期刊
APPETITE
卷 109, 期 -, 页码 108-114出版社
ACADEMIC PRESS LTD- ELSEVIER SCIENCE LTD
DOI: 10.1016/j.appet.2016.11.030
关键词
Eating disorders; Diet quality; Breastfeeding; Mothers; Infants; Cohort
资金
- Nestle Nutrition (Nestec Ltd.)
- Metagenics Inc.
- AXA
- Erasmus Medical Center, Rotterdam
- Erasmus University Rotterdam (EUR)
- Netherlands Organisation for Health Research and Development 'Geestkracht' program [10.000.1003]
- NWO-ZonMW VIDI grant [017.106.370]
- Dutch Diabetes Foundation [2013.81.1664]
We studied associations of maternal history of eating disorders (EDs) with diet quality of pregnant women and their infants, and breastfeeding practices. We included 6196 mother-child pairs from Generation R, a population-based cohort in the Netherlands. Maternal history of lifetime EDs was assessed during pregnancy with a questionnaire. Dietary intake during pregnancy and in infancy was assessed with food-frequency questionnaires and diet quality scores were calculated, reflecting adherence to dietary guidelines. Breastfeeding practices were assessed with questionnaires at 2, 6, and 12 months. We observed that, after adjustment for socioeconomic and lifestyle factors, women with a history of EDs had a higher diet quality than women without a history of EDs (B = 0.24 SD, 95%CI: 0.15; 0.33). Mothers with a history of EDs were less likely to breastfeed (unadjusted OR = 0.68, 95%CI: 0.51; 0.93), although no longer statistically significant after adjustment (OR = 0.75, 95%CI: 0.55; 1.03). These findings suggest that mothers with a history of EDs seem slightly less likely to initiate breastfeeding, however, this warrants further investigation. At the age of 1 year, infants of mothers with a history of EDs had a higher diet quality (B = 0.15 SD, 95%CI: 0.02; 0.27). We conclude that mothers with a history of EDs and their infants have a relative good diet quality, although follow-up studies are needed to assess long-term associations with diet in later childhood and adolescence. (C) 2016 Elsevier Ltd. All rights reserved.
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