Eating disorders (EDs) are common amongst women; however, no research has specifically investigated the lifetime/12-month prevalence of eating disorders amongst women in mid-life (i.e., fourth and fifth decade of life) and the relevant longitudinal risk factors. We aimed to investigate the lifetime and 12-month prevalence of EDs and lifetime health service use and to identify childhood, parenting, and personality risk factors. This is a two-phase prevalence study, nested within an existing longitudinal community-based sample of women in mid-life. A total of 5658 women from the UK Avon Longitudinal Study of Parents and Children (ALSPAC; enrolled 20 years earlier) participated. ED diagnoses were obtained using validated structured interviews. Weighted analyses were carried out accounting for the two-phase methodology to obtain prevalence figures and to carry out risk factor regression analyses. By mid-life, 15.3% (95% confidence intervals, 13.5–17.4%) of women had met criteria for a lifetime ED. The 12-month prevalence of EDs was 3.6%. Childhood sexual abuse was prospectively associated with all binge/purge type disorders and an external locus of control was associated with binge-eating disorder. Better maternal care was protective for bulimia nervosa. Childhood life events and interpersonal sensitivity were associated with all EDs. By mid-life a significant proportion of women will experience an ED, and few women accessed healthcare. Active EDs are common in mid-life, both due to new onset and chronic disorders. Increased awareness of the full spectrum of EDs in this stage of life and adequate service provision is important. This is the first study to investigate childhood and personality risk factors for full threshold and sub-threshold EDs and to identify common predictors for full and sub-threshold EDs. Further research should clarify the role of preventable risk factors on both full and sub-threshold EDs.
14 January 2020 in Archives of Women's Mental Health
To provide an overview of the impact of maternal eating disorders (ED) on child development in a number of domains including feeding and eating behaviour, neuropsychological profile and cognitive development, psychopathology and temperament. PubMed, Embase and PsychInfo were searched for studies exploring the impact of maternal ED on children between January 1980 and September 2018. Initial search yielded 569 studies. After exclusion, 32 studies were reviewed. Overall, available evidence shows that children of mothers with ED are at increased risk of disturbances in several domains. They exhibit more difficulties in feeding and eating behaviours, display more psychopathological and socio-emotional difficulties, and they are more likely to be described as having a difficult temperament. Maternal ED have an impact on child psychological, cognitive and eating behaviours, and might affect the development of ED in the offspring. Future research should focus on resilience and on which protective factors might lead to positive outcomes. These factors can be then used as therapeutic and preventative targets.
In the last decades, the ecosystem services (ES) concept has become one of the main challenges of study and discussion in the scientific community. The quantitative and qualitative assessment of ES is as a tool to address forest management planning on a local scale. Forest landscape management planning is the most suitable level for integrating social needs and demands in the enhancement of different forest ES. Some regions in Italy have developed forest landscape management plans taking into account the social preferences for the different ES. In this paper, we refer to five case studies in three pilot areas in Italy. A survey collected and analyzed the opinions and preferences, from 362 stakeholders, for ten ES included in three categories (provisioning, regulating and cultural services). The main aim of this study is to understand what type of variables (study area, the groups of interest and socio-demographic characteristics of respondents) most influence stakeholder preferences for ES. The results show that for the sample of stakeholders involved in the survey, the most important ES category is regulating services followed by cultural services. In addition, the results show that the group of stakeholders’ interest is the most important variable influencing their preferences for ES.
23 September 2015 in Archives of Women's Mental Health
We explored associations between lifetime eating disorder (ED) diagnoses and behaviors and menstrual dysfunction using logistic regression models. Body mass index (BMI) fully explained differences in the odds of secondary amenorrhea (SA) across diagnoses. Women with dieting behaviors had borderline significantly higher odds of SA than those without after accounting for BMI. We suggest the presence of a strong association between BMI and SA and that dieting might represent a risk factor for SA regardless of BMI and ED diagnosis.
Landscape metrics constitute one of the main tools for the study of the changes of the landscape and of the ecological structure of a region. The most popular software for landscape metrics evaluation is FRAGSTATS, which is free to use but does not have free or open source software (FOSS). Therefore, FOSS implementations, such as QGIS’s LecoS plugin and GRASS’ r.li modules suite, were developed. While metrics are defined in the same way, the “cell neighborhood” parameter, specifying the configuration of the moving window used for the analysis, is managed differently: FRAGSTATS can use values of 4 or 8 (8 is default), LecoS uses 8 and r.li 4. Tests were performed to evaluate the landscape metrics variability depending on the “cell neighborhood” values: some metrics, such as “edge density” and “landscape shape index”, do not change, other, for example “patch number”, “patch density”, and “mean patch area”, vary up to 100% for real maps and 500% for maps built to highlight this variation. A review of the scientific literature was carried out to check how often the value of the “cell neighborhood” parameter is explicitly declared. A method based on the “aggregation index” is proposed to estimate the effect of the uncertainty on the “cell neighborhood” parameter on landscape metrics for different maps.