Eating Disorders During Pregnancy

Grammatikopoulou, Maria G.; Gkiouras, Konstantinos; Vassilakou, Tonia; Goulis, Dimitrios G.

doi:10.1007/978-3-030-67929-3_2-1

Cited by 1 publication

(9 citation statements)

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“…Nonetheless, the tendency to improve maternal diet during gestation often reaches unhealthy levels [12]. In the present sample, ON tendencies were apparent, and this behavior was heightened among women who were pregnant for the first time.…”

Section: Discussionmentioning

confidence: 49%

“…As for pica, a very small proportion of participants herein reported eating ice and snow. Pagophagia (ice and freezer frost) is a common non-food item consumed during pica [12]. Research indicates that the prevalence of gestational pica is greatly dependent on the region studied, with a relatively low prevalence among Western societies (8.3%) and a greater one among pregnant women residing in less industrialized countries [12,[52][53][54].…”

Section: Discussionmentioning

confidence: 99%

“…Pregnant women with EDs often experience a variety of comorbidities, including binge eating, depression and anxiety, and excessive concern regarding gestational weight gain (GWG) [9]. A trio of causes have been identified as trigger factors for the development of EDs, OSFEDs and USFED during pregnancy, namely, (i) greater appetite levels, (ii) the need to improve lifestyle, including the adoption of a healthier diet and (iii) the body dissatisfaction associated with GWG [12]. When encountered during pregnancy and depending on their severity, EDs are associated with a variety of adverse events, including hyperemesis, vomiting, anemia and bleeding, impaired hydration status, sharp fluid and electrolyte shifts and an overall reduction in plasma volume, all of which can multiply the risk of maternal, obstetrical and fetal complications [13,14].…”

Section: Introductionmentioning

confidence: 99%

“…In parallel, pica, the persistent consumption of non-nutritive substances [22], is also encountered frequently in pregnancy [12]. Pica is a paraphrase of the word "magpie," a bird known for its unusual eating behaviors, eating almost anything available [23].…”

Section: Introductionmentioning

confidence: 99%

“…Proposed explanations for pica practices during gestation include the elevated maternal psychological stress, increased appetite and hunger, cultural expectations, dyspepsia, underlying micronutrient deficiencies-iron in particular-and protection against toxins and pathogens [27]. The prevalence of pica practices during pregnancy varies greatly in the literature, although the lack of a specific tool to diagnose the behavior is evident [12].…”

Section: Introductionmentioning

confidence: 99%

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Effectors of Pregorexia and Emesis among Pregnant Women: A Pilot Study

et al. 2022

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During pregnancy, women tend to improve their lifestyle habits and refine their dietary intake. Quite often, however, these dietary improvements take an unhealthy turn, with orthorexia nervosa (ON) practices being apparent. The aim of the present pilot cross-sectional study was to assess the prevalence of ON tendencies and the incidence of pica and record diet practices in a sample of pregnant women. A total of 157 pregnant women were recruited through private practice gynecologists during the first months of 2021. Nutrition-related practices were recorded, orthorexic tendencies were assessed using the translated and culturally adapted Greek version of the ORTO-15 questionnaire, pica practices were evaluated with a binary question and nausea and emesis during pregnancy (NVP) was evaluated using the translated modified Pregnancy—Unique Quantification of Emesis and Nausea (mPUQE). Only two women reported pica tendencies, with ice and snow being the consumed items. The majority (61.1%) of women reported improving their diet since conception was achieved. Folic acid and iron oral nutrient supplements (ONS) were reportedly consumed by the majority of participants (87.9% and 72.6%, respectively) and 9.6% reported using herbal medicine products. The ORTO-15 score was reduced with tertiary education attainment, ART conception, being in the third trimester of pregnancy, consumption of folic acid and MV supplements and was only increased among women who were at their first pregnancy. The majority of participants experienced severe NVP and the remaining experienced moderate NVP. NVP was associated with lower hemoglobin levels, lack of supplementary iron intake, avoidance of gluten-containing foods, as well as with increased gestational weight gain. The results highlight the need to screen pregnant women for disturbed eating behaviors and nutrition-related problems, in order to ensure a healthy pregnancy outcome.

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Section: Discussionmentioning

confidence: 49%