{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:38:55Z","timestamp":1772066335973,"version":"3.50.1"},"reference-count":41,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T00:00:00Z","timestamp":1631491200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007686","name":"Instituto Nacional de Perinatolog\u00eda","doi-asserted-by":"publisher","award":["212250-49451"],"award-info":[{"award-number":["212250-49451"]}],"id":[{"id":"10.13039\/501100007686","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Disordered eating behaviors (DEBs) and adolescent pregnancy are public health problems. Among adolescents, there is little evidence concerning the relationship of DEB with gestational weight gain (GWG) and the birth weight and length of their offspring. We aimed to determine the association between DEB with GWG and the weight and length of adolescents\u2019 offspring. We conducted a study with 379 participants. To evaluate DEB, we applied a validated scale. We identified three factors from DEB by factorial analysis: restrictive, compensatory, and binge\u2013purge behaviors. The main events were GWG and offspring\u2019s birth weight and length. We performed linear regression models. We found that 50% of adolescents have at least one DEB. Excessive and insufficient GWG were 37 and 34%, respectively. The median GWG was 13 kg; adolescents with restrictive behaviors had higher GWG (13 vs. 12 kg, p = 0.023). After adjusting for pregestational body mass index and other covariables, the restrictive (\u03b2 = 0.67, p = 0.039), compensatory (\u03b2 = 0.65, p = 0.044), and binge\u2013purge behaviors (\u03b2 = 0.54, p = 0.013) were associated with higher GWG. We did not find an association between the birth weight and length of newborns with DEB, and suggest that DEB is associated with GWG but not with the birth weight or length of the offspring.<\/jats:p>","DOI":"10.3390\/nu13093186","type":"journal-article","created":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T23:32:23Z","timestamp":1631575943000},"page":"3186","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Disordered Eating Behaviors Are Associated with Gestational Weight Gain in Adolescents"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5490-1363","authenticated-orcid":false,"given":"Reyna","family":"S\u00e1mano","sequence":"first","affiliation":[{"name":"Programa de Posgrado Doctorado en Ciencias Biol\u00f3gicas y de la Salud, Divisi\u00f3n de Ciencias Biol\u00f3gicas y de la Salud, Universidad Aut\u00f3noma Metropolitana, Mexico City 04960, Mexico"},{"name":"Departamento de Nutrici\u00f3n y Bioprogramaci\u00f3n, Instituto Nacional de Perinatolog\u00eda, Secretar\u00eda de Salud, Mexico City 11000, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Ortiz-Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Programa de Posgrado Doctorado en Ciencias Biol\u00f3gicas y de la Salud, Divisi\u00f3n de Ciencias Biol\u00f3gicas y de la Salud, Universidad Aut\u00f3noma Metropolitana, Mexico City 04960, Mexico"},{"name":"Departamento de Atenci\u00f3n a la Salud, Universidad Aut\u00f3noma Metropolitana Xochimilco, Mexico City 04960, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5301-9878","authenticated-orcid":false,"given":"Hugo","family":"Mart\u00ednez-Rojano","sequence":"additional","affiliation":[{"name":"Secci\u00f3n de Posgrado e Investigaci\u00f3n de la Escuela Superior de Medicina del Instituto Polit\u00e9cnico Nacional, Mexico City 11340, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oralia","family":"N\u00e1jera-Medina","sequence":"additional","affiliation":[{"name":"Programa de Posgrado Doctorado en Ciencias Biol\u00f3gicas y de la Salud, Divisi\u00f3n de Ciencias Biol\u00f3gicas y de la Salud, Universidad Aut\u00f3noma Metropolitana, Mexico City 04960, Mexico"},{"name":"Departamento de Atenci\u00f3n a la Salud, Universidad Aut\u00f3noma Metropolitana Xochimilco, Mexico City 04960, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5741-0241","authenticated-orcid":false,"given":"Gabriela","family":"Chico-Barba","sequence":"additional","affiliation":[{"name":"Departamento de Nutrici\u00f3n y Bioprogramaci\u00f3n, Instituto Nacional de Perinatolog\u00eda, Secretar\u00eda de Salud, Mexico City 11000, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernarda","family":"S\u00e1nchez-Jim\u00e9nez","sequence":"additional","affiliation":[{"name":"Departamento