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Food insecurity during pregnancy leads to stress, disordered eating, and greater postpartum weight among overweight women

Objective To investigate the influence of food insecurity on women's stress, disordered eating, dietary fat intake, and weight during the postpartum period. Methods The association between marginal food security and food insecurity—measured during pregnancy and postpartum—and stress, disordered...

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Published in:Obesity (Silver Spring, Md.) Md.), 2015-06, Vol.23 (6), p.1303-1311
Main Authors: Laraia, Barbara, Vinikoor‐Imler, Lisa C., Siega‐Riz, Anna Maria
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Language:English
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cited_by cdi_FETCH-LOGICAL-c5135-5f44ae59abec270b0f9c1c193aa55eb9380309610c2edf12c1d75cd4255856bb3
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creator Laraia, Barbara
Vinikoor‐Imler, Lisa C.
Siega‐Riz, Anna Maria
description Objective To investigate the influence of food insecurity on women's stress, disordered eating, dietary fat intake, and weight during the postpartum period. Methods The association between marginal food security and food insecurity—measured during pregnancy and postpartum—and stress, disordered eating, dietary fat intake, and weight at 3 and 12 months postpartum was estimated using multivariate linear regression, controlling for demographic and socioeconomic characteristics and health behaviors. Effect modification between level of food insecurity and prepregnancy weight status was assessed, hypothesizing a stronger association would be found among women who started pregnancy with overweight or obesity. Results Food insecurity status during pregnancy was strongly associated with higher levels of stress, disordered eating, and dietary fat intake at 3 and 12 months postpartum; during the postpartum period, food insecurity was associated with these measures at 12 months postpartum. A significant interaction was found between level of food insecurity and prepregnancy weight status; food insecurity was associated with greater weight and BMI at 12 months only among women with overweight or obesity. Conclusions In order to return to one's prepregnancy weight, women with overweight and obesity who face household food insecurity may need multipronged assistance that not only addresses having enough high‐quality food, but also include stress reduction and eating behavior interventions.
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Methods The association between marginal food security and food insecurity—measured during pregnancy and postpartum—and stress, disordered eating, dietary fat intake, and weight at 3 and 12 months postpartum was estimated using multivariate linear regression, controlling for demographic and socioeconomic characteristics and health behaviors. Effect modification between level of food insecurity and prepregnancy weight status was assessed, hypothesizing a stronger association would be found among women who started pregnancy with overweight or obesity. Results Food insecurity status during pregnancy was strongly associated with higher levels of stress, disordered eating, and dietary fat intake at 3 and 12 months postpartum; during the postpartum period, food insecurity was associated with these measures at 12 months postpartum. A significant interaction was found between level of food insecurity and prepregnancy weight status; food insecurity was associated with greater weight and BMI at 12 months only among women with overweight or obesity. Conclusions In order to return to one's prepregnancy weight, women with overweight and obesity who face household food insecurity may need multipronged assistance that not only addresses having enough high‐quality food, but also include stress reduction and eating behavior interventions.</description><identifier>ISSN: 1930-7381</identifier><identifier>EISSN: 1930-739X</identifier><identifier>DOI: 10.1002/oby.21075</identifier><identifier>PMID: 25959858</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adaptation, Psychological ; Adult ; Depression, Postpartum - psychology ; Feeding Behavior - psychology ; Female ; Humans ; Obesity ; Older people ; Overweight - complications ; Overweight - psychology ; Postpartum Period - psychology ; Pregnancy ; Risk Factors ; Studies ; United States ; Weight control ; Womens health ; Young Adult</subject><ispartof>Obesity (Silver Spring, Md.), 2015-06, Vol.23 (6), p.1303-1311</ispartof><rights>2015 The Obesity Society</rights><rights>2015 The Obesity Society.</rights><rights>Copyright Blackwell Publishing Ltd. 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Methods The association between marginal food security and food insecurity—measured during pregnancy and postpartum—and stress, disordered eating, dietary fat intake, and weight at 3 and 12 months postpartum was estimated using multivariate linear regression, controlling for demographic and socioeconomic characteristics and health behaviors. Effect modification between level of food insecurity and prepregnancy weight status was assessed, hypothesizing a stronger association would be found among women who started pregnancy with overweight or obesity. Results Food insecurity status during pregnancy was strongly associated with higher levels of stress, disordered eating, and dietary fat intake at 3 and 12 months postpartum; during the postpartum period, food insecurity was associated with these measures at 12 months postpartum. A significant interaction was found between level of food insecurity and prepregnancy weight status; food insecurity was associated with greater weight and BMI at 12 months only among women with overweight or obesity. Conclusions In order to return to one's prepregnancy weight, women with overweight and obesity who face household food insecurity may need multipronged assistance that not only addresses having enough high‐quality food, but also include stress reduction and eating behavior interventions.