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Prevalence of alcohol use disorder among individuals who binge eat: a systematic review and meta-analysis
Krzysztof Bogusz1, Maciej Kopera2, Andrzej Jakubczyk2
1Nowowiejski Hospital, Warsaw, Poland.
Background And Aims:
Binge eating disorder (BED) is correlated with substance use. This study aimed to estimate the life-time prevalence of alcohol use disorder (AUD) among individuals with non-compensatory binge eating and determine whether their life-time prevalence of AUD is higher than in non-bingeing controls.
Design:
A systematic search of databases (PubMed, Embase and Web of Science) for studies of adults diagnosed with BED or a related behavior that also reported the life-time prevalence of AUD was conducted. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol was followed. The protocol was registered on the International Prospective Register of Systematic Reviews (PROSPERO).
Setting:
Studies originating in Canada, Sweden, the United Kingdom and the United States.
Participants:
Eighteen studies meeting the inclusion criteria were found, representing 69 233 individuals.
Measurements:
Life-time prevalence of AUD among individuals with binge eating disorder and their life-time relative risk of AUD compared with individuals without this disorder.
Results:
The pooled life-time prevalence of AUD in individuals with binge eating disorder was 19.9% [95% confidence interval (CI) = 13.7-27.9]. The risk of life-time AUD incidence among individuals with binge eating disorder was more than 1.5 times higher than controls (relative risk = 1.59, 95% CI = 1.41-1.79). Life-time AUD prevalence was higher in community samples than in clinical samples (27.45 versus 14.45%, P = 0.041) and in studies with a lower proportion of women (β = -2.2773, P = 0.044).
Conclusions:
Life-time alcohol use disorder appears to be more prevalent with binge eating disorder than among those without.
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