Eating disorders among women in primary care (Monastir, Tunisia)

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Published Mar 12, 2022
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Vol. 100 No. 3 (2022): Issue Mar 2022

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Baha Slimane Zrafi
Rim Omezzine Gniwa
Afifa Abdelkafi Koubaa
Walid Bouali
Asma Sriha Belguith

Abstract

Background : Eating disorders (ED) are relatively frequent, but convey a high mortality and morbidity. More than half of individuals with ED
remain undetected in primary care. The general practitioners (GP) are in a strategic position to detect patients with ED.

Aims : To determine the prevalence of ED in Tunisian women visiting their GP using the SCOFF-F score and to determinate the associated
socioeconomic, clinical, and lifestyle factors.

Methods : This is a cross-sectional study of women who consulted two primary health care in the city of Monastir, during 4 months of the year
2020. The SCOFF-F was performed.

Results: We included 445 women; the mean age of our patients was 36 ± 12 years. SCOFF-F was positive in 48% of cases CI95% [43-52%],
14% presented with bulimia nervosa and 12% with binge eating disorder. Patients with ED were overweight in 33% of cases, 40% perform a
physical activity and 53% eat three meals per day. A family history of ED was 35%. 20% of the patients have a history of psychiatric disorder.
In multivariate analysis, performing physical activity to control weight, eating three meals a day, maintaining the current diet without trying to
change into a different one, non continous occupation and anxiety increase the risk of ED with respective ORs of 2.34, 4.26, 3.69, 2.09 and
2.09 respectively. Ages between 35 and 60 years, and a history of ED in siblings increases the risk of ED by 1.6.

Conclusion: Our study concluded that ED was associated with common family behavior, especially among siblings, and with a particular
psychological state which are interesting to screen by GP and to focus on targeting family care.

