Pregorexia: a systematic review and meta-analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartum
Abstract Purpose 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, bo...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Springer
2023-08-01
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| Series: | Eating and Weight Disorders |
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| Online Access: | https://doi.org/10.1007/s40519-023-01595-8 |
| _version_ | 1797752859816624128 |
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| author | Livio Tarchi Giuseppe Pierpaolo Merola Giulia Selvi Eleonora Caprara Vincenzo Pecoraro Emanuele Cassioli Eleonora Rossi Felice Petraglia Valdo Ricca Giovanni Castellini |
| author_facet | Livio Tarchi Giuseppe Pierpaolo Merola Giulia Selvi Eleonora Caprara Vincenzo Pecoraro Emanuele Cassioli Eleonora Rossi Felice Petraglia Valdo Ricca Giovanni Castellini |
| author_sort | Livio Tarchi |
| collection | DOAJ |
| description | Abstract Purpose 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. Discussion 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. Level of Evidence Level I—Evidence obtained from: systematic reviews and meta-analyses. |
| first_indexed | 2024-03-12T17:10:37Z |
| format | Article |
| id | doaj.art-be15e804902044d785510b9c08dc7e88 |
| institution | Directory Open Access Journal |
| issn | 1590-1262 |
| language | English |
| last_indexed | 2024-03-12T17:10:37Z |
| publishDate | 2023-08-01 |
| publisher | Springer |
| record_format | Article |
| series | Eating and Weight Disorders |
| spelling | doaj.art-be15e804902044d785510b9c08dc7e882023-08-06T11:04:00ZengSpringerEating and Weight Disorders1590-12622023-08-0128112110.1007/s40519-023-01595-8Pregorexia: a systematic review and meta-analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartumLivio Tarchi0Giuseppe Pierpaolo Merola1Giulia Selvi2Eleonora Caprara3Vincenzo Pecoraro4Emanuele Cassioli5Eleonora Rossi6Felice Petraglia7Valdo Ricca8Giovanni Castellini9Psychiatry Unit, Department of Health Sciences, University of Florence, AOU CareggiPsychiatry Unit, Department of Health Sciences, University of Florence, AOU CareggiPsychiatry Unit, Department of Health Sciences, University of Florence, AOU CareggiPsychiatry Unit, Department of Health Sciences, University of Florence, AOU CareggiPsychiatry Unit, Department of Health Sciences, University of Florence, AOU CareggiPsychiatry Unit, Department of Health Sciences, University of Florence, AOU CareggiPsychiatry Unit, Department of Health Sciences, University of Florence, AOU CareggiObstetrics and Gynecology Unit, Department of Experimental and Clinical Biomedical Sciences, University of FlorencePsychiatry Unit, Department of Health Sciences, University of Florence, AOU CareggiPsychiatry Unit, Department of Health Sciences, University of Florence, AOU CareggiAbstract Purpose 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. Discussion 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. Level of Evidence Level I—Evidence obtained from: systematic reviews and meta-analyses.https://doi.org/10.1007/s40519-023-01595-8Eating psychopathologyBody imageFeeding and eating disordersPregnancyPostpartum |
| spellingShingle | Livio Tarchi Giuseppe Pierpaolo Merola Giulia Selvi Eleonora Caprara Vincenzo Pecoraro Emanuele Cassioli Eleonora Rossi Felice Petraglia Valdo Ricca Giovanni Castellini Pregorexia: a systematic review and meta-analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartum Eating and Weight Disorders Eating psychopathology Body image Feeding and eating disorders Pregnancy Postpartum |
| title | Pregorexia: a systematic review and meta-analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartum |
| title_full | Pregorexia: a systematic review and meta-analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartum |
| title_fullStr | Pregorexia: a systematic review and meta-analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartum |
| title_full_unstemmed | Pregorexia: a systematic review and meta-analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartum |
| title_short | Pregorexia: a systematic review and meta-analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartum |
| title_sort | pregorexia a systematic review and meta analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartum |
| topic | Eating psychopathology Body image Feeding and eating disorders Pregnancy Postpartum |
| url | https://doi.org/10.1007/s40519-023-01595-8 |
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