Positive attitudes toward weight gain in late pregnancy are associated with healthy eating behaviours

Savard, Claudia; Yan, Emmanuelle; Morisset, Anne‐Sophie; Bégin, Catherine; Robitaille, Julie; Michaud, Andréanne; Lemieux, Simone; Provencher, Véronique

doi:10.1007/s40519-020-01057-5

Cited by 9 publications

(12 citation statements)

References 36 publications

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“…A longitudinal study with over 11,000 pregnant women showed that the loss of control when eating was more common among pregnant women with a higher body dissatisfaction (MICALI et al, 2018). In our study, the most dissatisfied participants exhibited higher restrictive and emotional eating, supported by literature (SAVARD et al, 2021;SHLOIM et al, 2015). Pregnant women felt concerned about their weight and body or being judged about being fat, because being fat meant they were failing over the stereotype of the modern woman and putting their potential as a woman in maternity at risk (NASH, 2012).…”

Section: Discussionsupporting

confidence: 86%

Exploring the relationship of perinatal depression regarding body image dissatisfaction, intuitive eating, and gestational and social factors in high-risk pregnancy

Lippi,

Silva,

Cantilino

et al. 2024

CLCS

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To assess the prevalence of depressive symptoms and associated factors (i.e.: intuitive eating, body image dissatisfaction, and gestational and sociodemographic factors) in high-risk pregnant women. This cross-sectional study included 139 pregnant women, assisted by high-risk prenatal care in a university hospital in northeastern Brazil between January and May 2021. Self-report instruments were used to evaluate depressive symptoms, body image dissatisfaction, and intuitive eating (i.e.: Beck Depression Inventory, Body Shape Questionnaire, and Intuitive Eating Scale-2). Depressive symptoms were found in 33.09% of the sample, especially among women with lower education. Depressive symptoms, body image dissatisfaction, and intuitive eating were correlated (p<0.001; depression and body image dissatisfaction r=0.53; depression and intuitive eating r=-0.32; body image dissatisfaction and intuitive eating r=-0.39). Women presenting more depressive symptoms made more choices based on emotional reasons and with less attention to body-food congruence. This study has unveiled a notable occurrence of depressive symptoms within the examined group of high-risk pregnant women, particularly among those with limited educational backgrounds. The findings also highlight that positive eating behaviors, such as intuitive eating, and body image satisfaction are less displayed when there are high levels of depressive symptoms. These results emphasize the critical necessity for understanding of depression correlations with behaviors capable of exerting an influence on, or exacerbating, clinical conditions among high-risk pregnant individuals remains imperative.

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Section: Discussionsupporting

confidence: 86%

Exploring the relationship of perinatal depression regarding body image dissatisfaction, intuitive eating, and gestational and social factors in high-risk pregnancy

Lippi,

Silva,

Cantilino

et al. 2024

CLCS

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“…The surveys being used in this study are all well validated in the perinatal period [ 35 , 36 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 ] and, for most of them, also in Australian populations [ 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 ]. All questionnaires are filled out by the mothers on REDCap [ 49 , 50 ].…”

Section: Methodsmentioning

confidence: 99%

PsyNBIOsis: Investigating the Association between Maternal Gestational Diabetes, Mental Health, Diet and Childhood Obesity Risk: Protocol for a Prospective, Longitudinal, Observational Study

Gilbert,

Raubenheimer,

Hibbert

et al. 2023

Nutrients

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Background: Gestational diabetes mellitus (GDM) is associated with poorer maternal mental health (depression and anxiety). Maternal mental health and GDM are likely to influence diet, which in turn impacts the course of GDM. Maternal diet may also be directly or indirectly associated with changes in infant anthropometry. The aims of this study are to (1) examine the associations between maternal GDM, mental health and diet, and (2) evaluate the associations between these maternal factors, breastmilk composition and infant anthropometry. Methods: This prospective, observational, longitudinal cohort study compares a cohort of women with and without GDM. Maternal mental health and diet are assessed using validated questionnaires. Breastmilk composition is measured with the Human Milk Analyzer, and infant body composition is measured with air displacement plethysmography. Significance and Impact: Once data have been collected, PsyNBIOsis will provide evidence for the associations between maternal mental health, GDM status and diet, and their impact on breastmilk composition and early infant growth. The results may inform the Developmental Origins of Health and Disease framework and provide data on which to build cost-effective interventions to prevent both the development of mental health issues in mothers and adverse growth patterns in infants.

