A systematic scoping review of research on COVID‐19 impacts on eating disorders: A critical appraisal of the evidence and recommendations for the field

International Journal of Eating Disorders, Journal Year: 2021, Volume and Issue: 55(1), P. 3 - 38

Published: Nov. 13, 2021

Research investigating the effects of COVID-19 on eating disorders is growing rapidly. A comprehensive evaluation this literature needed to identify key findings and evidence gaps better inform policy decisions related management during after crisis. We conducted a systematic scoping review synthesizing appraising literature.Empirical research impacts disorder severity, prevalence, demand for treatment was searched. No sample restrictions were applied. Findings (n = 70 studies) synthesized across six themes: (a) suspected cases COVID-19; (b) perceived pandemic symptoms; (c) symptom severity pre versus pandemic; (d) pandemic-related correlates severity; (e) carers/parents; (f) experiences COVID-19.Pandemic rates probable disorders, deterioration, general mental health varied substantially. Symptom escalation worsening during-and due to-the commonly reported, those most susceptible included confirmed cases, at-risk populations (young women, athletes, parent/carers), individuals highly anxious or fearful COVID-19. Evidence emerged increased specialist services pandemic. The forced transition online challenging many, yet telehealth alternatives seemed feasible effective.Evidence mostly limited participant self-report retrospective recall, cross-sectional descriptive studies, samples convenience. Several novel pathways future that aim understand, monitor, support negatively affected by are formulated.La investigación que se hace sobre los efectos de en trastornos la conducta alimentaria está creciendo rápidamente. Se necesita una evaluación exhaustiva esta literatura para identificar hallazgos clave y evidenciar las brechas informar mejor decisiones políticas públicas relacionadas con el manejo durante después realizó revisión sistemática del alcance sintetizó valoró literatura. MÉTODO: buscó empírica impactos gravedad, prevalencia demanda tratamiento alimentaria. aplicaron restricciones muestra. Los estudios) sintetizaron seis temas: (1) casos sospechosos (2) impacto percibido síntomas; (3) gravedad síntomas antes pandemia; (4) correlatos relacionados pandemia (5) cuidadores/padres; (6) experiencias COVID-19.El tasas probables alimentaria, deterioro salud variaron sustancialmente. La escala empeoramiento debido fueron reportados comúnmente, más susceptibles incluyeron confirmados poblaciones riesgo (mujeres jóvenes, atletas, padres / cuidadores) e individuos altos niveles ansiedad o miedo Surgió alguna evidencia mayor servicios especializados pandemia. transición forzada al línea fue un desafío muchos, sin embargo, alternativas telesalud parecían factibles efectivas. Conclusiones. limita principalmente autoinforme participantes recuerdo retrospectivo, estudios transversales descriptivos, muestras conveniencia. formulan varias vías novedosas futuras investigaciones tienen como objetivo comprender, monitorear apoyar aquellos afectados negativamente por

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Changes in sociocultural attitudes towards appearance, body image, eating attitudes and behaviours, physical activity, and quality of life in students before and during COVID-19 lockdown

Appetite, Journal Year: 2021, Volume and Issue: 166, P. 105452 - 105452

Published: June 6, 2021

Language: Английский

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A mixed‐studies systematic review of the experiences of body image, disordered eating, and eating disorders during the COVID‐19 pandemic

International Journal of Eating Disorders, Journal Year: 2022, Volume and Issue: 56(1), P. 26 - 67

Published: March 23, 2022

Abstract Objectives This systematic review assessed the influence of COVID‐19 pandemic and associated restrictions on body image, disordered eating (DE), disorder outcomes. Methods After registration PROSPERO, a search was conducted for papers published between December 1, 2019 August 2021, using databases PsycINFO, PsycARTICLES, CINAHL Plus, AMED, MEDLINE, ERIC, EMBASE, Wiley, ProQuest (dissertations theses). Results Data from 75 qualitative, quantitative, mixed‐methods studies were synthesized convergent integrated approach presented narratively within four themes: (1) disruptions due to pandemic; (2) variability in improvement or exacerbation symptoms; (3) factors with image DE outcomes; (4) unique challenges marginalized underrepresented groups. Disruptions included social functional restrictions. Although most reported worsening concerns, some participants also symptom no change as result pandemic. Factors worse outcomes psychological, individual, social, disorder‐related variables. Individuals identifying LGBTQ+ concerns during COVID‐19. Discussion There is large individuals' responses limited research exploring effect DE, longitudinal experimental study designs. In addition, further required investigate among minoritized, racialized, underrepresented, otherwise participants. Based findings this review, we make recommendations individuals, researchers, clinicians, public health messaging. Public Significance highlights widespread negative impacts that have had It identifies considerable variations both said other professionals should be mindful if are ensure vulnerable people get tailored support they require.

