Loss of control eating during pregnancy is associated with excessive gestational weight gain among individuals with overweight and obesity.
Loss of control eating during pregnancy is associated with excessive gestational weight gain among individuals with overweight and obesity.
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DOI：
10.1186/s12884-023-05618-1
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发表时间：
2023-05-12
影响因子：
3.1
通讯作者：
中科院分区：
文献类型：
--
作者：
妊娠期体重增加过多（GWG）预示着超重或肥胖个体的负面健康结果。进食失控（Loss of Control Eating，缩写为EAT），是一种与无法控制进食相关的食物摄入，是暴食症的核心精神病理学。我们评估了妊娠期超重/肥胖的孕妇中，GWG的贡献。在一项前瞻性纵向研究中，对孕前BMI ≥ 25的个体（N = 257）每月进行一次访谈，以评估妊娠率并报告人口统计学、产次和吸烟信息。GWG是从病历中提取的。在患有孕前超重/肥胖的人中，39%的人支持在怀孕前或怀孕期间进行LOC。在调整了以前与GWG有关的因素后，怀孕期间的流产，唯一预测了更高的GWG和更大的可能性超过GWG的建议。有产前流产的参与者比没有流产的参与者在怀孕期间增加了3.14 kg（p = 0.03），78.7%（n = 48/61）超过了IOM的GWG指南。癫痫发作的频率也与体重增加有关。产前检查在超重/肥胖的孕妇中很常见，预测GWG更大，超过IOM GWG指南的可能性增加。GWG可能代表一种可改变的行为机制，以防止处于不良妊娠结局风险中的个体过度GWG。
Excessive gestational weight gain (GWG) predicts negative health outcomes among individuals with overweight or obesity. Loss of control eating (LOC), the ingestion of food associated with being unable to control eating, is the core psychopathology of binge eating disorders. We evaluated the contribution of LOC to GWG among pregnant individuals with prepregnancy overweight/obesity. In a prospective longitudinal study, individuals with prepregnancy BMI ≥ 25 (N = 257) were interviewed monthly to assess LOC and reported demographic, parity, and smoking information. GWG was abstracted from medical records. Among individuals with prepregnancy overweight/obesity, 39% endorsed LOC prior to or during pregnancy. After adjusting for factors that have previously been linked to GWG, LOC during pregnancy, uniquely predicted higher GWG and greater likelihood of exceeding GWG recommendations. Participants with prenatal LOC gained 3.14 kg (p = 0.03) more than did those without LOC during pregnancy and 78.7% (n = 48/61) exceeded IOM guidelines for GWG. The frequency of LOC episodes was also associated with greater weight gain. Prenatal LOC is common among pregnant individuals with overweight/obesity and predicts greater GWG and increased likelihood of exceeding IOM GWG guidelines. LOC may represent a modifiable behavioral mechanism to prevent excessive GWG among individuals at risk for adverse pregnancy outcomes.
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影响因子：
5.4
作者：
Kolko RP;Salk RH;Sweeny GM;Marcus MD;Levine MD
通讯作者：
Levine MD
影响因子：
4.1
作者：
Engel, Scott G.;Kahler, Kirsten A.;Mitchell, James E.
通讯作者：
Mitchell, James E.
影响因子：
5.5
作者：
Emery, Rebecca L.;Grace, Jennifer L.;Levine, Michele D.
通讯作者：
Levine, Michele D.
DOI：
10.1038/oby.2004.146
发表时间：
2004-07-01
期刊：
OBESITY RESEARCH
影响因子：
--
作者：
Linné, Y;Dye, L;Rössner, S
通讯作者：
Rössner, S
影响因子：
6.9
作者：
Colles, Susan L.;Dixon, John B.;O'Brien, Paul E.
通讯作者：
O'Brien, Paul E.