Relationship of Loss of Control Eating to Excessive Gestational Weight Gain

饮食失控与妊娠期体重过度增加的关系

基本信息

批准号：
8815956
负责人：
MICHELE D LEVINE
金额：
$ 40.8万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-03-01 至 2016-02-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8815956
关键词：
Affect Behavior Behavioral Behavioral Mechanisms Binge Eating Child Clinic Clinical Coupled DSM-IV Data Development Diagnosis Discipline of obstetrics Distress Eating Eating Disorders First Pregnancy Trimester Food Frequencies Goals Guidelines Health Hospitals Hyperphagia Ingestion Institute of Medicine (U.S.)Intake Intervention Interview Lead Measures Medical Mothers Obesity Outcome Overweight Persons Physical activity Postpartum Period Pregnancy Pregnancy Outcome Pregnant Women Psychological Factors Psychopathology Psychosocial Factor Recruitment Activity Research Risk Social support Stress Structure Telephone Visit Weight Weight Gain Weight maintenance regimen Woman Women&apos s Health Work abstracting depressive symptoms effective intervention experience gestational weight gain improved loss of control over eating obesity risk obesity treatment offspring prevent psychosocial

项目摘要

DESCRIPTION (provided by applicant): More than 45% of women exceed guidelines established by the Institute of Medicine (IOM) for gestational weight gain (GWG). Women who begin pregnancy overweight or obese are more likely to exceed the IOM guidelines than are normal weight women. Excessive (GWG) is associated with negative obstetric outcomes, increases the risk of obesity in offspring and leads to greater postpartum weight retention. Preventing excessive GWG can improve obstetric outcomes and may lead to improvements in the treatment of obesity for women. However, interventions to prevent excessive GWG have not been consistently successful, and there is a need to identify modifiable behaviors related to GWG to support the development of effective interventions to prevent excessive GWG. Loss of control over eating (LOC), or the ingestion of food coupled with a sense of being unable to control the quantity eaten, is strongly associated with weight gain and is modifiable. LOC also is related to depressive symptoms and psychosocial distress which also are associated with weight gain. Thus, the goal of the proposed study is to assess relationships among GWG, LOC and psychosocial distress. Pregnant women (N = 300) who are overweight or obese prior to pregnancy (i.e., pregravid BMI>25) will be recruited from obstetric clinics at a local women's hospital. Women will complete structured, clinical interviews including the Eating Disorder Examination (EDE) and the Structured Clinical Interview for DSM- IV diagnoses (SCID) to document LOC and depressive symptoms at the end of the first trimester of pregnancy. Measures of perceived stress, social support, calorie intake, physical activity, and other factors related to GWG also will collected in first trimester. Assessments of LOC, psychosocial distress, eating and activity will be repeated monthly by telephone between weeks 20 and 36 of pregnancy. To document postpartum weight retention, women will be interviewed again at 6 months postpartum. Weight will be assessed at each in person visit and GWG abstracted from women's medical charts at the end of pregnancy. The proposed research is an extension of previous work conducted by the investigative team, and will provide important data on modifiable mechanisms for excessive GWG. Understanding behavioral mechanisms of excessive GWG is likely to inform interventions to prevent excessive GWG and thereby improve the health of mothers and children.

描述（由申请人提供）：超过45％的妇女超过医学研究所（IOM）为妊娠体重增加（GWG）建立的指南。与正常体重女性相比，超重或肥胖的女性更有可能超过IOM指南。过度（GWG）与负产科结果有关，增加后代肥胖的风险，并导致产后体重更大。防止过度的GWG可以改善产科结果，并可能改善女性肥胖症的治疗。但是，防止过度GWG的干预措施并没有始终取得成功，并且有必要识别与GWG相关的可修改行为，以支持开发有效的干预措施以防止过度的GWG。失去对饮食（LOC）的控制损失，或者摄入食物以及无法控制所食用数量的感觉，与体重增加密切相关，并且是可修改的。 LOC还与抑郁症状和社会心理困扰有关，这也与体重增加有关。因此，拟议的研究的目的是评估GWG，LOC和社会心理困扰之间的关系。怀孕前超重或肥胖的孕妇（即，预制BMI> 25）将从当地妇女医院的产科诊所招募。妇女将完成结构化的临床访谈，包括饮食失调检查（EDE）和DSM-IV诊断（SCID）的结构化临床访谈，以记录LOC的LOC和抑郁症状，并在怀孕的第一个三个月结束时出现抑郁症状。感知到的压力，社会支持，卡路里摄入量，体育锻炼以及与GWG相关的其他因素的度量也将在头三个月收集。在怀孕第20周到第36周之间，将每月重复对LOC，社会心理困扰，饮食和活动的评估。为了记录产后体重的保留，将在产后6个月的6个月后再次接受采访。在怀孕结束时，将对每次访问中的每一次访问和GWG进行评估。拟议的研究是调查团队先前进行的工作的扩展，并将提供有关GWG过度修改机制的重要数据。了解过度GWG的行为机制可能会为干预措施提供信息，以防止过度的GWG，从而改善母亲和儿童的健康。