Language: Английский

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Food insecurity associated with elevated eating disorder symptoms, impairment, and eating disorder diagnoses in an American University student sample before and during the beginning of the COVID‐19 pandemic

International Journal of Eating Disorders, Journal Year: 2021, Volume and Issue: 54(7), P. 1213 - 1223

Published: April 22, 2021

Abstract Objective This study tested the association between food insecurity and eating disorder (ED) pathology, including probable ED diagnosis, among two cohorts of university students before during beginning COVID‐19 pandemic. Method Students ( n = 579) from a large Midwestern American completed self‐report questionnaires assessing frequency behaviors, ED‐related impairment, individual as measured by Eating Disorder Diagnostic Scale 5, Clinical Impairment Assessment, Radimer/Cornell, respectively. Chi‐square tests MANOVA with post‐hoc corrections were conducted to compare demographic characteristics, diagnosis prevalence without insecurity. Results Partially supporting hypotheses, indicated significantly greater objective binge eating, compensatory fasting, impairment for compared individuals Chi‐squared showed higher diagnoses those security (47.6 vs. 31.1%, respectively, p < .01, NNT 6.06), specifically bulimia nervosa other specified feeding disorder. There no differences in or Discussion Consistent prior literature, was associated elevated psychopathology this sample. Findings emphasize importance proper screening college vulnerable EDs.

Language: Английский

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The prevalence and risk factors of screen-based disordered eating among university students: a global systematic review, meta-analysis, and meta-regression

Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity, Journal Year: 2022, Volume and Issue: 27(8), P. 3215 - 3243

Published: Aug. 4, 2022

Language: Английский

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COVID-19-related changes in eating disorder pathology, emotional and binge eating and need for care: a systematic review with frequentist and Bayesian meta-analyses

Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity, Journal Year: 2023, Volume and Issue: 28(1)

Published: Feb. 20, 2023

Abstract Purpose The COVID-19 pandemic has been a leading cause of stress and feelings loss control, both which have related to eating disorder (ED) pathology onset deterioration. We aim estimate the magnitude changes in prevalence rates of, indicators for, ED psychopathology face pandemic. Method Pre-registered systematic review with frequentist Bayesian meta-analyses. Searches for eligible studies were performed PubMed, Web Science pre-print servers until January 15 2023. Results Our searches yielded 46 reporting on total 4,688,559 subjects. These data provide strong evidence indicating increased diagnosed self-reported ED’s concordant need care symptom severity scores patients not elevated during pandemic, except those anorexia nervosa. On average, people general population report relatively high levels emotional binge although evidential strength these associations is only anecdotal moderate. Moderators between-study heterogeneity detected. Conclusions Altogether, our results suggest that associated wide spread negative effect patient samples population. development online prevention intervention programs EDs stressful times like encouraged. A limitation reported here may be prone biases, amongst others, self-report bias. Level evidence: I, meta-analysis. Preregistration: Prospero [ https://www.crd.york.ac.uk/prospero ] ID: CRD42022316105.

Language: Английский

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COVID-19 Pandemic and Eating Disorders among University Students

Nutrients, Journal Year: 2021, Volume and Issue: 13(12), P. 4294 - 4294

Published: Nov. 28, 2021

An online cross-sectional study was conducted in May 2021 to identify factors, such as changes food choices, lifestyle, risk and protective behavior, mental health, social demographics, on eating disorders (ED) among students of a French university. Students were invited fill out an questionnaire. ED identified using the version five-item "Sick, Control, One stone, Fat, Food" (SCOFF) The Expali™-validated algorithmic tool, combining SCOFF body mass index, used screen EDs into four diagnostic categories: bulimic ED, hyperphagic restrictive other ED. A total 3508 filled questionnaire, 67.3% female, mean age 20.7 years (SD = 2.3). prevalence 51.6% women 31.9% men (