de Nutrici\u00f3n y Bioprogramaci\u00f3n, Instituto Nacional de Perinatolog\u00eda, Secretar\u00eda de Salud, Mexico City 11000, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Cruz-Cruz","sequence":"additional","affiliation":[{"name":"Escuela de Ciencias de la Salud, Universidad del Valle de M\u00e9xico-Chapultepec, Mexico City 11810, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Jos\u00e9","family":"Echenique-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Departamento de Salud, Nutrici\u00f3n y Ciencias de los Alimentos, Universidad Iberoamericana-Ciudad de M\u00e9xico, Mexico City 01219, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,9,13]]},"reference":[{"key":"ref_1","unstructured":"United Nations Fund for Population Activities Girlhood, Not Motherhood (2021, March 21). Preventing Adolescent Pregnancy. Available online: https:\/\/www.unfpa.org\/sites\/default\/files\/pub-pdf\/Girlhood_not_motherhood_final_web.pdf."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1590\/S1679-45082015RW3127","article-title":"Complications in Adolescent Pregnancy: Systematic Review of the Literature","volume":"13","author":"Diniz","year":"2015","journal-title":"Einstein"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/j.jpag.2017.02.006","article-title":"Gestational Weight Gain and Interpregnancy Weight Change in Adolescent Mothers","volume":"30","author":"Whelan","year":"2017","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"57","DOI":"10.11606\/S1518-8787.2019053000880","article-title":"Gestational Weight Gain, Nutritional Status and Blood Pressure in Pregnant Women","volume":"53","author":"Campos","year":"2019","journal-title":"Rev. Saude. Publica."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1097\/OGX.0000000000000836","article-title":"Nutrition in Pregnancy: A Comparative Review of Major Guidelines","volume":"75","author":"Tsakiridis","year":"2020","journal-title":"Obstet. Gynecol. Surv."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Ratnasiri, A.W.G., Lee, H.C., Lakshminrusimha, S., Parry, S.S., Arief, V.N., DeLacy, I.H., Yang, J.-S., Dilibero, R.J., Logan, J., and Basford, K.E. (2019). Trends in maternal prepregnancy body mass index (BMI) and its association with birth and maternal outcomes in California, 2007\u20132016: A retrospective cohort study. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0222458"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"LifeCycle Project-Maternal Obesity and Childhood Outcomes Study Group, Voerman, E., Santos, S., Inskip, H., Amiano, P., Barros, H., Charles, M.-A., Chatzi, L., Chrousos, G.P., and Corpeleijn, E. (2019). Association of Gestational Weight Gain With Adverse Maternal and Infant Outcomes. JAMA, 321, 1702\u20131715.","DOI":"10.1001\/jama.2019.3820"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Figueiredo, A.C.M.G., Gomes-Filho, I., Batista, J.E.T., Orrico, G.S., Porto, E.C.L., Pimenta, R.M.C., Concei\u00e7\u00e3o, S.D.S., Brito, S.M., Ramos, M.D.S.X., and Sena, M.C.F. (2019). Maternal anemia and birth weight: A prospective cohort study. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0212817"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Sun, Y., Shen, Z., Zhan, Y., Wang, Y., Ma, S., Zhang, S., Liu, J., Wu, S., Feng, Y., and Chen, Y. (2020). Effects of pre-pregnancy body mass index and gestational weight gain on maternal and infant complications. BMC Pregnancy Childbirth, 20.","DOI":"10.1186\/s12884-020-03071-y"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"101341","DOI":"10.1016\/j.pmedr.2021.101341","article-title":"Excess pregnancy weight gain in latinas: Impact on infant\u2019s adiposity and growth hormones at birth","volume":"22","author":"Elwan","year":"2021","journal-title":"Prev. Med. Rep."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1002\/erv.2553","article-title":"The Science behind the Academy for Eating Disorders\u2019 Nine Truths About Eating Disorders","volume":"25","author":"Schaumberg","year":"2017","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"734","DOI":"10.21149\/11545","article-title":"Disordered eating in Mexican adolescents, 2006\u20132018","volume":"62","author":"Villalobos","year":"2020","journal-title":"Salud. Publica. Mex."