Table 1.
Age-standardised rates of prevalence and disability-adjusted life-years of eating disorders in 2017 and their temporal trend from 1990 to 2017 at global and regional levels
| Prevalence (95% UI) | DALYs (95% UI) | |||||
|---|---|---|---|---|---|---|
| ASR in 1990 (per 1 00 000 population) | ASR in 2017 (per 1 00 000 population) | EAPC (1990–2017) | ASR in 1990 (per 1 00 000 population) | ASR in 2017 (per 1 00 000 population) | EAPC (1990–2017) | |
| Global | 172.53 (138.22–211.82) | 203.20 (162.34–250.75) | 0.65 (0.59–0.71) | 36.75 (23.62–53.12) | 43.36 (27.88–62.85) | 0.66 (0.60–0.72) |
| Sex | ||||||
| Male | 103.84 (80.97–131.02) | 124.08 (96.21–156.44) | 0.71 (0.63–0.78) | 22.32 (14.20–32.91) | 26.66 (16.85–39.10) | 0.70 (0.63–0.78) |
| Female | 243.15 (197.05–298.13) | 284.20 (230.57–349.30) | 0.62 (0.56–0.68) | 51.57 (33.26–74.57) | 60.46 (39.23–87.62) | 0.63 (0.58–0.68) |
| Aetiology | ||||||
| Anorexia nervosa | 39.33 (29.86–50.13) | 43.87 (33.10–56.52) | 0.44 (0.40–0.48) | 8.49 (5.29–12.55) | 9.51 (5.91–14.09) | 0.45 (0.42–0.49) |
| Bulimia nervosa | 134.19 (102.00–171.29) | 160.25 (121.55–204.57) | 0.71 (0.64–0.77) | 28.26 (17.90–42.21) | 33.85 (21.34–50.45) | 0.72 (0.65–0.78) |
| Socio-demographic index | ||||||
| High SDI | 391.80 (319.21–476.14) | 449.20 (365.14–548.76) | 0.54 (0.49–0.59) | 83.58 (54.47–120.27) | 96.08 (62.90–138.97) | 0.54 (0.49–0.59) |
| High-middle SDI | 149.71 (118.07–184.83) | 212.38 (168.49–262.67) | 1.40 (1.27–1.54) | 31.94 (20.45–46.63) | 45.39 (29.07–66.49) | 1.40 (1.27–1.53) |
| Middle SDI | 121.57 (96.33–149.60) | 176.65 (140.10–218.16) | 1.42 (1.36–1.48) | 26.03 (16.56–37.94) | 37.79 (24.17–55.01) | 1.42 (1.36–1.48) |
| Low-middle SDI | 116.74 (92.25–144.69) | 156.96 (123.42–194.28) | 1.18 (1.09–1.27) | 24.72 (15.77–36.17) | 33.35 (21.08–48.53) | 1.20 (1.10–1.29) |
| Low SDI | 98.94 (77.49–122.79) | 120.00 (94.58–149.07) | 0.72 (0.60–0.85) | 20.88 (13.17–30.46) | 25.47 (16.18–37.32) | 0.74 (0.62–0.87) |
| Region | ||||||
| High-income Asia Pacific | 338.74 (275.35–417.68) | 404.82 (328.52–500.29) | 0.61 (0.53–0.68) | 73.20 (47.38–105.55) | 88.18 (56.97–127.70) | 0.62 (0.53–0.71) |
| Central Asia | 150.94 (118.90–188.29) | 165.13 (131.03–205.74) | 0.53 (0.21–0.86) | 32.32 (20.86–47.44) | 35.39 (22.59–52.43) | 0.53 (0.21–0.85) |
| East Asia | 84.48 (65.96–104.18) | 150.15 (118.79–185.72) | 2.23 (2.14–2.32) | 18.28 (11.7–26.84) | 32.42 (20.51–48.03) | 2.22 (2.13–2.31) |
| South Asia | 105.28 (82.98–130.40) | 152.08 (119.33–188.39) | 1.41 (1.32–1.50) | 22.30 (14.14–32.76) | 32.3 (20.55–47.01) | 1.42 (1.34–1.51) |
| Southeast Asia | 102.47 (81.11–126.44) | 140.88 (112.00–173.55) | 1.10 (1.04–1.16) | 21.94 (13.92–32.12) | 30.20 (19.24–44.23) | 1.11 (1.05–1.16) |
