Prevalence Of Eating Disorders Research Articles

Temperamental and Character Traits as Risk Factors for Binge Eating Disorder in Women with Polycystic Ovary Syndrome

Background/Objectives: Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders in women of reproductive age. It is associated with an increased risk of somatic and mental health problems. The prevalence of binge eating disorder (BED) in women with PCOS is higher than in the healthy population. The co-occurrence of PCOS and BED increases the risk of negative health outcomes and may worsen patient compliance. For both groups of disorders, specific personality traits have been described in the literature. The aim of this study was to assess temperament and character in PCOS women with and without BED, in search of specific personality traits that may distinguish PCOS patients with a higher predisposition to BED. Methods: 128 women diagnosed with PCOS according to the modified Rotterdam criteria were included in the study. All completed the Temperament and Character Inventory by R.C. Cloninger (TCI). The collected data were statistically analyzed. Results: The PCOS–BED subgroup was characterized by specific personality traits in comparison with PCOS subgroup: statistically significantly higher scores of harm-avoidance dimensions (in anticipatory worry, shyness, and fatigability subscales) and statistically significantly lower scores of persistence and self-directedness dimensions (in purposeful, resourcefulness, self-acceptance, and enlightened second nature subscales). Conclusions: PCOS–BED women have certain personality traits. Screening PCOS patients for the presence of certain personality traits could identify those at risk. PCOS–BED women may be at higher risk of health problems and treatment failure and may require a different therapeutic approach to treatment, including psychotherapeutic interventions.

Eye of the Beholder: Prevalence of Binge Eating Disorder among Youth in Urban Coastal Karnataka, India

Abstract Introduction: Eating disorders (EDs) are on the rise and can result in medical and psychiatric morbidities in children, adolescents as well as during adulthood. It is crucial to understand the disease burden for its early diagnosis, intervention, and prevention. Our study was thus conducted over 5 months to estimate the prevalence of binge ED (BED) among adolescents and young adults in Mangalore, Karnataka. Materials and Methods: A total of 300 participants between the ages of 15 and 24 years were administered the Questionnaire on Eating and Weight Patterns - 5. Responses were categorized into “possible diagnosis of BED” and “possible diagnosis of bulimia nervosa (BN).” Results: The mean age of the participants was 19.4 ± 3.1 years and their mean body mass index was 22.7 ± 3.9 kg/m2. Among 300 participants, 15 (5.0%) had a possible diagnosis of BN, while 4 (1.3%) had a probable diagnosis of BED, both were found to be more among females than males. Sixty participants reported having loss of control over their food intake, of which only 26 (43.3%) reported being upset about it. However, on multivariate logistic regression, none of the sociodemographic factors were found to be significant in our study. Conclusion: It is essential to encourage healthy eating habits and physical activity at an early age along with the inclusion of screening for EDs in school health programs. Raising awareness among parents and children is crucial in bringing about sustained behavior change.

Management of eating and feeding disorders

The World Health Organization and the American Psychiatric Association have identified eating disorders. This is the most common disease in the world. According to a systematic review, the prevalence of eating and feeding disorders was 3.5% between 2000 and 2006 and increased between 2013 and 2017 to 7.8 percent. Approximately 28.8 million people will suffer from this disease in USA. Eating and feeding disorders can be lifelong issue. These disorders are more common among women. Anorexia nervosa, effects on systemic as well as general oral and dental health.

Prevalence of potential risk of eating disorders among young, unprofessional European athletes: results of the ERASMUS+ project SCAED.

