Mortality and causes of death in eating disorders in Denmark 1970-1993: a case register study

Int J Eat Disord. 1999 Apr;25(3):243-51. doi: 10.1002/(sici)1098-108x(199904)25:3<243::aid-eat1>3.0.co;2-2.

Abstract

Objective: The aim of this study is to describe mortality rates and causes of death for patients with eating disorders.

Method: By means of record-linkage, the study includes all patients admitted and diagnosed as suffering from an eating disorder according to the ICD-8 classification system during the period 1970-1993 at any Danish psychiatric (since 1970) or somatic department (since 1977). The study includes 2,763 cases, of which 237 are males. Maximum follow-up time is 23 years and mean follow-up time is 10.3 years.

Results: Crude mortality at follow-up is 8.4%. A significant excess mortality is demonstrated since the standardized mortality ratio (SMR) of the total patient population is 6.69 (CI 5.68-7.83) and the highest rate ratio (RR) of 14.92 (CI 9.66-22.03) relates to women aged 25-29.

Discussion: The study documents a significant excess mortality among eating-disordered patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidents / mortality
  • Adult
  • Age Distribution
  • Aged
  • Anorexia Nervosa / mortality
  • Cause of Death
  • Confidence Intervals
  • Denmark / epidemiology
  • Feeding and Eating Disorders / mortality*
  • Female
  • Follow-Up Studies
  • Homicide / statistics & numerical data
  • Humans
  • Male
  • Medical Record Linkage
  • Middle Aged
  • Odds Ratio
  • Sex Distribution
  • Suicide / statistics & numerical data