Eating disorders and physical multimorbidity in the English general population.
PURPOSE: People with eating disorders may be at increased risk for physical health problems, but there are no data on the relationship between eating disorders and physical multimorbidity (i.e., = 2 physical conditions) and its potential mediators. Thus, we investigated this association in a represe...
| Autores: | ; ; ; ; ; ; ; ; ; |
|---|---|
| Tipo de documento: | Artículo |
| Estado: | Published version |
| Fecha de publicación: | 2023 |
| País: | España |
| Institución: | Fundació Sant Joan de Déu |
| Repositorio: | r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu |
| OAI Identifier: | oai:fsjd.fundanetsuite.com:p24304 |
| Acceso en línea: | https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=24304 |
| Nivel de acceso: | Acceso abierto |
| Palabra clave: | Adults Chronic disease Disordered eating Eating disorder Epidemiology Multimorbidity UK |
| _version_ | 1878742759667400704 |
|---|---|
| author | Smith L |
| author2 | López Sánchez GF Fernandez-Egea E Ford T Parris C Underwood BR Butler L Barnett Y Trott M Koyanagi A |
| author2_role | author author author author author author author author author |
| author_browse | Barnett Y Butler L Fernandez-Egea E Ford T Koyanagi A López Sánchez GF Parris C Smith L Trott M Underwood BR |
| author_facet | Smith L López Sánchez GF Fernandez-Egea E Ford T Parris C Underwood BR Butler L Barnett Y Trott M Koyanagi A |
| author_role | author |
| collection | r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu |
| description | PURPOSE: People with eating disorders may be at increased risk for physical health problems, but there are no data on the relationship between eating disorders and physical multimorbidity (i.e., = 2 physical conditions) and its potential mediators. Thus, we investigated this association in a representative sample of adults from the UK, and quantified the extent to which this can be explained by various psychological and physical conditions, and lifestyle factors. METHODS: Cross-sectional data of the 2007 Adult Psychiatric Morbidity Survey were analyzed. Questions from the five-item SCOFF screening instrument were used to identify possible eating disorder. Respondents were asked about 20 physical health conditions. Multivariable logistic regression and mediation analysis were conducted. RESULTS: Data on 7403 individuals aged = 16 years were analyzed [mean (SD) age 46.3 (18.6) years; 48.6% males]. After adjustment, possible eating disorder was associated with 2.11 (95%CI = 1.67-2.67) times higher odds for physical multimorbidity. Anxiety disorder explained the largest proportion this association (mediated percentage 26.3%), followed by insomnia (21.8%), perceived stress (13.4%), depression (13.1%), obesity (13.0%), and alcohol dependence (4.3%). CONCLUSION: Future longitudinal studies are warranted to understand potential causality and the underlying mechanisms in the association between eating disorder and multimorbidity, and whether addressing the identified potential mediators in people with eating disorders can reduce multimorbidity. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_fbc6c33da1950d56cd51659ffbfc2015 |
| institution | Fundació Sant Joan de Déu |
| instname_str | Fundació Sant Joan de Déu |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:fsjd.fundanetsuite.com:p24304 |
| publishDate | 2023 |
| publishDateSort | 2023 |
| publisher | SPRINGER |
| publisherStr | SPRINGER |
| reponame_str | r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu |
| spelling | Eating disorders and physical multimorbidity in the English general population. Smith L López Sánchez GF Fernandez-Egea E Ford T Parris C Underwood BR Butler L Barnett Y Trott M Koyanagi A Adults Chronic disease Disordered eating Eating disorder Epidemiology Multimorbidity UK PURPOSE: People with eating disorders may be at increased risk for physical health problems, but there are no data on the relationship between eating disorders and physical multimorbidity (i.e., = 2 physical conditions) and its potential mediators. Thus, we investigated this association in a representative sample of adults from the UK, and quantified the extent to which this can be explained by various psychological and physical conditions, and lifestyle factors. METHODS: Cross-sectional data of the 2007 Adult Psychiatric Morbidity Survey were analyzed. Questions from the five-item SCOFF screening instrument were used to identify possible eating disorder. Respondents were asked about 20 physical health conditions. Multivariable logistic regression and mediation analysis were conducted. RESULTS: Data on 7403 individuals aged = 16 years were analyzed [mean (SD) age 46.3 (18.6) years; 48.6% males]. After adjustment, possible eating disorder was associated with 2.11 (95%CI = 1.67-2.67) times higher odds for physical multimorbidity. Anxiety disorder explained the largest proportion this association (mediated percentage 26.3%), followed by insomnia (21.8%), perceived stress (13.4%), depression (13.1%), obesity (13.0%), and alcohol dependence (4.3%). CONCLUSION: Future longitudinal studies are warranted to understand potential causality and the underlying mechanisms in the association between eating disorder and multimorbidity, and whether addressing the identified potential mediators in people with eating disorders can reduce multimorbidity. SPRINGER https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=24304 |
| spellingShingle | Eating disorders and physical multimorbidity in the English general population. Smith L Adults Chronic disease Disordered eating Eating disorder Epidemiology Multimorbidity UK |
| status_str | publishedVersion |
| title | Eating disorders and physical multimorbidity in the English general population. |
| title_full | Eating disorders and physical multimorbidity in the English general population. |
| title_fullStr | Eating disorders and physical multimorbidity in the English general population. |
| title_full_unstemmed | Eating disorders and physical multimorbidity in the English general population. |
| title_short | Eating disorders and physical multimorbidity in the English general population. |
| title_sort | Eating disorders and physical multimorbidity in the English general population. |
| topic | Adults Chronic disease Disordered eating Eating disorder Epidemiology Multimorbidity UK |
| topic_facet | Adults Chronic disease Disordered eating Eating disorder Epidemiology Multimorbidity UK |
| url | https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=24304 |