食症缺乏认可/接受。由于酒醉厌食症所涵盖的行为引起了研究人员和健康专业人员的关注,因此仍有必要进行未来的调查。然而,在一个被医学界认可的术语/短语被接受之前,学者们应该使用更合适的描述,例如“有体重意识的饮酒者”、“饮酒者的体重管理行为”或“未特定的饮食障碍”(《精神障碍诊断与统计手册》第四版,文本修订版)。