Eating disorders symptoms in pregnancy and postpartum: A prospective study in a disadvantaged population in Brazil
Eating disorders symptoms in pregnancy and postpartum: A prospective study in a disadvantaged population in Brazil
复制标题
DOI：
10.1002/eat.22236
复制
发表时间：
2014-05-01
影响因子：
5.5
通讯作者：
Schmidt, Maria Ines
中科院分区：
文献类型：
--
作者：
Nunes, Maria Angelica;Pinheiro, Andrea Poyastro;Schmidt, Maria Ines
目的探讨妊娠期至产后进食障碍症状（EDS）的发生情况。方法对712例孕龄16 ~ 36周的孕妇进行EDE-Q问卷调查。缩短版本的EDE-Q被用来评估，回顾性地，EDS在最后28天的孕前时期。在产后4 - 5个月进行随访评估（n = 427）。广义结构方程模型被用来估计风险EDS在孕前，妊娠，和postparty.ResultsWomen谁没有参加后续行动（n = 285）没有显着不同的社会人口学特征。在产后，更多的妇女提到形状（RR = 1.65; 95%CI 1.19-2.30）和体重的关注（RR = 1.64; 95%CI 1.16-2.31）比在怀孕前。怀孕期间暴食（BE）和自我诱发的呕吐减少（RR = 0.70，95%CI 0.57-0.85; RR = 0.21，95%CI 0.10-0.44）和产后（RR = 0.62，95%CI 0.48-0.80; RR = 0.38，95%CI 0.19-0.76）与妊娠期相比。卫生专业人员应接受如何识别这些症状的培训。(c)2013 Wiley Periodicals，Inc. (Int J Eat Disord 2014; 47：426-430）
ObjectiveTo assess eating disorder symptoms (EDS) from prepregancy through postpartum.MethodSeven hundred and twelve women with gestational age ranging from 16th to 36th week completed the eating disorder examination questionnaire (EDE-Q). A shortened version of the EDE-Q was used to assess, retrospectively, EDS during the last 28 days of the pregestational period. Follow up assessment occurred at the 4th-5th month postpartum (n = 427). Generalized structural equation models were used to estimate risk of EDS in pregestation, gestation, and postpartum.ResultsWomen who did not participate in follow up (n = 285) were not significantly different in sociodemographic characteristics. In postpartum, a higher number of women referred shape (RR = 1.65; 95% CI 1.19-2.30) and weight concerns (RR = 1.64; 95% CI 1.16-2.31) than in pregestation. Binge eating (BE) and self-induced vomiting diminished during pregnancy (RR = 0.70, 95% CI 0.57-0.85; RR = 0.21, 95% CI 0.10-0.44, respectively) and postpartum (RR = 0.62, 95% CI 0.48-0.80; RR = 0.38, 95% CI 0.19-0.76, respectively) compared with pregestationDiscussionShape and weight concerns are highly prevalent in postpartum and may confer risk for the development of inappropriate eating behaviors. Health professionals should be trained on how to recognize these symptoms. (c) 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:426-430)