The Prevalence of Past 12-Month and Lifetime DSM-IV Eating Disorders by BMI Category in US Men and Women

Eur Eat Disord Rev. 2017 May;25(3):165-171. doi: 10.1002/erv.2503. Epub 2017 Jan 27.

Abstract

Objective: This study aims to determine whether the prevalence of lifetime and past 12-month DSM-IV eating disorders (ED) diagnoses differed by body mass index category among men and women in a general population sample.

Methods: Data from the Collaborative Psychiatric Epidemiology Surveys (n = 12 337 adults) were analysed using logistic regression. Analyses were conducted separately by gender.

Results: Lifetime ED prevalence was 2.22% in men and 4.93% in women. In both genders, the prevalence of any lifetime and past 12-month ED, binge eating disorder and recurrent binge eating was highest among obese individuals. Among obese men and women, lifetime and past 12-month ED prevalence was highest among those with class III obesity.

Conclusion: Eating disorders were most prevalent among high-weight individuals. This information is important for planning targeted public health ED and obesity prevention and intervention activities, as well as for informing the clinical care of obese individuals. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.

Keywords: binge eating; body mass index; eating disorders; epidemiology; obesity.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Body Mass Index*
  • Diagnostic and Statistical Manual of Mental Disorders
  • Feeding and Eating Disorders / diagnosis*
  • Feeding and Eating Disorders / epidemiology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prevalence
  • Sex Distribution
  • United States / epidemiology
  • Young Adult