{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:49:24Z","timestamp":1790815764771,"version":"4.1.0"},"reference-count":49,"publisher":"Dietitians of Canada","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Canadian Journal of Dietetic Practice and Research"],"published-print":{"date-parts":[[2024,3,1]]},"abstract":"<jats:p>Previous systematic reviews have reported on the relationship between eating disorders (EDs) and birth outcomes, but there are no existing meta-analyses on this topic. This systematic review and meta-analysis examines the association between lifetime maternal EDs, including anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED) with low birth weight (LBW), preterm birth (PTB), small for gestational age (SGA), large for gestational age (LGA), and miscarriage. Four databases were systematically searched for quantitative literature on maternal EDs that preceded birth outcomes. Eighteen studies met the inclusion criteria and were included in the review. The meta-analyses included 6 studies on miscarriage, 11 on PTB, 4 on LBW, 9 on SGA, and 4 on LGA. The Mantel\u2013Haenszel random effects model was used to test the associations between EDs and birth outcomes. The results showed significant positive associations between AN and LBW (OR 1.74, 95% confidence interval (CI) 1.49, 2.03), AN and SGA (OR 1.39, 95% CI 1.17, 1.65), BN and PTB (OR 1.19, 95% CI 1.04, 1.36), and BED and LGA (OR 1.43 95% CI 1.18, 1.72). EDs were not significantly correlated with miscarriage. These findings reveal the importance of screening for and treating EDs in pregnant women.<\/jats:p>","DOI":"10.3148\/cjdpr-2023-019","type":"journal-article","created":{"date-parts":[[2023,11,30]],"date-time":"2023-11-30T08:41:22Z","timestamp":1701333682000},"page":"45-53","source":"Crossref","is-referenced-by-count":16,"title":["Maternal Eating Disorders and Adverse Birth Outcomes: A Systematic Review and Meta-Analysis"],"prefix":"10.3148","volume":"85","author":[{"suffix":"MScFN","given":"Mantala","family":"Milembamane","sequence":"first","affiliation":[{"name":"School of Food and Nutritional Sciences, Brescia University College, London, ON"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"MScFN","given":"Nadin M.","family":"Moussa","sequence":"additional","affiliation":[{"name":"School of Food and Nutritional Sciences, Brescia University College, London, ON"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"PhD","given":"Jasna","family":"Twynstra","sequence":"additional","affiliation":[{"name":"School of Food and Nutritional Sciences, Brescia University College, London, ON"},{"name":"Children\u2019s Health Research Institute, London, ON"},{"name":"Lawson Health Research Institute, London, ON"},{"name":"Department of Medical Biophysics, Western University, London, ON"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"PhD","given":"Jamie A.","family":"Seabrook","sequence":"additional","affiliation":[{"name":"School of Food and Nutritional Sciences, Brescia University College, London, ON"},{"name":"Children\u2019s Health Research Institute, London, ON"},{"name":"Lawson Health Research Institute, London, ON"},{"name":"Department of Pediatrics, Western University, London, ON"},{"name":"Department of Epidemiology and Biostatistics, Western University, London, ON"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1715","reference":[{"key":"refg1\/ref1","doi-asserted-by":"publisher","DOI":"10.1590\/1516-4446-2020-1449"},{"key":"refg2\/ref2","doi-asserted-by":"publisher","DOI":"10.1159\/000322369"},{"key":"refg3\/ref3","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.nutr.27.061406.093543"},{"key":"refg4\/ref4","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20835"},{"key":"refg5\/ref5","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. Feeding and eating disorders. In: Diagnostic and statistical manual of mental disorders [e-book]. 5th ed., text rev ed. Arlington, VA (USA): American Psychiatric Association; 2022 [cited 2022 Oct 17].","DOI":"10.1176\/appi.books.9780890425787"},{"key":"refg6\/ref6","doi-asserted-by":"crossref","unstructured":"Treasure J, Schmidt U, Furth Ev. Handbook of eating disorders. 2nd ed. Southern Gate, Chichester: John Wiley; 2003.","DOI":"10.1002\/0470013443"},{"key":"refg7\/ref7","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.777529"},{"key":"refg8\/ref8","doi-asserted-by":"publisher","DOI":"10.1097\/01.yco.0000228768.79097.3e"},{"key":"refg9\/ref9","unstructured":"World Health Organization. 6B80. Anorexia nervosa. 2019. In: International statistical classification of diseases and related health problems [Internet]. 11th revision. World Health Organization; 2019 [cited 2022 Sep 20]: Available from: https:\/\/icd.who.int\/browse11\/l-m\/en#\/http%3a%2f%2fid.who.int%2ficd%2fentity%2f263852475."},{"key":"refg10\/ref10","unstructured":"World Health Organization. 6B81. Bulimia nervosa. In: International statistical classification of diseases and related health problems [Internet]. 11th revision. World Health Organization; 2019 [cited 2022 Sep 20]. Available from: https:\/\/icd.who.int\/browse11\/l-m\/en#\/http%3a%2f%2fid.who.int%2ficd%2fentity%2f509381842."},{"issue":"3","key":"refg11\/ref11","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1034\/j.1600-0412.1999.780311.x","volume":"78","author":"Morgan JF","year":"1999","journal-title":"Acta Obstet Gynecol Scand."