检查饮食障碍与妊娠期体重增加之间的关系:一个系统性审查
Kristyn Reeves1, Helena Piccinini-Vallis2
1Faculty of Medicine, Dalhousie University, Halifax, NS.
概括
怀孕可能会加剧神经性厌食症和神经性食欲障碍等饮食障碍. 关键问题包括身体形象,担心体重增加,并优先考虑婴儿的健康,影响妊娠体重增加.
科学领域:
- 生殖健康 生殖健康
- 精神病学是一个精神病学.
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 怀孕涉及显著的身体和心理变化,增加了饮食障碍的风险.
- 孕期体重增加 (GWG) 对母亲和婴儿健康至关重要,但它与饮食障碍的关系尚未得到充分研究.
- 神经性厌食症,神经性食欲症和过度饮食障碍在怀孕期间带来了独特的挑战.
研究的目的:
- 调查饮食障碍 (神经性厌食症,神经性 Bulimia,暴饮暴食障碍) 和妊娠期体重增加 (GWG) 之间的关系.
- 确定影响孕妇饮食障碍诊断的孕妇GWG的关键主题.
主要方法:
- 自1994年以来,对CINAHL,Embase,PsycInfo和PubMed的系统文献搜索.
- 纳入标准:单独怀孕,被诊断患有饮食障碍 (神经性厌食症,神经性 Bulimia,暴饮暴食障碍),年龄≥18.
- 从1471篇文章中确定了14项符合条件的研究的定性综合.
主要成果:
- 出现了三个主要主题:对身体形象的关注,对GWG的恐惧和产后体重保持,以及优先考虑婴儿的健康.
- 这些主题阐明了饮食障碍和GWG之间的复杂相互作用.
- 这些发现突出了从GWG推的指导方针的偏差.
结论:
- 饮食障碍显著影响孕妇GWG模式.
- 了解这些主题对于提供产前护理给饮食障碍患者的医疗保健提供者来说至关重要.
- 临床指导应针对这一群体的身体形象,体重问题和胎儿福祉.
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