Gao Xiao Xia, Zheng Qing Xiang, Chen Xiao Qian, Jiang Xiu Min, Liao Yan Ping, Pan Yu Qing, Zou Jing Jing, Liu Gaoqian
Fujian Maternity and Child Health Hospital College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China.
Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Front Nutr. 2024 Jul 25;11:1409025. doi: 10.3389/fnut.2024.1409025. eCollection 2024.
Outside of pregnancy, intuitive eating (IE) is associated with lower body weight, blood glucose, and higher positive mood. However, little was known about the relationship between IE and anxiety-depression in the GDM population. Thus, this study aimed to investigate the association of IE with anxiety and depression, pregnancy weight and pregnancy blood glucose in the first and second GDM visit.
Data from 310 pregnant women with GDM from the Fujian Maternal and Child Health Hospital Trial (Approval Number: 2020Y9133) were analyzed. IE was assessed using the Intuitive Eating Scale-2 subscales of Eating for Physiological Reasons rather than Emotional Reasons (EPR), Relying on Hunger and Satiety Cues (RHSC) and Body-Food Choice Consistency (B-FCC). Observations included weight, body mass index (BMI), fasting plasma glucose (FPG) and 2-h postprandial blood glucose; the Hospital Anxiety and Depression Scale (HADS) was used to assess the level of anxiety and depression in pregnant women with GDM. Linear regression analysis was used to assess the correlation between IE and anxiety, depression, pregnancy blood glucose and weight.
The cross-sectional analysis showed that the EPR eating behavior was negatively correlated with anxiety and depression, and the B-FCC eating behavior was negatively correlated with depression at both the first and second GDM visit; in addition, the B-FCC eating behavior was associated with lower BMI in the third trimester (all < 0.05). In longitudinal analyses, the EPR eating behavior in the first visit for GDM predicted lower levels of anxiety and depression in the second GDM visit, whereas the RHSC eating behavior in the first visit for GDM was associated with lower FPG in the second GDM visit (all < 0.01).
These results suggest that practicing intuitive eating may be beneficial and that higher intuitive eating adherence can lead to lower levels of anxiety and depression and more ideal gestational weight and blood glucose values.
在非孕期，直觉性饮食（IE）与较低的体重、血糖以及较高的积极情绪相关。然而，关于妊娠期糖尿病（GDM）人群中IE与焦虑抑郁之间的关系，人们了解甚少。因此，本研究旨在探讨首次和第二次GDM就诊时IE与焦虑、抑郁、孕期体重及孕期血糖之间的关联。
分析了来自福建省妇幼保健院试验（批准文号：2020Y9133）的310例GDM孕妇的数据。使用直觉性饮食量表-2的基于生理而非情绪原因进食（EPR）、依靠饥饿和饱腹感信号（RHSC）以及身体-食物选择一致性（B-FCC）子量表来评估IE。观察指标包括体重、体重指数（BMI）、空腹血糖（FPG）和餐后2小时血糖；采用医院焦虑抑郁量表（HADS）评估GDM孕妇的焦虑和抑郁水平。采用线性回归分析评估IE与焦虑、抑郁、孕期血糖和体重之间的相关性。
横断面分析显示，在首次和第二次GDM就诊时，EPR饮食行为与焦虑和抑郁呈负相关，B-FCC饮食行为与抑郁呈负相关；此外，B-FCC饮食行为与孕晚期较低的BMI相关（均P<0.05）。纵向分析中，首次GDM就诊时的EPR饮食行为可预测第二次GDM就诊时较低的焦虑和抑郁水平，而首次GDM就诊时的RHSC饮食行为与第二次GDM就诊时较低的FPG相关（均P<0.01）。
这些结果表明，践行直觉性饮食可能有益，较高的直觉性饮食依从性可导致较低的焦虑和抑郁水平以及更理想的孕期体重和血糖值。
