Prepregnancy Body Mass Index shift across gestation: primary evidence of an association with eating disorders

Zanardo, Vincenzo; Volpe, Francesca; Giliberti, Lara; Severino, Lorenzo; Soldera, Gino; Giustardi, Arturo; Straface, Gianluca

doi:10.1080/14767058.2018.1494709

Cited by 6 publications

(5 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Out of the ten studies investigating body image dissatisfaction, five employed the Body Image Scale (BIS—1666 individuals; [ 62 – 66 ]; and five employed the Body Shape Questionnaire (BSQ—959 individuals; [ 62 , 65 , 67 – 69 ], for an overall of 2625 individuals. The seven studies investigating eating behaviors by EDE-Q enrolled a total population of 2551 individuals [ 12 , 67 , 70 – 74 ].…”

Section: Resultsmentioning

confidence: 99%

Pregorexia: a systematic review and meta-analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartum

Tarchi,

Merola,

Selvi

et al. 2023

Eat Weight Disord

View full text Add to dashboard Cite

Purpose Pregorexia is a phenomenon posited to occur in the peripartum, characterized by an attempt to counter pregnancy’s physiological changes in body shape through reduced calorie intake or increased physical activity. Methods In this pre-registered systematic review and meta-analysis, body image dissatisfaction and eating psychopathology in the peripartum according to gestational age were formally assessed. PubMed was searched up to May 2023. Selection criteria were represented by studies on body image concerns or eating psychopathology in the peripartum (up to 1 year after delivery). The population needed to include women from the general population or among patients with a history of (or current) eating disorder. For the meta-analysis, 17 studies were included: 10 for body image dissatisfaction (2625 individuals overall), 7 for eating behaviors (2551 individuals overall). The interplay between body image and the following themes was examined in depth: the adoption of breastfeeding, peripartum depression, sociocultural influences on body image, sexual disturbances, experiencing or reporting an altered food intake. Results Progressive dissatisfaction with body image during pregnancy by gestational age was observed, stably elevated for at least 12 months postpartum. Eating psychopathology was observed as elevated only at 12 months in the postpartum, but not during pregnancy. Discussion The current work offers normative values of body image satisfaction and eating psychopathology in the peripartum by gestational age. The relevance of current results was discussed, in order to inform both current clinical practice and future public policies. Level of Evidence Level I—Evidence obtained from: systematic reviews and meta-analyses.

show abstract

Section: Resultsmentioning

confidence: 99%

Pregorexia: a systematic review and meta-analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartum

Tarchi,

Merola,

Selvi

et al. 2023

Eat Weight Disord

View full text Add to dashboard Cite

show abstract

“…Data indicate that approximately 25.0% of psychopathology affects women during the perinatal period, increasing predisposition to the patho-mechanism of nutritional dysfunction and negative clinical picture of the pre-pregnancy period and remaining latent during this period. On the other hand, in the postpartum phase, it intensifies the progression of previously diagnosed eating disorders, manifesting itself, for example, in the form of vomiting with a frequency of about 30.0% [ 51 , 52 , 53 , 54 , 55 , 56 ]. Eating disorders in the form of anorexia nervosa (anorexia nervosa), bulimia (negative caloric balance), and targeted overweight and obesity (positive caloric balance) exacerbate destructive changes in women’s behavior.…”

Section: Discussionmentioning

confidence: 99%

“…Eating disorders in the form of anorexia nervosa (anorexia nervosa), bulimia (negative caloric balance), and targeted overweight and obesity (positive caloric balance) exacerbate destructive changes in women’s behavior. In addition, including remission of anorexia nervosa and bulimia nervosa during pregnancy due to a lower diagnosis rate of 5.0% compared to the postpartum period of 15.0% postpartum, especially at both six weeks and six months [ 35 , 56 , 57 ]. The TFEQ-13 questionnaire was used in the study.…”

Section: Discussionmentioning

confidence: 99%

Perception of the Body Image in Women after Childbirth and the Specific Determinants of Their Eating Behavior: Cross-Sectional Study (Silesia, Poland)

