The Impact of Maternal Eating Disorders on Dietary Intake and Eating Patterns during Pregnancy: A Systematic Review

Dörsam, Annica Franziska; Preißl, Hubert; Micali, Nadia; Lörcher, Sophia B; Zipfel, Stephan; Giel, Katrin Elisabeth

doi:10.3390/nu11040840

Cited by 30 publications

(23 citation statements)

References 61 publications

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“…A recent systematic review showed that women with lifetime AN, BN, or AN+BN had similar nutritional patterns and similar intake of supplements as healthy women suggesting a remission of ED symptoms during gestation. This data only found greater energy and fat intakes in BED population (80).…”

Section: The Impact Of Eds During Pregnancy On Eating Patterns and Macontrasting

confidence: 55%

“…Moreover, dietary supplements are similar between pregnant women with and without EDs (187). Therefore, pregnant women with EDs should receive accurate information from a dietitian about a balanced diet involving food from each nutritional group correctly represented and also about daily energy requirements, not only during pregnancy, but also during post-partum and breastfeeding (80).…”

Section: Eds During Pregnancy: Target Therapymentioning

confidence: 99%

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Eating Disorders During Gestation: Implications for Mother's Health, Fetal Outcomes, and Epigenetic Changes

et al. 2020

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Introduction: Eating disorders (EDs) have increased globally in women of childbearing age, related to the concern for body shape promoted in industrialized countries. Pregnancy may exacerbate a previous ED or conversely may be a chance for improving eating patterns due to the mother's concern for the unborn baby. EDs may impact pregnancy evolution and increase the risk of adverse outcomes such as miscarriage, preterm delivery, poor fetal growth, or malformations, but the knowledge on this topic is limited. Methods: We performed a systematic review of studies on humans in order to clarify the mechanisms underpinning the adverse pregnancy outcomes in patients with EDs. Results: Although unfavorable fetal development could be multifactorial, maternal malnutrition, altered hormonal pathways, low pre-pregnancy body mass index, and poor gestational weight gain, combined with maternal psychopathology and stress, may impair the evolution of pregnancy. Environmental factors such as malnutrition or substance of abuse may also induce epigenetic changes in the fetal epigenome, which mark lifelong health concerns in offspring. Conclusions: The precocious detection of dysfunctional eating behaviors in the pre-pregnancy period and an early multidisciplinary approach comprised of nutritional support, psychotherapeutic techniques, and the use of psychotropics if necessary, would prevent lifelong morbidity for both mother and fetus. Further prospective studies with large sample sizes are needed in order to design a structured intervention during every stage of pregnancy and in the postpartum period.

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Section: The Impact Of Eds During Pregnancy On Eating Patterns and Macontrasting

confidence: 55%

Section: Eds During Pregnancy: Target Therapymentioning

confidence: 99%

Eating Disorders During Gestation: Implications for Mother's Health, Fetal Outcomes, and Epigenetic Changes

et al. 2020

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“…Maternal psychological distress is accompanied by metabolic and functional changes that may also influence fetal development. These variations include autonomic changes, disturbance of showing that EDs and weight fluctuations have adverse effects on the course of pregnancy and birth outcomes [24]. In addition, research indicates that some women have unrealistic expectations about their bodies in the postpartum period, so physical changes can produce body image variations, leading to a degree of dissatisfaction [25].…”