Adolescent athletes are at higher risk of developing eating disorders (ED) due to sports environment pressures and developmental characteristics. The ERASMUS+ project Sports Community against Eating Disorders (SCAED) aims to assess the prevalence of the potential risk of eating disorders among young, unprofessional European athletes and to provide them with easier access to professional support and knowledge. The online survey included 462 unprofessional athletes from six European countries aged 12-25 (average age 18.49 ± 5.50) on their socio-demographics, sports and lifestyle habits, behaviors, concerns, and perceived pressure from coaches and teammates regarding body weight and shape. The eating disorder potential risk was assessed using the Eating Disorder Examination for Adolescents (EDE-A) and Eating Disorders Screen for Athletes (EDSA). Every seventh (14.9%, EDE-A) and fifth (19.9%, EDSA) of young, unprofessional European athletes were at possible risk for developing eating disorders. Overall potential risk (18.7% EDE-A, 26.6% EDSA), dietary restraint (12.9%), and concerns about eating (9.5%), shape (23.7%), and weight (19.6%) were significantly more prevalent among female athletes. Younger athletes showed a slightly higher prevalence and avoidance of food. Athletes training in weight-sensitive sports exhibited more behaviors related to eating disorders. Females (p = 0.003), younger, and those athletes training in less weight-sensitive sports noted higher weight- and shape-related pressure from coaches. Dissatisfaction with their current weight was expressed by 44.6% of athletes, while 46.1% thought that they needed to lose weight to improve performance. The observed prevalence of the potential risk of ED among young, unprofessional European athletes is concerning, particularly due to limited access to support. Efforts to reduce the prevalence should target female and younger athletes in weight-sensitive sports. The SCAED Erasmus+ project aims to decrease ED prevalence among young, unprofessional European athletes, their families, and coaches by supporting them through education and professional consultation.

6482 Knowledge and comfort in addressing eating disorders in people living with Type 1 Diabetes in an academic Endocrinology center

Abstract Disclosure: N. Viera Felicino: None. D. Lam: None. Background: Eating disorders(ED) occur at twice the rate in people living with type 1 diabetes(PWT1D) compared to the general population. Early detection and prevention necessitate a high level of clinical suspicion, as the coexistence of ED and T1D is linked to compromised metabolic control, earlier onset of microvascular complications, elevated mortality rates and diminished quality of life. Despite this, healthcare providers often encounter multiple challenges, such as the tendency for ED/DEB to be well hidden and/or denied, as well as a general discomfort in broaching this sensitive topic. Compounding the issue is the scarcity of literature offering optimal methods for supporting and treating individuals suffering from this dual diagnosis. Here, we conducted a survey at an academic center to assess providers’ overall knowledge and comfort level regarding the intersection of ED/DEB in PWT1D. Methods: A 15 question anonymous survey was distributed to members of our Endocrinology division, including fellows, attendings, and advanced practice providers (APPs) across four practices within an academic center in New York City. The primary objectives of the survey were to gauge participants' understanding in three key areas: general knowledge regarding the prevalence of this dual diagnosis, awareness of associated morbidity, and their professional experiences in providing care to this population. Results: The survey was distributed to a total of 40 participants with 29 responses: 38% Endocrine fellows, 41% attending physicians, and 21% APPs. 97% acknowledged that ED are more prevalent in PWT1D compared to the general population and 25% could identify validated screening tools for ED. Regarding the association between ED in PWT1D and health outcomes, 67% accurately identified the increased risk of developing microvascular complications and 36% recognized the increase in the risk of all-cause mortality. 71% reported caring for a PWT1D who expressed concerns about insulin and weight gain. When asked to rate their comfort level in addressing these concerns, 13.8% and 3.4% reported feeling comfortable and very comfortable, respectively. 86% of respondents expressed unfamiliarity with available resources for providing support to individuals in this group. Discussion: The results of the survey show general acknowledgment of the heightened prevalence of ED among PWT1D and association with morbidity and mortality, but emphasizes gaps in knowledge, a general sense of discomfort, and a shortage of resources to effectively manage individuals within this patient demographic. Our survey highlights the need for enhanced education and resources to better equip healthcare professionals in managing the complex intersection of both disorders. Given that diabetes outcomes are heavily dependent on behavioral adherence, strategies for addressing ED are crucial for comprehensive patient care. Presentation: 6/2/2024

Eating disorder risk assessment and sociocultural attitudes toward body image among Polish and Turkish professional female football players.

