Hecht Leah M, Hadwiger Ashley, Patel Shivali, Hecht Bryan R, Loree Amy, Ahmedani Brian K, Miller-Matero Lisa R
Henry Ford Health System, Center for Health Policy and Health Services Research, 1 Ford Place Suite 3A, Detroit, MI, 48202, USA.
Henry Ford Health System, Behavioral Health, 1 Ford Place Suite 1C, Detroit, MI, 48202, USA.
Arch Womens Ment Health. 2022 Feb;25(1):21-32. doi: 10.1007/s00737-021-01156-x. Epub 2021 Jun 27.
The purpose of this systematic review is to evaluate the prevalence of disordered eating and eating disorders among women seeking fertility treatment.Observational studies were searched in Ovid MEDLINE, Web of Science, Embase, and PsycInfo. Studies published prior to September 2020 when the search was conducted were considered. Inclusion criteria included (1) original and empirical research, (2) published in a peer-reviewed journal, and (3) reported on disordered eating among women seeking fertility treatment in the sample or reported on prevalence of eating disorders among women seeking fertility treatment in the sample. Independent screening of abstracts was conducted by two authors (LH and AH). Ten studies met the inclusion criteria. Sample size, study location, measures, and results for each study in this review were reported.Among women pursuing fertility treatment, rates of current eating disorders ranged from 0.5 to 16.7%, while past eating disorder prevalence rates ranged from 1.4 to 27.5%. Current anorexia nervosa or bulimia nervosa was reported by up to 2% and 10.3% of women, respectively, while history of anorexia nervosa or bulimia nervosa was reported by up to 8.5% and 3.3% of women, respectively. Binge eating disorder or other eating disorders were reported by up to 18.5% and 9.1% of women, respectively. Disordered eating pathology was endorsed by 1.6 to 48% of women seeking fertility treatment. Endorsement of pathological eating attitudes was generally higher among women seeking fertility treatment with current or past eating disorders as compared to community samples, with the exception of dietary restraint. Rates of current and past eating disorders are higher among women seeking fertility treatment than in the general population. Providers treating women with infertility should be cognizant of these prevalence rates and consider screening for eating pathology in their patients as this may contribute to their likelihood of successful conception and/or subsequent pregnancy outcomes.
本系统评价的目的是评估寻求生育治疗的女性中饮食失调和饮食障碍的患病率。在Ovid MEDLINE、科学网、Embase和PsycInfo中检索观察性研究。纳入了2020年9月搜索时之前发表的研究。纳入标准包括：（1）原创性实证研究；（2）发表于同行评审期刊；（3）报告样本中寻求生育治疗的女性的饮食失调情况或报告样本中寻求生育治疗的女性的饮食障碍患病率。由两位作者（LH和AH）独立筛选摘要。十项研究符合纳入标准。报告了本评价中每项研究的样本量、研究地点、测量方法和结果。在寻求生育治疗的女性中，当前饮食障碍的发生率在0.5%至16.7%之间，而过去饮食障碍的患病率在1.4%至27.5%之间。分别有高达2%和10.3%的女性报告当前患有神经性厌食症或神经性贪食症，而分别有高达8.5%和3.3%的女性报告有神经性厌食症或神经性贪食症病史。分别有高达18.5%和9.1%的女性报告有暴饮暴食障碍或其他饮食障碍。1.6%至48%寻求生育治疗的女性认可饮食失调病理学。与社区样本相比，有当前或过去饮食障碍的寻求生育治疗的女性对病理性饮食态度的认可通常更高，但饮食限制除外。寻求生育治疗的女性中当前和过去饮食障碍的发生率高于一般人群。治疗不孕女性的医疗服务提供者应了解这些患病率，并考虑对患者进行饮食病理学筛查，因为这可能有助于提高她们成功受孕和/或后续妊娠结局的可能性。
