Premium
Mortality in males treated for an eating disorder—A large prospective study
Author(s) -
Quadflieg Norbert,
Strobel Christine,
Naab Silke,
Voderholzer Ulrich,
Fichter Manfred M.
Publication year - 2019
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.23135
Subject(s) - anorexia nervosa , eating disorders , bulimia nervosa , confidence interval , anorexia , standardized mortality ratio , medicine , pediatrics , psychiatry
Objective To report on the long‐term mortality of eating disorders in male inpatients. Method Crude mortality rates (CMR) and standardized mortality ratios (SMR) were computed for a large sample of males (147 anorexia nervosa [AN], 81 bulimia nervosa [BN], 110 eating disorder not otherwise specified [ED‐NOS]; DSM‐IV). In addition, a survival analysis from onset of eating disorder to death or end of observation was computed. Results CMR was 12.9% in AN, 11.1% in BN, and 6.4% in ED‐NOS. Standardized mortality was significantly elevated in males with AN (SMR = 5.91; 95% confidence interval 3.56–9.23) as well as ED‐NOS (SMR = 3.40; 95% confidence interval 1.37–7.01) but not in males with BN (SMR = 1.88; 95% confidence interval 0.86–3.58). Males with AN died sooner after onset of eating disorder than males with BN or ED‐NOS. Discussion Mortality in male inpatients with eating disorder is high, especially in AN. There is need for developing more effective treatments to achieve better outcome.