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“…Furthermore, all participants were recruited into studies of novel interventions designed to promote weight loss, which supported the inclusion of people across a wide range of BMI classes. However, we did not include a group of pregnant women without gestational diabetes which would have been helpful [9,19]. This additional study population would have allowed us to determine whether the findings shown here are due to pregnancy itself, or whether they are unique to women with gestational diabetes.…”

Section: Strengths and Weaknesses Of Studymentioning

confidence: 99%

“…Barriers to studying eating behaviour include challenges in describing and quantifying behaviours and also in translating results into clinical practice. Over the last few decades, several constructs describing dietary behaviour have been used, such as cognitive restraint (CR), uncontrolled eating (UE) and emotional eating (EE), which can be quantified using the three-factor eating questionnaire (TFEQ-R18), validated for use in the general population [7], in obesity [8] and used widely in pregnancy [9,10]. These behaviour traits have been identified as directly contributing to obesity, independently of age, sex, socio-economic status and physical activity [11].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, pregnancy commonly affects mood, emotional state and dietary choices, so might be particularly likely to influence eating behaviour. The TFEQ-R18 has been used in pregnancy studies to assess associations with gestational weight gain [9,19]. A small study has identified that behaviour traits such as UE may have associations with foetal growth and size at birth [20].…”

Section: Introductionmentioning

confidence: 99%

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Towards Novel Nutritional Strategies in Gestational Diabetes: Eating Behaviour and Obesity in Women with Gestational Diabetes Compared with Non-Pregnant Adults

Kusinski,

Tobolska,

Jones

et al. 2023

Nutrients

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Background: Gestational diabetes is associated with increased risk of obesity, type 2 diabetes and cardiovascular disease. Effective nutritional strategies are needed to reduce BMI and improve long-term maternal cardiometabolic health, but the relative contribution of maternal eating behaviour, a potential barrier to dietary change, has not been explored. We compared eating behaviour in women with gestational diabetes with that of men and non-pregnant women with comparable risk factors, and tested associations between eating behaviour traits and BMI in women with gestational diabetes. We hypothesized that eating behaviour would be unfavourable in gestational diabetes and would be associated with BMI. Methods: Participants (n = 417) including 53 men, 164 non-pregnant women and 200 women with gestational diabetes (singleton pregnancy; 29 weeks’ gestation) were recruited into three prospective studies assessing weight loss interventions, with similar entry criteria. The three-factor eating questionnaire (TFEQ-R18) assessed uncontrolled eating, emotional eating and cognitive restraint at study enrolment. Associations between BMI at study enrolment and TFEQ-R18 (% maximum score) were assessed using linear regression. Results: Women with gestational diabetes had significantly lower uncontrolled eating scores vs. men (53% vs. 65%; p < 0.001) and non-pregnant women (53% vs. 66%; p < 0.001), lower emotional eating scores vs. non-pregnant women (60% vs. 71%; p < 0.001) and higher cognitive restraint (p < 0.001 vs. men and non-pregnant women). In women with gestational diabetes, emotional eating scores were positively associated with BMI at study enrolment (beta coefficient 7.8 (95% CI 3.9 to 11.7), p < 0.001). Conclusions: Women with gestational diabetes have favourable eating behaviour compared with other population groups. Because BMI at study enrolment was associated with emotional eating, nutritional strategies which reduce emotional eating may provide new opportunities to improve long-term maternal health after gestational diabetes.

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Positive attitudes toward weight gain in late pregnancy are associated with healthy eating behaviours

Cited by 9 publications

References 36 publications

Exploring the relationship of perinatal depression regarding body image dissatisfaction, intuitive eating, and gestational and social factors in high-risk pregnancy

Exploring the relationship of perinatal depression regarding body image dissatisfaction, intuitive eating, and gestational and social factors in high-risk pregnancy

PsyNBIOsis: Investigating the Association between Maternal Gestational Diabetes, Mental Health, Diet and Childhood Obesity Risk: Protocol for a Prospective, Longitudinal, Observational Study

Towards Novel Nutritional Strategies in Gestational Diabetes: Eating Behaviour and Obesity in Women with Gestational Diabetes Compared with Non-Pregnant Adults

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