Dietary intake of adults with eating disorders: a systematic review and meta-analysis

Jenkins, P. E. ORCID: https://orcid.org/0000-0003-1673-2903, Proctor, K. and Snuggs, S. ORCID: https://orcid.org/0000-0001-5191-9517 (2024) Dietary intake of adults with eating disorders: a systematic review and meta-analysis. Journal of Psychiatric Research, 175. pp. 393-404. ISSN 1879-1379 doi: 10.1016/j.jpsychires.2024.05.038

Abstract/Summary

Studies have confirmed the link between altered dietary intake and eating disorders (EDs), although no systematic assessment of this research exists. Rigorous synthesis of dietary intake in anorexia nervosa (AN), bulimia nervosa (BN), binge-eating disorder (BED), and similar EDs is needed to explore similarities and differences. In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement, we conducted a systematic review and quantitative synthesis of studies of dietary intake. Searches of three electronic databases resulted in thirty-nine included studies. Meta-analyses of subsets of these studies were undertaken to summarise macronutrient intake across AN, BN, and BED. Study quality was assessed using the American Academy of Nutrition and Dietetics Quality Criteria Checklist, with ratings either Positive (k = 27) or Neutral (k = 12). Adults with AN had low energy intake and those with BED reported elevated macronutrient intake. Individuals with BN reported wide variation in energy intake, including some of the highest estimates. Individuals with AN were likely to under-consume key micronutrients, with sodium potentially over-consumed in BN and BED. Vitamin D was under-consumed across all disorders. This meta-analysis highlights important diagnostic differences and synthesises dietary intake in EDs, with particular relevance to risk assessment and treatment.

Item Type	Article
URI	https://reading-clone.eprints-hosting.org/id/eprint/116475
Item Type	Article
Refereed	Yes
Divisions	Life Sciences > School of Psychology and Clinical Language Sciences > Department of Psychology
Publisher	Elsevier
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