Eating Disorders in Pregnant and Breastfeeding Women: A Systematic Review

<i>Background:</i> 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 in...

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Main Authors: María Martínez-Olcina, Jacobo A. Rubio-Arias, Cristina Reche-García, Belén Leyva-Vela, María Hernández-García, Juan José Hernández-Morante, Alejandro Martínez-Rodríguez
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/56/7/352
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author María Martínez-Olcina
Jacobo A. Rubio-Arias
Cristina Reche-García
Belén Leyva-Vela
María Hernández-García
Juan José Hernández-Morante
Alejandro Martínez-Rodríguez
author_facet María Martínez-Olcina
Jacobo A. Rubio-Arias
Cristina Reche-García
Belén Leyva-Vela
María Hernández-García
Juan José Hernández-Morante
Alejandro Martínez-Rodríguez
author_sort María Martínez-Olcina
collection DOAJ
description <i>Background:</i> 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. <i>Materials and Methods:</i> 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). <i>Results:</i> 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. <i>Conclusions:</i> 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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spelling doaj.art-edf893404935451eb00ff50bd293b3e52023-09-03T00:43:17ZengMDPI AGMedicina1010-660X2020-07-015635235210.3390/medicina56070352Eating Disorders in Pregnant and Breastfeeding Women: A Systematic ReviewMaría Martínez-Olcina0Jacobo A. Rubio-Arias1Cristina Reche-García2Belén Leyva-Vela3María Hernández-García4Juan José Hernández-Morante5Alejandro Martínez-Rodríguez6Faculty of Health Sciences, University of Alicante, 03690 Alicante, SpainLFE Research Group, Department of Health and Human Performance, Faculty of Physical Activity and Sport Science-INEF, Polytechnic University of Madrid, 28040 Madrid, SpainFaculty of Nursing, San Antonio Catholic University of Murcia, 30107 Murcia, SpainDepartment of Health, Vinalopó University Hospital, 03293 Elche, SpainFaculty of Health Sciences, University of Alicante, 03690 Alicante, SpainFaculty of Nursing, San Antonio Catholic University of Murcia, 30107 Murcia, SpainDepartment of Analytical Chemistry, Nutrition and Food Science, Faculty of Sciences, University of Alicante, 03690 Alicante, Spain<i>Background:</i> 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. <i>Materials and Methods:</i> 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). <i>Results:</i> 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. <i>Conclusions:</i> 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 neededhttps://www.mdpi.com/1010-660X/56/7/352eating disorderfeedingpsychologypregnancy
spellingShingle María Martínez-Olcina
Jacobo A. Rubio-Arias
Cristina Reche-García
Belén Leyva-Vela
María Hernández-García
Juan José Hernández-Morante
Alejandro Martínez-Rodríguez
Eating Disorders in Pregnant and Breastfeeding Women: A Systematic Review
Medicina
eating disorder
feeding
psychology
pregnancy
title Eating Disorders in Pregnant and Breastfeeding Women: A Systematic Review
title_full Eating Disorders in Pregnant and Breastfeeding Women: A Systematic Review
title_fullStr Eating Disorders in Pregnant and Breastfeeding Women: A Systematic Review
title_full_unstemmed Eating Disorders in Pregnant and Breastfeeding Women: A Systematic Review
title_short Eating Disorders in Pregnant and Breastfeeding Women: A Systematic Review
title_sort eating disorders in pregnant and breastfeeding women a systematic review
topic eating disorder
feeding
psychology
pregnancy
url https://www.mdpi.com/1010-660X/56/7/352
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