Shannon D Donofry1,2, Rebecca L Emery3, Rachel P Kolko Conlon1, Lisa J Germeroth1, Bang Wang4, Yu Cheng4,5, Michele D Levine1,2,6. 1. Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA. 2. Department of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. 3. Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, Minnesota, USA. 4. Department of Statistics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. 5. Department of Biostatistics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. 6. Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Abstract
OBJECTIVE: Loss of control over eating (LOC) is common among women, particularly those with overweight and obesity (OV/OB), and predicts weight gain. Given the importance of understanding weight and eating behaviors during pregnancy, we sought to characterize LOC across pregnancy and the postpartum period among women with pre-pregnancy OV/OB. METHODS: Pregnant women (N = 257; 28.44 ± 5.48 years old) with self-reported OV/OB prior to pregnancy were interviewed using a pregnancy-adapted version of the Eating Disorder Examination (EDE-PV). Pre-pregnancy LOC was retrospectively assessed during the first trimester and then prospectively assessed monthly throughout pregnancy and postpartum over the course of seven assessments. RESULTS: Rates of LOC were significantly higher during pregnancy compared to prior to ( χ 1 2 =44.845, p < .01) and after ( χ 1 2 =36.379, p < .01) pregnancy, with 37% (n = 95) of women reporting ≥1 LOC episode during pregnancy. LOC during pregnancy was associated with higher likelihood of LOC postpartum. Higher age (OR = 1.084, p = .04) and identifying as a minority (OR = 0.344, p = .02) was associated with greater likelihood of experiencing LOC during pregnancy only. DISCUSSION: LOC during pregnancy is common among women with pre-pregnancy OV/OB, suggesting that screening and intervention for LOC during pregnancy may be warranted. Future research is necessary to examine the relationship between LOC during pregnancy and maternal and infant health outcomes.
OBJECTIVE: Loss of control over eating (LOC) is common among women, particularly those with overweight and obesity (OV/OB), and predicts weight gain. Given the importance of understanding weight and eating behaviors during pregnancy, we sought to characterize LOC across pregnancy and the postpartum period among women with pre-pregnancy OV/OB. METHODS: Pregnant women (N = 257; 28.44 ± 5.48 years old) with self-reported OV/OB prior to pregnancy were interviewed using a pregnancy-adapted version of the Eating Disorder Examination (EDE-PV). Pre-pregnancy LOC was retrospectively assessed during the first trimester and then prospectively assessed monthly throughout pregnancy and postpartum over the course of seven assessments. RESULTS: Rates of LOC were significantly higher during pregnancy compared to prior to ( χ 1 2 =44.845, p < .01) and after ( χ 1 2 =36.379, p < .01) pregnancy, with 37% (n = 95) of women reporting ≥1 LOC episode during pregnancy. LOC during pregnancy was associated with higher likelihood of LOC postpartum. Higher age (OR = 1.084, p = .04) and identifying as a minority (OR = 0.344, p = .02) was associated with greater likelihood of experiencing LOC during pregnancy only. DISCUSSION: LOC during pregnancy is common among women with pre-pregnancy OV/OB, suggesting that screening and intervention for LOC during pregnancy may be warranted. Future research is necessary to examine the relationship between LOC during pregnancy and maternal and infant health outcomes.
Authors: Andrea B Goldschmidt; Scott G Engel; Stephen A Wonderlich; Ross D Crosby; Carol B Peterson; Daniel Le Grange; Marian Tanofsky-Kraff; Li Cao; James E Mitchell Journal: Obesity (Silver Spring) Date: 2011-09-22 Impact factor: 5.002
Authors: Ling-Wei Chen; Izzuddin M Aris; Jonathan Y Bernard; Mya-Thway Tint; Marjorelee Colega; Peter D Gluckman; Kok Hian Tan; Lynette Pei-Chi Shek; Yap-Seng Chong; Fabian Yap; Keith M Godfrey; Rob M van Dam; Mary Foong-Fong Chong; Yung Seng Lee Journal: Am J Clin Nutr Date: 2017-02-08 Impact factor: 7.045
Authors: Milla S Linna; Anu Raevuori; Jari Haukka; Jaana M Suvisaari; Jaana T Suokas; Mika Gissler Journal: Am J Obstet Gynecol Date: 2014-04-03 Impact factor: 8.661
Authors: Mateusz Grajek; Karolina Krupa-Kotara; Martina Grot; Maria Kujawińska; Paulina Helisz; Weronika Gwioździk; Agnieszka Białek-Dratwa; Wiktoria Staśkiewicz; Joanna Kobza Journal: Int J Environ Res Public Health Date: 2022-08-16 Impact factor: 4.614