A Longitudinal Investigation of Nutrition and Dietary Patterns in Children of Mothers with Eating Disorders - 22/06/13
, Ulrike Naumann, MSc 2, Kate Northstone, PhD 3, Ulrike Schmidt, MD, FRCPsych, PhD 1, Janet Treasure, FRCP, FRCPsych, PhD 1, Nadia Micali, MD, MRCPsych, PhD 4Abstract |
Objective |
To investigate dietary patterns and nutritional intake in children of mothers with eating disorders.
Study design |
Mothers (N = 9423) from a longitudinal general population birth cohort study, the Avon Longitudinal Study of Parents and Children, completed Food Frequency Questionnaires on their children at 3, 4, 7, and 9 years of age. Macronutrient intake was estimated, and dietary patterns were obtained using principal components analysis. Linear regression and mixed-effects models were used to assess dietary patterns and nutritional intake among children of women with lifetime anorexia nervosa (AN, n = 140), bulimia nervosa (BN, n = 170), or AN+BN (n = 71), compared with children of women without eating disorders (unexposed women, n = 9037).
Results |
Children in the maternal AN and BN groups had higher scores on the “health conscious/vegetarian” dietary pattern compared with unexposed children. Less adherence to the “traditional” dietary pattern was observed in children of exposed mothers, with more pronounced differences in early childhood. Children of women with AN and BN had higher intake of energy and children of women with BN had higher intake of carbohydrates and starch and lower intake of fat, compared with children in the unexposed group.
Conclusions |
Maternal eating disorders are associated with altered offspring dietary patterns and macronutrient intake. Longitudinal changes in patterns of diet in children of women with eating disorders may increase the risk of weight gain or disordered eating later in life.
Le texte complet de cet article est disponible en PDF.Keyword : ALSPAC, AN, BN, FFQ, PCA
Plan
| The UK Medical Research Council, the Wellcome Trust, and the University of Bristol provide core support for Avon Longitudinal Study of Parents and Children. This article presents research funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research scheme (RP-PG-0606-1043). N.M. received a Clinical Scientist Award from the NIHR. The views expressed in this article are those of the authors and not necessarily those of the National Health Service, the NIHR, or the Department of Health. The authors declare no conflicts of interest. |
Vol 163 - N° 1
P. 173 - juillet 2013 Retour au numéro
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