Psychosocial Characteristics and Gestational Weight Change among Overweight, African American Pregnant Women.
Psychosocial Characteristics and Gestational Weight Change among Overweight, African American Pregnant Women.
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DOI：
10.1155/2012/878607
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发表时间：
2012
影响因子：
1.9
通讯作者：
Sarwer DB
中科院分区：
文献类型：
--
作者：
Allison KC;Wrotniak BH;Paré E;Sarwer DB
目标。描述在普通人群中被确认为体重增加的心理社会因素，并研究这些因素与低社会经济地位、非裔美国人、超重孕妇妊娠体重增加之间的关系。方法：研究方法。非裔美国妇女(n=120)孕前体重指数≥为25 kg/m2，在怀孕14至24周期间完成了饮食、睡眠和抑郁情绪的测量。体重被追踪到了。描述性统计、相关性和线性回归模型被用来描述样本和检验孕期体重增加的预测因素。结果。4%的人筛查出夜间进食综合症呈阳性，32%的人在晚餐后至少摄入了他们每日卡路里摄入量的25%(晚上吞噬功能亢进)。没有人符合暴饮暴食的标准；4%的人报告说偶尔会暴饮暴食。对进食的认知克制力很低。参与者每晚睡眠7.1小时(SD=1.9)，每周醒来4.3次(SD=3.6)；18%的人报告有一定程度的抑郁情绪。夜间暴饮暴食与睡眠质量、抑郁情绪相关。由于渴望而进食是预测妊娠体重增加的唯一心理社会变量。结论。情绪低落、夜间进食和夜间醒来在这组人群中很常见，而对进食的认知抑制程度较低。大多数心理社会变量并不能预测过多的妊娠体重增加。
Objectives. To describe psychosocial factors identified as contributors of weight gain in the general population and to examine the relationship between these factors and gestational weight gain among low socioeconomic status, African American, overweight pregnant women. Methods. African American women (n = 120) with a pregravid body mass index ≥25 kg/m2 completed measures of eating, sleep, and depressed mood between 14 and 24 weeks of gestation. Weight was tracked. Descriptive statistics, correlations, and linear regression modeling were used to characterize the sample and examine predictors of gestational weight gain. Results. Four percent screened positive for night eating syndrome, with 32% consuming at least 25% of their daily caloric intake after dinner (evening hyperphagia). None met criteria for binge eating disorder; 4% reported occasional binge episodes. Cognitive restraint over eating was low. Participants slept 7.1 (SD = 1.9) h per night and reported 4.3 (SD = 3.6) awakenings per week; 18% reported some level of depressed mood. Night and binge eating were related to each other, sleep quality, and depressed mood. Eating due to cravings was the only psychosocial variable to predict gestational weight gain. Conclusions. Depressed mood, night eating, and nighttime awakenings were common in this cohort, while cognitive restraint over eating was low. Most psychosocial variables were not predictive of excess gestational weight gain.