食物不安全与暴食：系统评价与荟萃分析。
Food insecurity and binge eating: A systematic review and meta-analysis.
机构信息
Department of Biobehavioral Health Sciences, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.
Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
出版信息
Int J Eat Disord. 2023 Jul;56(7):1301-1322. doi: 10.1002/eat.23956. Epub 2023 Apr 11.
OBJECTIVE
This review synthesized literature on the relationship between food insecurity and binge eating.
METHODS
Relevant studies were identified by searching PubMed, CINAHL, PsycINFO, and gray literature from inception to October 2022. Eligible studies included primary research that assessed the relationship between food insecurity and binge eating. Data extraction was performed independently by two reviewers. Pooled odds ratios and 95% confidence intervals (CI) were obtained from random effect models with the R package meta. Analyses were stratified by binge eating versus binge-eating disorder (BED), study type (cross-sectional vs. longitudinal), and age (adults vs. adolescents).
RESULTS
We included 24 articles that reported on 20 studies, and 13 articles were included in the meta-analysis. Based on the random effects meta-analysis, the odds of adults in the food insecure group having binge eating were 1.66 (95% CI = 1.42, 1.93) times the odds of adults in the food secure group having binge eating. The odds of adults in the food insecure group having BED were 2.70 (95% CI = 1.47, 4.96) times the odds of adults in the food secure group having BED. Insufficient data were available for a meta-analysis on adolescents or longitudinal relationships.
CONCLUSIONS
These findings support that food insecurity is associated with binge eating in adults. There is a need for research to investigate the mechanisms underlying this relationship. Results highlight the importance of screening participants with food insecurity for disordered eating behaviors and vice versa. Future research is needed to examine whether interventions targeting food insecurity may help to mitigate disordered eating behaviors.
PUBLIC SIGNIFICANCE
Food insecurity is a common but under-recognized contributor to binge eating. In this article, we systematically reviewed research that has been published on the relationship between food insecurity and binge eating. We found support that food insecurity should be considered in the prevention and treatment of binge eating.
目的
本综述综合了食物不安全与暴食之间关系的文献。
方法
通过检索 PubMed、CINAHL、PsycINFO 和 2022 年 10 月之前的灰色文献，确定了相关研究。合格的研究包括评估食物不安全与暴食之间关系的主要研究。数据提取由两名独立的审查员进行。使用 R 包 meta 从随机效应模型中获得合并的优势比和 95%置信区间（CI）。分析按暴食与暴食障碍（BED）、研究类型（横断面与纵向）和年龄（成人与青少年）进行分层。
结果
我们纳入了 24 篇报告了 20 项研究的文章，其中 13 篇文章纳入了荟萃分析。基于随机效应荟萃分析，食物不安全组成年人发生暴食的几率是食物安全组成年人发生暴食的几率的 1.66 倍（95%CI=1.42,1.93）。食物不安全组成年人发生 BED 的几率是食物安全组成年人发生 BED 的几率的 2.70 倍（95%CI=1.47,4.96）。由于缺乏青少年或纵向关系的荟萃分析数据。
结论
这些发现支持食物不安全与成年人暴食有关。需要研究来调查这种关系的潜在机制。结果强调了筛查有食物不安全的参与者有无饮食障碍行为以及反之亦然的重要性。需要进一步研究以检验针对食物不安全的干预措施是否有助于减轻饮食障碍行为。
意义
食物不安全是暴食的一个常见但未被充分认识的促成因素。在本文中，我们系统地回顾了已发表的关于食物不安全与暴食之间关系的研究。我们发现有证据支持应将食物不安全纳入暴食的预防和治疗中。
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