Review of the burden of eating disorders: mortality, disability, costs, quality of life, and family burden.
Review of the burden of eating disorders: mortality, disability, costs, quality of life, and family burden.
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DOI：
10.1097/yco.0000000000000641
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发表时间：
2020-11
影响因子：
6.9
通讯作者：
Hoek HW
中科院分区：
文献类型：
--
作者：
van Hoeken D;Hoek HW
回顾最近关于饮食失调与非饮食失调人群在死亡率、残疾、生活质量、经济成本和家庭负担方面的负担的文献。据估计，全世界每年因饮食失调而损失的健康寿命年超过330万年。与其他精神障碍相比，神经性厌食症和神经性贪食症患者的残疾寿命(YLD)有所增加。尽管治疗取得了进展，但神经性厌食症和暴食症的死亡率仍然非常高：那些接受过神经性厌食症住院治疗的人死亡风险仍然增加了五倍以上。神经性暴食症和在医院外接受治疗的神经性厌食症的死亡风险较低，但仍约为对照组的两倍。在患有饮食障碍的人中，生活质量降低，每年的医疗费用比普通人群高48%，精神健康合并症的存在与年收入下降48%相关，子女数量减少，不良妊娠和新生儿结局的风险增加。现在或以前患有进食障碍的人面临死亡率增加、YLD发生率高、生活质量下降、成本增加以及生育问题的风险。
To review the recent literature on the burden of eating disorders in terms of mortality, disability, quality of life, economic cost, and family burden, compared with people without an eating disorder. Estimates are that yearly over 3.3 million healthy life years worldwide are lost because of eating disorders. In contrast to other mental disorders, in anorexia nervosa and bulimia nervosa years lived with disability (YLDs) have increased. Despite treatment advances, mortality rates of anorexia nervosa and bulimia nervosa remain very high: those who have received inpatient treatment for anorexia nervosa still have a more than five times increased mortality risk. Mortality risks for bulimia nervosa, and for anorexia nervosa treated outside the hospital, are lower but still about twice those of controls. In people with an eating disorder, quality of life is reduced, yearly healthcare costs are 48% higher than in the general population, the presence of mental health comorbidity is associated with 48% lower yearly earnings, the number of offspring is reduced, and risks for adverse pregnancy and neonatal outcomes are increased. People with a current or former eating disorder are at risk of increased mortality, high YLD rates, a reduced quality of life, increased costs, and problems with childbearing.