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Childhood Risk Factors for Lifetime Anorexia Nervosa by Age 30 Years in a National Birth Cohort
Journal of the American Academy of Child and Adolescent Psychiatry, 07/09/09
Nicholls DE et al. - Of 22 suggested risk factors for AN, only four risk and two protective factors were confirmed in this prospective cohort study. We did not identify a role for perinatal factors, parenting, childhood body mass index, childhood emotional or sleep problems, academic ability, or exercise.
Methods- Using data from the 1970 British Cohort Study, at birth, 5, 10, and 30 years, this study examined associations between suggested childhood risk factors and self-reported lifetime AN at 30 years, adjusted for sex and socioeconomic status.
- Anorexia nervosa was independently predicted by female sex (odds ratio [OR] 22.1),
- infant feeding problems (OR 2.6)
- maternal depressive symptoms (OR 1.8),
- and a history of undereating (OR 2.7).
- High self-esteem (OR 0.3) and higher maternal body mass index (OR 0.91) were protective.
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