埃及代谢性减肥手术患者饮食失调的患病率及相关因素

IF 4.5 3区 医学 Q2 NUTRITION & DIETETICS
Mohamed Hany, Hagar Ahmad Aly Yassin, Asmaa Hamdy, Ehab Elmongui, Anwar Ashraf Abouelnasr, Bart Torensma
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引用次数: 0

摘要

背景:肥胖是一种日益严重的全球性流行病,其发病率和死亡率都很高。代谢减肥手术(MBS)是一种有效的干预肥胖及其相关的医疗问题。然而,饮食失调(EDs)在MBS患者中普遍存在,并可能影响术后减肥结果。尽管在西方人群中EDs的影响有充分的文献记载,但在中东和北非(MENA)地区的MBS患者中,其患病率和相关因素的数据仍然很少。本研究旨在确定EDs的患病率,并确定其相关因素在一个大队列的埃及MBS患者。方法:在埃及亚历山大市麦地那妇女医院减肥手术中心进行横断面研究,纳入2022年8月至2024年11月所有MBS成年患者(N = 3240)。精神科医师根据DSM-5标准,采用DSM-5结构化临床访谈(SCID-5-RV)进行结构化临床访谈,诊断EDs,包括暴食症(BED)、神经性贪食症(BN)和夜食综合征(NES)。结果:研究队列中EDs的总体患病率为47.8%,BED是最常见的疾病(36.1%),其次是NES(22.8%)和BN(2.1%)。女性与较高的BED风险(OR 1.68, 95% CI: 1.38-2.04, p)显著相关。结论:EDs在埃及MBS患者中非常普遍,其中BED最为常见。女性性别、年龄、精神疾病和吸烟习惯是ed的主要预测因素。鉴于急症对术后预后的潜在影响,常规的精神病学筛查对于术前评估至关重要。未来的研究应探讨ed对减肥和手术结果的长期影响。试验注册:不适用(观察性研究)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence and associated factors of eating disorders among metabolic bariatric surgery patients in Egypt.

Background: Obesity is a growing global epidemic associated with significant morbidity and mortality. Metabolic bariatric surgery (MBS) is an effective intervention for obesity and its associated medical problems. However, eating disorders (EDs) are prevalent among MBS patients and may influence postoperative weight loss outcomes. Despite the well-documented impact of EDs in Western populations, data on their prevalence and associated factors among MBS patients in the Middle East and North Africa (MENA) region remain scarce. This study aims to determine the prevalence of EDs and identify their associated factors in a large cohort of Egyptian MBS patients.

Methods: A cross-sectional study was conducted at the Bariatric Surgery Center of Madina Women's Hospital in Alexandria, Egypt, including all adult patients for MBS from August 2022 to November 2024 (N = 3,240). A psychiatrist conducted structured clinical interviews based on the DSM-5 criteria using the Structured Clinical Interview for DSM-5 (SCID-5-RV) to diagnose EDs, including binge eating disorder (BED), bulimia nervosa (BN), and night eating syndrome (NES). Logistic regression analyses were performed to assess factors associated with E.Ds.

Results: The overall prevalence of EDs in the study cohort was 47.8%, with BED being the most common disorder (36.1%), followed by NES (22.8%) and BN (2.1%). Female gender was significantly associated with a higher risk of BED OR 1.68, 95% CI: 1.38-2.04, p < 0.001). Heavy smoking was associated with significantly lower odds of BED compared to non-smoking (OR = 0.44, 95% CI: 0.30-0.63, p < 0.001), suggesting a potential protective association, but increased associated with NES (OR = 2.04, 95% CI: 1.42-2.90, p < 0.001). Psychiatric in associated medical problems, particularly depressive disorders (OR = 1.74 for BED, OR = 1.35 for NES, p < 0.05) and borderline personality disorder (OR = 1.56 for BED, OR = 1.91 for NES, p < 0.05), were significantly associated with increased ED risk.

Conclusions: EDs are highly prevalent among MBS patients in Egypt, with BED being the most common. Female gender, younger age, psychiatric disorders, and smoking habits are key predictors of E.Ds. Given the potential impact of EDs on postoperative outcomes, routine psychiatric screening is essential for preoperative assessment. Future research should explore the long-term effects of EDs on weight loss and surgical outcomes.

Trial registration: Not applicable (observational study).

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来源期刊
Journal of Eating Disorders
Journal of Eating Disorders Neuroscience-Behavioral Neuroscience
CiteScore
5.30
自引率
17.10%
发文量
161
审稿时长
16 weeks
期刊介绍: Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice. The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.
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