Amanda Maihara Dos Santos1, Gláucia Rosana Guerra Benute2, Niraldo Oliveira Dos Santos3, Roseli Mieko Yamamoto Nomura4, Mara Cristina Souza de Lucia3, Rossana Pulcineli Vieira Francisco4. 1. Department of Obstetrics and Gynecology, Clinics Hospital of Faculty of Medicine, University of São Paulo, Brazil. Electronic address: amandamaihara@yahoo.com.br. 2. Department of Obstetrics and Gynecology, Clinics Hospital of Faculty of Medicine, University of São Paulo, Brazil; Psychology Division, Clinics Hospital of Faculty of Medicine, University of São Paulo, Brazil. 3. Psychology Division, Clinics Hospital of Faculty of Medicine, University of São Paulo, Brazil. 4. Department of Obstetrics and Gynecology, Clinics Hospital of Faculty of Medicine, University of São Paulo, Brazil.
Abstract
BACKGROUND: women who have inadequate nutrient intake are more likely to develop a risky pregnancy. The purpose of this study was to determine the presence of eating disorders and its association with anxiety and depression symptomatology in high-risk pregnancies. METHODS: this is a cross-sectional and prospective study conducted at the tertiary university hospital in the city of São Paulo, Brazil. 913 pregnant women waiting for the Obstetrics' outpatient appointment were invited to participate in the study on their 2nd and 3rd trimester of pregnancy. Structured interviews were carried out and the Structured Clinical Interview for DSM Disorders and Hospital Anxiety and Depression Scale were applied. FINDINGS: prevalence of eating disorder (ED) during pregnancy was 7.6% (n=69) (95% CI: 5.84% -9.28%), 0.1% (n=1) for anorexia nervosa; 0.7% (n=6) for bulimia nervosa; 1.1% (n=10) for binge eating disorder, and 5.7% (n=52) for pica. A statistically significant difference was found between the anxiety (p<0.01) and depressive symptoms (p<0.01). CONCLUSIONS: the prevalence of ED (7.6%) and its association with anxiety and depression symptoms during pregnancy highlights the need for specialist care for prevention, diagnosis and treatment. Given the importance of proper nutrition during pregnancy, both with regard to maternal health and fetal development, it is necessary to have specific predetermined evaluation protocols implemented by health care professionals for the diagnosis of ED during pregnancy.
BACKGROUND:women who have inadequate nutrient intake are more likely to develop a risky pregnancy. The purpose of this study was to determine the presence of eating disorders and its association with anxiety and depression symptomatology in high-risk pregnancies. METHODS: this is a cross-sectional and prospective study conducted at the tertiary university hospital in the city of São Paulo, Brazil. 913 pregnant women waiting for the Obstetrics' outpatient appointment were invited to participate in the study on their 2nd and 3rd trimester of pregnancy. Structured interviews were carried out and the Structured Clinical Interview for DSM Disorders and Hospital Anxiety and Depression Scale were applied. FINDINGS: prevalence of eating disorder (ED) during pregnancy was 7.6% (n=69) (95% CI: 5.84% -9.28%), 0.1% (n=1) for anorexia nervosa; 0.7% (n=6) for bulimia nervosa; 1.1% (n=10) for binge eating disorder, and 5.7% (n=52) for pica. A statistically significant difference was found between the anxiety (p<0.01) and depressive symptoms (p<0.01). CONCLUSIONS: the prevalence of ED (7.6%) and its association with anxiety and depression symptoms during pregnancy highlights the need for specialist care for prevention, diagnosis and treatment. Given the importance of proper nutrition during pregnancy, both with regard to maternal health and fetal development, it is necessary to have specific predetermined evaluation protocols implemented by health care professionals for the diagnosis of ED during pregnancy.
Authors: Maila de C das Neves; Ananda A Teixeira; Flávia M Garcia; Joel Rennó; Antônio G da Silva; Amaury Cantilino; Carlos E Rosa; Jeronimo de A Mendes-Ribeiro; Renan Rocha; Hewdy Lobo; Igor E Gomes; Christiane C Ribeiro; Frederico D Garcia Journal: Braz J Psychiatry Date: 2022 Mar-Abr
Authors: Hashem Salarzadeh Jenatabadi; Nadia Samsudin; Che Wan Jasimah Bt Wan Mohamed Radzi Journal: BMC Public Health Date: 2021-01-27 Impact factor: 3.295
Authors: Małgorzata Janas-Kozik; Anna Żmijowska; Ida Zasada; Ireneusz Jelonek; Lena Cichoń; Andrzej Siwiec; Krzysztof M Wilczyński Journal: Front Psychiatry Date: 2021-12-13 Impact factor: 4.157