College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai P.O. Box 505055, United Arab Emirates.
South London and Maudsley NHS Foundation Trust, The Maudsley Hospital, Denmark Hill, London SE5 8AZ, UK.
Int J Environ Res Public Health. 2022 Apr 26;19(9):5234. doi: 10.3390/ijerph19095234.
High-risk disordered eating (HRDE) negatively affects physical, mental, and social wellbeing. This scoping review aimed to estimate the prevalence of HRDE amongst adolescents and young adults in the Middle East. MEDLINE database was searched for studies published in English or Arabic from 1 January 2000 to 30 September 2020, estimating HRDE prevalence (using the Eating Attitudes Test 26 or 40 item questionnaire) in the Middle East. Two reviewers independently screened abstracts and full texts of potentially eligible records, followed by data extraction from eligible studies. Nineteen studies ( = 16,288; 65.8% female) from Egypt, Iran, Israel, Jordan, Kuwait, Libya, Oman, Palestine, Saudi Arabia, Syria, Turkey, and the United Arab Emirates were included. Prevalence of HRDE varied considerably across countries and was lowest amongst adolescents in Israel (F 8.2%; M 2.8%) and highest amongst university students in Egypt (F 75.8%; M 69.6%). Prevalence of high-risk for anorexia nervosa ranged from 0.0% in Jordan to 9.5% in Oman; high-risk for bulimia nervosa from 0.6% in Jordan to 1.0% in the United Arab Emirates; and high-risk for binge eating disorder was 1.0% and 1.8% in Turkey and Jordan, respectively. Future studies should employ a standardized two-stage design with clinical diagnosis to verify the prevalence of abnormal eating behaviours in the Middle East.
高危饮食障碍（HRDE）会对身心健康和社会福利产生负面影响。本综述旨在评估中东青少年和年轻成人中 HRDE 的流行率。检索了 2000 年 1 月 1 日至 2020 年 9 月 30 日期间发表的英文或阿拉伯文的研究，使用进食态度测试 26 项或 40 项问卷评估中东 HRDE 的流行率。两名审查员独立筛选了可能符合条件的记录的摘要和全文，然后从符合条件的研究中提取数据。纳入了来自埃及、伊朗、以色列、约旦、科威特、利比亚、阿曼、巴勒斯坦、沙特阿拉伯、叙利亚、土耳其和阿拉伯联合酋长国的 19 项研究（n = 16288；65.8%为女性）。HRDE 的流行率在各国之间差异很大，以色列青少年的流行率最低（F8.2%；M2.8%），埃及大学生的流行率最高（F75.8%；M69.6%）。厌食症高危的流行率从约旦的 0.0%到阿曼的 9.5%；贪食症高危的流行率从约旦的 0.6%到阿联酋的 1.0%；暴食症高危的流行率分别为土耳其的 1.0%和约旦的 1.8%。未来的研究应该采用标准化的两阶段设计和临床诊断，以验证中东异常饮食行为的流行率。
