Sociodemographic, anthropometric, obstetric and body image determinants and their relationship with intuitive eating in pregnancy

Autores

DOI:

https://doi.org/10.21527/2176-7114.2026.51.15557

Palavras-chave:

Feeding Behavior, Maternal health, Delivery of Health Care

Resumo

The objective of the present study was to evaluate the association between sociodemographic, obstetric, anthropometric factors, and body image with intuitive eating in pregnant women. This cross-sectional study was conducted between June 2019 and February 2020 with pregnant women receiving care in the public and private healthcare networks in Lavras, Minas Gerais. Sociodemographic, obstetric, and anthropometric data were collected through a semi-structured questionnaire based on national surveys. Body image perception was assessed using the Body Shape Questionnaire, while intuitive eating was measured through the Intuitive Eating Scale. Univariate and multivariate logistic regression analyses were applied, adjusting for sociodemographic, anthropometric, and body image variables. The sample consisted of 189 pregnant women. In the adjusted analysis, it was found that pregnant women who identified as non-white were 3.72 times more likely (95% CI 1.74-8.38) to engage in intuitive eating compared to white women. Additionally, those receiving care in the public sector were 0.25 times less likely (95% CI 0.10-0.56) to practice intuitive eating compared to those assisted in the private sector. These findings suggest that external factors influence intuitive eating at different levels, affecting the perception of physical hunger and satiety cues.

Referências

1. Gomes C de B, Vasconcelos LG, Cintra RMG de C, Dias LCGD, Carvalhaes MA de BL. Hábitos alimentares das gestantes brasileiras:revisão integrativa da literatura. Cien Saude Colet. 2019 Jun 27;24(6):2293–306.

2. Skouteris H, Hartley-Clark L, McCabe M, Milgrom J, Kent B, Herring SJ, et al. Preventing excessive gestational weight gain: a systematic review of interventions. Obes Rev. 2010 Nov;11(11):757–68.

3. Clark A, Skouteris H, Wertheim EH, Paxton SJ, Milgrom J. The relationship between depression and body dissatisfaction across pregnancy and the postpartum: a prospective study. J Health Psychol. 2009 Jan;14(1):27–35.

4. Bijlholt M, Van Uytsel H, Ameye L, Devlieger R, Bogaerts A. Eating behaviors in relation to gestational weight gain and postpartum weight retention: A systematic review. Obes Rev. 2020 Oct 1;21(10).

5. Tribole E, Resch E. Intuitive Eating. 3rd ed. New York; 2012. 344 p.

6. Tylka TL, Kroon Van Diest AM. The Intuitive Eating Scale-2: Item refinement and psychometric evaluation with college women and men. J Couns Psychol. 2013;60(1):137–53.

7. Bruce LJ, Ricciardelli LA. A systematic review of the psychosocial correlates of intuitive eating among adult women. Appetite. 2016 Jan 1;96:454–72.

8. T L, SS D, A B, J R, M S. The association between pre-conception intuitive eating and gestational weight gain. Eat Weight Disord. 2021 Mar 1;26(2):467–74.

9. Lee MF, Williams SL, Burke KJ. Striving for the thin ideal post-pregnancy: cross-sectional study of intuitive eating in postpartum women. J Reprod Infant Psychol. 2019;00(00):1–12.

10. 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. 2009;42(5):387–93.

11. World Health Organization. Obesity : preventing and managing the global epidemic : report of a WHO consultation. Geneva; 1999.

12. Da Silva RW, Neves AN, Ferreira L, Campos JA, Swami V. Psychometric Investigation of Brazilian Portuguese Versions of the Caregiver Eating Messages Scale and Intuitive Eating Scale-2.

13. Di Pietro M, Silveira DX. Internal validity, dimensionality and performance of the Body Shape Questionnaire in a group of Brazilian college students. Brazilian Journal of Psychiatry. 2009;31:21-4.

