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Psychophysical chemosensory dysfunction in eating disorders: a qualitative systematic review.
Leland, Evelyn M; Xie, Deborah X; Kamath, Vidyulata; Seal, Stella M; Lin, Sandra Y; Rowan, Nicholas R.
Afiliação
  • Leland EM; Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, 601 N. Caroline St, 6th floor, Ste 6230, Baltimore, MD, 21287, USA.
  • Xie DX; Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, 601 N. Caroline St, 6th floor, Ste 6230, Baltimore, MD, 21287, USA.
  • Kamath V; Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Seal SM; Welch Medical Library, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Lin SY; Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, 601 N. Caroline St, 6th floor, Ste 6230, Baltimore, MD, 21287, USA.
  • Rowan NR; Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, 601 N. Caroline St, 6th floor, Ste 6230, Baltimore, MD, 21287, USA. nrowan1@jhmi.edu.
Eat Weight Disord ; 27(2): 429-447, 2022 Mar.
Article em En | MEDLINE | ID: mdl-33876410
ABSTRACT

PURPOSE:

Patients with chemosensory dysfunction experience significant quality of life disruptions, including reduced enjoyment of eating. While chemosensory dysfunction has been associated with eating disorders, the relationship is poorly understood. This systematic review aims to characterize psychophysical gustation and olfaction in patients with eating disorders.

METHODS:

Systematic review of investigations assessing psychophysical chemosensory function in patients with organic eating disorders.

RESULTS:

26 studies were included. Five studies assessed both chemosenses, while 12 and 9 assessed exclusively gustation or olfaction, respectively. In total, 779 patients were included [72.4% anorexia nervosa (AN), 26.7% bulimia nervosa (BN), 0.8% combined AN/BN]. Patients with eating disorders experienced rates of hypogeusia up to 87% in AN and 84.6% in BN. There was evidence for alterations in psychophysical olfaction, but orientation of trends were less clear. Chemosensory dysfunction was more evident in AN patients. Treatment correlated with improved chemosensory function.

CONCLUSIONS:

Despite heterogeneity in study methodology and results, this review demonstrates that patients with eating disorders experience some degree of chemosensory dysfunction, particularly in gustation. This symptomatology overlaps with those experienced by patients with other causes of chemosensory impairment. These findings suggest potential broad psychosocial, dietary, and mental health implications in patient populations experiencing chemosensory dysfunction. LEVEL OF EVIDENCE Level II.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Anorexia Nervosa / Transtornos da Alimentação e da Ingestão de Alimentos / Bulimia Nervosa Tipo de estudo: Qualitative_research / Systematic_reviews Limite: Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Anorexia Nervosa / Transtornos da Alimentação e da Ingestão de Alimentos / Bulimia Nervosa Tipo de estudo: Qualitative_research / Systematic_reviews Limite: Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article