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Depression, Postpartum - psychology</subject><subject>Feeding Behavior - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Obesity</subject><subject>Older people</subject><subject>Overweight - complications</subject><subject>Overweight - psychology</subject><subject>Postpartum Period - psychology</subject><subject>Pregnancy</subject><subject>Risk Factors</subject><subject>Studies</subject><subject>United States</subject><subject>Weight control</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1930-7381</issn><issn>1930-739X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp1kd9rFDEQx4Mo9oc--A9IwBcLvTbZvdndvBS0WBUKfVHQp5BNZrcpu8maZHvsf2_OOw8VfJqZ5MOHGb6EvOLsgjNWXPp2uSg4q-EJOeaiZKu6FN-eHvqGH5GTGB8YW1cM-HNyVIAA0UBzTJYb7w21LqKeg00LNbm4nk4Be6ecXuiAykSaPI0pYIzn1Njog8GAhqJKGT6nyhnahzxhoJOPaVIhzSPdoO3vE1Wjz0b_iGH_sPEjuhfkWaeGiC_39ZR8vfnw5frT6vbu4-frd7crDbyEFXTrtUIQqkVd1KxlndBc58uUAsBWlA0rmag40wWajheamxq0WRcADVRtW56Sq513mtsRjUaXghrkFOyowiK9svLvH2fvZe8fZQVVKRhkwdu9IPgfM8YkRxs1DoNy6OcoedWUNQhRsYy--Qd98HNw-bwtlVMpuNgKz3aUDj7GgN1hGc7kNlCZA5W_As3s6z-3P5C_E8zA5Q7Y2AGX_5vk3fvvO-VPGWmtrw</recordid><startdate>201506</startdate><enddate>201506</enddate><creator>Laraia, Barbara</creator><creator>Vinikoor‐Imler, Lisa C.</creator><creator>Siega‐Riz, Anna Maria</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201506</creationdate><title>Food insecurity during pregnancy leads to stress, disordered eating, and greater postpartum weight among overweight women</title><author>Laraia, Barbara ; Vinikoor‐Imler, Lisa C. ; Siega‐Riz, Anna Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5135-5f44ae59abec270b0f9c1c193aa55eb9380309610c2edf12c1d75cd4255856bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Depression, Postpartum - psychology</topic><topic>Feeding Behavior - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Obesity</topic><topic>Older people</topic><topic>Overweight - complications</topic><topic>Overweight - psychology</topic><topic>Postpartum Period - psychology</topic><topic>Pregnancy</topic><topic>Risk Factors</topic><topic>Studies</topic><topic>United States</topic><topic>Weight control</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Laraia, Barbara</creatorcontrib><creatorcontrib>Vinikoor‐Imler, Lisa C.</creatorcontrib><creatorcontrib>Siega‐Riz, Anna Maria</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Obesity (Silver Spring, Md.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Laraia, Barbara</au><au>Vinikoor‐Imler, Lisa C.</au><au>Siega‐Riz, Anna Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Food insecurity during pregnancy leads to stress, disordered eating, and greater postpartum weight among overweight women</atitle><jtitle>Obesity (Silver Spring, Md.)</jtitle><addtitle>Obesity (Silver Spring)</addtitle><date>2015-06</date><risdate>2015</risdate><volume>23</volume><issue>6</issue><spage>1303</spage><epage>1311</epage><pages>1303-1311</pages><issn>1930-7381</issn><eissn>1930-739X</eissn><abstract>Objective To investigate the influence of food insecurity on women's stress, disordered eating, dietary fat intake, and weight during the postpartum period. Methods The association between marginal food security and food insecurity—measured during pregnancy and postpartum—and stress, disordered eating, dietary fat intake, and weight at 3 and 12 months postpartum was estimated using multivariate linear regression, controlling for demographic and socioeconomic characteristics and health behaviors. Effect modification between level of food insecurity and prepregnancy weight status was assessed, hypothesizing a stronger association would be found among women who started pregnancy with overweight or obesity. Results Food insecurity status during pregnancy was strongly associated with higher levels of stress, disordered eating, and dietary fat intake at 3 and 12 months postpartum; during the postpartum period, food insecurity was associated with these measures at 12 months postpartum. A significant interaction was found between level of food insecurity and prepregnancy weight status; food insecurity was associated with greater weight and BMI at 12 months only among women with overweight or obesity. Conclusions In order to return to one's prepregnancy weight, women with overweight and obesity who face household food insecurity may need multipronged assistance that not only addresses having enough high‐quality food, but also include stress reduction and eating behavior interventions.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>25959858</pmid><doi>10.1002/oby.21075</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Adaptation, Psychological
Adult
Depression, Postpartum - psychology
Feeding Behavior - psychology
Female
Humans
Obesity
Older people
Overweight - complications
Overweight - psychology
Postpartum Period - psychology
Pregnancy
Risk Factors
Studies
United States
Weight control
Womens health
Young Adult
title Food insecurity during pregnancy leads to stress, disordered eating, and greater postpartum weight among overweight women
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