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Body image and eating behavior in young adults born preterm
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Matinolli, Hanna-Maria, Männistö, Satu, Sipola-Leppänen, Marika, Tikanmäki, Marjaana, Heinonen, Kati, Lahti, Jari, Lahti, Marius, Wehkalampi, Karoliina, Järvelin, Marjo-Riitta, Andersson, Sture, Lano, Aulikki, Vartia, Timo, Wolke, Dieter, Eriksson, Johan G, Vääräsmäki, Marja, Räikkönen, Katri and Kajantie, Eero (2016) Body image and eating behavior in young adults born preterm. International Journal of Eating Disorders, 49 (6). pp. 572-580. doi:10.1002/eat.22553 ISSN 0276-3478.
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WRAP_0671038-ps-010616-matinolli_et_al_2016_eatingdisorderinventory_matinollietal_ijed-15-0373_r1.pdf - Published Version - Requires a PDF viewer. Download (654Kb) | Preview |
Official URL: http://dx.doi.org/10.1002/eat.22553
Abstract
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.
Methods:
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.
Results:
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.
Discussion:
Women 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.
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