PDF(Pubmed)
Abstract：
OBJECTIVE: Pregorexia is a phenomenon posited to occur in the peripartum, characterized by an attempt to counter pregnancy\'s physiological changes in body shape through reduced calorie intake or increased physical activity.
METHODS: In this pre-registered systematic review and meta-analysis, body image dissatisfaction and eating psychopathology in the peripartum according to gestational age were formally assessed. PubMed was searched up to May 2023. Selection criteria were represented by studies on body image concerns or eating psychopathology in the peripartum (up to 1 year after delivery). The population needed to include women from the general population or among patients with a history of (or current) eating disorder. For the meta-analysis, 17 studies were included: 10 for body image dissatisfaction (2625 individuals overall), 7 for eating behaviors (2551 individuals overall). The interplay between body image and the following themes was examined in depth: the adoption of breastfeeding, peripartum depression, sociocultural influences on body image, sexual disturbances, experiencing or reporting an altered food intake.
RESULTS: Progressive dissatisfaction with body image during pregnancy by gestational age was observed, stably elevated for at least 12 months postpartum. Eating psychopathology was observed as elevated only at 12 months in the postpartum, but not during pregnancy.
CONCLUSIONS: The current work offers normative values of body image satisfaction and eating psychopathology in the peripartum by gestational age. The relevance of current results was discussed, in order to inform both current clinical practice and future public policies.
METHODS: Level I-Evidence obtained from: systematic reviews and meta-analyses.
METHODS: In this pre-registered systematic review and meta-analysis, body image dissatisfaction and eating psychopathology in the peripartum according to gestational age were formally assessed. PubMed was searched up to May 2023. Selection criteria were represented by studies on body image concerns or eating psychopathology in the peripartum (up to 1 year after delivery). The population needed to include women from the general population or among patients with a history of (or current) eating disorder. For the meta-analysis, 17 studies were included: 10 for body image dissatisfaction (2625 individuals overall), 7 for eating behaviors (2551 individuals overall). The interplay between body image and the following themes was examined in depth: the adoption of breastfeeding, peripartum depression, sociocultural influences on body image, sexual disturbances, experiencing or reporting an altered food intake.
RESULTS: Progressive dissatisfaction with body image during pregnancy by gestational age was observed, stably elevated for at least 12 months postpartum. Eating psychopathology was observed as elevated only at 12 months in the postpartum, but not during pregnancy.
CONCLUSIONS: The current work offers normative values of body image satisfaction and eating psychopathology in the peripartum by gestational age. The relevance of current results was discussed, in order to inform both current clinical practice and future public policies.
METHODS: Level I-Evidence obtained from: systematic reviews and meta-analyses.
摘要：
目的：早产是一种发生在围产期的现象，其特征是试图通过减少卡路里摄入或增加体力活动来对抗怀孕时身体形态的生理变化。
方法：在这个预先注册的系统综述和荟萃分析中，根据胎龄对围产期的身体形象不满和饮食心理病理学进行了正式评估。截至2023年5月，搜索了PubMed。选择标准由围产期（分娩后1年）的身体形象问题或饮食心理病理学研究代表。该人群需要包括来自普通人群或有饮食失调史（或当前）的患者中的女性。对于荟萃分析，包括17项研究：10项针对身体形象不满（总共2625人），7为饮食行为（总共2551人）。深入研究了身体形象与以下主题之间的相互作用：采用母乳喂养，围产期抑郁症，社会文化对身体形象的影响，性障碍,经历或报告食物摄入量改变。
结果：观察到怀孕期间对身体形象的逐渐不满，产后稳定升高至少12个月。仅在产后12个月时观察到进食精神病理学升高，但不是在怀孕期间。
结论：当前的工作提供了按胎龄计算的围产期身体形象满意度和饮食心理病理学的标准值。讨论了当前结果的相关性，以便为当前的临床实践和未来的公共政策提供信息。
方法：I级证据来自：系统评价和荟萃分析。
方法：在这个预先注册的系统综述和荟萃分析中，根据胎龄对围产期的身体形象不满和饮食心理病理学进行了正式评估。截至2023年5月，搜索了PubMed。选择标准由围产期（分娩后1年）的身体形象问题或饮食心理病理学研究代表。该人群需要包括来自普通人群或有饮食失调史（或当前）的患者中的女性。对于荟萃分析，包括17项研究：10项针对身体形象不满（总共2625人），7为饮食行为（总共2551人）。深入研究了身体形象与以下主题之间的相互作用：采用母乳喂养，围产期抑郁症，社会文化对身体形象的影响，性障碍,经历或报告食物摄入量改变。
结果：观察到怀孕期间对身体形象的逐渐不满，产后稳定升高至少12个月。仅在产后12个月时观察到进食精神病理学升高，但不是在怀孕期间。
结论：当前的工作提供了按胎龄计算的围产期身体形象满意度和饮食心理病理学的标准值。讨论了当前结果的相关性，以便为当前的临床实践和未来的公共政策提供信息。
方法：I级证据来自：系统评价和荟萃分析。
