title: Eating disorders symptoms in pregnancy and postpartum: a prospective study in a disadvantaged population in Brazil.
abstract: OBJECTIVE
  To assess eating disorder symptoms (EDS) from prepregancy through postpartum.
  
  
  METHODS
  Seven hundred and twelve women with gestational age ranging from 16th to 36th week completed the eating disorder examination questionnaire (EDE-Q). A shortened version of the EDE-Q was used to assess, retrospectively, EDS during the last 28 days of the pregestational period. Follow up assessment occurred at the 4th-5th month postpartum (n = 427). Generalized structural equation models were used to estimate risk of EDS in pregestation, gestation, and postpartum.
  
  
  RESULTS
  Women who did not participate in follow up (n = 285) were not significantly different in sociodemographic characteristics. In postpartum, a higher number of women referred shape (RR = 1.65; 95% CI 1.19-2.30) and weight concerns (RR = 1.64; 95% CI 1.16-2.31) than in pregestation. Binge eating (BE) and self-induced vomiting diminished during pregnancy (RR = 0.70, 95% CI 0.57-0.85; RR = 0.21, 95% CI 0.10-0.44, respectively) and postpartum (RR = 0.62, 95% CI 0.48-0.80; RR = 0.38, 95% CI 0.19-0.76, respectively) compared with pregestation
  
  
  CONCLUSIONS
  Shape and weight concerns are highly prevalent in postpartum and may confer risk for the development of inappropriate eating behaviors. Health professionals should be trained on how to recognize these symptoms.
authors: Post Graduate Program in Epidemiology, Federal University of Rio Grande do Sul (UFRGS), Brazil.
authors: Maria Angélica
authors: MA
authors: Nunes
authors: Andréa Poyastro
authors: AP
authors: Pinheiro
authors: Juliana Feliciati
authors: JF
authors: Hoffmann
authors: Maria Inês
authors: MI
authors: Schmidt
mesh_terms: D000328:Adult; D001835:Body Weight; D001938:Brazil / Q000453:epidemiology; D005247:Feeding Behavior; D001068:Feeding and Eating Disorders / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D006801:Humans; D049590:Postpartum Period; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000453:epidemiology*; D011446:Prospective Studies; D011644:Puerperal Disorders / Q000453:epidemiology*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D035862:Vulnerable Populations; D055815:Young Adult
keywords: anorexia nervosa; binge eating; bulimia nervosa; cohort studies; eating disorders; postpartum; pregnancy