Mindful eating during pregnancy: a comparative study according to prenatal care

Authors

DOI:

https://doi.org/10.15343/0104-7809.202448e15812024P

Keywords:

Mindfulness, Pregnancy, Prenatal Nutrition, Health Systems

Abstract

Changes in the global lifestyle have led to dysfunctional eating behaviors during pregnancy. In this sense, the Mindful Eating approach is a practice with the potential to positively influence eating habits, with a beneficial impact on the health of pregnant women. To evaluate the levels of Mindful Eating of women before and during pregnancy and to associate them with the type of prenatal care (Unified Health System or Private Sector), a cross-sectional study was conducted with 184 pregnant women aged ≥18 years, accompanied by the Unified Health System (SUS) or the Private Sector in the municipality of Lavras-MG, Brazil. Socioeconomic and obstetric data were collected, and information on Mindful Eating was obtained through the self-administered Mindful Eating Questionnaire. Mindful Eating was higher during pregnancy than during the pre-gestational period. Pregnant women assisted by SUS showed lower Mindful Eating compared with women in the private sector. Those attended by SUS obtained higher values during the gestational period in the Emotional subscale. Pregnant women who attended in the private sector obtained higher values during the gestational period in the Awareness, Distraction and Disinhibition subscales. During pregnancy, women presented higher levels of Mindful Eating, indicating an improvement in eating behavior. The Mindful Eating score of women attended in prenatal care by the Private Sector was higher than that of women attended by SUS, requiring individualized intervention in each sector to cover the socioeconomic factors inherent to each group and their influence on the improvement of eating behaviors.

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References

Hoffmann J, Günther J, Geyer K, Stecher L, Rauh K, Kunath J, et al. Effects of a lifestyle intervention in routine care on prenatal physical activity - Findings from the cluster-randomised GeliS trial. BMC Pregnancy Childbirth [Internet]. 2019 [citado 6 abr. 2024];19(1). Disponível em: https://doi.org/10.1186/s12884-019-2553-7

Czepczor-Bernat K, Brytek-Matera A, Gramaglia C, Zeppegno P. The moderating effects of mindful eating on the relationship between emotional functioning and eating styles in overweight and obese women. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity [Internet]. 2019 [citado 6 abr. 2024] ;(0123456789). Disponível em: https://doi.org/10.1007/ s40519-019-00740-6

Framson C., Kristal A. R., Schenk J., Littman A. J., Zeliadt S. and BD. Development and Validation of the Mindful Eating Questionnaire. J Am Diet Assoc [Internet]. 2009 [citado 6 abr. 2024];23(1):1–7. Disponível em: https://doi.org/10.1016/j. jada.2009.05.006

Vieten C, Laraia BA, Kristeller J, Adler N, Coleman-Phox K, Bush NR, et al. The mindful moms training: Development of a mindfulness-based intervention to reduce stress and overeating during pregnancy. BMC Pregnancy Childbirth [Internet]. 2018 [citado 6 abr. 2024];18(1):1–14. Disponível em: https://doi.org/10.1186/s12884-018-1757-6

Truijens SEM, Nyklíček I, van Son J, Pop VJM. Validation of a short form Three Facet Mindfulness Questionnaire (TFMQ-SF) in pregnant women. Pers Individ Dif [Internet]. 2016 [citado 6 abr. 2024]; 93:118–24. Disponível em: https://doi.org/10.1016/j. paid.2015.06.037

Orloff NC, Hormes JM. Pickles and ice cream! Food cravings in pregnancy: Hypotheses, preliminary evidence, and directions for future research. Front Psychol [Internet]. 2014 [citado 6 abr. 2024];5(SEP):1–15. Disponível em: https://doi.org/10.3389/ fpsyg.2014.01076

Gold R, Connell FA, Heagerty P, Bezruchka S, Davis R, Cawthon ML. Income inequality and pregnancy spacing. Soc Sci Med [Internet]. 2004 [citado 6 abr. 2024];59(6):1117–26. Disponível em: https://doi.org/10.1016/j.socscimed.2004.01.004

