Associations between blood metabolic profile at 7 years old and eating disorders in adolescence: Findings from the avon longitudinal study of parents and children

DL Santos Ferreira, C Hübel, M Herle, M Abdulkadir… - Metabolites, 2019 - mdpi.com
Eating disorders are severe illnesses characterized by both psychiatric and metabolic
factors. We explored the prospective role of metabolic risk in eating disorders in a UK cohort
(n= 2929 participants), measuring 158 metabolic traits in non-fasting EDTA-plasma by
nuclear magnetic resonance. We associated metabolic markers at 7 years (exposure) with
risk for anorexia nervosa and binge-eating disorder (outcomes) at 14, 16, and 18 years
using logistic regression adjusted for maternal education, child's sex, age, body mass index …
Eating disorders are severe illnesses characterized by both psychiatric and metabolic factors. We explored the prospective role of metabolic risk in eating disorders in a UK cohort (n = 2929 participants), measuring 158 metabolic traits in non-fasting EDTA-plasma by nuclear magnetic resonance. We associated metabolic markers at 7 years (exposure) with risk for anorexia nervosa and binge-eating disorder (outcomes) at 14, 16, and 18 years using logistic regression adjusted for maternal education, child’s sex, age, body mass index, and calorie intake at 7 years. Elevated very low-density lipoproteins, triglycerides, apolipoprotein-B/A, and monounsaturated fatty acids ratio were associated with lower odds of anorexia nervosa at age 18, while elevated high-density lipoproteins, docosahexaenoic acid and polyunsaturated fatty acids ratio, and fatty acid unsaturation were associated with higher risk for anorexia nervosa at 18 years. Elevated linoleic acid and n-6 fatty acid ratios were associated with lower odds of binge-eating disorder at 16 years, while elevated saturated fatty acid ratio was associated with higher odds of binge-eating disorder. Most associations had large confidence intervals and showed, for anorexia nervosa, different directions across time points. Overall, our results show some evidence for a role of metabolic factors in eating disorders development in adolescence.
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