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Prevalence of binge-eating disorder among children and adolescents: a systematic review and meta-analysis
European Child & Adolescent Psychiatry ( IF 6.0 ) Pub Date : 2021-07-27 , DOI: 10.1007/s00787-021-01850-2
Marie Lyngdrup Kjeldbjerg 1 , Loa Clausen 1, 2
Affiliation  

The objective is to estimate the prevalence of binge-eating disorder (BED) and subclinical BED in children and adolescents. Relevant articles were searched in the databases of PubMED and PsycINFO. Articles were included if they measured BED, subclinical BED, binge eating and/or loss of control (LOC) eating in samples of up to 20 years of age or with a mean age below 20 years. Subclinical BED covers participants with < 4 OBEs but ≥ 1 OBE pr. month and studies measuring subclinical DSM-IV/DSM-5 BED, but where all criteria were not met. All study types and measuring methods were accepted, but studies were excluded if they did not assess and exclude cases of recurrent compensatory behaviors. Meta-analyses were used to obtain an overall estimate of the prevalence of BED and subclinical BED, while stratified meta-analyses were used to assess sources of heterogeneity. 39 studies measuring BED, subclinical BED and/or a low frequency of binge eating were included. Two meta-analyses resulted in an overall estimated prevalence of 1.32% BED and 3.0% subclinical BED in children and adolescents. The results were influenced by high heterogeneity. Potential sources to heterogeneity in the BED result were weight of participants and sample types as well as level of risk of bias in the included studies. BED seems to be as frequent in children and adolescents as anorexia nervosa and bulimia nervosa. Hence, treatment of BED and BED symptoms in younger populations should be prioritized on the same terms as anorexia and bulimia nervosa.



中文翻译:

儿童和青少年暴食症的患病率:一项系统评价和荟萃分析

目的是估计暴食症 (BED) 和亚临床 BED 在儿童和青少年中的患病率。在 PubMED 和 PsycINFO 的数据库中检索了相关文章。如果他们在 20 岁以下或平均年龄低于 20 岁的样本中测量 BED、亚临床 BED、暴食和/或失控 (LOC) 进食,则文章被包括在内。亚临床 BED 涵盖 < 4 OBE 但≥ 1 OBE pr 的参与者。月和研究测量亚临床 DSM-IV/DSM-5 BED,但未满足所有标准。所有研究类型和测量方法都被接受,但如果研究没有评估和排除反复补偿行为的情况,则被排除在外。荟萃分析用于获得对 BED 和亚临床 BED 患病率的总体估计,而分层荟萃分析用于评估异质性来源。包括 39 项测量 BED、亚临床 BED 和/或低频率暴食的研究。两项荟萃分析导致儿童和青少年的 BED 总体估计患病率为 1.32%,亚临床 BED 患病率为 3.0%。结果受到高度异质性的影响。BED 结果中异质性的潜在来源是参与者的体重和样本类型以及纳入研究中的偏倚风险水平。卧床在儿童和青少年中似乎与神经性厌食症和神经性贪食症一样常见。因此,对于年轻人群的 BED 和 BED 症状的治疗应该与厌食症和神经性贪食症一样被优先考虑。两项荟萃分析导致儿童和青少年的 BED 总体估计患病率为 1.32%,亚临床 BED 患病率为 3.0%。结果受到高度异质性的影响。BED 结果中异质性的潜在来源是参与者的体重和样本类型以及纳入研究中的偏倚风险水平。卧床在儿童和青少年中似乎与神经性厌食症和神经性贪食症一样常见。因此,对于年轻人群的 BED 和 BED 症状的治疗应该与厌食症和神经性贪食症一样被优先考虑。两项荟萃分析导致儿童和青少年的 BED 总体估计患病率为 1.32%,亚临床 BED 患病率为 3.0%。结果受到高度异质性的影响。BED 结果中异质性的潜在来源是参与者的体重和样本类型以及纳入研究中的偏倚风险水平。卧床在儿童和青少年中似乎与神经性厌食症和神经性贪食症一样常见。因此,对于年轻人群的 BED 和 BED 症状的治疗应该与厌食症和神经性贪食症一样被优先考虑。BED 结果中异质性的潜在来源是参与者的体重和样本类型以及纳入研究中的偏倚风险水平。卧床在儿童和青少年中似乎与神经性厌食症和神经性贪食症一样常见。因此,对于年轻人群的 BED 和 BED 症状的治疗应该与厌食症和神经性贪食症一样被优先考虑。BED 结果中异质性的潜在来源是参与者的体重和样本类型以及纳入研究中的偏倚风险水平。卧床在儿童和青少年中似乎与神经性厌食症和神经性贪食症一样常见。因此,对于年轻人群的 BED 和 BED 症状的治疗应该与厌食症和神经性贪食症一样被优先考虑。

更新日期:2021-07-27
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