Abstract
This paper provides an overview of changes in the trends of anorexia nervosa (AN) and bulimia nervosa (BN) over time. The concepts of AN and BN have barely changed since they were incorporated into the operational diagnostic criteria in the 1980s. Epidemiological studies in Western countries have revealed increases in AN and BN since the 1930s and 1970s, respectively. Subsequently, AN has remained constant since around the 1970–1990s, although its incidence has increased among young women, whereas BN peaked around the 1990s and has since decreased. Further, compared to Western countries, reports from non-Western countries are insufficient in number and detail. Research participants with eating disorders (EDs) have expanded to include not only young women, but also men and middle-aged women. Further research is needed on EDs across global regions, cultures, genders, and ages.
Abbreviations
- AN:
-
Anorexia nervosa
- AN-BP:
-
Anorexia nervosa – binge/purging type
- AN-R:
-
Anorexia nervosa – restricting type
- BED:
-
Binge eating disorder
- BMI:
-
Body mass index
- BN:
-
Bulimia nervosa
- BN-NP:
-
Bulimia nervosa – non-purging type
- BN-P:
-
Bulimia nervosa – purging type
- DSM:
-
Diagnostic and Statistical Manual of Mental Disorders
- ED:
-
Eating disorder
- ICD:
-
International Classification of Diseases
References
Aillon JL, Ndetei DM, Khasakhala L et al (2014) Prevalence, types and comorbidity of mental disorders in a Kenyan primary health centre. Soc Psychiatry Psychiatr Epidemiol 49:1257–1268
Alfalahi M, Mahadevan S, Al Balushi R et al (2021) Prevalence of eating disorders and disordered eating in Western Asia: a systematic review and meta-analysis. Eat Disord. https://doi.org/10.1080/10640266.2021.1969495
Ali K, Farrer L, Fassnacht DB et al (2017) Perceived barriers and facilitators towards help-seeking for eating disorders: a systematic review. Int J Eat Disord 50:9–21
Alvidrez J, Azocar F, Miranda J (1996) Demystifying the concept of ethnicity for psychotherapy researchers. J Consult Clin Psychol 64:903–908
American Psychiatric Association (1980) Diagnostic and statistical manual of mental disorders, 3rd edn. American Psychiatric Association, Washington, DC
American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders, 3rd edn revised. American Psychiatric Association, Washington, DC
American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Washington, DC
American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Association, Washington, DC
Andersen AE (1990) Males with eating disorders. Brunner/Mazel, New York
Baxter AJ, Patton G, Scott KM et al (2013) Global epidemiology of mental disorders: what are we missing? PLoS One 8:e65514
Bell RM (1985) Holy anorexia. University of Chicago Press, Chicago/London
Bemporad JR (1997) Cultural and historical aspects of eating disorders. Theor Med 18:401–420
Bennett D, Sharpe M, Freeman C et al (2004) Anorexia nervosa among female secondary school students in Ghana. Br J Psychiatry 185:312–317
Berkman JM (1930) Anorexia nervosa: anorexia, inanition and low basal metabolic rate. Am J Med Sci 180:411–424
Brown TA, Forney KJ, Klein KM et al (2020) A 30-year longitudinal study of body weight, dieting, and eating pathology across women and men from late adolescence to later midlife. J Abnorm Psychol 129:376–386
Bruch H (1973) Eating disorders: obesity, anorexia nervosa, and the person within. Basic Books, New York
Bulik CM, Kleiman SC, Yilmaz Z (2016) Genetic epidemiology of eating disorders. Curr Opin Psychiatry 29:383–388
Di Nicola VF (1990) Anorexia multiform: self-starvation in historical and cultural context: Part II: Anorexia nervosa as a culture-reactive syndrome. Transcult Psychiatr Res Rev 27:245–286
Eddy KT, Hennessey M, Thompson-Brenner H (2007) Eating pathology in East African women: the role of media exposure and globalization. J Nerv Ment Dis 195:196–202
