Mortality in eating disorders - results of a large prospective clinical longitudinal study.

About this resource

OBJECTIVE To report on long-term mortality in anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and eating disorder not otherwise specified (ED-NOS), causes of death, and predictors of early death. METHOD A large sample of consecutively admitted inpatients (N = 5,839) was followed-up on vital status through the German civil registry office. Of these patients 1,639 were treated for AN, 1,930 for BN, 363 for BED, and 1,907 for ED-NOS. Data from the main inpatient hospital treatment were applied to bivariate and multivariate Cox regression analyses on survival time from onset of eating disorder to death or end of observation. Standardized mortality ratios (SMR) were computed matched for age, gender, and person-years. RESULTS SMR were 5.35 for AN, 1.49 for BN, 1.50 for BED, 2.39 for narrowly defined ED-NOS, and 1.70 for widely defined ED-NOS. Patients with AN died earlier than patients with BN, BED, or ED-NOS who did not differ. A diagnosis of AN, chronicity, later age of onset, not living in a relationship, and an irregular type of discharge from index inpatient treatment were major predictors of a shorter time to death. Suicidality was a univariate predictor of a shorter time to death in BN only. AN patients mostly died from natural causes related to their eating disorder. DISCUSSION Mortality in AN is excessive and considerably higher than in BN, BED, and ED-NOS. (c) 2015 Wiley Periodicals, Inc. (Int J Eat Disord 2015).

AuthorFichter, Manfred Maximilian & Quadflieg, Norbert
JournalThe International Journal of Eating Disorders
Volume49(4):391-401
Year2016

See also

Religious coping style as a predictor of the severity of anorectic symptomology.

A review of the literature concerning the relationship between anorexia nervosa (AN) and religion reveals two disparate themes: religion as a cultivator of AN, and religion as a recovery benefactor.

Read more

Early weight gain predicts treatment response in adolescents with anorexia nervosa enrolled in a family-based partial hospitalization program.

OBJECTIVE: Improved treatment outcome in family-based treatment (FBT) for anorexia nervosa (AN) is predicted by weight gain occurring early in the course of treatment (i.e., about 4 lbs by week 4).

Read more

Attention allocation to illness-compatible information discriminates women with active versus weight-recovered anorexia nervosa.

OBJECTIVE: Biased attention for disorder-relevant information plays a crucial role in the maintenance of different mental disorders including eating disorders and might be of use to define recovery beyond symptom-related criteria.

Read more

Issue 71: Diabetes and dieting: Risk factors for eating disorders

Editor’s NoteDiabetes and eating disorders: Dr Beth SheltonDieting and children: Dr Laura HartPart 2: Video interview with Royal Children’s Hospital nurse Claire MayUpcoming events – ANZAED Autumn workshops Editor’s NoteWelcome to a new year and a new start in 2021.

Read more

Help us improve!

Give us feedback!

We will continue throughout 2020 to update and improve the NEDC website and welcome any feedback you may have on the site.

Provide feedback