Jahrami Haitham, Saif Zahra, Trabelsi Khaled, Ghazzawi Hadeel, Pandi-Perumal Seithikurippu R, Seeman Mary V
Department of Psychiatry, Governmental Hospitals, Manama, Bahrain.
Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain.
Alpha Psychiatry. 2024 Mar 1;25(2):165-174. doi: 10.5152/alphapsychiatry.2024.241515. eCollection 2024 Mar.
To prevent eating disorders in future physicians, this umbrella review and meta-analysis of previous meta-analyses estimates the prevalence of disordered eating (DE) among medical students worldwide and identifies key risk factors.
Four databases were searched electronically between their inception and February 1, 2023. The search was later updated to December 31, 2023.
The search yielded prevalence rates for medical students who scored above established cutoffs on validated assessment measures for DE. These were computed to provide an overall pooled estimate. The data was taken from 2 previous reviews. Both these systematic reviews found a 15.1% (95% confidence interval [CI]: 14.7%-15.6%) prevalence rate of DE among medical students. The equivalent Hedges' G = 0.30 (95% CI: 0.29-0.31), the equivalent odds ratio = 1.74 (95% CI: 1.71-1.77), = 97.6%, and the excess of statistical significance is = .001. The trim and fill adjusted effect size was 16.0% (95% CI: 14.0%-20.0%).
Because eating disorders put students' safety and well-being at risk and because the health of early-stage physicians is vital to the welfare of a country, early signs of disordered eating must become a priority of medical schools and a signal for effective prevention and intervention. The recommendation is to ensure supportive environments, provide easy access to effective care, and hold clear expectations for student eating behavior.
为预防未来医生出现饮食失调问题，本对既往荟萃分析的综合评价及荟萃分析估计了全球医学生中饮食失调（DE）的患病率，并确定了关键风险因素。
对四个数据库从建库至2023年2月1日进行电子检索。检索后来更新至2023年12月31日。
检索得出了在DE有效评估量表上得分高于既定临界值的医学生的患病率。对这些数据进行计算以得出总体合并估计值。数据取自之前的2篇综述。这两篇系统综述均发现医学生中DE的患病率为15.1%（95%置信区间[CI]：14.7%-15.6%）。等效的Hedges' G = 0.30（95% CI：0.29-0.31），等效比值比 = 1.74（95% CI：1.71-1.77），I² = 97.6%，且统计显著性过剩为P = 0.001。修剪和填充调整后的效应量为16.0%（95% CI：14.0%-20.0%）。
由于饮食失调会危及学生的安全和福祉，且早期医生的健康对国家的福利至关重要，饮食失调的早期迹象必须成为医学院校的优先事项以及有效预防和干预的信号。建议是确保支持性环境，提供便捷的有效护理途径，并对学生的饮食行为有明确期望。
