PDF(Pubmed)
Abstract：
UNASSIGNED: To prevent eating disorders in future physicians, this umbrella review and meta-analysis of previous meta-analyses estimates the prevalence of disordered eating (DE) among medical students worldwide and identifies key risk factors.
UNASSIGNED: Four databases were searched electronically between their inception and February 1, 2023. The search was later updated to December 31, 2023.
UNASSIGNED: The search yielded prevalence rates for medical students who scored above established cutoffs on validated assessment measures for DE. These were computed to provide an overall pooled estimate. The data was taken from 2 previous reviews. Both these systematic reviews found a 15.1% (95% confidence interval [CI]: 14.7%-15.6%) prevalence rate of DE among medical students. The equivalent Hedges\' G = 0.30 (95% CI: 0.29-0.31), the equivalent odds ratio = 1.74 (95% CI: 1.71-1.77), I2 = 97.6%, and the excess of statistical significance is P = .001. The trim and fill adjusted effect size was 16.0% (95% CI: 14.0%-20.0%).
UNASSIGNED: Because eating disorders put students\' safety and well-being at risk and because the health of early-stage physicians is vital to the welfare of a country, early signs of disordered eating must become a priority of medical schools and a signal for effective prevention and intervention. The recommendation is to ensure supportive environments, provide easy access to effective care, and hold clear expectations for student eating behavior.
UNASSIGNED: Four databases were searched electronically between their inception and February 1, 2023. The search was later updated to December 31, 2023.
UNASSIGNED: The search yielded prevalence rates for medical students who scored above established cutoffs on validated assessment measures for DE. These were computed to provide an overall pooled estimate. The data was taken from 2 previous reviews. Both these systematic reviews found a 15.1% (95% confidence interval [CI]: 14.7%-15.6%) prevalence rate of DE among medical students. The equivalent Hedges\' G = 0.30 (95% CI: 0.29-0.31), the equivalent odds ratio = 1.74 (95% CI: 1.71-1.77), I2 = 97.6%, and the excess of statistical significance is P = .001. The trim and fill adjusted effect size was 16.0% (95% CI: 14.0%-20.0%).
UNASSIGNED: Because eating disorders put students\' safety and well-being at risk and because the health of early-stage physicians is vital to the welfare of a country, early signs of disordered eating must become a priority of medical schools and a signal for effective prevention and intervention. The recommendation is to ensure supportive environments, provide easy access to effective care, and hold clear expectations for student eating behavior.
摘要：
■为了防止未来医生的饮食失调，本综述和以往荟萃分析的荟萃分析估计了全球医学生中饮食失调(DE)的患病率,并确定了关键危险因素.
■从成立到2023年2月1日，对四个数据库进行了电子搜索。搜索后来更新至2023年12月31日。
■该搜索得出了医学生的患病率，这些学生在经过验证的DE评估措施中得分高于既定的临界值。这些被计算以提供总体汇总估计。数据取自先前的2条评论。这些系统评价均发现医学生中DE的患病率为15.1％（95％置信区间[CI]：14.7％-15.6％）。等值对冲G=0.30(95%CI：0.29-0.31)，等效赔率比=1.74(95%CI：1.71-1.77)，I2=97.6%，超过统计学意义为P=.001。修剪和填充调整的效应大小为16.0%(95%CI:14.0%-20.0%)。
因为饮食失调使学生的安全和幸福处于危险之中，因为早期医生的健康对一个国家的福利至关重要，饮食紊乱的早期迹象必须成为医学院的优先事项，并成为有效预防和干预的信号。建议是确保支持性环境，提供有效的护理，并对学生的饮食行为抱有明确的期望。
■从成立到2023年2月1日，对四个数据库进行了电子搜索。搜索后来更新至2023年12月31日。
■该搜索得出了医学生的患病率，这些学生在经过验证的DE评估措施中得分高于既定的临界值。这些被计算以提供总体汇总估计。数据取自先前的2条评论。这些系统评价均发现医学生中DE的患病率为15.1％（95％置信区间[CI]：14.7％-15.6％）。等值对冲G=0.30(95%CI：0.29-0.31)，等效赔率比=1.74(95%CI：1.71-1.77)，I2=97.6%，超过统计学意义为P=.001。修剪和填充调整的效应大小为16.0%(95%CI:14.0%-20.0%)。
因为饮食失调使学生的安全和幸福处于危险之中，因为早期医生的健康对一个国家的福利至关重要，饮食紊乱的早期迹象必须成为医学院的优先事项，并成为有效预防和干预的信号。建议是确保支持性环境，提供有效的护理，并对学生的饮食行为抱有明确的期望。
