Body image and eating behavior in young adults born preterm
: Matinolli HM, Mannisto S, Sipola-Leppanen M, Tikanmaki M, Heinonen K, Lahti J, Lahti M, Wehkalampi K, Jarvelin MR, Andersson S, Lano A, Vartia T, Wolke D, Eriksson JG, Vaarasmaki M, Raikkonen K, Kajantie E, Kajantie E
Publisher: WILEY
: 2017
International Journal of Eating Disorders
: INTERNATIONAL JOURNAL OF EATING DISORDERS
: INT J EAT DISORDER
: 49
: 6
: 572
: 80
: 2
: 0276-3478
DOI: https://doi.org/10.1002/eat.22800
OBJECTIVE:
Previous studies have suggested that people born
preterm have increased rates of eating disorders (ED). However, a recent
study suggested lower levels of ED-related symptoms in the extreme
group of adults born preterm with very low birth weight (<1,500 g).
We examined symptoms related to EDs in adults born early (<34 weeks
of gestational age) or late (34 to <37 weeks of gestational age)
preterm.
We studied young adults (mean age 24.1
years) from two birth cohorts: ESTER (Northern Finland 1985-1989) and
AYLS (Uusimaa, Finland, 1985-1986). Of the participants, 185 were born
early preterm, 348 late preterm, and 637 were term-born controls
(N = 1,170). They completed three subscales of the Eating Disorder
Inventory (EDI)-2, including Drive for Thinness (DT), Body
Dissatisfaction (BD), and Bulimia (B). Group differences were examined
by linear regression.
Young women born early
preterm scored 4.1 points (95% CI -8.0, -0.2, P =.04) lower in summed
EDI subscale scores than women born at term, when adjusted for age and
cohort. This difference was observed also in DT and BD but not for B
subscales. The differences persisted after adjustments for current, pre-
and neonatal characteristics. We did not observe differences in EDI
scores among men or women born late preterm when compared to controls.
born early preterm have significantly fewer symptoms related to EDs in
early adulthood when compared to their peers born at term, which may
protect from developing an ED.