IntroductionFootball requires high physical fitness and often involves maintaining a specific physique, leading to harmful eating behaviors due to internal and external pressures. Cultural norms influence the prevalence and types of eating disorders (ED), with differences in eating habits, beauty standards, and socio-cultural pressures affecting ED development. This study assesses ED risk and analyzes socio-cultural attitudes toward body image among Polish and Turkish female football players.MethodsThe study was conducted from April to June 2024 and included 103 professional female football players aged 18–35 from Polish (n = 49) and Turkish (n = 54) clubs. Data were collected using the CAWI method via Google Forms. Participants completed EAT-26 and SATAQ-3 questionnaires, assessing ED risk and socio-cultural attitudes toward body image.Results40.8% of participants were at risk for ED. No differences in ED prevalence were found between groups of different nationalities. Polish footballers at risk of ED scored higher on the Internalization-Pressure and Information subscales and the overall SATAQ-3 score. A weak but significant positive correlation was found between SATAQ-3 and EAT-26 scores.DiscussionThe study finds no nationality-based differences in ED prevalence among professional female football players, but ED is widespread, affecting about 40% of players. Nutritional status impacts ED risk, with higher risk among underweight and overweight players. Polish players are more influenced by socio-cultural standards of body image promoted by mass media. The study underscores the need for regular screening and psychological support.

Prevalence and risk factors of binge eating disorder among medical students: evidence from a cross-sectional study in Vietnam

Binge eating disorder (BED) is a significant public health problem worldwide. This cross-sectional study aimed to determine the prevalence of BED and its association among 411 medical students at a medical university in northern Vietnam. Data were collected through face-to-face interviews using structured paper-based questionnaires in a classroom setting. The prevalence of BED symptoms among medical students was 9.5%. Among those with BED symptoms, 7.3% had moderate symptoms, and 2.2% had severe symptoms of BED. Multivariable logistic regression analysis showed that being female (AOR = 3.71; 95%CI: 1.48–9.34), being overweight/obese (AOR = 4.14; 95%CI: 1.39–12.32), and being depressed (AOR = 4.05; 95%CI: 1.97–8.33) were associated with an increased risk of BED. This is the first study to provide new insights into the prevalence of BED symptoms and contributing factors among Vietnamese medical students. The findings from this study may assist public health professionals in developing strategies to reduce the risks associated with BED.

Systematic review of the epidemiology of eating disorders in the Arab world.

The Arab world is dealing with modernization and sociocultural changes both associated with eating disorders. The present review provides an update of 'Eating disorders in the Arab world: a literature review', which was published in 2020. There are 22 recent epidemiological studies on eating disorders in five different countries in the Arab world. A large-scale national mental health survey reported a 12-month eating disorder prevalence of 3.2% and an eating disorder lifetime prevalence of 6.1%. Binge-eating disorder was the most common eating disorder (12-month prevalence = 2.1%, lifetime prevalence = 2.6%), 1.6% was at high risk for binge-eating disorder. Overall, between 23.8 and 34.8% was at high risk for any eating disorder. Body-shape dissatisfaction, a high BMI and separated/widowed/single marital status were associated with eating disorder pathology. Although there is still a lack of studies compared to the western world, the number of epidemiological studies on eating disorders in the Arab world is growing and there is an increase in studies using appropriate assessment-tools and norms. It is recommended to offer specialized treatment and to implement preventive programs.

Psychological Impact of Eating Disorders- A Comprehensive Review

Eating disorders (EDs) are severe mental health conditions characterized by dysfunctional eating behaviors and cognitions, significantly impacting psychological well-being. This comprehensive review explores the psychological impact of eating disorders, focusing on anorexia nervosa, bulimia nervosa, and binge-eating disorder. The review synthesizes current literature on the prevalence, risk factors, comorbidities, and psychological consequences of EDs. Key psychological impacts discussed include anxiety, depression, obsessive-compulsive behaviors, body dysmorphia, and impaired social functioning. The review also examines therapeutic interventions and their efficacy in addressing these psychological issues. By highlighting the complex interplay between EDs and psychological health, this paper aims to inform clinical practice and future research directions.

