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妊娠体重增加与饮食相关障碍。

Gestational weight gain and eating-related disorders.

机构信息

Policlinico Abano Terme, Abano Terme, Italy.

Policlinico Universitario Agostino Gemelli, Roma, Italy.

出版信息

J Obstet Gynaecol. 2021 Nov;41(8):1205-1209. doi: 10.1080/01443615.2020.1854699. Epub 2021 Mar 5.

Abstract

This prospective cohort study took place at the Division of Perinatal Medicine of Policlinico Abano Terme, Italy, from January to November 2018. In the second day postpartum, 463 healthy at term puerperae, 122 (26.35%) with inadequate gestational weight gain (GWG), 210 (45.46%) with adequate GWG, and 131 (28.29%) with excessive GWG, were studied by EAT-26, through distinguishing three factors: 'Dieting', 'Bulimia and food preoccupation', and 'Oral control'. EAT-26 Global score increased from inadequate, to adequate, and excessive GWG puerperae, resulting significantly higher in excessive GWG group ( = .0029, Anova's). In addition, among EAT-26 subscales 'Dieting' scores significantly increased from inadequate, to adequate, and to excessive GWG category women, resulting significantly higher in excessive GWG group ( = .006, Anova's). It was found that excessive GWG is a warning indicator of unhealthy eating and 'Dieting' disorders. This relationship highlights the potential for interventions directed towards psychosocial support to have salutary effects upon GWG.Excessive gestational weight gain across an uncomplicated pregnancy is a warning indicator of unhealthy eating and dieting disorders.IMPACT STATEMENT Pregnancy represents a time of rapid trimester-specific changes in body weight and size. Excessive gestational weight gain is a warning indicator of unhealthy eating and dieting disorders. This relationship highlights the potential for interventions directed towards psychosocial support to have salutary effects upon gestational weight gain.

摘要

这项前瞻性队列研究于 2018 年 1 月至 11 月在意大利阿巴诺泰尔梅的围产期医学科进行。在产后第二天,研究了 463 名健康足月产妇,其中 122 名(26.35%)存在妊娠体重增加不足(GWG),210 名(45.46%)存在适当 GWG,131 名(28.29%)存在过度 GWG,通过 EAT-26 进行研究,通过区分三个因素:“节食”、“暴食和食物关注”和“口腔控制”。EAT-26 总评分从 GWG 不足、适当和过度的产妇中增加,过度 GWG 组显著更高(=.0029,方差分析)。此外,在 EAT-26 子量表中,“节食”评分从 GWG 不足、适当和过度的产妇中显著增加,过度 GWG 组显著更高(=.006,方差分析)。研究发现,过度 GWG 是不健康饮食和“节食”障碍的警告指标。这种关系突出了针对社会心理支持的干预措施可能对 GWG 产生有益影响的潜力。

未经复杂妊娠的过度妊娠体重增加是不健康饮食和节食障碍的警告指标。

妊娠代表了体重和体型在特定妊娠期间快速变化的时期。过度妊娠体重增加是不健康饮食和节食障碍的警告指标。这种关系突出了针对社会心理支持的干预措施可能对妊娠体重增加产生有益影响的潜力。

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