14. Ramos MH, Silva JM, de Oliveira TAV, da Silva Batista J, Cattafesta M, Salaroli LB, et al. Intuitive eating and body appreciation in type 2 diabetes. J Health Psychol. 2020;

15. Niquini RP, Bittencourt SA, Lacerda EM, Saunders C, Leal MD. Avaliação da estrutura de sete unidades de saúde da família para a oferta da assistência nutricional no pré-natal no município do Rio de Janeiro, Brasil. Revista Brasileira de Saúde Materno Infantil. 2010;10:s61-8.

16. Kaitz J, Ray S, Harkins D. Barriers in addressing body image and eating issues in primary care: an overview of women’s narratives. Women Health. 2020;60(3):260–70.

17. Gross RS, Mendelsohn AL, Arana MM, Messito MJ. Food Insecurity During Pregnancy and Breastfeeding by Low-Income Hispanic Mothers. Pediatrics. 2019 Jun 1;143(6).

18. Hrabosky JI, Grilo CM. Body image and eating disordered behavior in a community sample of Black and Hispanic women. Eat Behav. 2007 Jan;8(1):106–14.

19. LA SJ, ML F, Z M, MR S, AR D, L VH. Ethnic Differences in correlates of obesity between Latin-American and black Women. Obes Res. 2004;12(4):652–60.

20. Hogue J V., Mills JS. The effects of active social media engagement with peers on body image in young women. Body Image. 2019 Mar 1;28:1–5.

21. Lowe-Calverley E, Grieve R. Do the metrics matter? An experimental investigation of Instagram influencer effects on mood and body dissatisfaction. Body Image. 2021 Mar 1;36:1–4.

22. Bustos M, Venkataramanan R, Caritis S. Nausea and Vomiting of Pregnancy-What’s New? Auton Neurosci. 2017 Jan 1;202:62.

23. Baskin R, Galligan R, Meyer D. Disordered eating from pregnancy to the postpartum period: The role of psychosocial and mental health factors. Appetite. 2021 Jan 1;156:104862.

24. Camilleri GM, Méjean C, Bellisle F, Andreeva VA, Kesse-Guyot E, Hercberg S, et al. Intuitive eating is inversely associated with body weight status in the general population-based NutriNet-Santé study. Obesity (Silver Spring). 2016 May 1;24(5):1154–61.

25. Daundasekara SS, Beasley AD, O’Connor DP, Sampson M, Hernandez D, Ledoux T. Validation of the intuitive Eating Scale for pregnant women. Appetite. 2017 May 1;112:201–9.

26. Bruce LJ, Ricciardelli LA. A systematic review of the psychosocial correlates of intuitive eating among adult women. Appetite. 2016;96:454–72.

27. Denny KN, Loth K, Eisenberg ME, Neumark-Sztainer D. Intuitive eating in young adults. Who is doing it, and how is it related to disordered eating behaviors? Appetite. 2013;60(1):13–9.

28. Sebastiani G, Andreu-Fernández V, Herranz Barbero A, Aldecoa-Bilbao V, Miracle X, Meler Barrabes E, et al. Eating Disorders During Gestation: Implications for Mother’s Health, Fetal Outcomes, and Epigenetic Changes. Front Pediatr. 2020 Sep 17;0:587.

29. Ramos MH, Silva JM, de Oliveira TAV, da Silva Batista J, Cattafesta M, Salaroli LB, et al. Intuitive eating and body appreciation in type 2 diabetes. J Health Psychol. 2020;

30. Phelan S, Phipps MG, Abrams B, Darroch F, Schaffner A, Wing RR. Randomized trial of a behavioral intervention to prevent excessive gestational weight gain: the Fit for Delivery Study. Am J Clin Nutr. 2011 Apr 1;93(4):772–9.

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Publicado

2026-01-02

Como Citar

Vilas Boas, A. C., Fróis, L. F., Pereira, I., Petry, N. S., Bedeschi, L. B., Consoli, M. L. D., … Teixeira, L. G. (2026). Sociodemographic, anthropometric, obstetric and body image determinants and their relationship with intuitive eating in pregnancy. Revista Contexto & Saúde, 26(51), e15557. https://doi.org/10.21527/2176-7114.2026.51.15557

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Artigo Original