Section: Introductionmentioning

confidence: 99%

Eating Disorders in Pregnant and Breastfeeding Women: A Systematic Review

et al. 2020

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Background: Pregnancy is a stage associated with various biopsychosocial changes. These changes, along with concerns about keeping an adequate weight, can modulate an individual’s risk for psychological disorders, especially eating disorders (EDs). The aim of this review was to investigate the prevalence, associated risks, and consequences of eating disorders in pregnancy and in breastfeeding mothers. Materials and Methods: A systematic review was carried out following the PRISMA guidelines in the scientific databases: PubMed, Web of Science, Scopus, and PsycINFO. Search terms related to EDs, pregnancy, and breastfeeding were used. The evaluation of the methodological quality of the studies was carried out using different scales; CASP (Checklist for Cohort Study), NICE (Methodology Checklist for Cohort Study), ARHQ (Methodology Checklist for Cross-Sectional), and NOS (Newcastle-Ottawa Scale for Cohort). Results: From 2920 studies, 16 were selected to study EDs in pregnant women and 2 studies in nursing mothers. Most of the studies used questionnaires and scales as tools for the diagnosis of EDs. Binge eating, anxiety, and depression were the most common comorbidities of EDs, accompanied in most cases by excessive concern about weight gain. The consequences of EDs are diverse. The prevalence of EDs in this population is estimated to be 1 out of 20. Conclusions: Eating disorders are related to anxiety and depression and have negative consequences for both mothers and fetuses (cesarean, miscarriages, premature births). More research on the field to determine the risk factors for EDs in the population of pregnant and lactating women is needed

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“…Poor dietary intakes owing to their poor income status at that stage of life might have contributed to nutrients de ciencies in these populations. Another school of thought is that pregnancy comes along eating disorders including anorexia, food aversion, hyperemesis, and other conditions that might limit food intake [50,51]. A study by Baker et al [52] also found micronutrient de ciencies among pregnant adolescents in the United Kingdom.…”

Section: Discussionmentioning

confidence: 99%

Nutritional status and birth outcomes among pregnant teenagers in Ghana

Annan

Apprey

Asamoah-Boakye

et al. 2020

Preprint

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Background: Inadequate nutritional status during pregnancy can lead to adverse birth outcomes but this is more so for pregnant adolescents as they require nutrients to meet their needs for growth and that of the foetus. The study examined the relationship between nutritional status and birth outcomes among Ghanaian teenagers in rural and urban districts of the Ashanti Region, Ghana.Methods In this prospective cohort study, 416 pregnant teenagers recruited at hospitals/health centres during antenatal care were followed until delivery. Data on weight, height (for body mass index), mid-upper arm circumference (MUAC), and nutrients intake using a repeated 24-hour dietary recall were determined. Blood samples were also taken and analysed for haemoglobin (Hb), serum levels of ferritin, prealbumin, vitamin A, total antioxidant capacity (TAC), C-reactive protein (CRP), and zinc protoporphyrin (ZPP). Birth weight, gestational age at birth, type of delivery, and outcome of delivery were collected as each teenager gave birth. Data were analysed using Chi-square (Fisher’s exact) analysis, t-test, two-way ANOVA and multiple linear regression. Results: 15.9% had low birth weight, 12.5% had preterm birth, 11.5% had a postpartum haemorrhage, and 3.1% neonatal deaths. Majority of the participants had inadequate intakes of energy (81.4%), protein (77.2%), vitamins A (97.1%) and E (97.7%), calcium (99.8%), iron (97.6%), folate (93.0%), zinc (83.7%), riboflavin (88.4%), thiamin (74.4%), and fiber (74.4%) intakes. Anaemia and wasting prevalence were 57.1% and 27.8%. Between-subject effects determined using Generalized Linear Modelling indicated MUAC (p=0.058), and gestational age at delivery (p=0.023) significantly affected birth weight. A multiple linear regression analysis indicated MUAC (β=0.283, p=0.002), BMI (β=0.221, p=0.015), gestational age (β=0.285, p<0.001), and ZPP (β=0.131, p=0.057) were significantly associated with birth weight (F(23, 223), P=0.008, R2=1.941).Conclusions: Inadequate nutrients intake, anaemia, and LBW were found in these pregnant teenagers. Maternal MUAC, gestational age, and serum ZPP were associated with birth weight. Interventions for improving the nutritional status of teenagers before and during pregnancy are urgently needed to reduce the risk of adverse birth outcomes.

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The Impact of Maternal Eating Disorders on Dietary Intake and Eating Patterns during Pregnancy: A Systematic Review

Cited by 30 publications

References 61 publications

Eating Disorders During Gestation: Implications for Mother's Health, Fetal Outcomes, and Epigenetic Changes

Eating Disorders During Gestation: Implications for Mother's Health, Fetal Outcomes, and Epigenetic Changes

Eating Disorders in Pregnant and Breastfeeding Women: A Systematic Review

Nutritional status and birth outcomes among pregnant teenagers in Ghana

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