Evidence map›Paper›PMID 32789622›Full record

ArticleEating and weight disorders : EWD2021

Mortality in males as compared to females treated for an eating disorder: a large prospective controlled study.

Manfred M Fichter, Silke Naab, Ulrich Voderholzer, Norbert Quadflieg

Abstract read
PubMed Publisher
In one paragraph

Article in Eating and weight disorders : EWD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.7field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 40 citations in OpenAlex.

  1. Bulimia nervosa.Nature reviews. Disease primers · 2026
    Review
  2. Article
  3. [Sex/Gender in psychotherapy].Der Nervenarzt · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Gender differences in eating disorders.Frontiers in nutrition · 2025
    Review
  8. Article
  9. Article
  10. Eating Disorders in Men.Deutsches Arzteblatt international · 2024
    Review
  11. Article
  12. Article
  13. Mortality and care of eating disorders.Acta psychiatrica Scandinavica · 2023
    Article
  14. Article
  15. Article
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

4 authors at 2 institutions in 1 country.

Manfred M FichterDepartment of Psychiatry and Psychotherapy, Ludwig-Maximilians-University (LMU), Nussbaumstraße 7, 80336, Munich, Germany. MFichter@med.uni-muenchen.de.ORCID http://orcid.org/0000-0002-8788-4878
Silke NaabSchön Klinik Roseneck Affiliated With the Medical Faculty of the University of Munich (LMU), 83209, Prien, Germany.
Ulrich VoderholzerSchön Klinik Roseneck Affiliated With the Medical Faculty of the University of Munich (LMU), 83209, Prien, Germany.
Norbert QuadfliegDepartment of Psychiatry and Psychotherapy, Ludwig-Maximilians-University (LMU), Nussbaumstraße 7, 80336, Munich, Germany.ORCID http://orcid.org/0000-0001-6252-3315
Schön Klinik Roseneck · DELudwig-Maximilians-Universität München · DE

Funding

Swiss Anorexia Nervosa Foundation (SANS) 51-15
6 · The paper itself

Abstract

purposeTo report on the mortality of DSM-IV eating disorders and predictors of premature death in males compared to females after inpatient treatment.

methodsCrude mortality rate (CMR) and standardized mortality ratio (SMR) were computed for a large sample of males aged at treatment 16-61 years [N = 66 anorexia nervosa (AN), 52 bulimia nervosa (BN), 70 eating disorder not otherwise specified (ED-NOS)] and females aged 14-65 years (N = 2066 AN, 1880 BN, 1350 ED-NOS). In addition, a survival analysis and Cox regression analyses for identifying predictors of death were computed.

resultsCMRs for males and females, respectively, were 15% and 5% in AN, 8% and 3% in BN, and 4% and 3% in ED-NOS. Compared to the general population, mortality was elevated in males with AN (SMR = 4.93) and in all female diagnostic groups (AN, BN, ED-NOS). No significant sex differences for SMR emerged in any diagnostic group. Compared to females with AN or BN, males with AN or BN showed a shorter survival time after onset (survival analysis). Being male, and having AN, increased the risk of premature death.

conclusionMortality in inpatients with eating disorder is high, especially in AN. Males appear to have about the same outcome in terms of mortality as females with AN, BN, and ED-NOS. However, long-term survival was shorter in males with AN or BN compared to females. The need for intensive treatment in both males and females with an eating disorder remains an important issue. LEVEL OF EVIDENCE: Level III, case-control analytic study.

Indexed as

Anorexia NervosaBulimia NervosaFeeding and Eating DisordersDiagnostic and Statistical Manual of Mental DisordersFemaleHumansMaleProspective StudiesAnorexia nervosaBulimia nervosaEating disordersFemalesMalesStandardized mortality ratio

Identifiers

PMID32789622
OpenAlexW3049769823

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.