Language: Английский

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Mechanisms by which adverse childhood experiences, other traumas and PTSD influence the health and well-being of individuals with eating disorders throughout the life span

Journal of Eating Disorders, Journal Year: 2022, Volume and Issue: 10(1)

Published: Nov. 14, 2022

Abstract Background Multiple published sources from around the world have confirmed an association between array of adverse childhood experiences (ACEs) and other traumatic events with eating disorders (EDs) related outcomes, including higher morbidity mortality. Methods In keeping this Special Issue’s goals, narrative review focuses on ACEs pyramid its purported mechanisms through which child maltreatment forms violence toward human beings influence health well-being individuals who develop EDs throughout life span. Relevant literature posttraumatic stress disorder (PTSD) is highlighted when applicable. Results At every level pyramid, it shown that interact each these proclaimed escalating in a bidirectional manner contributes to predisposition, precipitation perpetuation medical psychiatric comorbidities, then predispose early death. The levels their interactions are discussed include contribution generational embodiment (genetics) historical trauma (epigenetics), social conditions local context, traumas themselves, resultant disrupted neurodevelopment, subsequent social, emotional cognitive impairment, adoption risk behaviors, development disease, disability problems, all resulting premature mortality by means fatal complications and/or suicide. Conclusions implications cascading, evolving, intertwined perspectives important for assessment treatment using trauma-informed care trauma-focused integrated approaches. This overview offers multiple opportunities at palliation prevention associated trauma-related conditions, PTSD.

Language: Английский

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Food insecurity and binge eating: A systematic review and meta‐analysis

International Journal of Eating Disorders, Journal Year: 2023, Volume and Issue: 56(7), P. 1301 - 1322

Published: April 11, 2023

Abstract Objective This review synthesized literature on the relationship between food insecurity and binge eating. Methods Relevant studies were identified by searching PubMed, CINAHL, PsycINFO, gray from inception to October 2022. Eligible included primary research that assessed Data extraction was performed independently two reviewers. Pooled odds ratios 95% confidence intervals (CI) obtained random effect models with R package meta . Analyses stratified eating versus binge‐eating disorder (BED), study type (cross‐sectional vs. longitudinal), age (adults adolescents). Results We 24 articles reported 20 studies, 13 in meta‐analysis. Based effects meta‐analysis, of adults insecure group having 1.66 (95% CI = 1.42, 1.93) times secure The BED 2.70 1.47, 4.96) BED. Insufficient data available for a meta‐analysis adolescents or longitudinal relationships. Conclusions These findings support is associated adults. There need investigate mechanisms underlying this relationship. highlight importance screening participants disordered behaviors vice versa. Future needed examine whether interventions targeting may help mitigate behaviors. Public Significance Food common but under‐recognized contributor In article, we systematically reviewed has been published found should be considered prevention treatment

Language: Английский

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Effect of COVID-19 outbreak on the diet, body weight and food security status of students of higher education: a systematic review

British Journal Of Nutrition, Journal Year: 2022, Volume and Issue: 129(11), P. 1916 - 1928

Published: Aug. 10, 2022

Abstract The COVID-19 pandemic has impacted college students’ lifestyles and placed them at a greater risk of obesity food insecurity. purpose the systematic review was to consolidate evidence for effect Covid-19 on dietary quality, habits, body weight security status. A comprehensive literature search conducted utilising various databases including Google Scholar, MEDLINE, ScienceDirect, Embase Scopus identify relevant studies. To be incorporated in this review, studies had include higher education students, measure prevalence insecurity assess changes during pandemic. showed that diet quality students compromised many nations due decrease intake whole grains, dairy products, legumes, nuts, fruits vegetables increase consumption alcohol, confectionery products refined grains. There an frequency cooking, binge eating, breakfast skipping unhealthy snacking. These modifications, return, were associated with changes, no less than 20 30 % gaining also status over 30% being insecure worldwide. outbreak exacerbated habits under high gain Higher institutions governments should improve access nutritious foods incorporate nutrition interventions curricula.

Language: Английский

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