The impact of the COVID-19 pandemic on administrative eating disorder prevalence in the outpatient sector and on severity of anorexia nervosa.

The COVID-19 pandemic appears to have had a considerable impact on the mental health of children and adolescents, particularly regarding eating disorders. However, it remains unclear whether the pandemic affected only the frequency or also the severity of eating disorders. We examined potential pandemic-related changes in the administrative prevalence of eating disorders in the outpatient sector compared with other mental disorders using German statutory health insurance data for the age group 10 to 16 years. We also examined disorder severity of anorexia nervosa using data from the multicenter German Registry of Children and Adolescents with Anorexia Nervosa in the same age group. Our results showed a marked increase in the administrative prevalence of eating disorders (based on documented diagnoses) in the outpatient sector among girls but not among boys. A similar pattern was found for internalizing disorders, whereas the administrative prevalences of externalizing disorders decreased. Regarding the severity of anorexia nervosa among inpatients, we found no pandemic-related changes in body mass index standard deviation score at admission, body weight loss before admission, psychiatric comorbidities and psychopharmacological medication. Given the administrative prevalence increase in the outpatient sector, the lack of impact of the pandemic on the inpatient sector may also be partly due to a shift in healthcare utilization towards outpatient services during the pandemic. Thus, the higher number of children and adolescents requiring specialized and timely outpatient care may be a major concern under pandemic conditions.

Eating disorders, body image dissatisfaction and their association with gluten-free diet adherence among patients with celiac disease

BackgroundConsidering the higher prevalence of psychological problems in patients with Celiac disease (CD), the current study aims to assess the prevalence of eating disorders (EDs) and body image disturbance in patients with CD and examine the possible correlation between EDs, body image dissatisfaction and distortion, and gluten-free diet (GFD) adherence in these patients.MethodsIn this cross-sectional study, 217 patients with CD (18–55 years old) were recruited randomly from the CD registry database. EDs and body image issues were assessed using the 26-item Eating Attitude Test (EAT-26) and Stunkard Figure Rating Scale (FRS), respectively. Adherence to GFD was evaluated by the Celiac Dietary Adherence Test (CDAT) questionnaire.ResultsThe prevalence of EDs was 43.5%. Furthermore, the prevalence of body dissatisfaction and distortion was 65.9% and 41.1%, respectively. The logistic regression demonstrated a significant negative association between adherence to the GFD and EDs (OR = 2.09, 95% CI: 1.11–3.91, P = 0.022). However, there was no significant association between following GFD and body image dissatisfaction (OR = 1.70, CI: 0.92–3.17, P = 0.090), and distortion (OR = 0.65, CI: 0.36–1.18, P = 0.163).ConclusionConsidering the high prevalence of EDs in patients with CD and owing to the inverse association between EDs and GFD adherence, nutritionists should consider the psychological barriers in adhering to a GFD when consulting patients with CD.

Racial, Ethnic, and Sex Differences in Eating Disorder Onset Among U.S. Military Service Members.

Bulimia nervosa (BN) and binge eating disorder (BED) are the most prevalent eating disorders (EDs) among military personnel. Although sex differences are noted in ED prevalence in military and civilian samples, mixed findings have emerged when evaluating racial and ethnic differences. The present study examined independent associations and interactions between sex, race, ethnicity, and probable BED and BN onset. The sample included 91,413 and 96,245 service members from the Millennium Cohort Study for BED and BN analyses, respectively. Up to four datapoints (from 2001-2013) were used to conduct longitudinal complementary log-log regression analyses, as participants were followed until the outcome occurred or until study completion. BN was more likely among women than men, and no sex difference emerged for BED onset. BN was more likely among Hispanic/Latinx, Multiracial, Black, and Asian/Pacific Islander (API) while BED was less likely among Black and API versus non-Hispanic/Latinx White (NHW) service members. Interactions revealed greater likelihood of BN in Hispanic/Latinx service members was driven by men. Additional efforts are needed amongst racially and ethnically diverse groups in preventing and detecting EDs in military personnel. Future intersectionality research could elucidate systemic inequities and other contributing factors to ED onset to inform prevention and treatment efforts.