Feighner JP, Robins E, Guze SB et al (1972) Diagnostic criteria for use in psychiatric research. Arch Gen Psychiatry 26:57–63
Galmiche M, Déchelotte P, Lambert G et al (2019) Prevalence of eating disorders over the 2000-2018 period: a systematic literature review. Am J Clin Nutr 109:1402–1413
Ghaderi A, Scott B (2001) Prevalence, incidence and prospective risk factors for eating disorders. Acta Psychiatr Scand 104:122–130
Gull WW (1873) Anorexia nervosa (apepsia hysterica, anorexia hysterica). Obes Res 5:498–502
Habermas T (2015) History of anorexia nervosa. In: Smolak L, Levine MP (eds) The Wiley handbook of eating disorders, assessment, prevention, treatment, policy, and future directions. Wiley, New York, pp 11–24
Hall A, Hay PJ (1991) Eating disorder patient referrals from a population region 1977–1986. Psychol Med 21:697–701
Harada T, Yamauchi T, Miyawaki D et al (2021) Anorexia nervosa restricting type has increased in severity over three decades: Japanese clinical samples from 1988 to 2018. Int J Eat Disord 54:54–58
Hoek HW (2006) Incidence, prevalence and mortality of anorexia nervosa and other eating disorders. Curr Opin Psychiatry 19:389–394
Hoek HW (2016) Review of the worldwide epidemiology of eating disorders. Curr Opin Psychiatry 29:336–339
Hoek HW, Bartelds AI, Bosveld JJ et al (1995) Impact of urbanization on detection rates of eating disorders. Am J Psychiatry 152:1272–1278
Hudson JI, Hiripi E, Pope HG Jr et al (2007) The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry 61:348–358
Ishikawa K, Iwata Y, Hirano G (1960) Studies on the symptoms and the pathology of anorexia nervosa. Psychiatr Neurol Japonica 62:1203–1221
Jahromi SR, Abolhasani M, Bidadian M et al (2013) Comparison of obesity/psychological disorders comorbid between older and younger adult women. Psychology 4:1–3
Javaras KN, Runfola CD, Thornton LM et al (2015) Sex- and age-specific incidence of healthcare-register-recorded eating disorders in the complete Swedish 1979–2001 birth cohort. Int J Eat Disord 48:1070–1081
Kazim AA, Almarzooqi MS, Karavetian M (2017) The prevalence and determents of eating disorders among Emirati female students aged 14–19 years in Ajman, UAE. J Food Nutr Disord 6:2. https://doi.org/10.4172/2324-9323.1000222
Keel PK, Forney KJ (2015) Prevalence and incidence of eating disorders in western societies. In: Smolak L, Levine MP (eds) The Wiley handbook of eating disorders, assessment, prevention, treatment, policy, and future directions. Wiley, New York, pp 51–63
Keel PK, Klump KL (2003) Are eating disorders culture-bound syndromes? Implications for conceptualizing their etiology. Psychol Bull 129:747–769
Keski-Rahkonen A, Mustelin L (2016) Epidemiology of eating disorders in Europe: prevalence, incidence, comorbidity, course, consequences, and risk factors. Curr Opin Psychiatry 29:340–345
Keski-Rahkonen A, Hoek HW, Susser ES et al (2007) Epidemiology and course of anorexia nervosa in the community. Am J Psychiatry 164:1259–1265
Kodama Y, Yamauchi T, Tomoko H et al (2017) Some milder psychopathological manifestations of late-onset anorexia nervosa with short illness duration in Japanese population. Osaka City Med J 63:67–76
Kolar DR, Rodriguez DL, Chams MM et al (2016) Epidemiology of eating disorders in Latin America: a systematic review and meta-analysis. Curr Opin Psychiatry 29:363–371
Kotilahti E, West M, Isomaa R et al (2020) Treatment interventions for severe and enduring eating disorders: systematic review. Int J Eat Disord 53:1280–1302
Lahortiga-Ramos F, De Irala-Estévez J, Cano-Prous A et al (2005) Incidence of eating disorders in Navarra (Spain). Eur Psychiatry 20:179–185
Larrañaga A, Docet MF, García-Mayor RV (2012) High prevalence of eating disorders not otherwise specified in northwestern Spain: population-based study. Soc Psychiatry Psychiatr Epidemiol 47:1669–1673
