The impact of eating disorders on idiopathic intracranial hypertension.

IF 5 2区医学 Q1 CLINICAL NEUROLOGY

Cephalalgia Pub Date : 2024-03-01 DOI:10.1177/03331024241237237

Therese Wallentin, Jakob Linnet, Mia B Lichtenstein, Nadja S Hansen, Johanne J Korsbæk, Lisbeth Høgedal, Snorre M Hagen, Laleh D Molander, Rigmor H Jensen, Dagmar Beier

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引用次数: 0

Abstract

Background: Idiopathic intracranial hypertension (IIH) occurs more frequently in obese females of childbearing age. A link between eating disorders and poor outcome has been suggested but remains unproven.

Methods: This prospective field study at two tertiary headache centers included patients with clinically suspected IIH after standardized diagnostic work-up. Eating disorders were evaluated using validated questionnaires (EDQs). Primary outcome was the impact of eating disorders on IIH severity and outcome, secondary outcome was the prevalence and type of eating disorders in IIH compared to controls.

Results: We screened 326 patients; 143 patients replied to the EDQs and were classified as 'IIH' or 'non-IIH' patients. The demographic profile of EDQ-respondents and non-respondents was similar. Presence of an eating disorder did not impact IIH severity (lumbar puncture opening pressure (p = 0.63), perimetric mean deviation (p = 0.18), papilledema (Frisén grad 1-3; p = 0.53)) nor IIH outcome (optic nerve atrophy (p = 0.6), impaired visual fields (p = 0.18)). Moreover, we found no differences in the prevalence and type of eating disorders when comparing IIH with non-IIH patients (p = 0.09).

Conclusion: Eating disorders did not affect IIH severity or outcome. We found the same prevalence and distribution pattern of eating disorders in IIH and non-IIH patients advocating against a direct link between IIH and eating disorders.

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饮食失调对特发性颅内高压的影响。

背景：特发性颅内高压（IIH）多发于育龄期肥胖女性。有人认为饮食失调与不良预后之间存在联系，但仍未得到证实：这项在两家三级头痛中心进行的前瞻性实地研究纳入了经过标准化诊断检查后临床怀疑患有 IIH 的患者。采用有效问卷（EDQs）对进食障碍进行评估。主要结果是饮食失调对 IIH 严重程度和预后的影响，次要结果是与对照组相比，饮食失调在 IIH 中的发生率和类型：我们筛选了 326 名患者，其中 143 名患者回答了 EDQ，并被分为 "IIH "和 "非 IIH "患者。回答 EDQ 的患者和未回答 EDQ 的患者的人口统计学特征相似。饮食失调不会影响 IIH 的严重程度（腰椎穿刺开口压（p = 0.63）、周平均偏差（p = 0.18）、乳头水肿（Frisén 1-3 级；p = 0.53）），也不会影响 IIH 的结果（视神经萎缩（p = 0.6）、视野受损（p = 0.18））。此外，在比较 IIH 与非 IIH 患者时，我们发现饮食失调的发生率和类型没有差异（p = 0.09）：结论：进食障碍不会影响 IIH 的严重程度或预后。我们发现饮食失调在 IIH 和非 IIH 患者中的流行率和分布模式相同，因此不认为 IIH 与饮食失调之间存在直接联系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cephalalgia 医学-临床神经学

CiteScore

10.10

自引率

6.10%

发文量

108

审稿时长

4-8 weeks

期刊介绍： Cephalalgia contains original peer reviewed papers on all aspects of headache. The journal provides an international forum for original research papers, review articles and short communications. Published monthly on behalf of the International Headache Society, Cephalalgia''s rapid review averages 5 ½ weeks from author submission to first decision.