Research Center for Integrative Medicine in Aging, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Community Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Int J Eat Disord. 2023 Feb;56(2):394-406. doi: 10.1002/eat.23835. Epub 2022 Oct 27.
We aimed to report the burden of bulimia nervosa (BN) in the Middle East and North Africa (MENA) region by age, sex, and sociodemographic index (SDI), for the period 1990-2019.
Estimates of the prevalence, incidence, and disability-adjusted life-years (DALYs) attributable to BN were retrieved from the Global Burden of Disease study 2019, between 1990 and 2019, for the 21 countries in the MENA region. The counts and age-standardized rates (per 100,000) were presented, along with their corresponding 95% uncertainty intervals.
In 2019, the estimated regional age-standardized point prevalence and incidence rates of BN were 168.3 (115.0-229.6) and 178.6 (117.0-255.6) per 100,000, which represented 22.0% (17.5-27.2) and 10.4% (7.1-14.7) increases, respectively, since 1990. Moreover, in 2019 the regional age-standardized DALY rate was 35.5 (20.6-55.5) per 100,000, which was 22.2% (16.7-28.2) higher than in 1990. In 2019, Qatar (58.6 [34.3-92.5]) and Afghanistan (18.4 [10.6-29.2]) had the highest and lowest age-standardized DALY rates, respectively. Regionally, the age-standardized point prevalence of BN peaked in the 30-34 age group and was more prevalent among women. In addition, there was a generally positive association between SDI and the burden of BN across the measurement period.
In the MENA region, the burden of BN has increased over the last three decades. Cost-effective preventive measures are needed in the region, especially in the high SDI countries.
This study reports the estimated burden of BN in the MENA region and shows that its burden has increased over the last three decades.
我们旨在报告中东和北非（MENA）地区神经性贪食症（BN）的负担，按年龄、性别和社会人口指数（SDI）进行分类，时间范围为 1990 年至 2019 年。
我们从 2019 年全球疾病负担研究中检索了 21 个 MENA 地区国家在 1990 年至 2019 年期间 BN 的患病率、发病率和伤残调整生命年（DALYs）的估计值。我们呈现了病例数和年龄标准化率（每 10 万人），以及相应的 95%置信区间。
2019 年，估计的 MENA 地区年龄标准化点患病率和发病率分别为 168.3（115.0-229.6）和 178.6（117.0-255.6）/10 万人，与 1990 年相比，分别增加了 22.0%（17.5-27.2）和 10.4%（7.1-14.7）。此外，2019 年 MENA 地区年龄标准化 DALY 率为 35.5（20.6-55.5）/10 万人，比 1990 年高出 22.2%（16.7-28.2）。2019 年，卡塔尔（58.6 [34.3-92.5]）和阿富汗（18.4 [10.6-29.2]）的年龄标准化 DALY 率最高和最低。在该地区，BN 的年龄标准化点患病率在 30-34 岁年龄组达到峰值，且更常见于女性。此外，在整个测量期间，SDI 与 BN 的负担之间存在正相关关系。
在 MENA 地区，BN 的负担在过去三十年中有所增加。该地区需要采取具有成本效益的预防措施，尤其是在 SDI 较高的国家。
本研究报告了 MENA 地区 BN 的估计负担，并表明其负担在过去三十年中有所增加。
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