Lever JP. Poverty, stressful life events, and coping strategies. Spanish Journal of Psychology [Internet]. 2008 [citado 6 abr. 2024];11(1):228–49. Disponível em: https://doi.org/10.1017/S1138741600004273

Silva-perez LJ, Gonzalez-Cardenas N, Surani S, Etindele Sosso F, Surani SR. Socioeconomic Status in Pregnant Women and Sleep Quality During Pregnancy. Cureus [Internet]. 2019 Nov 18 [citado 6 abr. 2024]; Disponível em: https://assets.cureus. com/uploads/review_article/pdf/24787/1612429408-1612429400-20210204-18204-18gbg7b.pdf

Viellas EF, Domingues RMSM, Dias MAB, da Gama SGN, Filha MMT, da Costa JV, et al. Assistência pré-natal no Brasil. Cad Saude Publica [Internet]. 2014 [citado 6 abr. 2024];30(SUPPL1). Disponível em: https://doi.org/10.1590/0102-311X00126013

Carmen Simone Grilo D, Luís EB, Suzana K, Schlithz AOC, Marcel Reis Q, Priscila Cavalcanti De Albuquerque C. Desigualdades sociodemográficas e na assistência à maternidade entre puérperas no Sudeste do Brasil segundo cor da pele: Dados do inquérito nacional nascer no Brasil (2011-2012). Saude e Sociedade [Internet]. 2016 Jul 1 [citado 6 abr. 2024];25(3):561–72. Disponível em: https://doi.org/10.1590/S0104-129020162647

Soares RM, Antunes Nunes MA, Schmidt MI, Giacomello A, Manzolli P, Camey S, et al. Inappropriate eating behaviors during pregnancy: Prevalence and associated factors among pregnant women attending primary care in Southern Brazil. International Journal of Eating Disorders [Internet]. 2009 Jul [citado 6 abr. 2024];42(5):387–93. Disponível em: https://doi. org/10.1002/eat.20643

Luiz RR, Magnanini MMF. A lógica da determinação do tamanho da amostra em investigações epidemiológicas. Cad saúde colet, (Rio J). 2000;9–28.

World Health Organization 2000. World Health Organization 2000.

Institute of Medicine 2009. Weight gain during pregnancy: reexamining the guidelines. National Academies Press; 2009. 854 p.

World Health Organization 2007. The challenge of obesity in the WHO European Region and the strategies for response.

Santos PL, Gouveia JP, Oliveira MS. Terapias comportamentais de terceira geração. Guia para Profissionais Novo Hamburgo: Sinopsys. 2015;

Apolzan JW, Myers CA, Cowley AD, Brady H, Hsia DS, Stewart TM, et al. Examination of the reliability and validity of the Mindful Eating Questionnaire in pregnant women. Appetite [Internet]. 2016 [citado 6 abr. 2024]; 100:142–51. Disponível em: http://dx.doi.org/10.1016/j.appet.2016.02.025

Seguias L, Tapper K. The effect of mindful eating on subsequent intake of a high calorie snack. Appetite [Internet]. 2018 [citado 6 abr. 2024]; 121:93–100. Disponível em: https://doi.org/10.1016/j.appet.2017.10.041

Gardner B, Croker H, Barr S, Briley A, Poston L, Wardle J. Psychological predictors of dietary intentions in pregnancy. Journal of Human Nutrition and Dietetics [Internet]. 2012 [citado 6 abr. 2024];25(4):345–53. Disponível em: https://doi. org/10.1111/j.1365-277X.2012.01239.x

Duncombe D, Wertheim EH, Skouteris H, Paxton SJ, Kelly L. How well do women adapt to changes in their body size and shape across the course of pregnancy? J Health Psychol [Internet]. 2008 [citado 6 abr. 2024];13(4):503–15. Disponível em: https://doi.org/10.1177/1359105308088521