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1007\/s40519-017-0380-2","article-title":"Adolescent Pregnancy and Eating Disorders: A Minireview and Case Report","volume":"23","author":"Harrison","year":"2018","journal-title":"Eat. Weight Disord."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1002\/erv.2229","article-title":"Recognising the Symptoms: How Common Are Eating Disorders in Pregnancy?","volume":"21","author":"Easter","year":"2013","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"D\u00f6rsam, A.F., Prei\u00dfl, H., Micali, N., L\u00f6rcher, S.B., Zipfel, S., and Giel, K.E. (2019). The Impact of Maternal Eating Disorders on Dietary Intake and Eating Patterns during Pregnancy: A Systematic Review. Nutrients, 11.","DOI":"10.3390\/nu11040840"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"2093","DOI":"10.1017\/S0007114512000256","article-title":"Nutritional Intake and Dietary Patterns in Pregnancy: A Longitudinal Study of Women with Lifetime Eating Disorders","volume":"108","author":"Micali","year":"2012","journal-title":"Br. J. Nutr."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1111\/1471-0528.13825","article-title":"Size at Birth and Preterm Birth in Women with Lifetime Eating Disorders: A Prospective Population-Based Study","volume":"123","author":"Micali","year":"2016","journal-title":"BJOG"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1037\/abn0000241","article-title":"Maternal Eating Disorders and Perinatal Outcomes: A Three-Generation Study in the Norwegian Mother and Child Cohort Study","volume":"126","author":"Watson","year":"2017","journal-title":"J. Abnorm. Psychol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1590\/S0100-720320150005481","article-title":"Eating attitudes, attitudes related to weight gain, and body satisfaction of pregnant adolescents","volume":"37","author":"Oliboni","year":"2015","journal-title":"Rev. Bras. Ginecol. Obstet."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1038\/ijo.2012.68","article-title":"Body Satisfaction, Weight Gain and Binge Eating among Overweight Adolescent Girls","volume":"36","author":"Sonneville","year":"2012","journal-title":"Int. J. Obes."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.eatbeh.2015.11.007","article-title":"Weight Perceptions, Disordered Eating Behaviors, and Emotional Self-Efficacy among High School Adolescents","volume":"21","author":"Zullig","year":"2016","journal-title":"Eat. Behav."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1111\/obr.12253","article-title":"How Dieting Makes the Lean Fatter: From a Perspective of Body Composition Autoregulation through Adipostats and Proteinstats Awaiting Discovery","volume":"16","author":"Dulloo","year":"2015","journal-title":"Obes. Rev."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1097\/00006842-199211000-00006","article-title":"Eating Habits and Eating Disorders during Pregnancy","volume":"54","author":"Fairburn","year":"1992","journal-title":"Psychosom. Med."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1002\/erv.2314","article-title":"Gestational and Postpartum Weight Change Patterns in Mothers with Eating Disorders","volume":"22","author":"Zerwas","year":"2014","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1002\/eat.20578","article-title":"Birth Outcomes in Women with Eating Disorders in the Norwegian Mother and Child Cohort Study (MoBa)","volume":"42","author":"Bulik","year":"2009","journal-title":"Int. J. Eat. Disord."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.bodyim.2008.03.005","article-title":"Overconcern with weight and shape is not the same as body dissatisfaction: Evidence from a prospective study of pre-adolescent boys and girls","volume":"5","author":"Allen","year":"2008","journal-title":"Body Image"},{"key":"ref_27","first-page":"509","article-title":"Validation of a brief questionnaire to measure the risk of abnormal eating behaviors","volume":"46","year":"2004","journal-title":"Salud. Publica. Mex."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1002\/ajhb.1310040323","article-title":"Anthropometric Standardization Reference Manual: Abridged Edition. Edited by T.G. Lohman, A.F. Roche, and R. Martorell. vi 90 Pp. Champaign, IL: Human Kinetics Books. 1991. U.S. 15.00, Canada 18.50 (paper)","volume":"4","author":"Pelletiet","year":"1992","journal-title":"Am. J. Hum. Biol."