Prevalence and Associated Factors of Eating Disorders Among Undergraduate Students at the University of Kirkuk, Iraq: A Cross-Sectional Study.

Background Eating disorders (EDs) are significant health hazards among university students because of various stressors and lifestyle changes. Therefore, in this study, we examine the prevalence of EDs among undergraduate students at the University of Kirkuk and explore the relationships between EDs and sociodemographic factors. Methods The research employed a cross-sectional design and took place from June 3, 2023, to April 30, 2024. The Eating Attitudes Test-26 (EAT-26), a standardized survey, was used to collect data on participants' eating attitudes and sociodemographic information. The data were analyzed using descriptive statistics and inferential statistical tests. Results The overall sample comprised 513 individuals aged 18 to 30 years. The findings indicated that 25.7% of the participants were prone to developing EDs. The results revealed significant differences in ED scores between those who engaged in self-starvation for weight loss, daily weight monitoring, or experienced weight-based bullying (p < 0.001). Moreover, this study found that BMI has a positive correlation with the dieting and oral control subscales (p < 0.05), and it also has a positive correlation with the total EAT-26 score (p < 0.01). Interestingly, the dieting subscale negatively correlates with age, while the EAT-26 total score negatively correlates with both students' academic stage and satisfaction with their field of study. Conclusions Based on the EAT-26 assessment, a quarter of the students were at risk of developing EDs. The data also show that BMI is positively associated with the risk of EDs. These findings highlight the need for targeted mental health interventions and support systems within universities.

An exploration of counselors of color working in the eating disorder field

AbstractAmong eating disorder (ED) professionals, counselors of color (COCs) are underrepresented. Given the prevalence of EDs among people of all racial and ethnic backgrounds, as well as the low number of COCs working in the profession and its problematic implications, this study is warranted to include the experiences of COCs in EDs and understand how to grow the specialty with counselors of all backgrounds. In this study, we interviewed 10 COCs and analyzed transcripts using a post‐intentional phenomenological design. Tentative manifestations of unprepared, isolating spaces, unspoken knowing, and exhaustion, as well as provocations of cultural inclusion, changemaker, and vulnerability, emerged. We present implications, limitations, and research considerations.

A Scoping Review of the Prevalence of Eating Disorders in Spain.

Eating disorders (EDs) are mental health illnesses with a multifactorial origin. At present, no review of indexed publications studying their prevalence in Spain is available. A scoping review (PROSPERO -CRD42019140884-) was carried out through systematic searches (MEDLINE, EMBASE and PsycINFO) until January 2022. Papers published in Spanish/English analysing the prevalence of EDs in Spain (population < 65 years) were selected. A total of 766 articles were identified (186 eliminated as duplicates). A total of 580 articles were analysed on the basis of title and abstract, and 67 articles were selected for full-text analysis. A total of 37 studies analysed the prevalence of EDs in Spain. This is the first scoping review to analyse the prevalence of EDs in Spain. Puberty and adolescence are the most extensively studied stages. There is a high heterogeneity in the use of ED screening tools and a paucity of information on diagnostic tools.

Eating disorders among queer and trans individuals: Implications for conceptualization, assessment, and treatment.

Eating disorders (EDs) have been traditionally viewed as a disorder affecting cisgender, heterosexual women. Yet, the prevalence of EDs among queer and trans (QnT) individuals, coupled with the lack of interventions that attend to contextual factors related to sexual orientation and gender identity, underscore a critical health disparity issue requiring urgent attention. Here, we first review factors pertaining to QnT individuals' minoritized sexual and gender identities that are important to consider in ED conceptualization for this population (e.g., minority stressors, identity-based body image standards). Next, we describe problematic assumptions present in existing ED assessment and propose more inclusive approaches. Lastly, we provide suggestions for practices that providers can implement within their treatment of EDs among QnT individuals.

