Department of Obstetrics and Gynecology, University of Sydney, Royal North Shore Hospital, St Leonards, New South Wales, Australia; Northside Clinic, Greenwich, New South Wales, Australia; Westmead Hospital, Westmead, New South Wales, Australia.
Acta Obstet Gynecol Scand. 2013 Dec;92(12):1407-13. doi: 10.1111/aogs.12256. Epub 2013 Oct 15.
Pregnancy produces significant changes in a woman's body weight and shape. This study examines changes in body mass index (BMI) and quality of life related to eating disorders (QOLED) prior to, during and after pregnancy in both women with and without eating disorders.
Prospective study.
Royal North Shore Hospital, Northshore Private and Northside Clinic, Sydney.
The study comprised 178 pregnant women.
Women completed the QOLED questionnaire retrospectively before pregnancy, prospectively for each trimester of pregnancy and at 3, 6 and 12 months postpartum. The QOLED is a validated questionnaire used to assess quality of life related to eating disorders, including physical health, social function and psychological state. Changes in current BMI and QOLED were examined across the stages of pregnancy.
The women with eating disorders (n = 19) had significantly lower BMIs before, during and after pregnancy. Both women with and without eating disorders had significant weight gain in the second and third trimesters compared with pre-pregnancy. There were significant interactions between stage of pregnancy and eating disorder status on global QOLED scores. These scores improved significantly during second and third trimesters compared with pre-pregnancy but varied after pregnancy, particularly among women with eating disorders. The QOLED scores for women with eating disorders remained within the eating disorder range throughout the study.
Pregnancy is not associated with recovery from eating disorders. Women with eating disorders need support during pregnancy and the postnatal year, and should not be told that their eating disorder will improve during this time.
妊娠会导致女性体重和体型发生显著变化。本研究旨在探讨患有和不患有饮食障碍的女性在妊娠前、妊娠期间和产后，其体重指数（BMI）和与饮食障碍相关的生活质量（QOLED）的变化。
前瞻性研究。
悉尼皇家北岸医院、北岸私人医院和北岸诊所。
研究共纳入 178 名孕妇。
女性在妊娠前、妊娠的每个 trimester 以及产后 3、6 和 12 个月时，采用 QOLED 问卷进行回顾性和前瞻性评估。QOLED 是一种经过验证的问卷，用于评估与饮食障碍相关的生活质量，包括身体健康、社会功能和心理状态。我们在妊娠各阶段检测了当前 BMI 和 QOLED 的变化。
患有饮食障碍的女性（n=19）在妊娠前、妊娠期间和妊娠后 BMI 显著较低。患有和不患有饮食障碍的女性在第二和第三个 trimester 的体重均显著增加，与妊娠前相比。在妊娠阶段和饮食障碍状态之间存在显著的交互作用，全球 QOLED 评分在第二和第三个 trimester 与妊娠前相比显著改善，但在产后有所不同，特别是在患有饮食障碍的女性中。患有饮食障碍的女性的 QOLED 评分在整个研究期间仍处于饮食障碍范围内。
妊娠与饮食障碍的康复无关。患有饮食障碍的女性在妊娠和产后需要得到支持，不应告知她们在此期间饮食障碍会得到改善。
