加拿大的体重控制行为障碍的发展及其进展到饮食障碍:全国代表性的微观模拟
Ye Shen1,2, Ariel L Beccia3,4, Nicolas A Menzies2,5
1Interfaculty Initiative in Health Policy, Harvard University, Cambridge, Massachusetts, USA.
The International journal of eating disorders
|December 10, 2025
概括
加拿大年轻人,特别是女性中,体重控制行为障碍 (DWCB) 很常见,许多人发展为饮食障碍 (ED). 这项研究模拟了DWCB和ED从童年到年轻成年人的进展.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 生物统计学 生物统计学
背景情况:
- 饮食障碍 (ED) 对年轻人来说是一个重大的全球健康挑战.
- 失调的体重控制行为 (DWCB) 在ED发展中至关重要,但其进展到ED的理解很少.
研究的目的:
- 在加拿大青年队伍中模拟DWCB和ED的自然历史.
- 估计从4岁到30岁的DWCB到ED的患病率,发病率和进展时间.
主要方法:
- 使用加拿大国家监测和纵向数据开发了一个状态过渡微模拟模型.
- 该模型模拟了30万个人的合成队列的DWCB和ED进展.
- 流行率,累积发病率和进展时间的估计用不确定性间隔生成.
主要成果:
- 在16岁时,DWCB患病率达到顶峰 (32.8%的女性,11.0%的男性).
- 在30岁时,67.7%的女性和48.7%的男性参与了DWCB.
- 在参与DWCB的女性中,22.5%患有ED,DWCB的中位持续时间为3年.
结论:
- 实质性的DWCB参与对加拿大年轻人,特别是女性的ED负担作出了重大贡献.
- 这项研究提供了加拿大的DWCB和ED结果的第一个全国代表性估计.
- 研究结果强调需要加强儿童和青少年ED的预防和早期干预策略.
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