Reproductive endocrinology

Increased Prevalence of Binge Eating Disorder and Bulimia Nervosa in Women With Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis

J Clin Endocrinol MetabPublished Systematic review and meta-analysis

Pooled result · Any eating disorderResult — go to the resultOdds ratio 1.53 CI 1.29–1.82

Authors' conclusion

Our study informs the 2023 PCOS Guideline recommendations for consideration of the risk of disordered eating/ eating disorders in care of women with PCOS, regardless of weight, especially during providing lifestyle counseling.

Study context

Population
Adolescent or adult women with and without polycystic ovary syndrome (PCOS); databases searched from inception through February 1, 202420 studies
Participants
28,922 vs 258,619
Comparison
Women with PCOS vs controls
  • PCOSn = 28,922
  • Controlsn = 258,619reference
Outcome
Prevalence of disordered eating/eating disorders
Methodological detailsrandom effects meta-analysis, Grading of Recommendations, Assessment, Development and Evaluations (GRADE) quality assessment, risk of bias assessment, Most included studies were of moderate quality, with no evidence of publication bias
  • Random effects meta-analysis
  • GRADE quality assessment
  • Risk of bias assessment
  • Most included studies were of moderate quality, with no evidence of publication bias

Pooled result

Any eating disorder

Odds ratio

1.53

CI 1.29–1.82

PCOSvs Controls
OR 1.53 (CI 1.29–1.82)

As reported in the abstract

Further pooled results

OutcomeOR (CI)
Any eating disorder, PCOS diagnosed by Rotterdam criteria4 studies2.88 (1.55–5.34)
OutcomeSMD (CI)
Mean disordered eating scores0.52 (0.28–0.77)
  • Mean disordered eating scores: 13 studies; higher in PCOS, including when stratified by normal and higher weight BMI

Bulimia nervosa, binge eating disorder, disordered eating, anorexia nervosa

Odds of bulimia nervosa, binge eating disorder and disordered eating, but not anorexia nervosa, were increased in PCOS

Original publication

Increased Prevalence of Binge Eating Disorder and Bulimia Nervosa in Women With Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis. J Clin Endocrinol Metab. Published 8 August 2024. doi:10.1210/clinem/dgae462

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