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Epidemiology of eating disorders: population, prevalence, disease burden and quality of life informing public policy in Australia-a rapid review

Journal of eating disorders, 2023-02, Vol.11 (1), p.23-23, Article 23 [Peer Reviewed Journal]

2023. The Author(s). ;COPYRIGHT 2023 BioMed Central Ltd. ;2023. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2023 ;ISSN: 2050-2974 ;EISSN: 2050-2974 ;DOI: 10.1186/s40337-023-00738-7 ;PMID: 36793104

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  • Title:
    Epidemiology of eating disorders: population, prevalence, disease burden and quality of life informing public policy in Australia-a rapid review
  • Author: Hay, Phillipa ; Aouad, Phillip ; Le, Anvi ; Marks, Peta ; Maloney, Danielle ; Touyz, Stephen ; Maguire, Sarah
  • Subjects: Analysis ; Anorexia ; Australian aborigines ; Burden of disease ; Decision making ; Eating disorders ; Epidemiology ; Incidence ; Interviews ; Medical research ; Medicine, Experimental ; Mental disorders ; Political activity ; Political aspects ; Prevalence ; Prevalence studies (Epidemiology) ; Public policy ; Quality of life ; Review ; Systematic review ; Womens health ; Young adults
  • Is Part Of: Journal of eating disorders, 2023-02, Vol.11 (1), p.23-23, Article 23
  • Description: Understanding of the epidemiology and health burden of eating disorders has progressed significantly in the last 2 decades. It was considered one of seven key areas to inform the Australian Government commissioned National Eating Disorder Research and Translation Strategy 2021-2031, as emerging research had highlighted a rise in eating disorder prevalence and worsening burden-of-illness. The aim of this review was to better understand the global epidemiology and impact of eating disorders to inform policy decision-making. Using a systematic Rapid Review methodology, ScienceDirect, PubMed and Medline (Ovid) were searched for peer-reviewed studies published between 2009 and 2021. Clear inclusion criteria were developed in consultation with experts in the field. Purposive sampling of literature was conducted, which predominately focused on higher-level evidence (meta-analyses, systematic reviews, and large epidemiological studies), synthesised, and narratively analysed. 135 studies were deemed eligible for inclusion in this review (N = 1324). Prevalence estimates varied. Global Lifetime prevalence of any eating disorder ranged from 0.74 to 2.2% in males, and 2.58-8.4% in females. Australian 3-month point-prevalence of broadly defined disorders was around 16% in females. Eating disorders appeared more prevalent in young people and adolescents, particularly females (in Australia: eating disorders ~ 22.2%; disordered eating ~ 25.7%). Limited evidence was found on sex, sexuality and gender diverse (LGBTQI +) individuals, particularly males, who had a six-fold increase in prevalence compared to the general male population, with increased illness impact. Similarly, limited evidence on First Australian's (Aboriginal and Torres Strait Islander) suggests prevalence rates similar to non-Indigenous Australians. No prevalence studies were identified specifically assessing culturally and linguistically diverse populations. Global disease burden of any eating disorder was 43.4 age-standardised disability-adjusted-life-years per 100,000; increasing by 9.4% between 2007 and 2017. Australian's total economic cost was estimated at $84 billion from years-of-life lost due to disability and death, and annual lost earnings ~ $1.646 billion." There is no doubt that eating disorder prevalence and impact are on the rise, particularly in at-risk and understudied populations. Much of the evidence came from female-only samples, and Western, high-income countries which more readily have access to specialised services. Future research should examine more representative samples. There is an urgent need for more refined epidemiological methods to better understand these complex illnesses over time, to guide health policy and development-of-care.
  • Publisher: England: BioMed Central Ltd
  • Language: English
  • Identifier: ISSN: 2050-2974
    EISSN: 2050-2974
    DOI: 10.1186/s40337-023-00738-7
    PMID: 36793104
  • Source: ProQuest One Psychology
    SpringerOpen
    GFMER Free Medical Journals
    PubMed Central
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
    DOAJ Directory of Open Access Journals
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