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Impact of Eating Behaviors and Cravings on Gestational Weight Gain and Diet
Author(s) -
LopezCepero Andrea,
Leung K,
Corvera S,
Moore T,
Rosal MC
Publication year - 2015
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.29.1_supplement.900.19
Subject(s) - emotional eating , pregnancy , medicine , weight gain , food craving , overweight , gestation , obesity , body mass index , psychology , obstetrics , craving , eating behavior , psychiatry , body weight , biology , addiction , genetics
Background Gestational weight gain (GWG) above the Institute of Medicine guidelines is prevalent, and is associated with adverse pregnancy outcomes, and obesity. Food cravings and eating behaviors (i.e., cognitive restraint of eating, emotional eating) may influence diet during pregnancy and GWG. Objective To assess associations between cravings, eating behaviors, diet and GWG. Methods: Healthy pregnant women (N=94) enrolled in care <17 weeks gestation completed survey (demographics, Three Factor Eating Questionnaire, Food Craving Inventory), dietary (three 24‐hr recalls) and anthropometric assessments between 24‐34 weeks gestational age. GWG data were obtained from medical records. Analysis included binary and multivariate logistic regressions. Results: Participants' mean age was 28 ( + 5.1) years; they were 67% White, 28% Hispanic, 51% overweight/obese pre‐pregnancy, and 64% above‐guideline GWG. Sweet cravings were positively associated with, and cognitive restraint was negatively associated with, caloric intake, carbohydrates, fat and sugar sweets (p<0.03). Overall cravings and fast food cravings were positively associated with caloric and carbohydrate intake (p<0.03). Controlling for gestational age, pre‐pregnancy BMI and physical activity, emotional eating was associated with greater GWG (p=0.046) and there was a trend for a significant association between cognitive restraint and GWG. Neither cravings nor eating behaviors were associated with above‐guideline GWG. Conclusions Selected cravings and eating behaviors were associated with diet, and emotional eating was associated with GWG. Further research of these associations could unveil potential intervention targets to optimize GWG.