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全球儿童饮食失调症患病率:一项全面的系统评价和荟萃分析。

Global prevalence of eating disorders in children: a comprehensive systematic review and meta-analysis.

作者信息

Salari Nader, Heidarian Pegah, Tarrahi Mohammad Javad, Mansourian Marjan, Canbary Zara, Daneshkhah Alireza, Nasirian Maryam, Faghihi Seyed Hassan, Mohammadi Masoud

机构信息

Department of Biostatistics, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.

出版信息

Ital J Pediatr. 2025 Apr 7;51(1):107. doi: 10.1186/s13052-025-01958-0.

Abstract

BACKGROUND

Eating disorders (EDs) are known as chronic mental disorders that can cause adverse physical and mental effects and affect different age groups, including children, and disrupt their growth and development. Based on this, the aim of this research is to determine the global prevalence of EDs in children.

METHODS

To conduct this research, each of the databases PubMed, Scopus, Web of science, Embase, ScienceDirect and Google Scholar search engine were systematically searched using relevant keywords ("prevalence,""outbreak,""eating disorder,""feeding disorder,""eating problem,""appetite disorder,"to find all the studies that refer to the prevalence of EDs in children until July 23, 2024 to obtain and perform further evaluations. After data extraction, their analysis was done by Comprehensive Meta-Analysis software (Version 2); Random effects model was used for analysis and I index was also used to check the heterogeneity of studies.

RESULTS

Based on the global prevalence of EDs in children based on meta-analysis was 1% (95% CI: 0.6-1.6); Subgroup analysis based on the study of eating disorders in children showed that the prevalence of pica among children is 2.1% (95% CI: 1-4.6), the prevalence of binge eating disorder is 1% (95% CI: 0.6-1.8), and the prevalence of anorexia nervosa and Bulimia nervosa among children is 0.6% (95% CI: 0.01-34.4) and 0.1% (95% CI: 0-0.4), respectively.

CONCLUSION

Considering the importance of nutrition in children and the report of EDs among them, healthcare workers and medical personnel must pay attention to this category of disorders by timely informing parents to reduce the complications caused by it.

摘要

背景

饮食失调被认为是一种慢性精神障碍,可导致不良的身心影响,并影响包括儿童在内的不同年龄组,扰乱他们的生长发育。基于此,本研究的目的是确定儿童饮食失调的全球患病率。

方法

为开展本研究,使用相关关键词(“患病率”“爆发”“饮食失调”“喂养障碍”“饮食问题”“食欲障碍”)对PubMed、Scopus、科学网、Embase、ScienceDirect和谷歌学术搜索引擎这几个数据库进行了系统检索,以查找所有提及截至2024年7月23日儿童饮食失调患病率的研究,从而获取并进行进一步评估。数据提取后,使用综合荟萃分析软件(版本2)进行分析;采用随机效应模型进行分析,并使用I指数检查研究的异质性。

结果

基于荟萃分析得出的儿童饮食失调全球患病率为1%(95%置信区间:0.6 - 1.6);基于儿童饮食失调研究的亚组分析表明,儿童中异食癖的患病率为2.1%(95%置信区间:1 - 4.6),暴饮暴食症的患病率为1%(95%置信区间:0.6 - 1.8),神经性厌食症和神经性贪食症在儿童中的患病率分别为0.6%(95%置信区间:0.01 - 34.4)和0.1%(95%置信区间:0 - 0.4)。

结论

考虑到营养对儿童的重要性以及其中饮食失调的报告,医护人员必须通过及时告知家长来关注这类疾病,以减少其所引发的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b08/11974214/80acebb69e2e/13052_2025_1958_Fig1_HTML.jpg

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