May J, Andrade J, Batey H, Berry LM, Kavanagh DJ. Less food for thought. Impact of attentional instructions on intrusive thoughts about snack foods. Appetite [Internet]. 2010 [citado 6 abr. 2024];55(2):279–87. Disponível em: http://dx.doi. org/10.1016/j.appet.2010.06.014

Paolini BM, Burdette JH, Laurienti PJ, Morgan A, Williamson DA, Jack Rejeski W. Corrigendum: Coping with brief periods of food restriction: mindfulness matters. Front Aging Neurosci [Internet]. 2015 [citado 6 abr. 2024];7(JAN):3389. Disponível em: https://www.frontiersin.org/articles/10.3389/fnagi.2014.00345/full

Tylka T, Annunziato R, Burgard D. The Weight-Inclusive versus Weight-Normative Approach to Health: Evaluating the Evidence for Prioritizing Well-Being overweight Loss. J Obes [Internet]. 2014 [citado 6 abr. 2024];52(4):1–18. Disponível em: http://dx.doi.org/10.1155/2014/983495

Hendrickson KL, Rasmussen EB. Mindful eating reduces impulsive food choice in adolescents and adults. Health Psychology [Internet]. 2016 [citado 6 abr. 2024]; Disponível em: http://dx.doi.org/10.1037/hea0000440

Epel E, Laraia B, Coleman-Phox K, Leung C, Vieten C, Mellin L, et al. Effects of a Mindfulness-Based Intervention on Distress, Weight Gain, and Glucose Control for Pregnant Low-Income Women: A Quasi-Experimental Trial Using the ORBIT Model. Int J Behav Med [Internet]. 2019 [citado 6 abr. 2024];26(5):461–73. Disponível em: https://doi.org/10.1007/s12529-019-09779-2

Thomas M, Vieten C, Adler N, Ammondson I, Coleman-Phox K, Epel E, et al. Potential for a stress reduction intervention to promote healthy gestational weight gain: Focus groups with low-income pregnant women. Women’s Health Issues [Internet]. 2014 [citado 6 abr. 2024];24(3):1–13. Disponível em: https://doi.org/10.1016/j.whi.2014.02.004

Guibu IA, de Moraes JC, Junior AAG, Costa EA, Acurcio F de A, Costa KS, et al. Main characteristics of patients of primary health care services in Brazil. Rev Saude Publica [Internet]. 2017 [citado 6 abr. 2024]; 51:1s–13s. Disponível em: https://www. scielo.br/j/rsp/a/ZQ69PVkZHJKn64RZGRRBWjG/?format=pdf&lang=pt

Most J, Rebello CJ, Altazan AD, Martin CK, Amant MS, Redman LM. Behavioral determinants of objectively assessed diet quality in obese pregnancy. Nutrients [Internet]. 2019 Jul 1 [citado 6 abr. 2024];11(7). Disponível em: https://doi.org/10.3390/ nu11071446

Lindsay KL, Most J, Buehler K, Kebbe M, Altazan AD, Redman LM. Maternal mindful eating as a target for improving metabolic outcomes in pregnant women with obesity. Frontiers in Bioscience - Landmark [Internet]. 2021 Dec 30 [citado 6 abr. 2024];26(12):1548–58. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9048853/

Ward K, Herekar A, Wang P, Lindsay KL. Feasibility and Acceptability of a Mindfulness-Based Smartphone App among Pregnant Women with Obesity. Int J Environ Res Public Health [Internet]. 2023 [citado 6 abr. 2024];20(7). Disponível em: https://doi.org/10.3390/ijerph20075421

Published

2024-05-24

How to Cite

Sant’Anna, M. L. P., Moura, L. C. M. de, Oliveira, J. P. L. de, Bedeschi, L. B., Petry, N. S., Ferreira, N. L., & Teixeira, L. G. (2024). Mindful eating during pregnancy: a comparative study according to prenatal care. O Mundo Da Saúde, 48. https://doi.org/10.15343/0104-7809.202448e15812024P