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Pica and Eating Attitudes: A Study of High-Risk Pregnancies.
Matern Child Health J. 2016 Mar; 20(3):577-82.MC

Abstract

OBJECTIVE

To describe and determine the association between the occurrence of pica and eating attitudes in women with high-risk pregnancies and to determine the prevalence of pica during pregnancy.

METHODS

A cross-sectional and prospective 24-month study was conducted with 913 women with high-risk pregnancies. Structured interviews were carried out and the Eating Attitudes Test was applied.

RESULTS

Pica was diagnosed in 5.7 % of the pregnant women, and its most commonly practiced type was geophagia (57.7 %). The association between pica and signs related to the eating attitudes: "to be considered too thin by others" (p < 0.02), and "to spend too much time thinking about food" (p = 0.05); and the association between pica and the risk of both anorexia nervosa and bulimia nervosa (p < 0.01) were statistically significant.

CONCLUSIONS

The absence of validated instruments in the literature for assessing pica reinforces the difficulty of investigating this practice and the need for further studies. Moreover, additional efforts need to focus in the improvement of screening for other eating disorders with obstetric consequences associated with pica and be incorporated into the routine of healthcare professionals.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Clinics Hospital of Faculty of Medicine, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 155 - PAMB - Ground Floor, São Paulo, SP, 05403-000, Brazil. amandamaihara@yahoo.com.br.Department of Obstetrics and Gynecology, Clinics Hospital of Faculty of Medicine, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 155 - PAMB - Ground Floor, São Paulo, SP, 05403-000, Brazil. Psychology Division, Clinics Hospital of Faculty of Medicine, University of São Paulo, São Paulo, Brazil.Department of Obstetrics and Gynecology, Clinics Hospital of Faculty of Medicine, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 155 - PAMB - Ground Floor, São Paulo, SP, 05403-000, Brazil.Psychology Division, Clinics Hospital of Faculty of Medicine, University of São Paulo, São Paulo, Brazil.Psychology Division, Clinics Hospital of Faculty of Medicine, University of São Paulo, São Paulo, Brazil.Department of Obstetrics and Gynecology, Clinics Hospital of Faculty of Medicine, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 155 - PAMB - Ground Floor, São Paulo, SP, 05403-000, Brazil.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26558792

Citation

Santos, Amanda M., et al. "Pica and Eating Attitudes: a Study of High-Risk Pregnancies." Maternal and Child Health Journal, vol. 20, no. 3, 2016, pp. 577-82.
Santos AM, Benute GR, Nomura RM, et al. Pica and Eating Attitudes: A Study of High-Risk Pregnancies. Matern Child Health J. 2016;20(3):577-82.
Santos, A. M., Benute, G. R., Nomura, R. M., Santos, N. O., De Lucia, M. C., & Francisco, R. P. (2016). Pica and Eating Attitudes: A Study of High-Risk Pregnancies. Maternal and Child Health Journal, 20(3), 577-82. https://doi.org/10.1007/s10995-015-1856-1
Santos AM, et al. Pica and Eating Attitudes: a Study of High-Risk Pregnancies. Matern Child Health J. 2016;20(3):577-82. PubMed PMID: 26558792.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pica and Eating Attitudes: A Study of High-Risk Pregnancies. AU - Santos,Amanda M, AU - Benute,Gláucia R G, AU - Nomura,Roseli M Y, AU - Santos,Niraldo O, AU - De Lucia,Mara C S, AU - Francisco,Rossana P V, PY - 2015/11/13/entrez PY - 2015/11/13/pubmed PY - 2016/12/15/medline KW - Eating behaviors KW - High-risk pregnancies KW - Pica KW - Pregnancy SP - 577 EP - 82 JF - Maternal and child health journal JO - Matern Child Health J VL - 20 IS - 3 N2 - OBJECTIVE: To describe and determine the association between the occurrence of pica and eating attitudes in women with high-risk pregnancies and to determine the prevalence of pica during pregnancy. METHODS: A cross-sectional and prospective 24-month study was conducted with 913 women with high-risk pregnancies. Structured interviews were carried out and the Eating Attitudes Test was applied. RESULTS: Pica was diagnosed in 5.7 % of the pregnant women, and its most commonly practiced type was geophagia (57.7 %). The association between pica and signs related to the eating attitudes: "to be considered too thin by others" (p < 0.02), and "to spend too much time thinking about food" (p = 0.05); and the association between pica and the risk of both anorexia nervosa and bulimia nervosa (p < 0.01) were statistically significant. CONCLUSIONS: The absence of validated instruments in the literature for assessing pica reinforces the difficulty of investigating this practice and the need for further studies. Moreover, additional efforts need to focus in the improvement of screening for other eating disorders with obstetric consequences associated with pica and be incorporated into the routine of healthcare professionals. SN - 1573-6628 UR - https://www.unboundmedicine.com/medline/citation/26558792/Pica_and_Eating_Attitudes:_A_Study_of_High_Risk_Pregnancies_ L2 - https://doi.org/10.1007/s10995-015-1856-1 DB - PRIME DP - Unbound Medicine ER -