Evidence map›Paper›PMID 26769444›Full record

ArticleThe International journal of eating disorders2015

Sex- and age-specific incidence of healthcare-register-recorded eating disorders in the complete swedish 1979-2001 birth cohort.

Kristin N Javaras, Cristin D Runfola, Laura M Thornton, Esben Agerbo, Andreas Birgegård, Claes Norring, Shuyang Yao, Maria Råstam, Henrik Larsson, Paul Lichtenstein and 1 more

Open access · goldAbstract read
In one paragraph

Article in The International journal of eating disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 4 pooled it
7.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 4 syntheses or guidelines pooled it, 110 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Incidence of Anorexia Nervosa in Women: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2020
    Pooled it
  4. Symptom trajectories into eating disorders: A systematic review of longitudinal, nonclinical studies in children/adolescents.European psychiatry : the journal of the Association of European Psychiatrists · 2020
    Pooled it
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  15. Gender differences in eating disorders.Frontiers in nutrition · 2025
    Review
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  19. RareHeliyon · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 3 countries.

Kristin N JavarasDepartment of Psychiatry, University of North Carolina, Chapel Hill, North Carolina.
Cristin D RunfolaDepartment of Psychiatry, University of North Carolina, Chapel Hill, North Carolina.
Laura M ThorntonDepartment of Psychiatry, University of North Carolina, Chapel Hill, North Carolina.
Esben AgerboNational Centre for Register-Based Research, Aarhus University, Aarhus, Denmark.
Andreas BirgegårdDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Claes NorringDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Shuyang YaoDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Maria RåstamDepartment of Clinical Sciences, University of Lund, Lund, Sweden.
Henrik LarssonDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Paul LichtensteinDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Cynthia M BulikDepartment of Psychiatry, University of North Carolina, Chapel Hill, North Carolina.
Karolinska Institutet · SEUniversity of North Carolina at Chapel Hill · USAarhus University · DKHarvard University · USLund University · SE

Funding

Postdoctoral Research Training in Eating DisordersT32MH076694 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BULIK, CYNTHIA M · 2007 to 2016
$1.8M
NIMH NIH HHS T32 MH076694NIMH NIH HHS T32MH076694
6 · The paper itself

Abstract

objectiveTo investigate the sex- and age-specific incidence of healthcare-register-recorded anorexia nervosa (AN) and other eating disorders (OED) in a complete birth cohort, and assess whether incidence varies by diagnostic period and (sub-) birth cohort.

methodWe used the actuarial method and Poisson models to examine the incidence of AN and OED from 1987 to 2009 (when individuals were 8-30 years old) for a cohort of 2.3 million individuals (48.7% female) born from 1979 to 2001 in Sweden, identified using Swedish registers.

resultsFor both sexes, incidences of AN and OED increased considerably for diagnostic periods after 2000, but differed little by birth cohort. In 2009, AN incidence in the peak age category was 205.9 cases/100,000 persons (95% CI: 178.2, 233.5) for females (14-15 years), versus 12.8 cases/100,000 (95% CI: 5.6, 20.1) for males (12-13 years). OED incidence in the peak age category was 372.1 cases/100,000 (95% CI: 336.4, 407.9) for females (16-17 years), versus 22.2 cases/100,000 (95% CI: 13.3, 31.1) for males (14-15 years). DISCUSSION: Our finding of an increase in healthcare-register-recorded eating disorders for diagnostic periods after 2000 likely reflects improved detection and expanded register coverage in Sweden. The peak of eating disorder incidence in adolescence, which began unexpectedly early for AN in males, suggests the importance of vigilance for signs of AN in young boys and early primary prevention efforts. Waiting until later could miss critical windows for intervention that could prevent disorders from taking root.

Indexed as

AdolescentAdultAge DistributionAnorexia NervosaChildCohort StudiesFeeding and Eating DisordersFemaleHumansIncidenceMalePoisson DistributionRegistriesSex DistributionSwedenYoung Adultanorexia nervosaeating disordersepidemiologyincidencemenSweden

Identifiers

PMID26769444
PMCPMC5028825
OpenAlexW2172468425

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.