TY - JOUR
T1 - Diagnosed eating disorders in Danish registers - incidence, prevalence, mortality, and polygenic risk
AU - Larsen, Janne Tidselbak
AU - Yilmaz, Zeynep
AU - Bulik, Cynthia M
AU - Albiñana, Clara
AU - Vilhjálmsson, Bjarni Jóhann
AU - Mortensen, Preben Bo
AU - Petersen, Liselotte Vogdrup
N1 - Copyright © 2024. Published by Elsevier B.V.
PY - 2024/4/27
Y1 - 2024/4/27
N2 - Eating disorders are a group of severe and potentially enduring psychiatric disorders associated with increased mortality. Compared to other severe mental illnesses, they have received relatively limited research attention. Epidemiological studies often only report relative measures despite these being difficult to interpret having limited practical use. The aims of this study were to evaluate the incidence and prevalence of diagnosed anorexia nervosa (AN), bulimia nervosa, and eating disorder not otherwise specified recorded in Danish hospital registers and estimate both relative and absolute measures of subsequent mortality - both all-cause and cause-specific in a general nationwide population of 1,667,374 individuals. In a smaller, genetically informed case-cohort sample, the prediction of polygenic scores for AN, body fat percentage, and body mass index on AN prevalence and severity was estimated. Despite males being less likely to be diagnosed with an eating disorder, those that do have significantly increased rates of mortality. AN prevalence was highest for individuals with high AN and low body fat percentage/body mass index polygenic scores.
AB - Eating disorders are a group of severe and potentially enduring psychiatric disorders associated with increased mortality. Compared to other severe mental illnesses, they have received relatively limited research attention. Epidemiological studies often only report relative measures despite these being difficult to interpret having limited practical use. The aims of this study were to evaluate the incidence and prevalence of diagnosed anorexia nervosa (AN), bulimia nervosa, and eating disorder not otherwise specified recorded in Danish hospital registers and estimate both relative and absolute measures of subsequent mortality - both all-cause and cause-specific in a general nationwide population of 1,667,374 individuals. In a smaller, genetically informed case-cohort sample, the prediction of polygenic scores for AN, body fat percentage, and body mass index on AN prevalence and severity was estimated. Despite males being less likely to be diagnosed with an eating disorder, those that do have significantly increased rates of mortality. AN prevalence was highest for individuals with high AN and low body fat percentage/body mass index polygenic scores.
KW - Anorexia nervosa
KW - Bulimia nervosa
KW - EDNOS
KW - Eating disorder not otherwise specified
KW - Epidemiology
KW - Sex differences
UR - http://www.scopus.com/inward/record.url?scp=85191718189&partnerID=8YFLogxK
U2 - 10.1016/j.psychres.2024.115927
DO - 10.1016/j.psychres.2024.115927
M3 - Journal article
C2 - 38696971
SN - 0165-1781
VL - 337
SP - 115927
JO - Psychiatry Research
JF - Psychiatry Research
M1 - 115927
ER -