背景:饮食障碍和食物摄入(ED)是严重的精神疾病,在年轻人中患病率更高,诊断困难,导致严重的发病率和死亡率问题。关于ED阳性筛查的风险没有太多信息,具体来说,墨西哥本科医学实习生(UMI)和医疗居民(MR)的神经性厌食症(AN)和神经性贪食症(BN)和夜食综合症(NES)。
目的:为了确定AN的风险,BN和NES,并确定此类疾病的风险因素,如年龄,墨西哥东北部四家私立医院的身体质量指数(BMI)和MR和UMI与AN/BN和NES的性别。
方法:横截面,描述性,描述性在墨西哥东北部的四家医院进行了MR和UMI的非随机调查,使用电子问卷,包括:知情同意书签名,用于AN和BN筛选的SCOFF问卷,NES问卷。此外,纳入了对每位参与者的一般社会人口统计学数据的调查.计算卡方检验和逻辑回归模型进行分析。
结果:人群包括129例MR和UMI。观察到48.8%对AN或BN为阳性,32.6%对NES为阳性。年龄之间没有差异,性别,BMI,或医学专业(如果他们是MR);然而,第一年的MR患AN或BN的风险较高(OR23.7,95%CI1.181-475.266)。
结论:在我们的人群中,在UMI和MR中,AN或BN和NES阳性筛查的风险更高。在MR的情况下,第一年的人患AN和BN的风险更高。在该人群中,必须及时诊断和治疗。
进食障碍和食物摄入,如神经性厌食症(AN)或贪食症(BN)和夜食综合症(NES)是一组经常被诊断的精神疾病。医疗住院医师(MR)和本科医学实习生(UMI)由于年龄小,是此类疾病的高危人群,压力环境,不稳定的饮食模式和长时间的工作时间。这项研究的目的是确定AN的风险,BN和NES并确定此类疾病的风险因素。对129例UMI和MR进行了研究,结果表明,AN或BN阳性为48.8%,NES阳性为32.6%。住院医师第一年的MR风险较高。在该人群中,必须及时诊断和治疗。
BACKGROUND: Eating disorders and food ingestion (EDs) are serious mental illnesses with a higher prevalence in young adults, with difficult diagnoses that cause serious morbidity and mortality problems. There is not much information about the risk of positive screening for EDs, specifically, anorexia nervosa (AN) and bulimia nervosa (BN) and night eating syndrome (NES) in undergraduate medical interns (UMI) and medical residents (MR) in Mexico.
OBJECTIVE: To determine the risk of AN, BN and NES and to determine the risk factors of such conditions such as age, body mass index (BMI) and gender of MR and UMI with AN/BN and NES at four private hospitals in northeastern Mexico.
METHODS: A cross-sectional, descriptive, non-randomized survey in MR and UMI in four hospitals in Northeastern Mexico was conducted using an electronic questionnaire that included: informed consent signature, SCOFF questionnaire for AN and BN screening, NES questionnaire. Also, a survey on general sociodemographic data of each participant was included. Chi-square test and a logistic regression model were computed for analyses.
RESULTS: The population included a total of 129 MR and UMI. It was observed that 48.8% were positive for AN or BN and 32.6% were positive for the NES. There was no difference between age, sex, BMI, or medical specialty (if they were MR); however, MR from the first year had a higher risk of AN or BN (OR 23.7, 95% CI 1.181-475.266).
CONCLUSIONS: There was a higher risk of positive screening for AN or BN and NES in UMI and MR in our population. In the case of MR, those in first year have a higher risk of AN and BN. Timely diagnosis and treatment are mandatory in this population.
Eating disorders and food ingestion such as anorexia (AN) or bulimia (BN) nervosa and night eating syndrome (NES) are a group of mental illnesses that are frequently under diagnosed. Medical residents (MR) and undergraduate medical interns (UMI) are a high-risk population for such disorders due to their young age, stress environments, erratic eating patterns and long working hours. The aim of this study was to determine the risk of AN, BN and NES and to determine the risk factors of such conditions. One hundred twenty-nine UMI and MR were studied and showed that 48.8% were positive for AN or BN and 32.6% were positive for NES. MR in the first year of medical residency had a higher risk. Timely diagnosis and treatment are mandatory in this population.