Sanford Center for Biobehavioral Research, 120 Eighth Street South, Fargo, ND, 58103, USA.
Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA.
Curr Psychiatry Rep. 2020 Oct 30;22(12):74. doi: 10.1007/s11920-020-01200-0.
This review summarizes emerging evidence for the relationship between food insecurity and eating disorder (ED) pathology, outlines priorities for future research in this area, and comments on considerations for clinical and public health practice.
Among adults, food insecurity is cross-sectionally associated with higher levels of overall ED pathology, binge eating, compensatory behaviors, binge-eating disorder, and bulimia nervosa. Evidence for similar relationships among adolescents has been less robust; however, compared to studies of adults, there have been substantially fewer studies conducted in adolescents to date. Emerging evidence consistently indicates that food insecurity is cross-sectionally associated with bulimic-spectrum ED pathology among adults. Findings emphasize the need for ED research to include marginalized populations who have historically been overlooked in the ED field. Much more research is needed to better understand the relationship between food insecurity and ED pathology and to determine effective ways to intervene.
本文综述了食物不安全与饮食障碍(ED)病理之间关系的新证据,概述了该领域未来研究的重点,并就临床和公共卫生实践的注意事项进行了评论。
在成年人中,食物不安全与整体 ED 病理、暴食、补偿行为、暴食障碍和神经性贪食症的水平呈正相关。在青少年中,类似的关系证据则不那么确凿;然而,与成人研究相比,迄今为止在青少年中进行的研究要少得多。新出现的证据一致表明,食物不安全与成年人的贪食症样 ED 病理呈横断面相关。这些发现强调了 ED 研究需要纳入历史上在 ED 领域被忽视的边缘化人群。需要进行更多的研究,以更好地理解食物不安全与 ED 病理之间的关系,并确定有效的干预方法。