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      Pregorexia: a systematic review and meta-analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartum

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          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.

          Supplementary Information

          The online version contains supplementary material available at 10.1007/s40519-023-01595-8.

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          Using thematic analysis in psychology

          Virginia Braun, Victoria Clarke (2014)
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            The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

            Matthew J L Page, Joanne E McKenzie, Patrick Bossuyt … (2024)
            The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement, published in 2009, was designed to help systematic reviewers transparently report why the review was done, what the authors did, and what they found. Over the past decade, advances in systematic review methodology and terminology have necessitated an update to the guideline. The PRISMA 2020 statement replaces the 2009 statement and includes new reporting guidance that reflects advances in methods to identify, select, appraise, and synthesise studies. The structure and presentation of the items have been modified to facilitate implementation. In this article, we present the PRISMA 2020 27-item checklist, an expanded checklist that details reporting recommendations for each item, the PRISMA 2020 abstract checklist, and the revised flow diagrams for original and updated reviews.
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              Measuring inconsistency in meta-analyses.

              Julian P. T. Higgins, Simon Thompson, Jonathan Deeks … (2003)
              Article 0 comments Cited 9723 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Giovanni Castellini: giovanni.castellini@unifi.it
                Journal
                Journal ID (nlm-ta): Eat Weight Disord
                Journal ID (iso-abbrev): Eat Weight Disord
                Title: Eating and Weight Disorders
                Publisher: Springer International Publishing (Cham )
                ISSN (Print): 1124-4909
                ISSN (Electronic): 1590-1262
                Publication date (Electronic): 1 August 2023
                Publication date PMC-release: 1 August 2023
                Publication date (Print): 2023
                Volume: 28
                Issue: 1
                Electronic Location Identifier: 64
                Affiliations
                [1 ]GRID grid.8404.8, ISNI 0000 0004 1757 2304, Psychiatry Unit, Department of Health Sciences, , University of Florence, AOU Careggi, ; Viale Della Maternità, Padiglione 8B, 50121 Florence, FI Italy
                [2 ]GRID grid.8404.8, ISNI 0000 0004 1757 2304, Obstetrics and Gynecology Unit, Department of Experimental and Clinical Biomedical Sciences, , University of Florence, ; Florence, Italy
                Article
                Publisher ID: 1595
                DOI: 10.1007/s40519-023-01595-8
                PMC ID: 10393903
                PubMed ID: 37526698
                SO-VID: 88b9d4f6-3734-489e-b6df-29993e95bdc7
                Copyright © © The Author(s) 2023
                License:

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                Date received : 20 June 2023
                Date accepted : 20 July 2023
                Funding
                Funded by: Università degli Studi di Firenze
                Open Access :

                Open access funding provided by Università degli Studi di Firenze within the CRUI-CARE Agreement.

                Categories
                Subject: Review
                Custom metadata
                issue-copyright-statement © Springer Nature Switzerland AG 2023

                Keywords: eating psychopathology,body image,feeding and eating disorders,pregnancy,postpartum
                Data availability:
                Keywords: eating psychopathology, body image, feeding and eating disorders, pregnancy, postpartum

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