Babies who go on to develop anorexia may
be programmed in the womb by their mother's hormones,
evidence suggests.
Women are usually much more likely than
men to have the eating disorder, but a University of Sussex
study found men with a female twin were more at risk.
This suggests the hormones released to
aid female development may be key.
Commenting on the Archives of General
Psychiatry study, a UK expert said other factors in childhood
and adolescence remained important.
No-one is sure why women are more prone
than men. Some experts suggest that the pressures of modern
society are partly to blame while others look at brain
changes much earlier in life.
Research into twins is a way to examine
the factors involved, as the single most important period
for brain development is during the months of pregnancy.
Dr Marco Procopio, from the University
of Sussex, worked with Dr Paul Marriott from the University
of Waterloo in Canada to look at information drawn from
thousands of Swedish twins born between 1935 and 1958.
Overall, as expected, female twins were
more likely to develop anorexia than male twins.
The only exception was among mixed-sex
twins, where the male was as likely to develop anorexia
as the female.
The researchers wrote that the most likely
reason was because of sex steroid hormones released into
the womb during pregnancy.
"A plausible explanation for this phenomenon
is that in pregnancies bearing a female foetus, a substance
is produced, probably hormonal, that increases the risk
of having anorexia nervosa in adulthood.
"Because the male half of an opposite-sex
twin pair would also be exposed to this substance, it
could account for the observed elevated risk in males
with female twins."
Susan Ringwood, from the Eating Disorders
Association, said: "There is a lot of research now into
the effects of hormones on brain development.
"This is an interesting study, although
it's important that we also look at other factors such
as perception of body-image in childhood and adolescence."