Hostname: page-component-8448b6f56d-c4f8m Total loading time: 0 Render date: 2024-04-24T20:46:12.078Z Has data issue: false hasContentIssue false
  • English
  • Français

Incidence of eating disorders in Navarra (Spain)

Published online by Cambridge University Press:  16 April 2020

Francisca Lahortiga-Ramos ,
Jokin De Irala-Estévez ,
Adrián Cano-Prous ,
Pilar Gual-García ,
Miguel Ángel Martínez-González  and
Salvador Cervera-Enguix
Francisca Lahortiga-Ramos*
Affiliation:
Department of Psychiatry and Medical Psychology, University Clinic, University of Navarra Medical School, Avda. Pío XII, 36. 31008, Pamplona, Spain
Jokin De Irala-Estévez
Affiliation:
Department of Epidemiology and Public Health, University of Navarra Medical School, Pamplona, Spain
Adrián Cano-Prous
Affiliation:
Department of Psychiatry and Medical Psychology, University Clinic, University of Navarra Medical School, Avda. Pío XII, 36. 31008, Pamplona, Spain
Pilar Gual-García
Affiliation:
Department of Psychology and Psychiatry, International University of Catalonia, Barcelona, Spain
Miguel Ángel Martínez-González
Affiliation:
Department of Epidemiology and Public Health, University of Navarra Medical School, Pamplona, Spain
Salvador Cervera-Enguix
Affiliation:
Department of Psychiatry and Medical Psychology, University Clinic, University of Navarra Medical School, Avda. Pío XII, 36. 31008, Pamplona, Spain
*
*Corresponding author. E-mail address: flahortiga@unav.es (F. Lahortiga-Ramos).
Get access

Abstract

Background

To estimate the overall annual incidence and age group distribution of eating disorders in a representative sample of adolescent female residents of Navarra, Spain.

Methods

We studied a representative sample of 2734 adolescent Navarran females between 13 and 22 years of age who were free of any eating disorder at the start of our study. Eighteen months into the study, we visited the established centers and the eating attitudes test (EAT-40) and eating disorder inventory (EDI) Questionnaires were administered to the entire study population. We obtained a final response of 92%. All adolescents whose EAT score was over 21 points and a randomized sample of those who scored 21 or below, were interviewed. Any person meeting the DSM-IV diagnostic criteria for Anorexia Nervosa (AN), Bulimia Nervosa (BN) or eating disorder not otherwise specified (EDNOS) was considered a case.

Results

We detected 90 new cases of eating disorders. Taking into consideration the randomly selected group whose EAT score was 21 points or below, we estimated the overall weighted incidence of eating disorders to be 4.8% (95% CI: 2.8–6.8), after 18 months of observation, in which EDNOS predominated with an incidence of 4.2% (95% CI: 2.0–6.3). The incidence of AN was 0.3% (95% CI: 0.2–0.5), while that of BN was also found to be 0.3% (95% CI: 0.2–0.5). The highest incidence was observed in the group of adolescents between 15 and 16 years of age.

Conclusions

The overall incidence of ED in a cohort of 2509 adolescents after 18 months of follow-up was 4.8% (95% CI: 2.8–6.8), with EDNOS outweighing the other diagnoses. The majority of new cases of eating disorders were diagnosed between ages 15 and 16.

Keywords

Eating disordersAnorexia NervosaBulimia NervosaEsting disorders not otherwise specifiedIncidenceEating attitudes test
Type
Original article
Information
European Psychiatry , Volume 20 , Issue 2 , March 2005 , pp. 179 - 185
Copyright
Copyright © Elsevier SAS 2005

