Get access

Gestational weight gain of women with eating disorders in the Norwegian pregnancy cohort

Authors

  • Anna Maria Siega-Riz PhD, RD,

    Corresponding author
    1. Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, North Carolina
    2. Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, North Carolina
    • Carolina Population Center, CB no. 8120 University Square, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27516-3997
    Search for more papers by this author
  • Ann Von Holle MS,

    1. Department of Psychiatry, School of Medicine, University of North Carolina at Chapel Hill, North Carolina
    Search for more papers by this author
  • Margaretha Haugen PhD,

    1. Division of Environmental Medicine, Norwegian Institute of Public Health, Norway
    Search for more papers by this author
  • Helle Margrete Meltzer PhD,

    1. Division of Environmental Medicine, Norwegian Institute of Public Health, Norway
    Search for more papers by this author
  • Robert Hamer PhD,

    1. Department of Psychiatry, School of Medicine, University of North Carolina at Chapel Hill, North Carolina
    2. Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, North Carolina
    Search for more papers by this author
  • Leila Torgersen PhD,

    1. Division of Mental Health, Norwegian Institute of Public Health, Norway
    Search for more papers by this author
  • Cecilie Knoph Berg PhD,

    1. Division of Mental Health, Norwegian Institute of Public Health, Norway
    Search for more papers by this author
  • Ted Reichborn-Kjennerud PhD,

    1. Division of Mental Health, Norwegian Institute of Public Health, Norway
    2. Institute of Psychiatry, University of Oslo, Norway
    3. Department of Epidemiology, Columbia University, New York
    Search for more papers by this author
  • Cynthia M. Bulik PhD

    1. Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, North Carolina
    2. Department of Psychiatry, School of Medicine, University of North Carolina at Chapel Hill, North Carolina
    Search for more papers by this author

  • Supported by HD047186, NIDDK56350 from the National Institutes of Health Grants; by N01-ES-85433 from Norwegian Ministry of Health, NIH/NIEHS; by 1 UO1 NS 047537-01 from NIH/NINDS; and by 151918/S10 from Norwegian Research Council/FUGE.

Abstract

Objective:

To examine the amount of weight women with eating disorders [anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED)] gained during pregnancy and to evaluate the adequacy of total weight gain.

Method:

Data from the Norwegian Mother and Child Cohort Study were used in a cross-sectional manner, n = 35,148. Descriptive statistics and Generalized Estimating Equations to calculate the relative risk estimates were employed.

Results:

Mean gestational weight gain for the entire sample was 2.5 kg at 17.0–20.1 weeks gestation, 9.3 kg at 27.4–29.7 weeks gestation and 15.0 kg at delivery. Women with BN and BED gained significantly more weight on average than those with no eating disorders at each time point. Women with AN had a lower risk (AOR = 0.65 (0.24, 1.72) of gaining inadequately while women with BN and BED were more likely to gain excessively, AOR = 1.09 (1.01, 1.18) and 1.11 (1.08, 1.14), respectively.

Discussion:

The pattern of weight gain identified for each eating disorder subtype may help explain the birth outcomes of women with eating disorders. © 2010 by Wiley Periodicals, Inc. (Int J Eat Disord 2011; 44:428–434)

Ancillary