Eating disorders are associated with adverse obstetric and perinatal outcomes. a systematic review.

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dc.creatorMaila de Castro Neves
dc.creatorHewdy Lobo
dc.creatorIgor Emanuel Vasconcelos e Martins Gomes
dc.creatorChristiane Carvalho Ribeiro
dc.creatorFrederico Duarte Garcia
dc.creatorAnanda Araújo Teixeira
dc.creatorFlavia Megda Garcia
dc.creatorJoel Rennó
dc.creatorAntonio Geraldo da Silva
dc.creatorAmaury Cantilino da Silva Junior
dc.creatorCaros Eduardo Rosa
dc.creatorJeronimo de Almeida Mendes Ribeiro
dc.creatorRenan Rocha
dc.date.accessioned2024-01-08T21:56:27Z
dc.date.accessioned2025-09-09T00:05:10Z
dc.date.available2024-01-08T21:56:27Z
dc.date.issued2021
dc.format.mimetypepdf
dc.identifier.doi10.1590/1516-4446-2020-1449
dc.identifier.issn1809452X
dc.identifier.urihttps://hdl.handle.net/1843/62497
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofBrazilian Journal of Psychiatry
dc.rightsAcesso Aberto
dc.subjectEating
dc.subjectAnorexia Nervosa
dc.subjectBulimia Nervosa
dc.subjectPregnancy Outcome
dc.subjectRisk Factors
dc.subjectMalnutrition
dc.subject.otherEating
dc.subject.otherAnorexia Nervosa
dc.subject.otherBulimia Nervosa
dc.subject.otherPregnancy Outcome
dc.subject.otherRisk Factors
dc.subject.otherMalnutrition
dc.titleEating disorders are associated with adverse obstetric and perinatal outcomes. a systematic review.
dc.typeArtigo de periódico
local.citation.epage14
local.citation.issue2
local.citation.spage1
local.citation.volume44
local.description.resumoObjective: To systematically review the literature focusing on obstetric and perinatal outcomes in women with previous or current eating disorders (EDs) and on the consequences of maternal EDs for the offspring.Methods: The study was performed following the systematic review and meta-analysis (PRISMA)statement. PubMed, SciELO, and Cochrane databases were searched for non interventional studies published in English or Portuguese from January 1980 to December 2020. Risk of bias was assessed using the Methods guide for effectiveness and comparative effectiveness reviews (American Agency for Healthcare Research and Quality).Results: The search yielded 441 records, and 30 articles were included. The psychiatric outcome associated with EDs in women was mainly perinatal depression. The most prevalent obstetric outcomes observed in women with EDs were vomiting, hyperemesis, bleeding, and anemia. Most studies found maternal anorexia nervosa and bulimia nervosa to be associated with low birth weight and slow fetal growth. Women with binge EDs delivered children with increased birth weight. Of the 30 studies included, methodological quality was good in seven, fair in eight, and poorin 15 studies.Conclusion: A considerable body of evidence was reviewed to assess obstetric and perinatal outcomes in EDs. Acute and lifetime EDs, especially if severe, correlated with poor perinatal, obstetric, and neonatal outcomes. Obstetricians and general practitioners should be vigilant and screen for EDs during pregnancy.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE SAÚDE MENTAL
local.publisher.initialsUFMG
local.url.externahttps://doi.org/10.1590/1516-4446-2020-1449

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