Laségue (1997) On hysterical anorexia (a). 1873. Obes Res 5:492–497
Lo AL, Hsu LG, Vandereycken W (2012) Extreme fasting among Daoist priestesses of the Tang Dynasty: an old Chinese variant of anorexia nervosa? Hist Psychiatry 23:342–348
Lucas AR (1981) Toward the understanding of anorexia nervosa as a disease entity. Mayo Clin Proc 56:254–264
Lucas AR, Crowson CS, O’Fallon WM et al (1999) The ups and downs of anorexia nervosa. Int J Eat Disord 26:397–405
Madden S, Morris A, Zurynski YA et al (2009) Burden of eating disorders in 5–13-year-old children in Australia. Med J Aust 190:410–414
Mangweth-Matzek B, Hoek HW, Pope HG Jr (2014a) Pathological eating and body dissatisfaction in middle-aged and older women. Curr Opin Psychiatry 27:431–435
Mangweth-Matzek B, Hoek HW, Rupp CI et al (2014b) Prevalence of eating disorders in middle-aged women. Int J Eat Disord 47:320–324
Mangweth-Matzek B, Kummer KK, Pope HG (2016) Eating disorder symptoms in middle-aged and older men. Int J Eat Disord 49:953–957
Martínez-González L, Fernández-Villa T, Molina AJ et al (2020) Incidence of anorexia nervosa in women: a systematic review and meta-analysis. Int J Environ Res Public Health 17:3824
Melisse B, De Beurs E, Van Furth EF (2020) Eating disorders in the Arab world: a literature review. J Eat Disord 8:59. https://doi.org/10.1186/s40337-020-00336-x
Micali N, Martini MG, Thomas JJ et al (2017) Lifetime and 12-month prevalence of eating disorders amongst women in mid-life: a population-based study of diagnoses and risk factors. BMC Med 15:12. https://doi.org/10.1186/s12916-016-0766-4
Milos G, Spindler A, Schnyder U et al (2004) Incidence of severe anorexia nervosa in Switzerland: 40 years of development. Int J Eat Disord 35:250–258
Mitchison D, Mond J, Slewa-Younan S et al (2013) Sex differences in health-related quality of life impairment associated with eating disorder features: a general population study. Int J Eat Disord 46:375–380
Morton R (1694) Phthisologia: or a treatise of consumptions. Smith & Walford, London
Murray SB, Nagata JM, Griffiths S et al (2017) The enigma of male eating disorders: a critical review and synthesis. Clin Psychol Rev 57:1–11
Mustelin L, Silén Y, Raevuori A et al (2016) The DSM-5 diagnostic criteria for anorexia nervosa may change its population prevalence and prognostic value. J Psychiatr Res 77:85–91
Nagata JM, Ganson KT, Murray SB (2020) Eating disorders in adolescent boys and young men: an update. Curr Opin Pediatr 32:476–481
Nakai Y, Nin K, Noma S et al (2018) Changing profile of eating disorders between 1963 and 2004 in a Japanese sample. Int J Eat Disord 51:953–958
Nakai Y, Nin K, Goel NJ (2021) The changing profile of eating disorders and related sociocultural factors in Japan between 1700 and 2020: a systematic scoping review. Int J Eat Disord 54:40–53
Nasser M (1994) Screening for abnormal eating attitudes in a population of Egyptian secondary school girls. Soc Psychiatry Psychiatr Epidemiol 29:25–30
Nicholls DE, Lynn R, Viner RM (2011) Childhood eating disorders: British national surveillance study. Br J Psychiatry 198:295–301
Pasternak Y, Weintraub AY, Shoham-Vardi I et al (2012) Obstetric and perinatal outcomes in women with eating disorders. J Womens Health (Larchmt) 21:61–65
Pike KM, Borovoy A (2004) The rise of eating disorders in Japan: issues of culture and limitations of the model of “Westernization”. Cult Med Psychiatry 28:493–531
Pike KM, Hoek HW, Dunne PE (2014) Cultural trends and eating disorders. Curr Opin Psychiatry 27:436–442
Podfigurna-Stopa A, Czyzyk A, Katulski K et al (2015) Eating disorders in older women. Maturitas 82:146–152
Prince R (1985) The concept of culture-bound syndromes: anorexia nervosa and brain-fag. Soc Sci Med 21:197–203
Raevuori A, Keski-Rahkonen A, Hoek HW (2014) A review of eating disorders in males. Curr Opin Psychiatry 27:426–430
