Lifetime and 12-month prevalence of eating disorders amongst women in mid-life: a population-based study of diagnoses and risk factors
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Micali, Nadia, et al. Lifetime and 12-month Prevalence of Eating Disorders Amongst Women In Mid-life: a Population-based Study of Diagnoses and Risk Factors. BioMed Central, 2017. https://doi.org/10.17615/8s64-2538APA
Micali, N., Martini, M., Thomas, J., Eddy, K., Kothari, R., Russell, E., Bulik, C., & Treasure, J. (2017). Lifetime and 12-month prevalence of eating disorders amongst women in mid-life: a population-based study of diagnoses and risk factors. BioMed Central. https://doi.org/10.17615/8s64-2538Chicago
Micali, Nadia, Maria G Martini, Jennifer J Thomas, Kamryn T Eddy, Radha Kothari, Ellie Russell, Cynthia Bulik et al. 2017. Lifetime and 12-Month Prevalence of Eating Disorders Amongst Women In Mid-Life: a Population-Based Study of Diagnoses and Risk Factors. BioMed Central. https://doi.org/10.17615/8s64-2538- Creator
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Micali, Nadia
- Other Affiliation: Eating and Weight Disorders Program, Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Mindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Institute of Child Health, University College London, London, UK
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Martini, Maria G
- Other Affiliation: Institute of Child Health, University College London, London, UK
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Thomas, Jennifer J
- Other Affiliation: Department of Psychiatry, Harvard Medical School, Boston, MA, USA; Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, MA, USA
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Eddy, Kamryn T
- Other Affiliation: Department of Psychiatry, Harvard Medical School, Boston, MA, USA; Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, MA, USA
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Kothari, Radha
- Other Affiliation: Institute of Child Health, University College London, London, UK
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Russell, Ellie
- Other Affiliation: Department of Psychological Medicine, Cardiff University, Cardiff, UK
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Bulik, Cynthia
- Affiliation: School of Medicine, Department of Psychiatry
- Other Affiliation: Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
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Treasure, Janet
- Other Affiliation: Eating Disorders Research Unit, Psychological Medicine, Institute of Psychiatry, King’s College London, London, UK
- Abstract
- Background Eating disorders (EDs) are common amongst women; however, no research has specifically investigated the lifetime/12-month prevalence of eating disorders amongst women in mid-life (i.e., fourth and fifth decade of life) and the relevant longitudinal risk factors. We aimed to investigate the lifetime and 12-month prevalence of EDs and lifetime health service use and to identify childhood, parenting, and personality risk factors. Methods This is a two-phase prevalence study, nested within an existing longitudinal community-based sample of women in mid-life. A total of 5658 women from the UK Avon Longitudinal Study of Parents and Children (ALSPAC; enrolled 20 years earlier) participated. ED diagnoses were obtained using validated structured interviews. Weighted analyses were carried out accounting for the two-phase methodology to obtain prevalence figures and to carry out risk factor regression analyses. Results By mid-life, 15.3% (95% confidence intervals, 13.5–17.4%) of women had met criteria for a lifetime ED. The 12-month prevalence of EDs was 3.6%. Childhood sexual abuse was prospectively associated with all binge/purge type disorders and an external locus of control was associated with binge-eating disorder. Better maternal care was protective for bulimia nervosa. Childhood life events and interpersonal sensitivity were associated with all EDs. Conclusions By mid-life a significant proportion of women will experience an ED, and few women accessed healthcare. Active EDs are common in mid-life, both due to new onset and chronic disorders. Increased awareness of the full spectrum of EDs in this stage of life and adequate service provision is important. This is the first study to investigate childhood and personality risk factors for full threshold and sub-threshold EDs and to identify common predictors for full and sub-threshold EDs. Further research should clarify the role of preventable risk factors on both full and sub-threshold EDs.
- Date of publication
- January 17, 2017
- DOI
- Identifier
- Resource type
- Article
- Rights statement
- In Copyright
- Rights holder
- The Author(s).
- Journal title
- BMC Medicine
- Journal volume
- 15
- Journal issue
- 1
- Page start
- 12
- Language
- English
- Bibliographic citation
- BMC Medicine. 2017 Jan 17;15(1):12
- Publisher
- BioMed Central
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