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伊朗神经性厌食症和神经性贪食症的趋势、患病率、发病率及伤残调整生命年:全球疾病负担研究

Trends, prevalence, incidence, and disability-adjusted life years of anorexia nervosa and bulimia nervosa in Iran: Global Burden of Disease Study.

作者信息

Amiri Sohrab, Hosseini Seyed Morteza

机构信息

Spiritual Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.

出版信息

Eat Weight Disord. 2025 Jul 30;30(1):59. doi: 10.1007/s40519-025-01769-6.

DOI:10.1007/s40519-025-01769-6
PMID:40736596
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12310778/
Abstract

OBJECTIVES

Given the significant prevalence of mental health disorders in Iran, this research seeks to examine various epidemiological aspects related to eating disorders (ED). The study specifically focuses on key metrics, including prevalence, incidence, Disability-Adjusted Life Years (DALYs), Years Lived with Disability (YLDs), and Years of Life Lost (YLLs), within the Iranian population.

METHODS

This research utilized data from the GBD 2019. Indicators related to disease burden, including prevalence, incidence, DALYs, YLDs, and YLLs, were extracted from the database. Population estimates and 95% uncertainty intervals (UIs) were calculated. All results are reported per 100,000 populations.

RESULTS

The age-standardized prevalence rate (ASPR) was documented at 254 per 100,000, with a uncertainty interval ranging from 189 to 328. The age-standardized disability-adjusted life years (DALYs) were calculated at 53.94 per 100,000, within an interval of 33.53 to 80.20. Likewise, the age-standardized years lived with disability (YLDs) were reported at 53.92 per 100,000, with a range extending from 33.51 to 53.92. In 2019, the Age-Standardized Prevalence Rate (ASPR) for anorexia nervosa (AN) was recorded at 68.47 per 100,000 individuals, while for bulimia nervosa (BN), it was 186.42 per 100,000. The ASPR for eating disorders (ED) overall stood at 190.4 per 100,000 for males and 320.33 per 100,000 for females in the same year.

CONCLUSION

An analysis of the impact of eating disorders (ED) in Iran from 1990 to 2019 highlights a significant increase in their associated burden. This upward trend emphasizes the urgent necessity for the development and implementation of comprehensive health policies aimed at expanding access to mental health care services. Enhancing such access is vital, as it could substantially contribute to alleviating the burden of eating disorders by fostering more effective prevention and treatment strategies.

LEVEL OF EVIDENCE

Level IV.

摘要

目的

鉴于伊朗心理健康障碍的显著流行率,本研究旨在探讨与饮食失调(ED)相关的各种流行病学方面。该研究特别关注伊朗人群中的关键指标,包括患病率、发病率、伤残调整生命年(DALYs)、带病生存年数(YLDs)和寿命损失年数(YLLs)。

方法

本研究利用了全球疾病负担研究(GBD)2019的数据。从数据库中提取了与疾病负担相关的指标,包括患病率、发病率、DALYs、YLDs和YLLs。计算了人口估计数和95%的不确定性区间(UIs)。所有结果均按每10万人报告。

结果

年龄标准化患病率(ASPR)记录为每10万人254例,不确定性区间为189至328例。年龄标准化伤残调整生命年(DALYs)计算为每10万人53.94例,区间为33.53至80.20例。同样,年龄标准化带病生存年数(YLDs)报告为每10万人53.92例,范围从33.51至53.92例。2019年,神经性厌食症(AN)的年龄标准化患病率(ASPR)记录为每10万人68.47例,而神经性贪食症(BN)为每10万人186.42例。同年,饮食失调(ED)的总体年龄标准化患病率男性为每10万人190.4例,女性为每10万人320.33例。

结论

对1990年至2019年伊朗饮食失调(ED)影响的分析突出了其相关负担的显著增加。这一上升趋势强调了制定和实施全面卫生政策以扩大获得心理健康护理服务机会的迫切必要性。加强这种获得机会至关重要,因为它可以通过促进更有效的预防和治疗策略,大幅有助于减轻饮食失调的负担。

证据水平

四级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2978/12310778/85c43cea32fe/40519_2025_1769_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2978/12310778/411455941590/40519_2025_1769_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2978/12310778/0f2e3907432d/40519_2025_1769_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2978/12310778/b09b364c3436/40519_2025_1769_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2978/12310778/85c43cea32fe/40519_2025_1769_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2978/12310778/411455941590/40519_2025_1769_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2978/12310778/0f2e3907432d/40519_2025_1769_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2978/12310778/b09b364c3436/40519_2025_1769_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2978/12310778/85c43cea32fe/40519_2025_1769_Fig4_HTML.jpg

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