Get access

Eating disorders symptoms in pregnancy and postpartum: A prospective study in a disadvantaged population in Brazil

Authors

  • Maria Angélica Nunes MD, PhD,

    Corresponding author
    1. Post Graduate Program in Epidemiology, Federal University of Rio Grande do Sul (UFRGS), Brazil
    • Correspondence to: Maria Angélica Nunes, Post Graduate Department of Social Medicine Program in Epidemiology Federal University of Rio Grande do Sul, Rua Ramiro Barcelos, 2400 - 2° andar - Sala PPG em Epidemiologia, Porto Alegre, RS, CEP, 90035-003 Brazil. E-mail: maanunes@gmail.com

    Search for more papers by this author
  • Andréa Poyastro Pinheiro MD, PhD,

    1. Post Graduate Program in Epidemiology, Federal University of Rio Grande do Sul (UFRGS), Brazil
    Search for more papers by this author
  • Juliana Feliciati Hoffmann MSc,

    1. Post Graduate Program in Epidemiology, Federal University of Rio Grande do Sul (UFRGS), Brazil
    Search for more papers by this author
  • Maria Inês Schmidt MD, PhD

    1. Post Graduate Program in Epidemiology, Federal University of Rio Grande do Sul (UFRGS), Brazil
    Search for more papers by this author

ABSTRACT

Objective

To assess eating disorder symptoms (EDS) from prepregancy through postpartum.

Method

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.

Results

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

Discussion

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)

Ancillary