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Austin, SBPrevention research in eating disorders: theory and new directions. Psychol. Med. 2000; 30:1249–1262.CrossRefGoogle ScholarPubMed
Castro, J, Toro, J, Salamero, M, Guimerá, EThe Eating Attitudes Test: validation of the spanish version. Psychol. Assess. 1991; 7:175–190.Google Scholar
Cervera, S, Lahortiga, F, Martínez, MA, Gual, P, De Irala, J, Alonso, YNeuroticism and low self-steem as risk factors for incident Eating Disorders in a prospective cohort study. Int. J. Eat. Disord. 2003; 33:271–280.CrossRefGoogle Scholar
Cotrufo, P, Barretta, V, Monteleone, P, Maj, MFull-syndrome, partial-syndrome and subclinical eating disorders: an epidemiological study of female in Southern Italy. Acta Psychiatr. Scand. 1998; 98:112–115.CrossRefGoogle ScholarPubMed
Cullberg, J, Engstrom-Linberg, MPrevalence and incidence of eating disorder in a: suburban area. Acta Psychiatr. Scand. 1988; 78:314–318.CrossRefGoogle Scholar
Drewnoski, A, Hopkins, SA, Kessler, RCThe prevalence of bulimia nervosa in the US college student population. Am. J. Public Health 1988; 78:1322–1325.CrossRefGoogle Scholar
Eagles, JM, Johnston, MI, Hunter, D, Lobban, M, Millar, HRIncreasing incidence of anorexia nervosa in the female population of northeast Scotland. Am. J. Psychiatry 1995; 152:1266–1271.Google ScholarPubMed
Emborg, CMortality and causes of death in eating disorders in Denmark 1970–1993: a case register study. Int. J. Eat. Disord. 1999;25(3):243–251.3.0.CO;2-2>CrossRefGoogle ScholarPubMed
Fombonne, EAnorexia nervosa. No evidence of an increase. Br. J. Psychiatry 1995; 16:462–471.CrossRefGoogle Scholar
Gambill, CLAnorexia and bulimia in girls and young women recertification series. Physician Assist. 1998; 22:18–27.Google Scholar
Garfinkel, EEating Disorders. Can. J. Psychiatry 2002;47(3):225–226.CrossRefGoogle ScholarPubMed
Garner, D, Garfinkel, PThe Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychol. Med. 1979; 9:273–279.CrossRefGoogle ScholarPubMed
Garner, DM, Fairburn, CGRelationship between Anorexia Nervosa and Bulimia Nervosa: diagnostic implications. Garner, DMGarfinkel, PEDiagnostic issues in anorexia nervosa and bulimia nervosa. New York: 1988Google Scholar
Garner, DM, Olmsted, MP, Polivy, JDevelopment and validation of a multidimensional Eating Disorders Inventory for anorexia nervosa and bulimia. Int. J. Eat. Disord. 1983; 2:15–34.3.0.CO;2-6>CrossRefGoogle Scholar
Ghaderi, A, Scott, BPrevalence, incidence and prospective risk factors for eating disorders. Acta. Psychiatr. Scand. 2001; 104:122–130.CrossRefGoogle ScholarPubMed
Hall, A, Hay, PJEating disorder patient referrals from a population region 1977–1986. Psychol. Med. 1991; 21:697–701.CrossRefGoogle ScholarPubMed
Herzog, DB, Greenwood, DN, Dorer, DJet al.Mortality in eating disorders: a desciptive study. Int. J. Ea. Disord. 2000;28(1):20–26.3.0.CO;2-X>CrossRefGoogle Scholar
Hoek, HWReview of the epidemiology of eating disorders. Int. Rev. Psychiatry 1983; 5:61–74.CrossRefGoogle Scholar
Hoek, HWThe incidence and prevalence of anorexia nervosa and bulimia nervosa in primary care. Psychol. Med. 1991; 21:455–460.CrossRefGoogle ScholarPubMed
Hoek, HW, Bartelds, AI, Bosveld, JJImpact of urbanization on detection rates of eating disorders. Am. J. Psychiatry 1995; 152:1272–1278.Google ScholarPubMed
Hsu, LKGEpidemiology of the eating disorders. Psychiatr. Clin. North Am. 1996; 19:681–700.CrossRefGoogle ScholarPubMed