Raisanen U, Hunt K (2014) The role of gendered constructions of eating disorders in delayed help-seeking in men: a qualitative interview study. BMJ Open 4:e004342
Reas DL, Rø Ø (2018) Time trends in healthcare-detected incidence of anorexia nervosa and bulimia nervosa in the Norwegian National Patient Register (2010–2016). Int J Eat Disord 51:1144–1152
Russell G (1979) Bulimia nervosa: an ominous variant of anorexia nervosa. Psychol Med 9:429–448
Ryle J (1936) Anorexia nervosa. Lancet 228:893–899
Samuels KL, Maine MM, Tantillo M (2019) Disordered eating, eating disorders, and body image in midlife and older women. Curr Psychiatry Rep 21:1–9
Scholtz S, Hill LS, Lacey H (2010) Eating disorders in older women: does late onset anorexia nervosa exist? Int J Eat Disord 43:393–397
Sheehan HL (1939) Simmonds’s disease due to post-partum necrosis of the anterior pituitary 1. Q J Med 8:277–309
Smink FR, Van Hoeken D, Hoek HW (2013) Epidemiology, course, and outcome of eating disorders. Curr Opin Psychiatry 26:543–548
Smink FRE, Van Hoeken D, Donker GA et al (2016) Three decades of eating disorders in Dutch primary care: decreasing incidence of bulimia nervosa but not of anorexia nervosa. Psychol Med 46:1189–1196
Steinhausen HC, Jensen CM (2015) Time trends in lifetime incidence rates of first-time diagnosed anorexia nervosa and bulimia nervosa across 16 years in a Danish nationwide psychiatric registry study. Int J Eat Disord 48:845–850
Suhail K, Zaib-u-Nisa (2002) Prevalence of eating disorders in Pakistan: relationship with depression and body shape. Eat Weight Disord 7:131–138
Swartz L (1985) Anorexia-nervosa as a culture-bound syndrome. Soc Sci Med 20:725–730
Treasure J, Duarte TA, Schmidt U (2020) Eating disorders. Lancet 395:899–911
Tseng MM, Tu CY, Hsieh SF et al (2020) Rates and trends in healthcare-detected incidence of anorexia nervosa and bulimia nervosa: a national health insurance claim data study in Taiwan, 2002–2013. Int J Eat Disord 53:331–338
Turnbull S, Ward A, Treasure J et al (1996) The demand for eating disorder care. An epidemiological study using the general practice research database. Br J Psychiatry 169:705–712
Van Deth R, Vandereycken W (1995) Was late-nineteenth-century nervous vomiting an early variant of bulimia nervosa? Hist Psychiatry 6:333–347
Van Eeden AE, Van Hoeken D, Hoek HW (2021) Incidence, prevalence and mortality of anorexia nervosa and bulimia nervosa. Curr Opin Psychiatry 34:515–524
Van Hoeken D, Burns JK, Hoek HW (2016) Epidemiology of eating disorders in Africa. Curr Opin Psychiatry 29:372–377
Van Son GE, Van Hoeken D, Bartelds AI et al (2006) Time trends in the incidence of eating disorders: a primary care study in the Netherlands. Int J Eat Disord 39:565–569
Weissman RS (2019) The role of sociocultural factors in the etiology of eating disorders. Psychiatr Clin North Am 42:121–144
Willi J, Grossmann S (1983) Epidemiology of anorexia nervosa in a defined region of Switzerland. Am J Psychiatry 140:564–567
Willi J, Giacometti G, Limacher B (1990) Update on the epidemiology of anorexia nervosa in a defined region of Switzerland. Am J Psychiatry 147:1514–1517
Williams H, Moxley K, Macharia M et al (2020) Eating disorders and substance use at a South African tertiary hospital over a 21-year period. S Afr J Psychiatry 26:1–7
World Health Organization (1992) International classification of diseases for mortality and morbidity statistics (10th Revision)
World Health Organization (2021) International classification of diseases for mortality and morbidity statistics (11th Revision). https://icd.who.int/en. Accessed 1 Nov 2021
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Harada, T., Miyawaki, D., Yamauchi, T. (2022). Time-Related Changes in Eating Disorders. In: Patel, V., Preedy, V. (eds) Eating Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-67929-3_13-1
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