Desire for a child and eating disorders in women seeking infertility treatment

Bruneau, Mélanie; Colombel, A.; Mirallié, S.; Fréour, Thomas; Hardouin, Jean-Benoît; Barrière, P.; Grall‐Bronnec, Marie

doi:10.1371/journal.pone.0178848

Cited by 12 publications

(20 citation statements)

References 39 publications

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“…These favourable results in terms of diet after confinement could be related to the lower global levels of anxiety and depression (HADS-Total) reported by the participants when the reproduction service was reopened compared to during confinement. In fact, some authors have observed that infertile women with higher anxiety levels exhibited poorer eating behaviours ( 39 ). However, despite this observed improvement in diet, 68.2% of the participants showed adherence levels lower than recommended.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on the Lifestyles and Quality of Life of Women With Fertility Problems: A Cross-Sectional Study

Biviá-Roig

Boldó-Roda²,

Blasco-Sanz³

et al. 2021

Front. Public Health

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Background: The COVID-19 pandemic has implied worldwide the imposition of confinement measures and mobility restrictions, to a greater or lesser extent. It has also meant the closure of some public medical services such as reproductive care. This situation may have impacted the health-related behaviour and quality of life of women with fertility problems.Objective: The objective of this study was to analyse the effects of confinement and the suspension of reproductive medical care on the lifestyle (diet, physical exercise, and smoking habits), anxiety and depression, and quality of life of infertile women by comparing their pre- and post-confinement situations.Methods: We carried out a cross-sectional, internet-based study. Information was collected on these women's adherence to the Mediterranean diet (MEDAS questionnaire), physical exercise (IPAQ-SF), anxiety and depression (HADS), and quality of life related to fertility (FertiQol) before, during, and after confinement. The survey was conducted between 1 September and 28 October 2020.Results: A total of 85 women participated. There had been a significant increase in anxiety and depression levels (P < 0.001) and an increase in tobacco consumption among female smokers during confinement vs. pre-confinement (62.5% had increased their consumption). The participants had also increased the mean number of hours they spent sitting (P < 0.001). There had also been an increase in vigorous and moderate exercise levels by 40 and 30%, respectively (P = 0.004). However, no differences were observed in these patients' eating habits as a result of confinement (P = 0.416). When the reproduction service was resumed, the participants showed higher anxiety level scores (P = 0.001) with respect to the pre-confinement situation as well as lower mean FertiQol scale score (P = 0.008).Conclusions: Confinement had increased anxiety and depression levels among these infertile women as well as tobacco use among the participants who were smokers. The prolonged closure of reproductive care units decreased the quality of life of the participants of this study. These results suggest the need to implement online programs to improve healthy habits and quality of life of this population group.

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on the Lifestyles and Quality of Life of Women With Fertility Problems: A Cross-Sectional Study

Biviá-Roig

Boldó-Roda²,

Blasco-Sanz³

et al. 2021

Front. Public Health

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“…: – IF with IHH: 95.2% LTP ED (N = 20) of which: 85% AN (N = 19), 5% BN (N = 1) – Control group: 23.8% LTP ED restrictive type AN (N = 5) Phen . : – BMI IF IHH lower compared to other types of infertility* – Normal BMI in control group Bruneau et al 2017 [ 8 ] Obj. : assessing prev.…”

Section: Resultsmentioning

confidence: 99%

Prevalence and phenotype of eating disorders in assisted reproduction: a systematic review

et al. 2022

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Background Eating disorders (EDs) are common conditions that mainly affect women of reproductive age and have a major impact on fertility. Our systematic review focuses on the prevalence of EDs in patients in the process of assisted reproductive technique (ART) and describes the phenotypes of EDs identified. Methods Our systematic review is based on the PRISMA criteria. Articles were collected using the Medline/Pubmed, Web Of Science and Cochrane databases. The articles chosen had to mention the prevalence of ED in infertile patients undergoing ART and be cohort or case–control studies assessing the prevalence of ED during fertility treatment. Main findings Fifteen articles were included in this review. The prevalence of active ED varied between 0.13 and 44% depending on the types considered in each study. The main phenotypes described were EDNOS (eating disorder not otherwise specified) and binge eating disorders (BED) occurring in women with a normal body mass index (BMI) and a history of ED. Mainly subthreshold forms with cognitive distortions were described. Conclusion This review highlights a 6 times higher prevalence of EDs in infertile patients undergoing fertility treatment compared to regular pregnant women. However, diagnosing these conditions is complex. As a result, it is essential that professionals in contact with this population are alert to symptoms consistent with these conditions in order to refer them to specialized psychiatric care.

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“…Dies kann zu einem unzureichenden Kontrazeptivagebrauch und dem Risiko ungeplanter Schwangerschaften insbesondere bei Frauen mit Anorexie und Bulimie führen [11]. Auf der anderen Seite unterziehen sich diese Frauen häufiger einer Fruchtbarkeitsbehandlung [12] Bei einem Großteil der schwangeren Frauen kommt es intra partum zu einer vorübergehenden Linderung der Essstörungssymptomatik, da die Motivation, dem ungeborenen Kind eine optimale Gesundheit zu gewährleisten, überwiegt [18]. In seltenen Fällen kann die Schwangerschaft einen Risikofaktor für den erneuten Ausbruch oder die Verschlechterung von Essstörungen darstellen [19].…”

Section: Essstörungenunclassified

Psychische Erkrankungen in der Peripartalzeit

Graf¹,

Dörsam²,

Giel³

et al. 2021

PSYCH up2date

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Nicht für jede schwangere Frau ist die Peripartalphase mit besonderer Freude und Glück verbunden. Viele Frauen leiden in dieser Zeit an psychischen Erkrankungen wie Depression, Angststörung, Zwangsstörung oder Essstörung. Da dies in der Gesellschaft häufig nicht thematisiert wird, entstehen im weiteren Verlauf und post partum erhebliche emotionale Beeinträchtigungen, die Einfluss auf die fetale und kindliche Entwicklung haben können.

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Desire for a child and eating disorders in women seeking infertility treatment

Cited by 12 publications

References 39 publications

Impact of the COVID-19 Pandemic on the Lifestyles and Quality of Life of Women With Fertility Problems: A Cross-Sectional Study

Impact of the COVID-19 Pandemic on the Lifestyles and Quality of Life of Women With Fertility Problems: A Cross-Sectional Study

Prevalence and phenotype of eating disorders in assisted reproduction: a systematic review

Psychische Erkrankungen in der Peripartalzeit

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