饮食失调的流行病学：遗传、环境和社会因素。
The epidemiology of eating disorders: genetic, environmental, and societal factors.
作者信息
Mitchison Deborah, Hay Phillipa J
机构信息
School of Medicine, University of Western Sydney, Sydney, NSW, Australia.
Centre for Health Research, School of Medicine, University of Western Sydney, Sydney, NSW, Australia ; School of Medicine, James Cook University, Townsville City, QLD, Australia.
出版信息
Clin Epidemiol. 2014 Feb 17;6:89-97. doi: 10.2147/CLEP.S40841. eCollection 2014.
BACKGROUND
The aim of this review was to summarize the literature to date regarding the sociodemographic, environmental, and genetic correlates of eating disorders (EDs) in adults.
METHOD
A keyword search was entered into Scopus (SciVerse, Elsevier) to identify relevant articles published in English up until June 2013. Articles were assessed against a range of a priori inclusion and exclusion criteria.
RESULTS
A total of 149 full-text articles were found to be eligible for the review and included 86 articles with data on sociodemographic correlates, 57 on environmental correlates, and 13 on genetic correlates. Female sex, younger age, sexual and physical abuse, participation in esthetic or weight-oriented sports, and heritability were found to be most consistently associated with higher ED prevalence and incidence. Conversely, ethnicity, socioeconomic status, education, and urbanicity did not appear to have strong associations with ED epidemiology.
CONCLUSION
More community-based research, with an equal representation of males, needs to be conducted to confirm the current findings and provide evidence for emerging factors that may be related to EDs.
背景
本综述的目的是总结迄今为止有关成人饮食失调（EDs）的社会人口统计学、环境和遗传相关性的文献。
方法
在Scopus（SciVerse，爱思唯尔）中进行关键词搜索，以识别截至2013年6月以英文发表的相关文章。根据一系列预先设定的纳入和排除标准对文章进行评估。
结果
共发现149篇全文文章符合综述要求，其中86篇文章包含社会人口统计学相关性数据，57篇包含环境相关性数据，13篇包含遗传相关性数据。研究发现，女性、年轻、性虐待和身体虐待、参与审美或注重体重的运动以及遗传力与较高的饮食失调患病率和发病率最密切相关。相反，种族、社会经济地位、教育程度和城市化程度似乎与饮食失调流行病学没有很强的关联。
结论
需要开展更多基于社区的研究，纳入同等比例的男性，以证实当前的研究结果，并为可能与饮食失调相关的新出现因素提供证据。
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