Joergensen, JThe epidemiology of eating disorders in Fynn County, Denmark, 1977–1986. Acta Psychiatr. Scand. 1992; 85:30–34.CrossRefGoogle Scholar
Kendell, RE, Hall, DJ, Haley, A, Babigian, HMThe epidemiology of anorexia nervosa. Psychol. Med. 1973; 3:200–203.CrossRefGoogle ScholarPubMed
Kuboki, T, Nomura, S, Mashashiro, I, Suematsu, HEpidemiological data on anorexia nervosa in Japan. Psychiatry Res. 1996; 62:11–16.CrossRefGoogle Scholar
Lewinsohn, PM, Striegel-Moore, R, Seeley, JREpidemiology and natural course of eating disorders in young women from adolescence to young adulthood. J. Am. Acad. Child Adolesc. Psychiatry 2000;39(10):1284–1292.CrossRefGoogle ScholarPubMed
Lucas, AR, Beard, CM, O’Fallon, WM, Kurland, LT50-years trends in the incidence of anorexia nervosa in Rochester, Minnesota: a population-based study. Am. J. Psychiatry 1991; 148:917–922.Google Scholar
Lucas, AR, Crowson, CSO´Fallon M, Melton J. The ups and downs of anorexia nervosa. Int. J. Eat. Disord. 1999; 26:397–405.3.0.CO;2-0>CrossRefGoogle Scholar
Mitrany, E, Lubin, F, Chetrit, A, Modan, BEating disorders among Jewish female adolescents in Israel: a 5-year study. J. Adolesc. Health 1995; 16:454–457.CrossRefGoogle ScholarPubMed
Munk-Joergensen, P, Moller-Madsen, S, Nielsen, S, Nystrup, JIncidence of eating disorders in Danish psychiatric hospitals and wards 1970–93. Acta Psychiatr. Scand. 1995; 92:91–96.Google Scholar
Pagsberg, AK, Wang, AREpidemiology of anorexia nervosa and bulimia nervosa in Bornholm County, Denmark 1979–89. Acta Psychiatr. Scand. 1994; 40:259–265.CrossRefGoogle Scholar
Patton, GC, Selzer, R, Coffey, C, Carlin, JB, Wolfe, ROnset of adolescent eating disorders: population based cohort study over 3 years. BMJ 1999; 318:765–768.CrossRefGoogle ScholarPubMed
Pawluck, D, Gorey, KSecular trends in the incidence of anorexia nervosa: integrative review of population-based studies. Int. J. Eat. Disord. 1998; 23:347–352.3.0.CO;2-I>CrossRefGoogle ScholarPubMed
Sánchez-Planell, LTrastornos de la conducta alimentaria. Vallejo-Ruiloba, JIntroducción a la Psicopatología y la Psiquiatría Barcelona: Masson; 1998Google Scholar
Selzer, R, Hamill, C, Bowes, G, Patton, GThe branched Eating Disorders Test: validity in a nonclinical population. Int. J. Eat. Disord. 1996;20(1):57–64.3.0.CO;2-3>CrossRefGoogle Scholar
Soundy, TJ, Lucas, AR, Suman, VJ, Melton, LJBulimia nervosa in Rochester, Minnesota from 1980 to 1990. Psychol. Med. 1995;25(5):1065–1071.CrossRefGoogle ScholarPubMed
Steiner, H, Lock, JAnorexia nervosa and bulimia nervosa in children and adolescents:a review of the past ten years. J. Am. A. Psychiatry 1998; 37:352–359.Google Scholar
Theander, SAnorexia nervosa. A psychiatric investigation of 94 female patients. Acta Psychiatr. Scand. 1970; 214:1–94.Google ScholarPubMed
Turnbull, S, Ward, A, Treasure, J, Jick, H, Derby, LThe demand foreating disorder care. An epidemiological study using the general practice research data base. Br. J. Psychiatry 1996; 169:705–712.CrossRefGoogle Scholar
Wakeling, AEpidemiology of Anorexia Nervosa. J. Psychiatr. Res. 1996; 62:3–9.CrossRefGoogle ScholarPubMed
Woodside, DB, Garfinkel, P, Lin, Eet al.Comparisons of men with full or partial eating disorders, men without eating disorders, and women with eating disorders in the community. Am. J. Psychiatry 2001; 158:570–574.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.