Bin Abdulrahman Khalid A, Alenazi Nawaf S, Alshehry Hasan Z, Albishri Saad B
Department of Medical Education, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia.
J Multidiscip Healthc. 2021 Nov 23;14:3233-3242. doi: 10.2147/JMDH.S339007. eCollection 2021.
There is minimal information regarding the prevalence of binge-eating disorders in Saudi Arabia. This study aims to measure the prevalence of BED and its association with nicotine dependency (ND) among undergraduate university students at Imam Mohammad Ibn Saud Islamic University (IMSIU).
A cross-sectional study recruited 878 participants, with an inclusion criteria that encompassed all IMSIU undergraduate students of either sex. The online-based self-report questionnaire was distributed through e-mail, which used the Binge-Eating Disorder Screener-7 (BEDS-7) to evaluate BED symptoms and the Fagerstrom Test of Nicotine Dependence (FTND) to measure the levels of ND. The e-FTND version was also adapted into the questionnaire to account for modern methods of nicotine usage.
A total of 165 participants were BED positive, with a prevalence of 18.8%, 99 of whom were women, and 66 were men. Women were significantly more predicted for BED than men (p = 0.035). Men appeared to be mainly more expected to be nicotine dependent (p < 0.001). BED positive participants showed a higher probability of being nicotine dependent than BED negative participants in the multivariate logistic regression analysis (95% CI 1.3-3.2; p = 0.002).
BED prevalence was notably high compared to worldwide estimates, with a significant association to nicotine dependence by the multivariate analysis. In the future, more investigations regarding the prevalence of specific types of eating disorders, including BED, in Saudi Arabia need to be considered.
关于沙特阿拉伯暴饮暴食障碍的患病率，相关信息极少。本研究旨在测量伊玛目穆罕默德·伊本·沙特伊斯兰大学（IMSIU）本科大学生中暴饮暴食障碍（BED）的患病率及其与尼古丁依赖（ND）的关联。
一项横断面研究招募了878名参与者，纳入标准涵盖IMSIU所有男女本科生。基于网络的自我报告问卷通过电子邮件分发，该问卷使用暴饮暴食障碍筛查量表-7（BEDS-7）评估BED症状，使用尼古丁依赖的法格斯特龙测试（FTND）测量ND水平。e-FTND版本也被改编到问卷中，以适应现代尼古丁使用方式。
共有165名参与者BED呈阳性，患病率为18.8%，其中99名是女性，66名是男性。女性患BED的预测概率显著高于男性（p = 0.035）。男性似乎主要更易出现尼古丁依赖（p < 0.001）。在多因素逻辑回归分析中，BED阳性参与者比BED阴性参与者尼古丁依赖概率更高（95%置信区间1.3 - 3.2；p = 0.002）。
与全球估计值相比，BED患病率显著较高，多因素分析显示其与尼古丁依赖存在显著关联。未来，需要考虑对沙特阿拉伯包括BED在内的特定类型饮食失调症患病率进行更多调查。
