Silén Yasmina, Keski-Rahkonen Anna
Department of Public Health, University of Helsinki, Finland.
Curr Opin Psychiatry. 2022 Nov 1;35(6):362-371. doi: 10.1097/YCO.0000000000000818. Epub 2022 Sep 13.
Eating disorders (anorexia nervosa, bulimia nervosa, binge eating disorder, and other eating disorders) affect young people worldwide. This narrative review summarizes key studies conducted on the prevalence of Diagnostic and Statistical Manual of Mental Disorders (DSM-5) eating disorders among young people in 2013-22.
In Western settings, a substantial proportion of young people have reported an eating disorder. Overall, 5.5--17.9% of young women and 0.6-2.4% of young men have experienced a DSM-5 eating disorder by early adulthood. Lifetime DSM-5 anorexia nervosa was reported by 0.8-6.3% of women and 0.1-0.3% of men, bulimia nervosa by 0.8-2.6% of women and 0.1-0.2% of men, binge eating disorder by 0.6-6.1% of women and 0.3-0.7% of men, other specified feeding or eating disorders by 0.6-11.5% of women and 0.2-0.3% of men, and unspecified feeding or eating disorders 0.2-4.7% of women and 0-1.6% of men. Gender and sexual minorities were at particularly high risk. Emerging studies from Eastern Europe, Asia, and Latin America show similar high prevalences. During the COVID-19 pandemic, the incidence of eating disorders has still increased.
Eating disorders are a global health concern among young people. Improved detection, management, and prevention methods are urgently needed.
饮食失调(神经性厌食症、神经性贪食症、暴饮暴食症及其他饮食失调)影响着全球的年轻人。本叙述性综述总结了2013年至2022年期间针对年轻人中《精神疾病诊断与统计手册》(DSM-5)饮食失调患病率开展的关键研究。
在西方环境中,相当大比例的年轻人报告患有饮食失调。总体而言,到成年早期,5.5%至17.9%的年轻女性和0.6%至2.4%的年轻男性经历过DSM-5饮食失调。终生患DSM-5神经性厌食症的女性比例为0.8%至6.3%,男性为0.1%至0.3%;神经性贪食症的女性比例为0.8%至2.6%,男性为0.1%至0.2%;暴饮暴食症的女性比例为0.6%至6.1%,男性为0.3%至0.7%;其他特定的喂养或饮食失调的女性比例为0.6%至11.5%,男性为0.2%至0.3%;未特定的喂养或饮食失调的女性比例为0.2%至4.7%,男性为0%至1.6%。性别和性少数群体风险尤其高。来自东欧、亚洲和拉丁美洲的新研究显示出类似的高患病率。在新冠疫情期间,饮食失调的发病率仍在上升。
饮食失调是全球年轻人的健康问题。迫切需要改进检测、管理和预防方法。