Eating disorders symptoms in pregnancy and postpartum: A prospective study in a disadvantaged population in Brazil
Version of Record online: 13 DEC 2013
Copyright © 2013 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 47, Issue 4, pages 426–430, May 2014
How to Cite
Angélica Nunes, M., Poyastro Pinheiro, A., Feliciati Hoffmann, J. and Inês Schmidt, M. (2014), Eating disorders symptoms in pregnancy and postpartum: A prospective study in a disadvantaged population in Brazil. Int. J. Eat. Disord., 47: 426–430. doi: 10.1002/eat.22236
- Issue online: 11 APR 2014
- Version of Record online: 13 DEC 2013
- Manuscript Accepted: 30 NOV 2013
- Manuscript Revised: 22 NOV 2013
- Manuscript Received: 22 MAR 2013
- eating disorders;
- anorexia nervosa;
- bulimia nervosa;
- binge eating;
- cohort studies
To assess eating disorder symptoms (EDS) from prepregancy through postpartum.
Seven hundred and twelve women with gestational age ranging from 16th to 36th week completed the eating disorder examination questionnaire (EDE-Q). A shortened version of the EDE-Q was used to assess, retrospectively, EDS during the last 28 days of the pregestational period. Follow up assessment occurred at the 4th–5th month postpartum (n = 427). Generalized structural equation models were used to estimate risk of EDS in pregestation, gestation, and postpartum.
Women who did not participate in follow up (n = 285) were not significantly different in sociodemographic characteristics. In postpartum, a higher number of women referred shape (RR = 1.65; 95% CI 1.19–2.30) and weight concerns (RR = 1.64; 95% CI 1.16–2.31) than in pregestation. Binge eating (BE) and self-induced vomiting diminished during pregnancy (RR = 0.70, 95% CI 0.57–0.85; RR = 0.21, 95% CI 0.10–0.44, respectively) and postpartum (RR = 0.62, 95% CI 0.48–0.80; RR = 0.38, 95% CI 0.19–0.76, respectively) compared with pregestation
Shape and weight concerns are highly prevalent in postpartum and may confer risk for the development of inappropriate eating behaviors. Health professionals should be trained on how to recognize these symptoms. © 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:426–430)