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首页> 外文期刊>BJOG: an international journal of obstetrics and gynaecology >Are women with eating disorders more responsive to fertility treatment?
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Are women with eating disorders more responsive to fertility treatment?

机译：饮食失调的妇女对生育治疗是否有更好的反应？

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摘要

Eating disorders, including anorexia nervosa (AN) and bulimia nervosa (BN), are under-recognised in both primary care and in fertility clinics, but have a substantial impact on a variety of health outcomes. This study is a welcome addition to the limited data we have on the relationships between eating disorders and reproductive outcomes, as examined in a population-based pregnancy cohort from the Netherlands. Strengths of the study include the population-based sampling, the high sensitivity and specificity of the questionnaire instrument for detecting eating disorders, and the objective determination of outcomes from clinical records. Some findings from this study confirm prior findings, whereas others are novel and unexpected, and require further confirmation. Key to our consideration of the findings is that the data are limited to pregnant women. As displayed in table 2, authors found a current (i.e. previous year) prevalence in this cohort of any eating disorder of 1.8% (? = 114), and a lifetime prevalence of 8.9% (? = 565). Both prevalence figures are considerably higher than were reported in population-based data for women in the Netherlands a few years earlier: namely 0.6 and 1.3%, respectively (Bijl et al. Soc Psychiatry Psychiatr Epidemiol 1998;33:587-595). Other research reviewed by the authors suggests that women with eating disorders may have reduced fecundity.
机译：饮食失调，包括神经性厌食症（AN）和神经性贪食症（BN），在初级保健和生育诊所均未得到充分认识，但对多种健康结局具有实质性影响。这项研究是对我们所掌握的关于饮食失调与生殖结局之间关系的有限数据的欢迎补充，该数据在荷兰的一项基于人群的妊娠队列中进行了检验。该研究的优势包括基于人群的抽样，用于检测饮食失调的问卷工具的高灵敏度和特异性以及从临床记录中客观确定结果。这项研究的一些发现证实了先前的发现，而另一些则是新颖而出乎意料的，需要进一步证实。我们考虑发现的关键是数据仅限于孕妇。如表2所示，作者发现该人群中任何进食障碍的当前（即上一年）患病率为1.8％（？= 114），终生患病率为8.9％（？= 565）。这两个患病率均大大高于几年前荷兰妇女基于人群的数据所报道的水平：分别为0.6％和1.3％（Bijl等人，Soc Psychiatry Psychiatr Psychiatr Epidemiol 1998; 33：587-595）。作者审查的其他研究表明，饮食失调的妇女的生殖力可能降低。

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