Management of eating disorders in pregnancy and the puerperium

2006 ◽  
pp. 125-142 ◽  
Author(s):  
Nadia Micali ◽  
Ulrike Schmidt
Keyword(s):  
Eating Disorders ◽  
In Pregnancy

scholarly journals Eighteen-year trajectories of depressive symptoms in mothers with a lifetime eating disorder: findings from the ALSPAC cohort

2019 ◽  
Vol 216 (2) ◽  
pp. 90-96 ◽  
Author(s):  
Yu Wei Chua ◽  
Gemma Lewis ◽  
Abigail Easter ◽  
Glyn Lewis ◽  
Francesca Solmi
Keyword(s):  
Eating Disorders ◽  
Body Image ◽  
Anorexia Nervosa ◽  
Depressive Symptoms ◽  
Bulimia Nervosa ◽  
Growth Curves ◽  
Sensitivity Analyses ◽  
Continuous Measure ◽  
In Pregnancy

BackgroundTwo longitudinal studies have shown that depressive symptoms in women with eating disorders might improve in the antenatal and early postnatal periods. No study has followed up women beyond 8 months postnatal.AimsTo investigate long-term trajectories of depressive symptoms in mothers with lifetime self-reported eating disorders.MethodUsing data from the Avon Longitudinal Study of Parents and Children and multilevel growth curves we modelled trajectories of depressive symptoms from the 18th week of pregnancy to 18 years postnatal in women with lifetime self-reported anorexia nervosa, bulimia nervosa or both anorexia and bulimia nervosa. As sensitivity analyses we also investigated these trajectories using quintiles of a continuous measure of body image in pregnancy.ResultsOf the 9276 women in our main sample, 126 (1.4%) reported a lifetime diagnosis of anorexia nervosa, 153 (1.6%) of bulimia nervosa and 60 (0.6%) of both anorexia and bulimia nervosa. Women with lifetime eating disorders had greater depressive symptoms scores than women with no eating disorders, before and after adjustment for confounders (anorexia nervosa: 2.10, 95% CI 1.36–2.83; bulimia nervosa: 2.28, 95% CI: 1.61–2.94, both anorexia and bulimia nervosa: 2.86, 95% CI 1.81–3.90). We also observed a dose–response association between greater body image and eating concerns in pregnancy and more severe trajectories of depressive symptoms, even after adjusting for lifetime eating disorders which also remained independently associated with greater depressive symptoms.ConclusionsWomen with eating disorders experience persistently greater depressive symptoms across the life-course. More training for practitioners and midwives on how to recognise eating disorders in pregnancy could help to identify depressive symptoms and reduce the long-term burden of disease resulting from this comorbidity.

scholarly journals Nutritional intake and dietary patterns in pregnancy: a longitudinal study of women with lifetime eating disorders

2012 ◽  
Vol 108 (11) ◽  
pp. 2093-2099 ◽  
Author(s):  
Nadia Micali ◽  
Kate Northstone ◽  
Pauline Emmett ◽  
Ulrike Naumann ◽  
Janet L. Treasure
Keyword(s):  
Eating Disorders ◽  
Longitudinal Study ◽  
Dietary Patterns ◽  
Nutrient Intake ◽  
Food Group ◽  
Population Based ◽  
Food Groups ◽  
Caffeine Consumption ◽  
Parents And Children ◽  
In Pregnancy

There is limited knowledge about dietary patterns and nutrient/food intake during pregnancy in women with lifetime eating disorders (ED). The objective of the present study was to determine patterns of food and nutrient intake in women with lifetime ED as part of an existing longitudinal population-based cohort: the Avon Longitudinal Study of Parents and Children. Women with singleton pregnancies and no lifetime psychiatric disorders other than ED (n 9723) were compared with women who reported lifetime (ever) ED: (anorexia nervosa (AN, n 151), bulimia nervosa (BN, n 186) or both (AN+BN, n 77)). Women reported usual food consumption using a FFQ at 32 weeks of gestation. Nutrient intakes, frequency of consumption of food groups and overall dietary patterns were examined. Women with lifetime ED were compared with control women using linear regression and logistic regression (as appropriate) after adjustment for relevant covariates, and for multiple comparisons. Women with lifetime ED scored higher on the ‘vegetarian’ dietary pattern; they had a lower intake of meat, which was compensated by a higher consumption of soya products and pulses compared with the controls. Lifetime AN increased the risk for a high ( ≥ 2500 g/week) caffeine consumption in pregnancy. No deficiencies in mineral and vitamin intake were evident across the groups, although small differences were observed in macronutrient intakes. In conclusion, despite some differences in food group consumption, women with lifetime ED had similar patterns of nutrient intake to healthy controls. Important differences in relation to meat eating and vegetarianism were highlighted, as well as high caffeine consumption. These differences might have an important impact on fetal development.