},{"key":"ref_29","unstructured":"WHO (2006). Child Growth Standards: Length\/Height-for-Age, Weight-for-Age, Weight-for-Length, Weight-for-Height and Body Mass Index-for-Age: Methods and Development, WHO. Available online: https:\/\/www.who.int\/publications\/i\/item\/924154693X."},{"key":"ref_30","unstructured":"(2021, July 10). Socioeconomic Level Index of the Mexican Association of Market Research and Public Opinion Agencies (AMAI) September 2014 AMAI Regulation NSE 8 \u00d7 7. Available online: www.amai.org\/NSE\/NivelSocioeconomicoAMAI.pdf."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"S638","DOI":"10.1590\/S0036-36342009001000019","article-title":"Prevalence of Abnormal Eating Behaviors in Adolescents in Mexico: Mexican National Health and Nutrition Survey 2006","volume":"51","author":"Shamah","year":"2009","journal-title":"Salud. Publica. Mex."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1002\/eat.22630","article-title":"Loss of Control over Eating before and during Early Pregnancy among Community Women with Overweight and Obesity","volume":"50","author":"Kolko","year":"2017","journal-title":"Int. J. Eat. Disord."},{"key":"ref_33","first-page":"207","article-title":"Trastornos de La Conducta Alimentaria En El Embarazo","volume":"32","author":"Mackenna","year":"2021","journal-title":"Rev. M\u00e9d. Cl\u00edn. Las Condes."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"52.e1","DOI":"10.1016\/j.ajog.2010.08.028","article-title":"Gestational Weight Gain and Subsequent Postpartum Weight Loss among Young, Low-Income, Ethnic Minority Women","volume":"204","author":"Magriples","year":"2011","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Chang, T., Moniz, M.H., Plegue, M.A., Sen, A., Davis, M.M., Villamor, E., and Richardson, C.R. (2017). Characteristics of Women Age 15\u201324 at Risk for Excess Weight Gain during Pregnancy. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0173790"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1007\/s12519-018-0143-9","article-title":"Gestational Weight Gain among Minority Adolescents Predicts Term Birth Weight","volume":"14","author":"Ekambaram","year":"2018","journal-title":"World J. Pediatr."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1016\/j.jadohealth.2017.05.005","article-title":"Effect of Gestational Weight Gain and Prepregnancy Body Mass Index in Adolescent Mothers on Weight and Body Mass Index of Adolescent Offspring","volume":"61","author":"Groth","year":"2017","journal-title":"J. Adolesc Health"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1016\/j.jpeds.2015.05.043","article-title":"Gestational Weight Gain in Adolescent Compared with Adult Pregnancies: An Age-Specific Body Mass Index Approach","volume":"167","author":"Elchert","year":"2015","journal-title":"J. Pediatr."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1177\/1359105315573432","article-title":"Dysfunctional Eating Behaviour, Psychological Well-Being and Adaptation to Pregnancy: A Study with Women in the Third Trimester of Pregnancy","volume":"20","author":"Freitas","year":"2015","journal-title":"J. Health Psychol."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Shamah-Levy, T., Vielma-Orozco, E., Heredia-Hern\u00e1ndez, O., Romero-Mart\u00ednez, M., Mojica-Cuevas, J., Cuevas-Nasu, L., Santaella-Castell, J.A., and Rivera-Dommarco, J. (2020). Encuesta Nacional de Salud y Nutrici\u00f3n 2018\u201319: Resultados Nacionales, Instituto Nacional de Salud P\u00fablica.","DOI":"10.21149\/12280"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Saarikko, J., Niela-Vil\u00e9n, H., Rahmani, A.M., and Axelin, A. (2021). Identifying Target Behaviors for Weight Management Interventions for Women Who Are Overweight during Pregnancy and the Postpartum Period: A Qualitative Study Informed by the Behaviour Change Wheel. BMC Pregnancy Childbirth, 21.","DOI":"10.1186\/s12884-021-03689-6"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/13\/9\/3186\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T07:02:10Z","timestamp":1760166130000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/13\/9\/3186"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,13]]},"references-count":41,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2021,9]]}},"alternative-id":["nu13093186"],"URL":"https:\/\/doi.org\/10.3390\/nu13093186","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,13]]}}}