Eating disorders and women's health: an update.
Anorexia nervosa, bulimia nervosa, and eating disorders not otherwise specified have a significant impact on the health care and childbearing outcomes of the female population. Primary care contact for gynecologic care, childbearing, or infertility can serve as a critical entry point for the initial recognition of potentially devastating disorders that may result in permanent impairment and/or chronic debilitation. This review addresses the nature and prevalence of eating disorders and the management of pregnancy complicated by an active eating disorder or a history of an eating disorder. Genetic influences and intergenerational transmission of eating disorders are discussed. Finally, the increased risk for postpartum depression among women with a current or past eating disorder is examined. Factors critical to improving pregnancy outcome and reducing the risk for exacerbation or relapse in the postpartum period are identified.
Mitchell
Anne Marie
AM
William Beaumont Hospital, Troy, MI, USA. Mitchell@oakland.edu
Bulik
Cynthia M
CM
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D015984:Causality; D015897:Comorbidity; D005006:Ethnicity / Q000706:statistics & numerical data; D005060:Europe / Q000453:epidemiology; D001068:Feeding and Eating Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000235:genetics / Q000451:nursing* / Q000523:psychology; D005260:Female; D020022:Genetic Predisposition to Disease; D006801:Humans; D007246:Infertility / Q000453:epidemiology; D008875:Middle Aged; D008880:Midwifery / Q000379:methods; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000451:nursing; D015995:Prevalence; D012307:Risk Factors; D012649:Self Concept; D017678:Sex Distribution; D013177:Sports / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology; D016387:Women's Health