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Risk factors for eating disorders: an umbrella review of published meta-analyses

Authors: Solmi, Marco; Radua, Joaquim; Stubbs, Brendon; Ricca, Valdo; Moretti, Davide; Busatta, Daniele; Carvalho, Andre F; +6 Authors

Risk factors for eating disorders: an umbrella review of published meta-analyses

Abstract

To grade the evidence about risk factors for eating disorders (anorexia nervosa, bulimia nervosa, and binge eating disorder) with an umbrella review approach.This was a systematic review of observational studies on risk factors for eating disorders published in PubMed/PsycInfo/Embase until December 11th, 2019. We recalculated random-effect meta-analyses, heterogeneity, small-study effect, excess significance bias and 95% prediction intervals, grading significant evidence (p < 0.05) from convincing to weak according to established criteria. Quality was assessed with the Assessment of Multiple Systematic Reviews 2 (AMSTAR-2) tool.Of 2,197 meta-analyses, nine were included, providing evidence on 50 risk factors, 29,272 subjects with eating disorders, and 1,679,385 controls. Although no association was supported by convincing evidence, highly suggestive evidence supported the association between childhood sexual abuse and bulimia nervosa (k = 29, 1,103 cases with eating disorders, 8,496 controls, OR, 2.73, 95%CI 1.96-3.79, p = 2.1 x 10-9, AMSTAR-2 moderate quality) and between appearance-related teasing victimization and any eating disorder (k = 10, 1,341 cases with eating disorders, 3,295 controls, OR 2.91, 95%CI 2.05-4.12, p = 1.8x10-9, AMSTAR-2 moderate quality). Suggestive, weak, or no evidence supported 11, 29, and 8 associations, respectively.The most credible evidence indicates that early traumatic and stressful events are risk factors for eating disorders. Larger collaborative prospective cohort studies are needed to identify risk factors for eating disorders, particularly anorexia nervosa.

Countries
Italy, Korea (Republic of), Italy, Sweden, Italy, Italy
Keywords

Anorexia Nervosa* / epidemiology, Bulimia Nervosa* / epidemiology, Anorexia Nervosa, prevención, RC435-571, 610, fator de risco, bulimia nervosa, eating disorders, trastornos de la conducta alimentaria, Review Article, transtornos alimentares, eating disorders; risk factors, Psykiatri, anorexia nervosa, Eating disorders; anorexia nervosa; bulimia nervosa; binge eating disorder: umbrella review; systematic review; meta-analysis; risk factor; prevention, Feeding and Eating Disorders, systematic review, prevention, Risk Factors, 616, revisão sistemática, revisión sistemática, Humans, Prospective Studies, Bulimia Nervosa, Child, metanálise, Psychiatry, factor de riesgo, bulimia nerviosa, Feeding and Eating Disorders* / epidemiology, prevenção, meta-analysis, trastorno por atracón compulsivo: revisión general, risk factor, umbrella review; systematic review; meta-analysis; risk factor; prevention [Eating disorders; anorexia nervosa; bulimia nervosa; binge eating disorder], Eating disorders, metanálisis, binge eating disorder: umbrella review, umbrella review [binge eating disorder], anorexia nerviosa, transtorno da compulsão alimentar: revisão guarda-chuva

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
96
Top 1%
Top 10%
Top 1%
Green
gold