Trine Tetlie Eik-Nes1,2, Julie Horn3,4, Susanne Strohmaier5, Turid L Holmen3, Nadia Micali6,7,8, Sigrid Bjørnelv1,2. 1. Department of Mental Health, Norwegian University for Science and Technology, Trondheim, Norway. 2. Department of Mental Health and Addiction, Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway. 3. Department of Public Health and Nursing, Norwegian University for Science and Technology, Trondheim, Norway. 4. Department of Obstetrics and Gynecology, Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway. 5. Channing Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA. 6. Department of Psychiatry, Faculty of Medicine, University of Geneva, Switzerland. 7. Division of Child and Adolescent Psychiatry, Department of Child and Adolescent Health, Geneva University Hospital, Geneva, Switzerland. 8. UCL-Institute of Child Health, Child and Adolescent Mental Health Palliative care and Pediatrics Section, London, UK.
Abstract
OBJECTIVE: Current evidence from clinical studies suggests that having an active eating disorder (ED) during pregnancy is associated with unfavorable obstetric outcomes. However, the role of a lifetime diagnosis of ED is not fully understood. Variations in findings suggest a need for additional studies of maternal ED. This study aims to identify associations between a lifetime ED and obstetric outcomes. METHOD: Data from a hospital patient register and a population-based study (The HUNT Study) were linked to the Medical Birth Registry in Norway. Register based information of obstetric complications (preeclampsia, preterm birth, perinatal deaths, small for gestational age (SGA), large for gestational age (LGA), Caesarean sections, and 5-min Apgar score) were acquired for 532 births of women with ED and 43,657 births of non-ED women. Multivariable regression in generalized estimating equations was used to account for clusters within women as they contributed multiple births to the dataset. RESULTS: After adjusting for parity, maternal age, marital status, and year of delivery, lifetime history of anorexia nervosa was associated with increased odds of having offspring who were SGA (Odds ratio (OR) 2.7, 95% Confidence Interval (CI) 1.4-5.2). Women with a lifetime history of bulimia nervosa had higher odds of having a Caesarian section (OR 1.7 95% CI 1.1-2.5). Women with EDNOS/sub-threshold ED had a higher likelihood of having a low Apgar score at 5 min (OR 3.1, 95% CI 1.1-8.8). CONCLUSION: Our study corroborates available evidence on the associations between maternal ED and adverse obstetric outcomes.
OBJECTIVE: Current evidence from clinical studies suggests that having an active eating disorder (ED) during pregnancy is associated with unfavorable obstetric outcomes. However, the role of a lifetime diagnosis of ED is not fully understood. Variations in findings suggest a need for additional studies of maternal ED. This study aims to identify associations between a lifetime ED and obstetric outcomes. METHOD: Data from a hospital patient register and a population-based study (The HUNT Study) were linked to the Medical Birth Registry in Norway. Register based information of obstetric complications (preeclampsia, preterm birth, perinatal deaths, small for gestational age (SGA), large for gestational age (LGA), Caesarean sections, and 5-min Apgar score) were acquired for 532 births of women with ED and 43,657 births of non-ED women. Multivariable regression in generalized estimating equations was used to account for clusters within women as they contributed multiple births to the dataset. RESULTS: After adjusting for parity, maternal age, marital status, and year of delivery, lifetime history of anorexia nervosa was associated with increased odds of having offspring who were SGA (Odds ratio (OR) 2.7, 95% Confidence Interval (CI) 1.4-5.2). Women with a lifetime history of bulimia nervosa had higher odds of having a Caesarian section (OR 1.7 95% CI 1.1-2.5). Women with EDNOS/sub-threshold ED had a higher likelihood of having a low Apgar score at 5 min (OR 3.1, 95% CI 1.1-8.8). CONCLUSION: Our study corroborates available evidence on the associations between maternal ED and adverse obstetric outcomes.
Authors: Gülen Yerlikaya-Schatten; Michael Feichtinger; Tina Stopp; Evelyn A Huhn; Kinga Chalubinski; Peter Husslein; Wolfgang Eppel; Christian Schatten; Christian S Göbl Journal: Obes Surg Date: 2020-01 Impact factor: 4.129
Authors: Maila de C das Neves; Ananda A Teixeira; Flávia M Garcia; Joel Rennó; Antônio G da Silva; Amaury Cantilino; Carlos E Rosa; Jeronimo de A Mendes-Ribeiro; Renan Rocha; Hewdy Lobo; Igor E Gomes; Christiane C Ribeiro; Frederico D Garcia Journal: Braz J Psychiatry Date: 2022 Mar-Abr
Authors: María Martínez-Olcina; Jacobo A Rubio-Arias; Cristina Reche-García; Belén Leyva-Vela; María Hernández-García; Juan José Hernández-Morante; Alejandro Martínez-Rodríguez Journal: Medicina (Kaunas) Date: 2020-07-15 Impact factor: 2.430