scholarly journals Validation of the Arabic version of the Disordered Eating Attitudes in Pregnancy Scale (A- DEAPS) among Lebanese pregnant women: A step closer to Pregorexia Awareness

2021 ◽  
Author(s):  
Sarah Gerges ◽  
Sahar Obeid ◽  
Souheil Hallit
Keyword(s):  
Eating Disorders ◽  
Factor Analysis ◽  
Pregnant Women ◽  
Disordered Eating ◽  
Goodness Of Fit ◽  
Eating Attitudes ◽  
Arabic Version ◽  
Factor Solution ◽  
Disordered Eating Attitudes ◽  
In Pregnancy

Abstract Background Lately, there has been an upsurge in the prevalence of eating disorders (including anorexia, bulimia, orthorexia and recently, pregorexia), mainly due to changes in sociocultural factors. Pregnancy may serve as a propitious basis for the flourishing of “Pregorexia”: a notion of popular psychology designating a newly emerging eating disorder. Bannatyne et al. generated a brief pregnancy-specific instrument in furtherance of screening for antenatal eating disorders: the DEAPS (Disordered Eating Attitudes in Pregnancy Scale), which demonstrated a high level of internal consistency and good validity. Our study's objective was to linguistically validate and examine the reliability and psychometric properties of the Arabic version of this previously established pregnancy-specific scale among Lebanese pregnant women. Methods We conceived and implemented a cross-sectional survey between June and July 2021 (N = 433). The sample was randomly divided in two as per the SPSS data selection option; the first was used to conduct the DEAPS items factor analysis, whereas the second was used for the confirmatory analysis. Multiple indices of goodness-of-fit were described: the Relative Chi-square (χ2/df), Root Mean Square Error of Approximation (RMSEA), Tucker Lewis Index (TLI) and Comparative Fit Index (CFI). Results A factor analysis was conducted on Sample 1 (N = 207) chosen randomly from the original sample. With the exception of item 8, all other items converged over a two-factor solution (Factor 1: Self-Objectification (Body Control, Body Shame and Esteem) and Factor 2: Pregorexia), explaining a total variance of 39.3%. In sample 2 (N = 226), the one-factor model (Factor 2) that derived from the factor analysis conducted on sample 1, fitted well accordingly to CFI, TLI and χ2/df values, but fitted modestly according to RMSEA. The estimates obtained for Models 1 (original scale) and 2 (according to the two-factor solution obtained from the FA in sample 1) fitted less than the third model. The results showed that 28 (6.6%) of the participants were at risk of having disordered eating during pregnancy, whereas 25 (5.8%) had possible presence of disordered eating. Conclusion This study was able to show that the A-DEAPS seems to be a good and reliable tool for the assessment of disordered eating among Lebanese pregnant women.

scholarly journals Barriers to identifying eating disorders in pregnancy and in the postnatal period: a qualitative approach

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Amanda Bye ◽  
Jill Shawe ◽  
Debra Bick ◽  
Abigail Easter ◽  
Megan Kash-Macdonald ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Postnatal Period ◽  
Qualitative Approach ◽  
In Pregnancy

scholarly journals Eating disorders in pregnancy

1991 ◽  
Vol 21 (3) ◽  
pp. 577-580 ◽  
Author(s):  
Thomas A. Fahy ◽  
Geoffrey O'Donoghue
Keyword(s):  
Eating Disorders ◽  
In Pregnancy
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