Epidemiology of Anorexia Nervosa in Men: A Nationwide Study of Finnish Twins
2009

Epidemiology of Anorexia Nervosa in Men: A Study of Finnish Twins

Sample size: 2122 publication Evidence: moderate

Author Information

Author(s): Raevuori Anu, Hoek Hans W., Susser Ezra, Kaprio Jaakko, Rissanen Aila, Keski-Rahkonen Anna

Primary Institution: Department of Public Health, University of Helsinki

Hypothesis

To examine the epidemiology of anorexia nervosa in men.

Conclusion

Anorexia nervosa in males in the community is more common, transient and accompanied by more substantial comorbidity than previously thought.

Supporting Evidence

  • The incidence rate of anorexia nervosa for the presumed peak age of risk (10–24y) was 15.7 per 100,000 person-years.
  • All probands had recovered from eating disorders but suffered from substantial psychiatric comorbidity.
  • Male co-twins displayed significant dissatisfaction with body musculature.

Takeaway

This study found that anorexia nervosa is more common in boys and young men than we thought, and it often comes with other mental health issues.

Methodology

Men from FinnTwin16 birth cohorts were screened for lifetime eating disorders using a questionnaire and diagnostic interviews.

Potential Biases

Self-reported figures of weight and height might have been biased due to the sensitive nature of these measures.

Limitations

The study had a small number of detected cases and potential self-report bias.

Participant Demographics

Finnish male twins born between 1975 and 1979.

Statistical Information

P-Value

0.24%

Confidence Interval

95% CI 0.03–0.44%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0004402

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