HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Purchase Article View Shopping Cart Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Alert me to new issues of the journal Download to citation manager Google Scholar Articles by Siega-Riz, A. M. Articles by Bulik, C. M PubMed Articles by Siega-Riz, A. M. Articles by Bulik, C. M Agricola Articles by Siega-Riz, A. M. Articles by Bulik, C. M

Nutrient and food group intakes of women with and without bulimia nervosa and binge eating disorder during pregnancy^1,2,3

¹ From the Departments of Epidemiology and Nutrition (AMS-R), the Department of Biostatistics (RH), and the Department of Nutrition (CMB), School of Public Health, University of North Carolina at Chapel Hill; the Division of Environmental Medicine (MH and HMM) and the Division of Mental Health (LT, CK-B, and TR-K), Norwegian Institute of Public Health, Oslo, Norway; the Department of Psychiatry, University of North Carolina at Chapel Hill (AVH, RH, and CMB); and the Institute of Psychiatry, University of Oslo, Oslo, Norway, and the Department of Epidemiology, Columbia University, New York, NY (CMB)

Background: Little is known concerning the dietary habits during pregnancy of women with eating disorders that may lie in the causal pathway of adverse birth outcomes.

Objective: We examined the nutrient and food group intakes of women with bulimia nervosa and binge-eating disorder during pregnancy and compared these with intakes of women with no eating disorders.

Design: Data on 30 040 mother-child pairs from the prospective Norwegian Mother and Child Cohort Study were used in cross-sectional analyses. Dietary information was collected by using a food-frequency questionnaire during the first half of pregnancy. Statistical testing by eating disorder categories with the non-eating-disorder category as the referent group was conducted by using log means adjusted for confounding and multiple comparisons. Food group differences were analyzed by using a Wilcoxon's two-sided normal approximation test that was also adjusted for multiple comparisons.

Results: Women with binge-eating disorder before and during pregnancy had higher intakes of total energy, total fat, monounsaturated fat, and saturated fat, and lower intakes of folate, potassium, and vitamin C than the referent (P < 0.02). Women with incident binge-eating disorder during pregnancy had higher intakes of total energy and saturated fat than the referent (P = 0.01). Several differences emerged in food group consumption between women with and without eating disorders, including intakes of artificial sweeteners, sweets, juice, fruit, and fats.

Conclusion: Women with bulimia nervosa before and during pregnancy and those with binge-eating disorder before pregnancy exhibit dietary patterns that differ from those in women without eating disorders, that are reflective of their symptomatology, and that may influence pregnancy outcomes.