The applicability of the Eating Disorder Inventory in pregnancy

Dukay‐Szabó, Szilvia; Simon, David M.; Varga, Màrta; Koller, O; Pataki, Zoltán; Rigó, János; Túry, Ferenc

doi:10.1007/s40519-021-01197-2

Cited by 2 publications

(1 citation statement)

References 37 publications

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“…This lifestyle improvement effort, however, frequently takes an unhealthy turn, with ON practices being apparent. The observed changes in body weight during pregnancy appears to trigger subsequent changes in the attitudes and behaviors related to eating [87]. In parallel, other USFED, including pica, may also appear during the gestational period, warranting further attention.…”

Section: Discussionmentioning

confidence: 94%

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: 94%

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

et al. 2022

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Validation of an Arabic version of the eating disorder inventory’s body dissatisfaction subscale among adolescents, adults, and pregnant women

Gerges,

Obeid,

Malaeb

et al. 2023

J Eat Disord

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Introduction The 9-item Body Dissatisfaction Subscale (BDS) of the Eating Disorder Inventory is one of the most used tools for assessing thinness-oriented body dissatisfaction in research and clinical practice. However, no validated Arabic version of this scale exists to date. In this study, we sought to validate this instrument in three samples of native Arabic-speaking adolescents, adults, and pregnant women from Lebanon. Methods A total of 826 adults, 555 adolescents, and 433 pregnant women were included. To examine the factor structure of the BDS, we performed an exploratory factor analysis (EFA), using a principal component analysis via the FACTOR software on the first split-half subsample among Lebanese adults. We used data from the second split-half in the adult sample to conduct a Confirmatory Factor Analysis (CFA) through the SPSS AMOS v.29 software. That verified model was tested via CFA on adolescents and pregnant women. Results The EFA showed a bidimensional structure for the BDS, with all 9 items retained and divided into Factor 1 = Body Satisfaction (negatively-worded items) and Factor 2 = Body Dissatisfaction (positively-worded items). The CFA demonstrated invariable goodness-of-fit of the instrument in the three studied populations. McDonald’s omega values were also adequate in the three samples, demonstrating its reliability. Moreover, the BDS showed invariance across sex among both adolescents and adults. Finally, higher BDS scores were correlated with more disordered eating, less body appreciation and less functionality appreciation, thus attesting to convergent validity of the scale. In addition, BDS scores correlated positively with depression and anxiety scores, indicating adequate patterns of divergent validity. Conclusion In light of our findings, we endorse the use of the BDS by healthcare professionals in Arabic-speaking countries, in order to assess thinness-oriented body dissatisfaction in an appropriate and timely manner and ease early referral to a specialist, thereby preventing the deleterious health-related risks associated with this condition.

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The applicability of the Eating Disorder Inventory in pregnancy

Cited by 2 publications

References 37 publications

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

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

Validation of an Arabic version of the eating disorder inventory’s body dissatisfaction subscale among adolescents, adults, and pregnant women

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