Grajek

Krupa‐Kotara

Grot

et al. 2022

IJERPH

View full text Add to dashboard Cite

Background: Episodes of loss of control over eating during pregnancy affect up to 36% of women during this period. Many women experience natural concerns about weight gain and body-shape changes during pregnancy and the postpartum period, and food cravings and fluctuations in eating patterns during these periods are physiological phenomena. However, pregnancy and the postpartum period may be an additional determinant of eating disorders. Women who perceive their own bodies as significantly deviating from the presented ideal are more likely to experience anxiety/anxiety related to it and also tend to exhibit abnormal eating behaviors. The perception of one’s body figure also plays an important role in maintaining psychological balance Aim: The aim of this study was to assess the perception of body image by postpartum women. The essence of the study was to see if there were psychomarkers associated with lack of control over eating, food restriction, and emotionally motivated eating in the study population. Material and methods: The study was conducted during the fall and winter of 2021. A total of 288 women participated in the study. The age of the subjects ranged from 21 to 45 years. Results: It was found that 198 women (68.8%) were dissatisfied with their current body weight and figure. Respondents with higher post-pregnancy body mass index showed dissatisfaction with their body shape (49.8%; H = 13.042; p = 0.001). Both body satisfaction and BMI level were significant components of the occurrence of pathological phenomena associated with the TFEQ-13 subscales (p < 0.05). Conclusions: Excessive focus on food restriction as well as lack of control over eating had some association with negative self-perception of body image, mainly in the form of body weight dissatisfaction. Eating behaviors showed an association with BMI level and weight satisfaction after pregnancy.

show abstract

“…First, the diagnosis of PPD in the sample of women was not confirmed using the unique criteria defined in the medical literature, given that the EPDS was used for the factor analyses of anhedonia, anxiety, and depression. Second, a sample of mothers were studied without taking into account the number of confounding factors which may have an impact on their mental state after childbirth, including information on baseline mood problems, 19 on the history of tobacco use as a result of a pregnancy, possibly associated with GWG and an increase in anxiety, 20 and any medications or trauma occurring during delivery 21 . However, this should not invalidate the results of the present study, because the general demographic variables in the studied sample were similar among study groups.…”

Section: Discussionmentioning

confidence: 99%

The role of gestational weight gain disorders in symptoms of maternal postpartum depression

Zanardo

Giliberti

et al. 2020

Intl J Gynecology & Obste

Self Cite

View full text Add to dashboard Cite

Objective To examine the association of gestational weight gain (GWG), categorized according to 2009 IOM guidelines as adequate, inadequate, and excessive, with symptoms of mental disorders perceived by mothers after childbearing as anhedonia, anxiety, and depression, defined by the Edinburgh Postnatal Depression Scale (EPDS). Previous studies indicated that disorders related to GWG are associated with an increased risk of postpartum psychological distress. Methods A prospective cohort study took place at the Policlinico Abano Terme, Italy, from May 2016 to November 2018. Results The sample included 1268 healthy at term puerperae, 557 (43.9%) with adequate, 388 (30.6%) with inadequate, and 323 (25.5%) with excessive GWG. Mean EPDS scores were comparable among inadequate, adequate, and excessive GWG groups. However, mean factor scores for anhedonia and anxiety were significantly higher (P = 0.041 and P = 0.001, ANOVA) in mothers with excessive GWG. Conversely, factor scores for depression were significantly higher (P = 0.008, ANOVA) in mothers with inadequate GWG. Conclusion It was found that excessive GWG across an uncomplicated pregnancy is a warning sign of symptoms of anhedonia and anxiety, whereas inadequate GWG is a significant indicator of symptoms of depression. These relationships highlight the potential for interventions directed toward psychosocial support to have beneficial effects upon GWG.

show abstract

Prepregnancy Body Mass Index shift across gestation: primary evidence of an association with eating disorders

Abstract: It was found that the shift of woman BMI across an uncomplicated pregnancy is a warning indicator of unhealthy eating and feeding symptoms.

Cited by 6 publications

References 20 publications

Pregorexia: a systematic review and meta-analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartum

Pregorexia: a systematic review and meta-analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartum

Perception of the Body Image in Women after Childbirth and the Specific Determinants of Their Eating Behavior: Cross-Sectional Study (Silesia, Poland)

The role of gestational weight gain disorders in symptoms of maternal postpartum depression

Contact Info

Product

Resources

About