Evidence map›Paper›PMID 35538474›Full record

ArticleBMC women's health2022

Eating disorders and their relationship with menopausal phases among a sample of middle-aged Lebanese women.

Joe Khalil, Sarah Boutros, Nelly Kheir, Maha Kassem, Pascale Salameh, Hala Sacre, Marwan Akel, Sahar Obeid, Souheil Hallit

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC women's health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07165964 (Nursing Interventions to Enhance Positive Mental Health and Self Care in Women During the Climacteric), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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.

NCT07165964 narecruitingnot on this mapstarted 2025, after this paper: background citation

Nursing Interventions to Enhance Positive Mental Health and Self Care in Women During the Climacteric

TypeinterventionalSponsorUniversity of BarcelonaRan2025 to 2026Enrolled250ConditionsClimacteric Symptoms, Climactericum, Self CareArmsPersonal interventions in Climateric
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
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  8. Review
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

9 authors at 4 institutions in 2 countries.

Joe KhalilSchool of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
Sarah BoutrosSchool of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
Nelly KheirResearch Department, Psychiatric Hospital of the Cross, P.O. Box 60096, Jal Eddib, Lebanon.
Maha KassemFaculty of Medicine, New Vision University, Tbilisi, Georgia.
Pascale SalamehSchool of Medicine, Lebanese American University, Byblos, Lebanon.
Hala SacreInstitut National de Santé Publique, Epidémiologie Clinique et Toxicologie (INSPECT-LB), Beirut, Lebanon.
Marwan AkelInstitut National de Santé Publique, Epidémiologie Clinique et Toxicologie (INSPECT-LB), Beirut, Lebanon.
Sahar Obeid *School of Arts and Sciences, Social and Education Sciences Department, Lebanese American University, Jbeil, Lebanon. saharobeid23@hotmail.com.
Souheil Hallit *School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon. souheilhallit@hotmail.com.
Holy Spirit University of Kaslik · LBLebanese American University · LBLebanese International University · LBUniversity of Nicosia · CY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objective of our study was to evaluate the association between the transition to menopause, body dissatisfaction, and abnormal eating habits (restrained eating, binge eating, and orthorexia nervosa) in a sample of middle-aged Lebanese women.

methodsA cross-sectional study conducted between July 2019 and January 2020 enrolled 1001 women aged 40 years and above from all Lebanese governorates. Data were collected by face-to-face interviews with all participants. The Body dissatisfaction subscale of the Eating Disorder Inventory‑second version was used to assess body dissatisfaction, whereas the Binge Eating Scale, Dutch Restrained Eating Scale, ORTO-15, Dusseldorf Orthorexia Scale (DOS), and Teruel Orthorexia Scale (TOS) were used to assess eating disorders (binge eating, restrained eating and orthorexia nervosa respectively. Multivariable analysis of covariance (MANCOVA) was used to compare multiple measures among the three menopausal phases, after adjustment over potential confounding variables (age, monthly income, body mass index, marital status, education level, and body dissatisfaction).

resultsPostmenopause was significantly associated with more orthorexia nervosa tendencies (lower ORTO-15 scores) than premenopause (β = - 1.87; p = 0.022). Perimenopause was associated with more binge eating (β = 1.56; p = 0.031), and less orthorexia nervosa (as measured by the DOS) than premenopause, with this association tending to significance (β  = - 1.10; p = 0.051). Furthermore, higher body dissatisfaction was significantly associated with higher restrained eating (β = 0.02; p < 0.001), binge eating (β = 0.48; p < 0.001), and orthorexia nervosa as measured by ORTO-15 (β = - 0.17; p < 0.001) and TOS (β = 0.08; p = 0.002), but not DOS.

conclusionOur study showed that menopausal stages are associated with some disordered eating behaviors (binge eating and orthorexia nervosa) among middle-aged women. Those results may serve as a first step towards spreading awareness among women within this age group regarding eating attitudes. Moreover, healthcare professionals should screen for the presence of disordered eating during those women's routine visits to the clinics.

Indexed as

Feeding and Eating DisordersCross-Sectional StudiesFeeding BehaviorFemaleHealth BehaviorHumansMenopauseMiddle AgedSurveys and QuestionnairesBinge eatingBody dissatisfactionLebanonMenopauseOrthorexia nervosaRestrained eating

Identifiers

PMID35538474
PMCPMC9092875
OpenAlexW4280501359

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.