Prevalence and factors associated with eating disorders among undergraduate students in a public university in Ghana

AbstractTo estimate the prevalence of eating disorders (EDs) among undergraduate students in a public university in Ghana; to identify the factors associated with EDs and to explore the relationship between sociodemographics and developing EDs. A cross‐sectional design was employed to obtain data from 1101 students using the total enumeration sampling method. Information on sociodemographics was obtained and anthropometric measurements were self‐reported. The Eating Attitude Test was modified to obtain the prevalence rate. The factors associated with EDs and the relationship between sociodemographics and EDs were also assessed using a chi‐square statistical test. Logistic regression analysis was used to assess the association between sociodemographic variables and ED risk. A total of 1101 students participated in the study with a mean age of 21.87 ± 2.94, ranging from 16 to 43 years. About 7% of the students were found to have EDs, with the majority being female young adults. Factors found to influence EDs were peer/family pressure, stress, and body dissatisfaction. The association between psychological factors and EDs was found to be statistically significant (p &lt; 0.05). Gender (p = 0.011), course of study (p = 0.001), and level of study (p = 0.010) were sociodemographic variables associated with an increased likelihood of developing EDs. This study found the prevalence of EDs to be relatively higher than that estimated for Africa and non‐Western countries and almost as high as that of the Western world. This calls for urgent steps to be taken, including creating awareness and increasing nutrition education to reduce the incidence, if not completely nip it in the bud. Sociocultural factors and body image preferences were identified as core factors underlying susceptibility to EDs and hence will inform and guide intervention activities. This study will address literature gaps and provide baseline data on the prevalence rate of EDs in Ghana and Africa at large. Information from the study will aid dietitians/nutritionists in developing interventions suitable for persons with EDs. Most importantly, this study will refer individuals who may have EDs to seek the necessary assistance from qualified health professionals like doctors, dietitians, and psychologists.

Eating Disorders Among Saudi Dietitians: Prevalence and Analysis

Eating disorders (EDs) involve persistently disturbed eating and related behaviors that result in altered consumption or absorption of food with potential physical or psychological function impairment. There are four major types of EDs: anorexia nervosa, bulimia nervosa, binge eating disorder, and eating disorders not otherwise specified. This investigation aimed to study the prevalence of EDs by assessing the nutritional status of nutrition students and dietitians from multiple provinces in Saudi Arabia. A cross-sectional study included 175 male and female nutrition students and dietitians. EDs were diagnosed using the Eating Attitudes Test – 26 item (EAT-26) and Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Dietary intake was estimated using repeated 24-hour recall records. Diets were analyzed using food processor nutrition and fitness software. The intakes were compared with the recommended dietary allowances (RDA). The mean participant age was 24.62 ± 4 years. According to EAT-26 diagnostic criteria, the prevalence of EDs was 15.4%. The ED participants had normal body mass index values of 23.6 ± 3.47kg/m2. The diet analysis showed that these subjects had a lower intake of energy, macronutrients, and micronutrients but higher intakes of other micronutrients than the RDA. Nine (33.3%) of the subjects were students and 18 (66.7%) were dietitians. l EDs were more prevalent among dietitians than students. The EDs included a high number of other specified feeding or eating disorders and unspecified eating disorder cases. Subjects with ED had an unbalanced diet and poor nutrition. Our investigation concluded that the prevalence of EDs in Saudi Arabia was 15.4% among nutrition students and dietitians. Moreover, EDs were more prevalent in some provinces of Saudi Arabia. Intakes of energy, macronutrients, and some micronutrients were low, while those of other micronutrients were higher than the RDA.

Irritable Bowel Syndrome in medical students at a Peruvian university: a cross-sectional study.

