Comportamentos sugestivos para transtornos alimentares em mulheres no período gestacional e fatores associados

Abstract

The present study is based on specific references that there is little debate and clinical practice directed at pregnant women about behaviors suggestive of eating disorders. The aim of this study was to investigate sociodemographic and lifestyle factors associated with suggestive behaviors for eating disorders in pregnant women. A crosssectional, analytical study was carried out with a convenience sample, not probabilistic. The survey was conducted through an online form on Google Forms. To investigate behaviors suggestive of eating disorders in women during pregnancy, the Sick, Control, One Stone, Fat, Food Questionnaire - SCOFF-BR was used. The pregnant woman answered the survey, which was composed of the following instruments: Sociodemographic Data Questionnaire, Pregnancy Characteristics, Anthropometric and Psychological Form, SCOFF-BR, Questionnaire with questions adapted from Pinheiro and Aguiar (2017), Figure Rating Scale (FRS) from Stunkard et al. (1983), Lifestyle Questionnaire, according to VIGITEL (Brazil, 2019), and Lifestyle Questionnaire adapted from Pinheiro and Aguiar (2017). 142 brazilian pregnant women participated in this study. The results indicated that after analyzing the adjusted prevalence ratio for all variables with p value  0.20, the variables that maintained an association (p  = 0.05) with the presence of two or more behaviors suggestive of ED were schooling (p = 0.014), nutritional status (p = 0.031), hearing comments that she gained more weight than she should (p = 0.002) and performing excessive physical activity (p = 0.05). Professionals should use appropriate instruments for the studied population, which check weight and height, in order to verify the nutritional status, but also observe the compensatory behaviors that may be present. Certainly, this script is necessary, since there is evidence in the literature and that was demonstrated in this research, that the categories mentioned above are associated with an eating disorder.