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References

  1. Galmiche M, Déchelotte P, Lambert G, Tavolacci MP. Prévalence des troubles du comportement alimentaire au cours de la période 2000-2018 : une revue systématique de la littérature. J Clin Nutr Metab. 2019;33(1):112.
  2. Garcia-Campayo J, Sanz-Carrillo C, Ibañez JA, Lou S, Solano V, Alda M. Validation of the Spanish version of the SCOFF questionnaire for the screening of eating disorders in primary care. J Psychosom Res. 2005 Aug 1;59(2):51-5.
  3. Charfi N, Trigui D, Ben Thabet J et al. Etude du rapport des troubles des conduites alimentaires avec le niveau de stress et l’estime de soi chez les étudiants en médecine. Tunis Med. 2015; 93 : 721.
  4. Ketata W, Aloulou J, Charfi N, Abid M, Amami O. Hyperphagie boulimique et obésité: aspects épidémiologiques, cliniques et psychopathologiques. Étude d’une population d’obèses à Sfax (Tunisie). Ann Endocrinol. 2009; 70:462-7.
  5. Khiari M, Mizouri R, Boukhayatia F et al. Prévalence des troubles du comportement alimentaire chez un groupe d’obèses tunisiens. J Clin Nutr Metab. 2019;33(1):40-1.
  6. Garcia FD, Grigioni S, Allais E, Houy-Durand E, Thibaut F, Déchelotte P. Detection of eating disorders in patients: validity and reliability of the French version of the SCOFF questionnaire. Clin Nutr. 2011;30(2):178-81.
  7. Arnal M, Fayemendy P, Morin B et al. Dépistage des troubles du comportement alimentaire à l’aide du SCOFF-F chez 964 actifs et étudiants en Haute-Vienne. J Clin Nutr Metab. 2019;33(1):15-6.
  8. Hubin-Gayte M. Troubles des conduites alimentaires et maternité : analyse de forums sur Internet. Ann Med Psychol. 2011;169(10):615-620.
  9. Garcia FD, Grigioni S, Chelali S, Meyrignac G, Thibaut F, Dechelotte P. Validation of the French version of SCOFF questionnaire for screening of eating disorders among adults. World J Biol Psychiatry. 2010;11(7):888-93.
  10. Lajili O, Htira Y, Benali K, Rachdi R, Benmami F. Obésité et troubles du comportement alimentaire chez les tunisiens. Ann Endocrinol. 2020; 81 :467.
  11. Safer M, Zemni I, Mili M, Salem B, Zaafrane F. Eating disorders: Prevalence and associated factors among health occupation students in Monastir University (Tunisia). Tunis Med. 2020;98(12):895-912.
  12. Deschasaux-Tanguy M, Druesne-Pecollo N, Esseddik Y et al. Diet and physical activity during the coronavirus disease 2019 (COVID-19) lockdown (March–May 2020): results from the French NutriNet-Santé cohort study. Am J Clin Nutr. 2021;113(4):924-38.
  13. Manoudi F, Adali I, Asri F, Tazi I. Approche épidémiologique de la boulimie et du comportement alimentaire inhabituel en milieu universitaire à Marrakech (Maroc). Ann Med Psychol. 2010;168(9):694-697.
  14. Lachaud M, Miquel V, Rousseau A, Chabrol H. Pratiques alimentaires et préoccupations corporelles chez les jeunes femmes. J Behav Cogn Ther. 2004;14(3):131-4.
  15. Arnal M, Fayemendy P, Morin B et al. Dépistage des troubles du comportement alimentaire à l’aide du SCOFF-F chez 330 patients obèses pris en charge en Limousin. J Clin Nutr Metab. 2020;34(1):79.
  16. Grigioni S, Déchelotte P. Épidémiologie et évolution des troubles du comportement alimentaire. Médecine & nutrition. 2012;48(1):28-32.
  17. Tomori M, Rus-Makovec M. Eating behavior, depression, and self-esteem in high school students. J Adolesc Health.. 2000;26(5):361-7.
  18. Williams PM, Goodie J, Motsinger CD. Treating eating disorders in primary care. Am Fam Physician. 2008 Jan 15;77(2):187-95.
  19. Hoek HW. Review of the worldwide epidemiology of eating disorders. Curr Opin Psychiatry. 2016;29(6):336-9.
  20. vancic L, Maguire S, Miskovic-Wheatley J, Harrison C, Nassar N. Prevalence and management of people with eating disorders presenting to primary care: a national study. Aust N Z J Psychiatry. 2021 Nov;55(11):1089-100.
  21. Ogg EC, Millar HR, Pusztai EE, Thom AS. General practice consultation patterns preceding diagnosis of eating disorders. Int J Eat Disord. 1997 Jul;22(1):89-93.
  22. Hay P, Mitchison D. Eating Disorders and Obesity: The Challenge for Our Times. Nutrients. 2019 May 11;11(5):1055.
  23. Omri M, Mahjoub F, Ben Amor N, Triki S, Bahri A, Jamoussi H. Troubles du comportement alimentaire chez un groupe d’obèses Tunisiens candidats à une chirurgie bariatrique. Ann Endocrinol 2017;78:441.
  24. Mangweth-Matzek B, Hoek HW. Epidemiology and treatment of eating disorders in men and women of middle and older age. Curr Opin Psychiatry. 2017;30(6):446
  25. Delaunay AL, Gérardin P, Godart N. Prise en charge en hôpital de jour des adolescents présentant un trouble des conduites alimentaires : revue de la littérature internationale et état des lieux en France. Neuropsychiatr Enfance Adolesc. 2019;67(4):203-12.
  26. Portzky G, van Heeringen K, Vervaet M. Attempted suicide in patients with eating disorders. Crisis: Crisis. 2014;35(6):378.
  27. Cook-Darzens S. Apports de la recherche familiale dans les troubles du comportement alimentaire de l’enfant et de l’adolescent: acquis, défis et nouvelles perspectives. Thérapie familiale. 2013;34(1):39-67.