},{"key":"refg12\/ref12","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2229"},{"key":"refg13\/ref13","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291707000724"},{"key":"refg14\/ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2011.08.004"},{"key":"refg15\/ref15","doi-asserted-by":"publisher","DOI":"10.3390\/medicina56070352"},{"issue":"2","key":"refg16\/ref16","first-page":"11","volume":"15","author":"Campbell EE","year":"2016","journal-title":"Can J Midwifery Res Pract."},{"key":"refg17\/ref17","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-019-0563-y"},{"key":"refg18\/ref18","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13380"},{"key":"refg19\/ref19","unstructured":"Wells GA, Shea B, O\u2019Connell D, Peterson J, Welch V, Losos M, et\u00a0al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses [Internet]. Ottawa: Ottawa Hospital Research Institute; 2021 [cited 2022 Sep 20]. Available from: https:\/\/www.ohri.ca\/programs\/clinical_epidemiology\/oxford.asp."},{"key":"refg20\/ref20","doi-asserted-by":"crossref","unstructured":"Cooper HM. Research synthesis and meta-analysis: a step-by-step approach. Twin Oaks, CA: Sage publications; 2016.","DOI":"10.4135\/9781071878644"},{"key":"refg21\/ref21","doi-asserted-by":"crossref","unstructured":"Page MJ, Higgins JPT, Sterne JAC. Assessing risk of bias due to missing results in a synthesis. In: Cochrane handbook for systematic reviews of interventions [Internet]. Chichester, UK: John Wiley & Sons, Ltd; 2019 [cited 2023 Mar 24]. p. 349\u201374. Available from: https:\/\/training.cochrane.org\/handbook\/current\/chapter-13","DOI":"10.1002\/9781119536604.ch13"},{"key":"refg22\/ref22","doi-asserted-by":"crossref","unstructured":"Deeks JJ, Higgins JPT, Altman DG. Analysing data and undertaking meta-analyses. In: Cochrane handbook for systematic reviews of interventions [Internet]. Chichester, UK: John Wiley & Sons, Ltd; 2019 [cited 2023 Mar 24]. p. 241\u201384. Available from: https:\/\/training.cochrane.org\/handbook\/current\/chapter-10","DOI":"10.1002\/9781119536604.ch10"},{"key":"refg23\/ref23","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199103)10:2<209::AID-EAT2260100210>3.0.CO;2-S"},{"key":"refg24\/ref24","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23251"},{"key":"refg25\/ref25","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291712000414"},{"key":"refg26\/ref26","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22179"},{"key":"refg27\/ref27","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20093"},{"key":"refg28\/ref28","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20664"},{"key":"refg29\/ref29","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20578"},{"key":"refg30\/ref30","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(97)00271-7"},{"key":"refg31\/ref31","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.01012.x"},{"key":"refg32\/ref32","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.03.067"},{"key":"refg33\/ref33","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2019.3664"},{"key":"refg34\/ref34","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.106.020768"},{"key":"refg35\/ref35","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2012.03467.x"},{"key":"refg36\/ref36","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13825"},{"key":"refg37\/ref37","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22290"},{"key":"refg38\/ref38","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(97)00272-9"},{"key":"refg39\/ref39","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000221265.43407.89"},{"key":"refg40\/ref40","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-022-00551-8"},{"key":"refg41\/ref41","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxt004"},{"key":"refg42\/ref42","doi-asserted-by":"publisher","DOI":"10.1111\/ppe.12016"},{"key":"refg43\/ref43","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.07.002"},{"key":"refg44\/ref44","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2014.02.008"},{"key":"refg45\/ref45","unstructured":"Centers for Disease Control and Prevention. What is Stillbirth? [Internet]. Washington, DC: U.S. Department of Health & Human Services; [updated 2020 Nov 16; cited 2022 Sep 20]. Available from: https:\/\/www.cdc.gov\/ncbddd\/stillbirth\/facts.html#:\u223c:text=Stillbirth%20affects%20about%201%20in,stillborn%20in%20the%20United%20States.&text=That%20is%20about%20the%20same,Infant%20Death%20Syndrome%20(SIDS)."},{"key":"refg46\/ref46","doi-asserted-by":"publisher","DOI":"10.3148\/cjdpr-2018-044"},{"key":"refg47\/ref47","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-1762-9"},{"key":"refg48\/ref48","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0181104"},{"key":"refg49\/ref49","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000241"}],"container-title":["Canadian Journal of Dietetic Practice and Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dcjournal.ca\/doi\/pdf\/10.3148\/cjdpr-2023-019","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T07:08:00Z","timestamp":1711091280000},"score":1,"resource":{"primary":{"URL":"https:\/\/dcjournal.ca\/doi\/10.3148\/cjdpr-2023-019"}},"subtitle":[],"editor":[{"given":"Naomi","family":"Cahill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,3,1]]},"references-count":49,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,3,1]]}},"alternative-id":["10.3148\/cjdpr-2023-019"],"URL":"https:\/\/doi.org\/10.3148\/cjdpr-2023-019","relation":{},"ISSN":["1486-3847","2292-9592"],"issn-type":[{"value":"1486-3847","type":"print"},{"value":"2292-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,1]]}}}