比利时不同体重状况的人口群体的饮食障碍:综合性预防方法的证据
Fara Geerinck1, Sabine Drieskens2, Lydia Gisle2
1Faculty of medicine, University of Antwerp, Antwerp, Belgium. fara.geerinck@student.uantwerpen.be.
BMC public health
|July 3, 2025
概括
饮食障碍 (ED) 在肥胖和超重的个体中更为普遍,挑战了只影响体重不足的人的误解. 公共卫生战略必须考虑到社会人口统计学因素,解决ED和体重增加之间的联系.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 精神病学是一个精神病学.
背景情况:
- 饮食障碍 (ED) 常常被误认为仅仅影响体重不足的人.
- 本研究调查了比利时不同体重类别中ED的患病率和相关性.
- 它还确定了与EDs与超重和肥胖相关的社会人口统计因素.
研究的目的:
- 为了确定不同体重组的比利时人口中ED的患病率.
- 评估超重或肥胖个体患ED的几率.
- 为了确定与超重或肥胖相关的ED的社会人口统计相关性.
主要方法:
- 利用了2018年比利时健康访谈调查 (BHIS) 的数据,这是一项对约10,000人的横截面研究.
- 使用SCOFF问卷来选ED,并收集自我报告的身高,体重和社会人口统计数据.
- 应用多变量逻辑回归来分析ED的几率跨重量类别和相关的社会人口统计因素.
主要成果:
- 整体ED患病率为7.1%,肥胖个体 (12.3%) 的患病率高于正常体重 (5.5%).
- 肥胖与ED的几率增加了三倍 (AOR:3.0),超重与ED的几率增加了1.4倍.
- 与低学历 (AOR: 1.8) 相关的ED和超重/肥胖的并发病率,财务困难 (AOR: 1.9) 和母亲的非欧盟来源 (AOR: 2.4).
结论:
- 勃起障碍不成比例地影响体重较高的人,这与常见的假设相矛盾.
- 公共卫生干预对于解决ED和肥胖之间的复杂关系至关重要,超越以体重为中心的方法.
- 为管理比利时的ED和肥胖症,建议采取综合预防策略,考虑到体重耻辱和社会人口统计的影响.
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