DEPENDENCE OF WOMEN'S REPRODUCTIVE HEALTH ON TYPES OF EATING DISORDERS
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Abstract
Aim – to study reproductive health of women, depending on the types of eating disorders.
Materials and methods. The questionnaire survey was conducted and medical records of 200 women were retrospectively analyzed. The women were in the reproductive age, menstruated, and were investigated by general clinical and statistical methods.
Results. All women surveyed, without any exception, had an eating disorder: emotive – 46 (23.0 %), restrictive – 120 (60.0 %) and external – 34 (17.0 %). Women with normal and excessive BMI were more likely to have a restrictive type of eating behavior, while emotional and external types prevailed among obese patients. The analysis of reproductive health in women, depending on BMI, revealed that gynecological diseases such as fibrocystic disease of the breast, uterine fibroids, the polycystic ovary syndrome, infertility, breast cancer were more common in women with obesity. The analysis of gynecological diseases in patients with obesity showed a direct strong dependence (r = 0.74; p ˂ 0.05).
The study of correlations between gynecological diseases and types of eating disorders in women found that inflammatory diseases of the pelvic organs were more common in women with the emotive type (χ2 = 8.21; p < 0.05). Women with the restrictive type were more likely to have fibrocystic disease of the breast (χ2 = 4.74; p < 0.05), uterine fibroids (χ2 = 14.98; p < 0.05), the polycystic ovary syndrome (χ2 = 4.31; p < 0.05). Breast cancer (χ2 = 3.58; p < 0.05) prevailed in women with an external type.
Conclusion. The women of reproductive age were found to have different types of eating disorders. The women with obesity are more likely to have abnormalities in reproductive health. Types of eating disorders in women correlate with certain gynecological diseases.
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