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产后妇女饮食失调和抑郁的评估。

Assessment of eating disorders and depression in postpartum women.

机构信息

Çankırı Karatekin University, Health Science Faculty, Department of Nutrition and Dietetics, Çankırı, Türkiye.

Lokman Hekim University, Health Sciences Faculty, Department of Nutrition and Dietetics, Ankara, Türkiye.

出版信息

Eur J Clin Nutr. 2024 Apr;78(4):314-319. doi: 10.1038/s41430-023-01384-7. Epub 2023 Dec 13.

Abstract

OBJECTIVE

To determine the prevalence of eating disorders and orthorexia in postpartum women and examine the relationship with postpartum depression.

STUDY DESIGN

Included in this study were 227 postpartum women. The Eating Attitude Test-26 (EAT-26) was used to determine the risk of eating disorders in the women, followed by the Orthorexia 11 Scale (ORTO-11) to identify orthorexia, and the Edinburgh Postpartum Depression Scale (EPDS) to identify postpartum depression.

RESULTS

63 of the women (27.8%) exhibited an orthorexic tendency, which was also related to eating disorders and postpartum depression. Each one-point increase in the EAT-26 score led to a decrease of 0.32 points in the ORTO-11 score. Similarly, each one-point increase in the EPDS score caused a reduction of 0.18 points in the ORTO-11 score. The ORTO-11 score increased by 0.26 points per each live birth.

CONCLUSION

An obsessive focus on healthful nutrition may result in the impairment of health and numerous adverse psychological and physiological outcomes in the future. Healthy eating habits should be maintained to improve the quality of life without causing an obsession with healthy eating.

摘要

目的

确定产后妇女饮食失调和健康食品痴迷的患病率,并研究其与产后抑郁症的关系。

研究设计

本研究纳入了 227 名产后妇女。采用饮食态度量表-26(EAT-26)评估妇女发生饮食失调的风险,随后采用健康食品痴迷 11 量表(ORTO-11)识别健康食品痴迷,采用爱丁堡产后抑郁量表(EPDS)识别产后抑郁症。

结果

63 名妇女(27.8%)存在健康食品痴迷倾向,这也与饮食失调和产后抑郁症有关。EAT-26 评分每增加 1 分,ORTO-11 评分就会降低 0.32 分。同样,EPDS 评分每增加 1 分,ORTO-11 评分就会降低 0.18 分。每生育一个孩子,ORTO-11 评分就会增加 0.26 分。

结论

对健康营养的过度关注可能会导致未来健康受损和许多不良的心理和生理后果。应保持健康的饮食习惯,以提高生活质量,而不会导致对健康饮食的痴迷。

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