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. 2019 Dec;52(12):1365-1369.
doi: 10.1002/eat.23135. Epub 2019 Jul 10.

Mortality in males treated for an eating disorder-A large prospective study

Norbert Quadflieg  1 , Christine Strobel  2 , Silke Naab  2 , Ulrich Voderholzer  2 , Manfred M Fichter  1   2
Affiliations

Mortality in males treated for an eating disorder-A large prospective study

Norbert Quadflieg et al. Int J Eat Disord. 2019 Dec.

Abstract

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.

Keywords: anorexia nervosa; bulimia nervosa; death; eating disorders; males; standardized mortality ratio.

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References

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