Perinatal outcomes and gestational weight gain in women with eating disorders: a population-based cohort study

Perinatal outcomes and gestational weight gain in women with eating disorders: a population-based cohort study
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DOI:
10.1111/j.1471-0528.2012.03467.x
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发表时间:
2012-11-01
影响因子:
5.8
通讯作者:
Tiemeier, H.
Tiemeier, H.
中科院分区:
医学1区
文献类型:
--
作者:
Micali, N.;De Stavola, B.;Tiemeier, H.

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请将本文引用为:[10]杨文辉,杨文辉,杨文辉.进食障碍妇女的围产期结局和妊娠期体重增加:一项基于人群的队列研究BJOG 2012;119:14931502。目的探讨终生(当前/既往)进食障碍(艾德:神经性厌食症[AN]和神经性贪食症[BN])妇女的不良围产期结局和妊娠期体重增加轨迹。设计一个纵向人口为基础的出生队列。背景是荷兰的鹿特丹。样本:产前入组、具有完整的暴露信息(终生艾德)并产下一个活产单胎的女性(n = 5256)。四组暴露的女性:其中终生AN(n = 129)、终生BN(n = 209)、终生AN + BN(n = 100)、终生其他精神疾病(n = 1002)与未接触者(n = 3816)进行比较。方法通过产科和助产记录、自我报告和客观测量获得围产儿结局和妊娠期体重增加。使用线性、逻辑回归和混合模型对队列中暴露妇女与未暴露妇女进行比较。主要观察指标妊娠、分娩及产后并发症。根据胎龄、早产(出生时)
Please cite this paper as: Micali N, De Stavola B, dos-Santos-Silva I, Steenweg-de Graaff J, Jansen P, Jaddoe V, Hofman A, Verhulst F, Steegers E, Tiemeier H. Perinatal outcomes and gestational weight gain in women with eating disorders: a population-based cohort study. BJOG 2012;119:14931502. Objective To investigate adverse perinatal outcomes and gestational weight gain trajectories in women with lifetime (current/past) eating disorders (ED: anorexia nervosa [AN] and bulimia nervosa [BN]). Design A longitudinal population-based birth cohort. Setting Rotterdam, the Netherlands. Sample Women who enrolled prenatally, had complete information on exposure (lifetime ED), and gave birth to a live singleton (n = 5256). Four groups of exposed women: lifetime AN (n = 129), lifetime BN (n = 209), lifetime AN + BN (n = 100), other lifetime psychiatric disorder (n = 1002) were compared with unexposed women (n = 3816). Methods Perinatal outcomes and gestational weight gain were obtained from obstetric and midwifery records, self-report and objective measurements. Exposed women were compared with unexposed women within the cohort using linear, logistic regression and mixed models. Main outcome measures Any pregnancy, delivery and postnatal complications. Birthweight adjusted for gestational age, prematurity (born