Evidence map›Paper›PMID 37676625›Full record

ArticleEating and weight disorders : EWD2023

Eating disorders and physical multimorbidity in the English general population.

Lee Smith, Guillermo F López Sánchez, Emilio Fernandez-Egea, Tamsin Ford, Christopher Parris, Benjamin R Underwood, Laurie Butler, Yvonne Barnett, Mike Trott, Ai Koyanagi

Open access · diamondAbstract read
In one paragraph

Article in Eating and weight disorders : EWD, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 6 institutions in 2 countries.

Lee SmithCentre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK.
Guillermo F López SánchezDivision of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain. gfls@um.es.
Emilio Fernandez-EgeaDepartment of Psychiatry, University of Cambridge, Cambridge, UK.
Tamsin FordDepartment of Psychiatry, University of Cambridge, Cambridge, UK.
Christopher ParrisMedical Technology Research Centre, School of Life Sciences, Anglia Ruskin University, Cambridge, UK.
Benjamin R UnderwoodDepartment of Psychiatry, University of Cambridge, Cambridge, UK.
Laurie ButlerCentre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK.
Yvonne BarnettCentre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK.
Mike TrottCentre for Public Health, Queens University Belfast, Belfast, UK.
Ai KoyanagiResearch and Development Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain.
Anglia Ruskin University · GBFulbourn Hospital · GBParc Sanitari Sant Joan de Déu · ESQueen's University Belfast · GBUniversidad de Murcia · ESUniversity of Cambridge · GB

Funding

European Union Next Generation EU
6 · The paper itself

Abstract

purposePeople with eating disorders may be at increased risk for physical health problems, but there are no data on the relationship between eating disorders and physical multimorbidity (i.e., ≥ 2 physical conditions) and its potential mediators. Thus, we investigated this association in a representative sample of adults from the UK, and quantified the extent to which this can be explained by various psychological and physical conditions, and lifestyle factors.

methodsCross-sectional data of the 2007 Adult Psychiatric Morbidity Survey were analyzed. Questions from the five-item SCOFF screening instrument were used to identify possible eating disorder. Respondents were asked about 20 physical health conditions. Multivariable logistic regression and mediation analysis were conducted.

resultsData on 7403 individuals aged ≥ 16 years were analyzed [mean (SD) age 46.3 (18.6) years; 48.6% males]. After adjustment, possible eating disorder was associated with 2.11 (95%CI = 1.67-2.67) times higher odds for physical multimorbidity. Anxiety disorder explained the largest proportion this association (mediated percentage 26.3%), followed by insomnia (21.8%), perceived stress (13.4%), depression (13.1%), obesity (13.0%), and alcohol dependence (4.3%).

conclusionFuture longitudinal studies are warranted to understand potential causality and the underlying mechanisms in the association between eating disorder and multimorbidity, and whether addressing the identified potential mediators in people with eating disorders can reduce multimorbidity.

Indexed as

AlcoholismFeeding and Eating DisordersAdultCross-Sectional StudiesFemaleHumansLife StyleMaleMultimorbidityAdultsChronic diseaseDisordered eatingEating disorderEpidemiologyMultimorbidityUK

Identifiers

PMID37676625
PMCPMC10485116
OpenAlexW4386501531

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.