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

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Title: Nutritional intake and dietary patterns in pregnancy: a longitudinal study of women with lifetime eating disorders
Authors: Micali, Nadia, Northstone, Kate, Emmett, Pauline, Naumann, Ulrike, Treasure, Janet L
Source: British Journal of Nutrition, Vol. 108, No 11 (2012) pp. 2093-2099
Publisher Information: Cambridge University Press (CUP), 2012.
Publication Year: 2012
Subject Terms: Adult, 0301 basic medicine, Health Knowledge, Attitudes, Practice, Anorexia Nervosa, Feeding and Eating Disorders/diet therapy/physiopathology, Eating Disorders, Pregnancy Trimester, Third, Pregnancy Complications/diet therapy/physiopathology, Severity of Illness Index, Anorexia Nervosa/diet therapy/physiopathology, Caffeine/administration & dosage, Cohort Studies, Feeding and Eating Disorders, Young Adult, 03 medical and health sciences, Vegetarian, Diet/adverse effects, Dietary Sucrose, Pregnancy, Caffeine, Humans, Longitudinal Studies, Prospective Studies, Bulimia Nervosa, Dietary Fats/administration & dosage, Third, 2. Zero hunger, Practice, 0303 health sciences, Dietary Sucrose/administration & dosage, Health Knowledge, Diet, Vegetarian, Dietary Fats, Diet, 3. Good health, Bulimia Nervosa/diet therapy/physiopathology, Pregnancy Complications, Vegetarian/adverse effects, England, Attitudes, Female, Pregnancy Trimester, Energy Intake
Description: 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.
Document Type: Article
File Description: application/pdf
Language: English
ISSN: 1475-2662
0007-1145
DOI: 10.1017/s0007114512000256
Access URL: https://www.cambridge.org/core/services/aop-cambridge-core/content/view/3F01FC2B8788397B6DCED8E7D33450E1/S0007114512000256a.pdf/div-class-title-nutritional-intake-and-dietary-patterns-in-pregnancy-a-longitudinal-study-of-women-with-lifetime-eating-disorders-div.pdf
https://pubmed.ncbi.nlm.nih.gov/22784642
https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/nutritional-intake-and-dietary-patterns-in-pregnancy-a-longitudinal-study-of-women-with-lifetime-eating-disorders/3F01FC2B8788397B6DCED8E7D33450E1
https://research-information.bris.ac.uk/en/publications/nutritional-intake-and-dietary-patterns-in-pregnancy(fd44e551-ec33-444c-acab-360a22dd6a5a).html
https://www.growkudos.com/publications/10.1017%252Fs0007114512000256/reader
https://www.cambridge.org/core/services/aop-cambridge-core/content/view/3F01FC2B8788397B6DCED8E7D33450E1/S0007114512000256a.pdf/div-class-title-nutritional-intake-and-dietary-patterns-in-pregnancy-a-longitudinal-study-of-women-with-lifetime-eating-disorders-div.pdf
https://archive-ouverte.unige.ch/unige:131916
https://archive-ouverte.unige.ch/unige:131916
https://archive-ouverte.unige.ch/unige:131916
https://doi.org/10.1017/s0007114512000256
Rights: Cambridge Core User Agreement
Accession Number: edsair.doi.dedup.....c081f14094a03265cd09ab8952a23b7f
Database: OpenAIRE
Description
Abstract: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.
ISSN:14752662
00071145
DOI:10.1017/s0007114512000256