Behavioural and Brain Sciences Unit, Institute of Child Health, University College London, 4th Floor, 30 Guilford Street, London WC1N 1EH, UK.
Br J Nutr. 2012 Dec 14;108(11):2093-9. doi: 10.1017/S0007114512000256. Epub 2012 Jul 12.
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.
关于患有终生饮食障碍（ED）的女性在怀孕期间的饮食模式和营养/食物摄入，目前的知识有限。本研究的目的是确定有终生 ED 的女性的食物和营养摄入模式，作为现有的基于人群的纵向队列研究的一部分：雅芳纵向父母和儿童研究。将患有单胎妊娠且无终生精神障碍（除 ED 以外）的女性（n=9723）与报告有终生（曾有）ED 的女性进行比较：神经性厌食症（AN，n=151）、神经性贪食症（BN，n=186）或两者兼有（AN+BN，n=77）。女性在妊娠 32 周时使用 FFQ 报告通常的食物摄入量。检查了营养素摄入量、食物组的消费频率和整体饮食模式。在调整了相关协变量后，以及为了进行多次比较，使用线性回归和逻辑回归（视情况而定）将有终生 ED 的女性与对照组女性进行比较。有终生 ED 的女性在“素食”饮食模式上的得分较高；她们的肉类摄入量较低，但通过增加大豆制品和豆类的摄入量来弥补。终生 AN 增加了孕期高（≥2500g/周）咖啡因摄入的风险。尽管在宏量营养素摄入方面存在微小差异，但各组均未出现矿物质和维生素摄入不足的情况。总之，尽管在食物组消费方面存在一些差异，但有终生 ED 的女性与健康对照组的营养摄入模式相似。强调了与吃肉和素食有关的重要差异，以及高咖啡因摄入。这些差异可能对胎儿发育有重要影响。
