School of Nursing, University of Rochester, Rochester, NY, USA.
School of Public Health Sciences, The University of Chicago, Chicago, IL, USA.
West J Nurs Res. 2022 Oct;44(10):932-945. doi: 10.1177/01939459211021625. Epub 2021 Jun 4.
Excessive postpartum weight retention conveys risks for future metabolic diseases. Eating behaviors influence postpartum weight retention; however, the modifiable predictors of eating behaviors remain unclear. Using data from a three-arm, randomized controlled trial, the purpose of this study was to examine the longitudinal associations of mental health (e.g., depressive symptoms) and behavior change skills (e.g., self-efficacy) with eating behaviors (i.e., compensatory restraint, routine restraint, emotional eating, and external eating) among women (N = 424) over 18-months postpartum. Results revealed that depressive symptoms, perceived stress, healthy eating self-efficacy, overeating self-efficacy, self-weighing, and problem-solving confidence were associated with one or more of the examined eating behaviors. Furthermore, depressive symptoms moderated the association between healthy eating self-efficacy and routine restraint. Perceived stress moderated the associations between healthy eating/overeating self-efficacy and emotional eating. The findings suggest that mental health and behavior change skills may serve as targets for interventions designed to improve postpartum women's eating behaviors.ClinicalTrials.gov #NCT01331564.
产后体重持续滞留与未来代谢性疾病的风险相关。饮食行为会影响产后体重滞留，但是可改变的饮食行为预测因素仍不清楚。本研究使用三臂随机对照试验的数据，旨在探讨心理健康（如抑郁症状）和行为改变技能（如自我效能感）与产后 18 个月期间女性饮食行为（即补偿性抑制、常规抑制、情绪性进食和外部进食）之间的纵向关联（N=424）。结果表明，抑郁症状、感知压力、健康饮食自我效能感、暴饮暴食自我效能感、自我称重和解决问题的信心与一种或多种被检查的饮食行为有关。此外，抑郁症状调节了健康饮食自我效能感与常规抑制之间的关联。感知压力调节了健康饮食/暴饮暴食自我效能感与情绪性进食之间的关联。研究结果表明，心理健康和行为改变技能可能是干预措施的目标，旨在改善产后妇女的饮食行为。ClinicalTrials.gov #NCT01331564。
