青少年と成人の摂食障害のスクリーニング:米国予防サービスタスクフォースの勧告声明
, Karina W Davidson1, Michael J Barry2
1Feinstein Institutes for Medical Research at Northwell Health, Manhasset, New York.
JAMA
|March 15, 2022
まとめ
症状のない若者や成人の食生活障害のスクリーニングは,十分な証拠によって支持されていません. 米国予防サービスタスクフォースは 早期発見の利益と害を 判断するのに現在のデータが不十分だと判断しました
科学分野:
- 精神医学と公衆衛生
- 予防医学
- 臨床スクリーニング
背景:
- 神経性食欲不全,神経性食欲不全,過食不全などの摂食障害は,身体的および心理的健康に影響を与える精神疾患です.
- 発症率は異なるが,成人の男性と比べると,成人の女性や青少年の発症率は高い.
- これらの疾患は短期的および長期的に健康に重大な悪影響を及ぼします.
研究 の 目的:
- 青少年と成人の摂食障害のスクリーニングの利害を体系的に検討する.
- 米国予防サービスタスクフォース (USPSTF) のこのスクリーニングに関する勧告を参考にすること.
主な方法:
- USPSTFによって体系的なレビューが委託されました.
- このレビューは,既存の徴候や症状を有する者を除く,正常または高体量指数を持つ若者と成人を対象とした.
- 体重不足や食生活障害の身体的指標を持つ人に関する証拠は含まれませんでした.
主要な成果:
- 入手可能な証拠は限られていると判断された.
- 既存のデータからスクリーニングの利益と害のバランスを決定することができなかった.
結論:
- USPSTFは,無症状の青少年および成人の摂食障害のスクリーニングの利益と害を評価するのに十分な証拠がないと結論付けました.
- "I"声明が発行され,勧告のための証拠が不十分であることを示しました.
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