Al Hamimi Jawaher, Al Shidhani Asma, Al Mamari Maya, Al Wahaibi Ahmed, Al Awaidy Salah T
Department of Family Medicine, Directorate General of Khoula Hospital, Ministry of Health, Muscat 113, Oman.
Department of Family Medicine, Sultan Qaboos University Hospital, Muscat 123, Oman.
Healthcare (Basel). 2024 Aug 13;12(16):1616. doi: 10.3390/healthcare12161616.
Eating disorders are complex illnesses with serious long-term consequences. They are linked to negative outcomes such as miscarriage, low birth weight, and other obstetric and postpartum difficulties. Our study in Muscat, Oman, examines the eating habits of pregnant women who consult primary care physicians. In this study, our aim is to identify key sociodemographic factors linked with eating disorders in Oman.
We used the Eating Disorder Examination Questionnaire to assess the potential for the presence of eating disorders. Chi-Square and Fisher's Exact tests were used to analyze relationships between improper eating behavior and independent variables.
The study showed that 1.6% of participants had a potential diagnosis of an eating disorder, with the most common inappropriate behavior being binge eating at a prevalence of 18.8%. A pre-gestational low Body Mass Index (BMI) was associated with a higher prevalence of binge eating during pregnancy. Additionally, we found that pregnant women who were working were more prone to self-induced vomiting. High BMI before pregnancy was significantly associated with various inappropriate eating behaviors, such as restraint behavior ( = 0.000), shape concern ( = 0.000), weight concern ( = 0.040), eating ( = 0.045), laxative use ( = 0.020), and excessive exercise ( = 0.043).
The study reveals a high prevalence of eating disorders in pregnancy. Less educated women exhibit higher laxative use, while working women show more instances of binge eating and self-induced vomiting. These findings emphasize the critical need to prioritize targeted interventions and support for vulnerable pregnant women.
饮食失调是复杂的疾病，会产生严重的长期后果。它们与诸如流产、低出生体重以及其他产科和产后问题等负面结果相关。我们在阿曼马斯喀特进行的研究，调查了咨询初级保健医生的孕妇的饮食习惯。在这项研究中，我们的目的是确定阿曼与饮食失调相关的关键社会人口学因素。
我们使用饮食失调检查问卷来评估饮食失调存在的可能性。采用卡方检验和费舍尔精确检验来分析不当饮食行为与自变量之间的关系。
研究表明，1.6%的参与者有可能被诊断为饮食失调，最常见的不当行为是暴饮暴食，患病率为18.8%。孕前低体重指数（BMI）与孕期暴饮暴食的较高患病率相关。此外，我们发现在职孕妇更容易自我催吐。孕前高BMI与各种不当饮食行为显著相关，如节制行为（=0.000）、对体型的关注（=0.000）、对体重的关注（=0.040）、进食（=0.045）、使用泻药（=0.020）和过度运动（=0.043）。
该研究揭示了孕期饮食失调的高患病率。受教育程度较低的女性泻药使用频率更高，而在职女性暴饮暴食和自我催吐的情况更多。这些发现强调了迫切需要优先对脆弱的孕妇进行有针对性的干预和支持。