Irritable Bowel Syndrome has emerged as a significant public health challenge, particularly relevant in medical students due to the high demands of their studies, academic stress, and susceptibility to eating disorders. Nevertheless, conclusive evidence regarding the factors associated with Irritable Bowel Syndrome in the Latin American student population remains limited. The objective of this study was to determine the prevalence and factors associated with Irritable Bowel Syndrome in Human Medicine students at a university in northern Peru. A cross-sectional analytical study conducted in Lambayeque, northern Peru. With 403 Human Medicine students (66.5% female, 33.5% male). A simple random probabilistic sampling type was used, based on a list of students enrolled. A multivariate analysis was conducted to determine the factors associated using simple and multiple regression models. Generalized Linear Models were applied, using the Poisson distribution family, robust variance, and the academic year as a cluster. The prevalence of Irritable Bowel Syndrome was 16.9% (95% CI: 13.37-20.86). The median age was 21 years, with 66.5% being female. In the multiple regression analysis, Irritable Bowel Syndrome was associated with a higher prevalence of depression (PR: 3.63; 95% CI: 1.26-10.49) and eating disorders (PR: 1.57; 95% CI: 1.01-2.43). For each additional year of age, the prevalence of Irritable Bowel Syndrome decreased by 9% (PR: 0.91; 95% CI: 0.83-0.99). This study reveals that approximately two out of every 10 students exhibit symptoms related to IBS, underscoring its significance in the Human Medicine student population. Furthermore, depression and eating disorders were identified as significant factors associated with IBS in students. Consequently, it is essential to focus efforts on early identification and the implementation of preventive measures to mitigate the development of this pathology, given its substantial prevalence in this context of Human Medicine students.

The Evolution of Anorexia Nervosa in Singapore: A 30-year Demographic Analysis

IntroductionNew prevalence and time trend data from various Asian countries show that Eating Disorders (ED) are increasingly common in Asia. (Youl-Ri Kim. Int J Eat Disord. Dec 2020). A recent study estimating the prevalence of ED in Singapore found an alarming 6.2% screened positive for a clinical ED diagnosis, 19.5% were screened to be at high risk, and estimated the point prevalence of Anorexia Nervosa (AN) to be 0.9%. (Chua SN et al. Int J Eat Disord. Jan 2021). The ED unit in Singapore General Hospital (SGH) was set up in 2003 as a National Treatment Programme for patients with ED. Two local studies have been published to date on the demographics and clinical profile of patients with AN. The first study examined 126 patients from 1994 – 2002 (HY Lee et al. Singapore Med J 2005; 46(6): 275-281). The second study reported on 271 cases from our SGH ED unit from 2003-2010 (Kuek et al. SIngapore Med J 2015; 56(6): 324-328). There have been no further studies in the last decade.Objectives1.Study the demographics and clinical profile of patients who presented with AN to our ED unit from 2011-20222.Compare our data with the 2 previous studies and examine for any changes and trends in the past 30 years.MethodsWe conducted a review of the ED unit new case registry at SGH from 2011-2022. A total of 910 patients were diagnosed with AN at presentation. The data was analysed with approval from the hospital instituitional review board.ResultsA total of 910 cases presented with AN over 12 years. Comparing with the 2 previous studies, the number of new cases each year has continued to increase from &lt;15 in the 1990s to hit a peak of 109 per year in 2022. 94% were females, with a mean presenting age of 19. 79.2% were Chinese, 5.2% were Indians and 2.9% were of Malay ethnicity. The Malay population continue to be under-represented whereas other ethnic groups continue to be over-represented, increasing from 3.2% to 7% in the previous studies to 11.1%. Referrals were mainly from tertiary healthcare intuitions accounting for 41.4% of cases. Self-referrals have decreased over the last decade whereas referrals from primary care has increased. The mean presenting body mass index (BMI) was 15.9. Compared to a previous study, there was a significant increase in presenting BMI (15.9+/- 0.78 vs 14.4 +/- 1.77, p value 0.0074).ConclusionsThe number of new cases of AN has seen an almost 10-fold increase in the last 30years. The Malay ethnicity continues to be under-represented – more research is needed if they are somehow culturally protected or if they are not coming forth for treatment. Majority of referrals are from tertiary healthcare institutions but referrals from primary care have increased, reflecting a possible increase in awareness amongst primary care doctors. The mean presenting BMI has increased – hopefully reflecting an increase in ED awareness such that patients are coming forward earlier for treatment.Disclosure of InterestNone Declared