巴基斯坦过去三十年饮食失调负担的趋势:联合点回归分析

IF 0.2 Q4 PSYCHIATRY
Syeda Zahra, Ravi Prakash Jha, Mahpara Safdar, Muhammad Khalid, Waseem Khalid, Muhammad Nawaz Ranjha
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引用次数: 1

摘要

背景:饮食是生活中最重要的必需品之一。吃对一个人的生长、发育、身体和身体系统的维护是必要的。然而,各种各样的问题都与饮食有关,其中饮食失调是最常见的。神经性厌食症和神经性贪食症是两种最潜在的饮食失调,主要发生在巴基斯坦等发展中国家的年轻人中。更好地了解其发生率是改进其管理的基本要求。然而,巴基斯坦饮食失调发病率的时间趋势仍然未知。方法:从2019年全球疾病负担研究数据库中收集1990年至2019年饮食失调及其亚型神经性厌食症和神经性贪食症的年龄和性别特异性发病率和患病率。使用联合点回归分析计算了年百分比变化和年均百分比变化,以观察过去三十年巴基斯坦饮食失调及其亚型的发病率和流行率的趋势。结果:从1990年到2019年,男性和女性饮食障碍的年龄标准化发病率(ASIRs)和年龄标准化患病率(ASPRs)持续增加,神经性厌食症和神经性贪食症也出现了类似的趋势。在上述时间段内,男性的进食障碍和神经性贪食症的ASIR高于女性,但在神经性厌食症的情况下则相反,女性的ASIR比男性高。然而,与男性相比,女性饮食障碍(包括神经性厌食症和神经性贪食症)的ASPR更高。Joinpoint回归分析显示,所有年龄组的发病率和患病率都有所上升。15-19岁和20-24岁年龄组的男性和女性饮食失调、神经性厌食症和神经性贪食症的发病率最高。结论:巴基斯坦的饮食失调负担持续增加,尤其是青少年和年轻人。需要进一步的病因研究来解释这些增加,并促进高危个体的早期识别。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trends in the burden of eating disorders in Pakistan over the past three decades: A joinpoint regression analysis
Background: Eating is one of the most and foremost necessities of life. Eating is necessary for a being for growth, development, and maintenance of body and body system. However, a variety of problems are associated with eating, in which eating disorder is of the most common. Anorexia nervosa and bulimia nervosa are two most potential eating disorders mostly prevailing in youth of developing countries like Pakistan. A better understanding of its incidence is a basic requirement for improving its management. However, the temporal trend of eating disorder incidence in Pakistan is still unknown. Methods: The age- and gender-specific incidence and prevalence rates of eating disorders and their subtypes, anorexia nervosa and bulimia nervosa, from 1990 to 2019 were collected from the Global Burden of Disease Study 2019 database. The annual percentage change and average annual percentage changes were calculated using joinpoint regression analysis to observe the trends in the incidence and prevalence rates of eating disorders and their subtypes in Pakistan over the past three decades. Results: From 1990 to 2019, age-standardized incidence rates (ASIRs) and age-standardized prevalence rates (ASPRs) of eating disorders continued to increase in both males and females, and similar trends were observed in anorexia nervosa and bulimia nervosa. ASIR of eating disorders and bulimia nervosa was higher among males as compared to females, during mentioned time frame, but it was reversed in the case of anorexia nervosa where ASIR was higher among females as compared to males. However, ASPRs of eating disorders including both the anorexia nervosa and bulimia nervosa, was higher among females as compared to males. Joinpoint regression analysis showed that the incidence rates and prevalence rates have increased in all age groups. 15–19 and 20–24 years' age groups are having the highest incidence rates of eating disorders, anorexia nervosa and bulimia nervosa, for both males and females. Conclusion: Eating disorder burden continues to rise in Pakistan, particularly among adolescents and young adults. Further etiological studies are required to explain these increases and to facilitate the early identification of high-risk individuals.
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