Exploring the Relationship Between Eating Disorders and Reproductive Health, with a Focus on Fertility, Obstetric, and Fetal Outcomes: A Narrative Review.

IF 4.6 3区医学 Q1 NUTRITION & DIETETICS

Current Nutrition Reports Pub Date : 2025-03-25 DOI:10.1007/s13668-025-00641-4

Mara E Storto, Suzanne M Bailey-Straebler, Leah C Susser

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Abstract

Purpose of review: Eating disorders can profoundly impact reproductive health in females, spanning from the onset of puberty through menopause. The impact is due to a variety of factors, including nutritional status, body fat percentage, and hormone regulation. Notably, fertility and pregnancy are particularly vulnerable to undernutrition and disordered eating. This narrative review provides a comprehensive summary and discussion of available literature from the past 5 years exploring the impact of eating disorders on fertility, obstetric outcomes, and fetal outcomes.

Recent findings: Current literature demonstrates that EDs can have a negative impact on fertility, obstetric outcomes, and fetal outcomes. Primary research and systematic reviews support associations including increased use of assisted reproductive treatment for infertility, anemia and hyperemesis during pregnancy, and preterm delivery. Associated fetal outcomes include infant low birth weight, small for gestational age, and microcephaly. EDs, when unrecognized and left untreated, can negatively impact fertility, obstetric outcomes, and fetal outcomes. It is important for providers to be aware of these associations and implement screening to identify at-risk patients, as appropriate treatment can improve reproductive outcomes.

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综述目的：饮食失调会严重影响女性的生殖健康，影响时间从青春期开始一直持续到更年期。这种影响是由多种因素造成的，包括营养状况、体脂百分比和激素调节。值得注意的是，生育和怀孕尤其容易受到营养不良和饮食失调的影响。本叙事性综述全面总结和讨论了过去 5 年中探讨饮食失调对生育、产科结果和胎儿结局影响的现有文献：目前的文献表明，饮食失调会对生育、产科结果和胎儿结局产生负面影响。初步研究和系统性综述支持相关的关联，包括增加使用辅助生殖治疗治疗不孕症、孕期贫血和孕吐以及早产。相关的胎儿结局包括婴儿出生体重不足、胎龄小和小头畸形。ED 如果未被发现和治疗，会对生育能力、产科结果和胎儿结局产生负面影响。医疗服务提供者必须意识到这些关联性，并实施筛查以识别高危患者，因为适当的治疗可改善生殖结局。

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来源期刊

Current Nutrition Reports Agricultural and Biological Sciences-Food Science

CiteScore

7.70

自引率

2.00%

发文量

期刊介绍： This journal aims to provide comprehensive review articles that emphasize significant developments in nutrition research emerging in recent publications. By presenting clear, insightful, balanced contributions by international experts, the journal intends to discuss the influence of nutrition on major health conditions such as diabetes, cardiovascular disease, cancer, and obesity, as well as the impact of nutrition on genetics, metabolic function, and public health. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas across the field. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 25 internationally diverse members reviews the annual table of contents, suggests topics of special importance to their country/region, and ensures that topics and current and include emerging research.