Department of Behavioral Medicine, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman.
Department of Family Medicine & Public Health, College of Medicine & Health Sciences, SultanQaboos University, Muscat, Oman.
Eat Disord. 2022 Sep-Oct;30(5):556-585. doi: 10.1080/10640266.2021.1969495. Epub 2021 Sep 4.
This study aimed to systematically synthesize and appraise existing literature on the prevalence of eating disorders and disordered eating in Western Asia. A systematic literature search of major English and Arabic databases, i.e., PubMed/Medline, EMBASE, PsychInfo, Web of Science and Scopus (English), Al-Manhal (Arabic) and grey literature was done to obtain the prevalence of disordered eating and eating disorders in Western Asia. The literature search was conducted on June 12, 2020, and included papers from 1990-2020. Out of the 249 unduplicated original studies reviewed, 27 were included in the final meta-analysis. Data were then categorized according to the tools used to identify the presence of disordered eating or eating disorders. The pooled prevalence of disordered eating as solicited by both the Eating Attitudes Scale 26 and the Eating Attitudes Scale 40 (N = 11841) was 22.07%, the Sick, Control, One stone, Fat, Food Questionnaire (n = 3160) was 22.28% and the Eating Disorder Examination-Questionnaire (n = 425) was 7.95%. The pooled prevalence obtained from those studies using semi-structured interviews for anorexia nervosa (n = 118190) was 1.59%, bulimia nervosa (n = 118513) was 2.41% and the estimated prevalence of Eating Disorder Not Otherwise Specified (EDNOS) (n = 118087) was 3.51%. Although the prevalence rate of eating disorders solicited using semi-structured interviews appeared to parallel the international range, the overall prevalence rate of disordered eating appeared to be slightly higher than the global rates of prevalence. A significant number of the suspected/detected cases of disordered eating appear to fulfill the criteria for EDNOS. This study is classified as evidence obtained from systematic reviews and meta-analyses (i.e. Level 1).
本研究旨在系统综合和评价西亚地区有关饮食障碍和饮食紊乱患病率的现有文献。通过对主要英文和阿拉伯文数据库（即 PubMed/Medline、EMBASE、PsychInfo、Web of Science 和 Scopus（英文）、Al-Manhal（阿拉伯文）和灰色文献）进行系统文献检索，以获取西亚地区饮食紊乱和饮食障碍的患病率。文献检索于 2020 年 6 月 12 日进行，包括 1990 年至 2020 年的论文。在审查的 249 篇重复的原始研究中，有 27 篇被纳入最终的荟萃分析。然后根据用于识别饮食紊乱或饮食障碍存在的工具对数据进行分类。通过饮食态度量表 26 和饮食态度量表 40（N=11841）同时调查的饮食紊乱总患病率为 22.07%，通过饮食障碍检查问卷（n=425）获得的患病率为 7.95%。通过 Sick，Control，One stone，Fat，Food Questionnaire（n=3160）获得的饮食紊乱总患病率为 22.28%。通过半结构化访谈获得的神经性厌食症（n=118190）、神经性贪食症（n=118513）和未特定饮食障碍（EDNOS）（n=118087）的患病率分别为 1.59%、2.41%和 3.51%。虽然使用半结构化访谈调查的饮食障碍患病率似乎与国际范围相平行，但饮食紊乱的总体患病率似乎略高于全球患病率。相当数量的疑似/检出的饮食紊乱病例似乎符合 EDNOS 的标准。本研究被归类为系统综述和荟萃分析（即 1 级）获得的证据。
