Chen Qi, Huang Shu, Peng Jie-Yu, Xu Huan, Wang Ping, Shi Xiao-Min, Li Shi-Qi, Luo Rui, Zhang Wei, Shi Lei, Peng Yan, Wang Xiao-Hong, Tang Xiao-Wei
Department of Gastroenterology, The Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China.
Department of Gastroenterology, Lianshui People' Hospital of Kangda College Affiliated to Nanjing Medical University, Huaian 223499, Jiangsu Province, China.
World J Psychiatry. 2024 Dec 19;14(12):1815-1826. doi: 10.5498/wjp.v14.i12.1815.
Eating disorders (EDs) have increasingly become a public health problem globally, especially among children and adolescents.
To estimate the burden of EDs in children and adolescents (ages 5-19 years) at the global, regional, and national levels.
Retrieved from Global Burden of Disease Study 2019 for EDs, including anorexia nervosa and bulimia nervosa, we extracted the disability-adjusted life years (DALYs) and prevalence rates with 95% uncertainty intervals between 1990-2019. The temporal trends of the DALYs and prevalence rates of EDs were assessed according to the estimated annual percentage changes.
In our study, we found that the burden of EDs continuously increased globally from 1990 to 2019. Although females accounted for more EDs cases, the burden of EDs in males had a greater increment. Meanwhile, the burden of EDs was associated with the high sociodemographic index (SDI) over the past 30 years and the human development indexes in 2019.
EDs, predominantly in high-income countries, are rising globally, especially in Asia, highlighting the need for resource planning and medical policy prioritization across all SDI quintiles.
饮食失调在全球范围内日益成为一个公共卫生问题，尤其是在儿童和青少年中。
估计全球、区域和国家层面5至19岁儿童和青少年饮食失调的负担。
从《2019年全球疾病负担研究》中检索饮食失调（包括神经性厌食症和神经性贪食症）的数据，我们提取了1990年至2019年期间的伤残调整生命年（DALYs）和患病率以及95%的不确定性区间。根据估计的年度百分比变化评估饮食失调的伤残调整生命年和患病率的时间趋势。
在我们的研究中，我们发现1990年至2019年期间全球饮食失调的负担持续增加。虽然女性饮食失调病例较多，但男性饮食失调的负担增长幅度更大。同时，过去30年饮食失调的负担与高社会人口学指数（SDI）以及2019年的人类发展指数相关。
饮食失调在全球范围内呈上升趋势，主要集中在高收入国家，尤其是在亚洲，这凸显了在所有社会人口学指数五分位数中进行资源规划和医疗政策优先排序的必要性。
