Maternal Eating Disorders and Adverse Birth Outcomes: A Systematic Review and Meta-Analysis.
Can J Diet Pract Res
; 85(1): 45-53, 2024 Mar 01.
Article
en En
| MEDLINE
| ID: mdl-38032141
ABSTRACT
Previous systematic reviews have reported on the relationship between eating disorders (EDs) and birth outcomes, but there are no existing meta-analyses on this topic. This systematic review and meta-analysis examines the association between lifetime maternal EDs, including anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED) with low birth weight (LBW), preterm birth (PTB), small for gestational age (SGA), large for gestational age (LGA), and miscarriage. Four databases were systematically searched for quantitative literature on maternal EDs that preceded birth outcomes. Eighteen studies met the inclusion criteria and were included in the review. The meta-analyses included 6 studies on miscarriage, 11 on PTB, 4 on LBW, 9 on SGA, and 4 on LGA. The Mantel-Haenszel random effects model was used to test the associations between EDs and birth outcomes. The results showed significant positive associations between AN and LBW (OR 1.74, 95% confidence interval (CI) 1.49, 2.03), AN and SGA (OR 1.39, 95% CI 1.17, 1.65), BN and PTB (OR 1.19, 95% CI 1.04, 1.36), and BED and LGA (OR 1.43 95% CI 1.18, 1.72). EDs were not significantly correlated with miscarriage. These findings reveal the importance of screening for and treating EDs in pregnant women.
Palabras clave
anorexia nervosa; anorexie mentale; binge-eating disorder; boulimie mentale; bulimia nervosa; faible poids à la naissance; fetal macrosomia; fÅtal macrosomie; grossesse; hyperphagie boulimique; infant; low birth weight; naissance prématurée; nourrisson; petit pour l'âge gestationnel; pregnancy; premature birth; small for gestational age
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Trastornos de Alimentación y de la Ingestión de Alimentos
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Aborto Espontáneo
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Nacimiento Prematuro
Tipo de estudio:
Systematic_reviews
Límite:
Female
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Humans
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Newborn
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Pregnancy
Idioma:
En
Revista:
Can J Diet Pract Res
Asunto de la revista:
CIENCIAS DA NUTRICAO
Año:
2024
Tipo del documento:
Article