怀孕前和怀孕后的妊娠过度和饮食障碍:一个基于登记的研究
Eeva Terävä-Utti1,2, Miina Nurmi3, Linda Laitinen2,4
1Department of Obstetrics and Gynecology, Turku University Hospital, Turku, Finland.
The International journal of eating disorders
|October 24, 2023
概括
患有饮食障碍 (ED) 的女性在怀孕期间患有妊娠激发症 (HG) 的可能性明显更高. 这项研究揭示了双向联系,表明HG和ED之间的共同风险因素.
科学领域:
- 产科和妇科 产科和妇科
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 妊娠中症 (hyperemesis gravidarum,简称HG) 是一种严重的妊娠并发症,其特征是过度吐.
- 精神疾病,特别是饮食障碍 (ED) 与HG之间的关联需要进一步调查.
研究的目的:
- 调查怀孕前和怀孕后新出现的饮食障碍 (ED) 和妊娠高血压 (HG) 之间的关联.
主要方法:
- 一项基于注册的受控研究分析了2005年至2017年的医疗保健数据.
- 病例包括4,265名在第一次怀孕时患有HG的妇女;对照组是302,663名没有HG的妇女.
- 用对共变量调整的二进制逻辑回归来分析ED和HG之间的关联.
主要成果:
- 怀孕前ED的女性患高血压的可能性增加了9.4倍 (AOR 9.4,p < .0001).
- 在HG组中观察到妊娠后出现新的ED诊断的更高患病率 (AOR 3.5,p < .001;AOR 2.7,p = .008).
- 1.6%的HG组和0.2%的非HG组在怀孕前有ED.
结论:
- 饮食障碍和妊娠中毒之间存在着显著的双向关联.
- 共同的病因或风险因素可能是HG和ED的基础.
- 这些发现强调了在管理这些相互关联的疾病患者时需要跨学科的合作.
相关概念视频
01:30Bulimia Nervosa
116
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
116
01:23Binge Eating Disorders
101
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
101
01:28Anorexia Nervosa
102
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
102
01:20Pathophysiology of Diabetes
956
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
956
02:07Oogenesis
63.8K
In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...
63.8K
01:29Assessment of the Gastrointestinal System II: Health Perception Pattern
122
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
122