The impact of maternal eating disorders on dietary intake and eating patterns during pregnancy: A systematic review

Annica F. Dörsam, Hubert Preißl, Nadia Micali, Sophia B. Lörcher, Stephan Zipfel, Katrin E. Giel

Research output: Contribution to journalReview articlepeer-review

32 Scopus citations

Abstract

Maternal nutrition in pregnancy has a key influence on optimum fetal health. Eating disorders (EDs) during pregnancy may have detrimental effects on fetal growth and the child’s early development. There is limited knowledge concerning the eating behavior, dietary intake and derived nutritional biomarkers as well as the nutrient supplementation in women with EDs during pregnancy. We performed a systematic review according to the PRISMA statement to synthesize current evidence in this field. Of N = 1203 hits, 13 full-texts were included in the qualitative synthesis. While women with current Binge Eating Disorder (BED) showed higher energy and fat intakes during pregnancy, women with a lifetime Anorexia Nervosa (AN), Bulimia Nervosa (BN) or both (AN + BN) had similar patterns of nutrient intake and dietary supplement use as healthy women. There is evidence, that women with a history of EDs have a sufficient diet quality and are more likely to be vegetarian. Dieting and bingeing improved substantially with pregnancy. The highlighted differences in the consumption of coffee/caffeine and artificially sweetened beverages as well as the elevated prevalence of iron deficiency anemia in women with a past or active ED during pregnancy might have an important impact on fetal development.

Original languageEnglish
Article number840
JournalNutrients
Volume11
Issue number4
DOIs
StatePublished - Apr 2019
Externally publishedYes

Keywords

  • Anorexia nervosa
  • Anorexia nervosa
  • Binge eating disorder
  • Binge eating disorder
  • Bulimia nervosa
  • Bulimia nervosa
  • Diet
  • Diet
  • Eating behavior
  • Eating behavior
  • Eating disorders
  • Eating disorders
  • Nutrition
  • Nutrition
  • Pregnancy
  • Pregnancy
  • Purging
  • Purging

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