Eating disorder issues in the adolescent population during theCOVID-19 pandemic: A cross-sectional study of discharge records in developmental ages in Italy in Cogent Medicine
2021
ASL Torino 3
Tipo pubblicazione
Conference Abstract
Autori/Collaboratori (4)Vedi tutti...
Lo Moro G
University of Torino, Italy
Mamo C
Epidemiology Unit, ASL TO3, Piedmont Region, Grugliasco, Italy
Lemma P
University of Torino, Italy
et alii...
Abstract
Background: COVID-19 consequences had negatively impacted healthcare services during the pandemic hospitalizations, and the use of many health services were drastically reduced, with some exception for urgent non-deferable conditions, with effects on people's mental health, especially in developmental ages, where difficulties in coping with the situation might have had an impact on eating behaviours. We, therefore, aimed to explore hospitalizations for eating disorders (ED) before and during the pandemic to identify any possible changes due to this unprecedented crisis. Methods: We performed a retrospective cross-sectional study of all discharge records in patients aged 5-19 years in the Piedmont region in Italy. Overall hospitalization, age and gender-specific rates, and the proportion of hospitalization due to eating disorders in 2020 were compared to those in 2018-2019. Results: the overall number of hospitalizations for any cause in developmental ages were reduced by 32% (-31% in the 15-19 years-of-age group;-29% in the 10-14 years of age;-36% in the 5-9 years-of-age group). Overall Hospitalizations due to ED reduced by 14%, with a decrease of about 19% in the oldest group and about 30% in the youngest one but a 3% increase in the 10 to 14 years-of-age group. The most frequently diagnosed disorder was anorexia nervosa, accounting for at least 55% of all eating disorder hospitalizations. The total proportion of hospitalizations for ED in 2018-2019 significantly increased from 13.6 to 17.3 in 2020 (p < 0.05). The same significant increase was observed in the three age groups: 23.0 vs 27.0 (p<0.05) in the 15-19 years-of-age group, 12.1 vs 17.5 (p<0.05)in the 10-14, and 2.5 vs 2.7 (NS) in the 5-9 years-of-age group, respectively. Overall, the age-specific crude rate slightly decreased over the studied period, except for the 10-14 age group. The 2018-2019 mean prevalence in the three age groups was 1.33, 0.51, 0.11 per 1000 individuals, and the 2020 prevalence
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DOI : 10.1080/2331205X.2021.2002558
Keywords
adolescent; adult; anorexia nervosa; child; conference abstract; controlled study; cross-sectional study; female; gender; groups by age; hospital discharge; hospitalization; human; iceberg; Italy; major clinical study; male; pandemic; preschool child; prevalence; public health; retrospective study; school child;