Key result
Bulimia nervosa was associated with a significantly higher long-term risk of any cardiovascular disease (HR 4.25; 95% CI 2.98-6.07) and death compared with pregnancy-related hospitalizations.
Why the study?
Bulimia nervosa is associated with short-term cardiovascular complications in women, but its long-term consequences on cardiovascular health and mortality are unknown.
Does bulimia nervosa increase the long-term risk of cardiovascular disease and mortality in women?
Cohort (n=416,709)
Does bulimia nervosa increase the long-term risk of cardiovascular disease and mortality in women?
Hazard Ratio: 4.25 (95% CI 2.98–6.07)
Absolute Event Rate: 10.34% vs 1.02%
Bulimia nervosa is associated with a more than 4-fold increased long-term risk of cardiovascular disease and mortality in women, highlighting the need for cardiovascular screening in this population.
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Women with bulimia history warrant earlier CVD risk assessment; leaves open causality and whether interventions modify outcomes.
Tith et al. (2019) conducted a cohort in Bulimia nervosa (n=416,709). Bulimia nervosa vs. Pregnancy-related events was evaluated on Any cardiovascular disease (HR 4.25, 95% CI 2.98-6.07). Bulimia nervosa was associated with a significantly higher long-term risk of any cardiovascular disease (HR 4.25; 95% CI 2.98-6.07) and death compared with pregnancy-related hospitalizations.