| Australasia | 620.95 (496.19–773.29) | 807.13 (664.20–982.30) | 1.20 (1.09–1.30) | 131.58 (85.74–193.54) | 170.74 (113.43–244.14) | 1.19 (1.09–1.29) |
| Caribbean | 230.07 (182.09–289.53) | 249.75 (198.41–314.41) | 0.42 (0.36–0.48) | 49.04 (31.43–71.70) | 53.26 (34.26–78.97) | 0.42 (0.36–0.48) |
| Central Europe | 165.24 (130.61–205.72) | 205.03 (162.90–254.32) | 0.99 (0.89–1.10) | 35.26 (22.46–51.63) | 43.93 (27.86–64.75) | 1.01 (0.91–1.12) |
| Eastern Europe | 195.18 (153.66–242.58) | 203.75 (159.89–254.93) | 0.34 (0.05–0.62) | 41.55 (26.35–60.67) | 43.36 (27.69–63.52) | 0.32 (0.04–0.61) |
| Western Europe | 455.00 (373.25–551.26) | 525.20 (428.64–640.61) | 0.57 (0.54–0.61) | 97.16 (63.22–140.56) | 112.27 (73.12–162.79) | 0.57 (0.54–0.61) |
| Andean Latin America | 280.76 (220.08–356.14) | 341.84 (269.48–434.28) | 0.77 (0.72–0.82) | 59.74 (37.76–89.95) | 72.93 (46.49–107.52) | 0.78 (0.73–0.83) |
| Central Latin America | 248.01 (198.20–310.23) | 270.77 (216.36–337.71) | 0.32 (0.30–0.34) | 53.01 (33.85–78.16) | 57.95 (36.65–85.36) | 0.32 (0.30–0.34) |
| Southern Latin America | 297.05 (239.20–369.07) | 374.15 (301.60–463.47) | 0.79 (0.74–0.84) | 63.14 (40.31–91.68) | 79.38 (50.49–116.75) | 0.78 (0.72–0.83) |
| Tropical Latin America | 225.15 (178.34–282.92) | 263.99 (210.00–329.82) | 0.61 (0.57–0.65) | 47.63 (30.58–69.78) | 56.04 (35.98–81.74) | 0.62 (0.58–0.67) |
| North Africa and Middle East | 168.74 (134.38–209.36) | 205.72 (162.61–254.43) | 0.86 (0.81–0.92) | 35.54 (22.74–51.68) | 43.53 (27.78–63.72) | 0.88 (0.83–0.93) |
| High-income North America | 425.45 (342.39–523.43) | 463.45 (373.25–570.99) | 0.38 (0.28–0.49) | 89.98 (58.66–130.21) | 98.36 (63.78–144.38) | 0.40 (0.29–0.50) |
| Oceania | 102.24 (80.34–127.38) | 108.61 (84.04–134.55) | 0.08 (0.01–0.14) | 21.79 (13.74–32.01) | 23.15 (14.54–33.66) | 0.08 (0.01–0.14) |
| Central Sub-Saharan Africa | 116.53 (90.83–145.04) | 116.21 (90.79–145.53) | −0.02 (−0.29 to 0.25) | 24.36 (15.63–35.40) | 24.58 (15.59–35.95) | 0.02 (−0.25 to 0.29) |
| Eastern Sub-Saharan Africa | 97.56 (76.46–122.07) | 113.72 (88.58–141.25) | 0.63 (0.49–0.76) | 20.64 (13.19–30.16) | 24.22 (15.39–35.49) | 0.66 (0.52–0.79) |
| Southern Sub-Saharan Africa | 179.38 (141.46–222.29) | 189.87 (150.18–236.37) | 0.28 (0.24–0.32) | 37.97 (24.31–55.56) | 40.08 (25.32–58.64) | 0.26 (0.22–0.31) |
| Western Sub-Saharan Africa | 119.92 (94.64–149.50) | 140.28 (110.07–174.79) | 0.77 (0.61–0.94) | 25.26 (16.02–37.23) | 29.72 (18.99–43.36) | 0.79 (0.62–0.96) |
DALYs, disability-adjusted life-years; ASR, age-standardised rate; EAPC, estimated annual percentage change; UI, uncertainty interval.