Evidence map›Paper›PMID 36367345›Full record

SynthesisEuropean eating disorders review : the journal of the Eating Disorders Association2023

The association between sexual orientation and eating disorders-related eating behaviours in adolescents: A systematic review and meta-analysis.

Zhangqi Cao, Erica Cini, Dario Pellegrini, Kostantinos C Fragkos

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in European eating disorders review : the journal of the Eating Disorders Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Mental health disparities in LGBTQIA+ populations: an umbrella review of systematic reviews and meta-analyses.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
    Article
  4. Review
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  12. Article
  13. Sexual and gender minority youth in Canada: An investigation of disparities in positive mental health.Canadian journal of public health = Revue canadienne de sante publique · 2025
    Article
  14. Sexual Functioning and Eating Disorder Symptoms: Examining the Role of Gender and Internalizing Symptoms in an Undergraduate Population.International journal of sexual health : official journal of the World Association for Sexual Health · 2025
    Article
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  16. Review
  17. 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

4 authors.

Zhangqi CaoUniversity College London, London, UK.ORCID 0000-0003-3610-1463
Erica CiniUniversity College London, London, UK.ORCID 0000-0003-0999-2379
Dario PellegriniEast London NHS Foundation Trust, London, UK.
Kostantinos C FragkosUniversity College London Hospital NHS Foundation Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSexual orientation is usually developed during the adolescence, which coincides with the eating disorders peak onset. This paper aims to explore existing literature to identify whether there is an association between sexual orientation and eating disorder-related eating behaviours (EDrEBs) in this age-group.

methodsThis review was based on the PRISMA guidelines, covering the published articles between 1990 and 2021. A meta-analysis of the proportion of sexual orientation and the adjusted odds ratio (OR) with 95% confident intervals was reported.

resultsTen studies (412,601 participants) were included in this review. The results demonstrated adolescents identified as minority sexual orientation, particularly homosexual males were with higher OR of EDrEBs, as follows: Homosexual (binge eating: M = 7.20, F = 2.14; purging: M = 5.40, F = 2.41; diet pills use: M = 3.50, F = 2.59; dieting: M = 3.10, F = 1.75); Bisexual (binge eating: M = 4.60, F = 2.26; purging: M = 4.44, F = 2.37; diet pills use: M = 3.42, F = 2.30; dieting: M = 2.36, F = 1.86).

conclusionsAdolescents who were of a minority sexual orientation were more vulnerable to EDrEBs than their heterosexual peers. Healthcare professionals and sexual minority communities should be primed to facilitate earlier recognition and access to services in these vulnerable groups.

Indexed as

Feeding and Eating DisordersSexual BehaviorAdolescentFeeding BehaviorFemaleHumansMaleadolescentsbinge eatingdietingdiet pill useeating behavioreating disordermeta analysispurgingsexual minoritiessexual orientation

Identifiers

PMID36367345
PMCPMC10100331

What OpenQuestion holds

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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.