The influence of pica practice on nutritional status, stress and anxiety of pregnant women

Francis, Susila; Jagadeesh, Nalini Sirala; Singaravelu, Rajeswari; Subramaniam, Aruna

doi:10.1016/j.cegh.2022.101133

Cited by 3 publications

(4 citation statements)

References 23 publications

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“…[ 55 60 63 ] Four studies evaluated pica in pregnant women. [ 21 29 57 69 ] There has been a rise in case reports of pica. The earliest case report on pica is from 1971; 24 case reports have been identified since then.…”

Section: Resultsmentioning

confidence: 99%

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Research on feeding and eating disorders in India: A narrative review

Vaidyanathan,

Menon

2024

Indian Journal of Psychiatry

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Despite growing evidence of their prevalence, research on feeding and eating disorders (FEDs) in India has been sporadic. This narrative review aimed to summarize the research on FED in India and set priorities for future research and translation of evidence. An electronic search was conducted in the MEDLINE, PsycINFO, and Google Scholar databases to identify relevant English peer-reviewed articles from April 1967 to July 2023. The extracted data from these studies included author names, publication year, research location, type of intervention (for interventional studies), nature of comparator treatments, and main outcomes or findings. We found a rising trend in the prevalence of EDs in India. Adolescent age group, female sex, higher socioeconomic status, family history of mental illness or disordered eating, and borderline personality pattern were risk factors for EDs. For feeding disorders (FDs), childhood age group, malnutrition, pregnancy, psychosis, intellectual disability (ID), and obsessive-compulsive disorder (OCD) were putative risk factors. Both physical and psychiatric comorbidities were common in FEDs. Culture appears to exert a pathoplastic effect on symptom presentation in FEDs; an illustrative example is the documented nonfat phobic variant of anorexia nervosa (AN) in India. Research on management has focused on using assessment tools, investigations to rule out medical comorbidities, psychosocial and family-based psychotherapies, nutritional rehabilitation, pharmacotherapy, and neuromodulation approaches. Whereas the publication output on FEDs in India has increased over the last decade, it remains an under-researched area, with a striking paucity of original research. Future research priorities in FEDs include conducting country-wide registry-based studies to offer real-world insights, longitudinal research to identify culturally relevant risk factors, and developing brief, culturally sensitive diagnostic instruments for FEDs in the Indian context. This will help generate locally relevant epidemiological data on FEDs and inform treatment and prevention strategies.

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Section: Resultsmentioning

confidence: 99%

“…[ 73 ] The prevalence in the general adult population is unclear, although two community-based studies in pregnant women report the prevalence as 27–29.7%. [ 57 69 ]…”

Section: Resultsmentioning

confidence: 99%

Research on feeding and eating disorders in India: A narrative review

Vaidyanathan,

Menon

2024

Indian Journal of Psychiatry

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“…The association between pica practice and anemia could have several possible explanations. One of them is the influence of pica on nutritional status and the stress and anxiety of pregnant women [31]. An updated global meta-analysis showed a pica prevalence of 38% in pregnant women and that rural women were at a higher risk of pica [32].…”

Section: Discussionmentioning

confidence: 99%

History of Pica, Obesity, and Their Associations with Anemia in Pregnancy: A Community-Based Cross-Sectional Study

Ali,

Hassan,

Adam

2023

Life

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Anemia in pregnancy represents a major global health problem, and progress is insufficient to meet the World Health Assembly’s global nutrition target of halving anemia prevalence by 2030. We assessed the prevalence and factors associated with anemia among pregnant women in northern Sudan. This community-based cross-sectional study was conducted at Almatamah, River Nile State, Sudan. Sociodemographic and obstetric data were collected using a questionnaire. Hemoglobin (Hb) was measured using an automated hematology analyzer. Multivariate and simple linear regression analyses were performed. A total of 586 pregnant women were enrolled. Their median (interquartile range, IQR) age was 25 (21–30) years. The median (IQR) of body mass index (BMI) was 26.67 (24.34–30.04) kg/m2. The median (IQR) for Hb was 11.0 (10.0–11.9) g/dL. Of the 586 women, 271 (46.2%) had anemia (Hb: <11 gm/dL). In multivariate analysis, increasing BMI and obesity were significantly associated with decreased odds ratios (ORs) of anemia, while pica was associated with increased ORs of anemia. In conclusion, anemia in pregnant women is a major public health problem, as approximately half of pregnant women in northern Sudan have anemia. Increasing BMI and obesity were associated with a lower risk for anemia. More efforts are needed to improve the maternal nutritional status for good pregnancy outcomes.

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“…Pagophagia (ice and freezer frost) is a common non-food item consumed during pica [12]. Research indicates that the prevalence of gestational pica is greatly dependent on the region studied, with a relatively low prevalence among Western societies (8.3%) and a greater one among pregnant women residing in less industrialized countries [12,[52][53][54]. According to a meta-analysis [55], a pooled estimate of 27.8% of pregnant women experience pica.…”

Section: Discussionmentioning

confidence: 99%

Effectors of Pregorexia and Emesis among Pregnant Women: A Pilot Study

et al. 2022

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During pregnancy, women tend to improve their lifestyle habits and refine their dietary intake. Quite often, however, these dietary improvements take an unhealthy turn, with orthorexia nervosa (ON) practices being apparent. The aim of the present pilot cross-sectional study was to assess the prevalence of ON tendencies and the incidence of pica and record diet practices in a sample of pregnant women. A total of 157 pregnant women were recruited through private practice gynecologists during the first months of 2021. Nutrition-related practices were recorded, orthorexic tendencies were assessed using the translated and culturally adapted Greek version of the ORTO-15 questionnaire, pica practices were evaluated with a binary question and nausea and emesis during pregnancy (NVP) was evaluated using the translated modified Pregnancy—Unique Quantification of Emesis and Nausea (mPUQE). Only two women reported pica tendencies, with ice and snow being the consumed items. The majority (61.1%) of women reported improving their diet since conception was achieved. Folic acid and iron oral nutrient supplements (ONS) were reportedly consumed by the majority of participants (87.9% and 72.6%, respectively) and 9.6% reported using herbal medicine products. The ORTO-15 score was reduced with tertiary education attainment, ART conception, being in the third trimester of pregnancy, consumption of folic acid and MV supplements and was only increased among women who were at their first pregnancy. The majority of participants experienced severe NVP and the remaining experienced moderate NVP. NVP was associated with lower hemoglobin levels, lack of supplementary iron intake, avoidance of gluten-containing foods, as well as with increased gestational weight gain. The results highlight the need to screen pregnant women for disturbed eating behaviors and nutrition-related problems, in order to ensure a healthy pregnancy outcome.

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The influence of pica practice on nutritional status, stress and anxiety of pregnant women

Cited by 3 publications

References 23 publications

Research on feeding and eating disorders in India: A narrative review

Research on feeding and eating disorders in India: A narrative review

History of Pica, Obesity, and Their Associations with Anemia in Pregnancy: A Community-Based Cross-Sectional Study

Effectors of Pregorexia and Emesis among Pregnant Women: A Pilot Study

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