懷孕婦女對病態飲食相關的心態行為及其飲食攝取量和體型意識之調查

The Survey on Eating Disorders Related Thoughts,Behaviors and Their Relationship with Food Intakes and Body Image in Pregnant Women

童安真(Ann-Chen Tung)

指導教授 ： 翁玉青

中山醫學大學/健康管理學院/營養學研究所/碩士(2005年)

摘要

本研究以台中縣市懷孕二十八週以上之婦女為研究對象，主要目的是瞭解台中縣市懷孕婦女的體型意識、具病態飲食行為傾向的盛行率及相關危險因子的探討，更進一步比較具病態飲食行為傾向的高危險群及低危險群，其使用的減肥方法、體型意識、實際飲食攝取情形是否有差異。以不記名自填式問卷為研究工具，共分為四個部分：(A)基本資料；(B)飲食障礙調查表(Eating Disorder Inventory；EDI)；(C)飲食態度測驗(Eating Attitudes Test；EAT-26)；(D)24小時飲食回憶法。結果發現：(1)何種體型的受試者有35.5 %的孕婦有孕前減肥經驗；(2)EDI-DT平均分數為4.25±3.53，EDI-BD平均分數為10.36±5.97；(3)EAT-26 平均分數為6.67±5.77，有3 %的受試者為具病態飲食行為傾向的高危險群（EAT-26≧20）；結果顯示「孕前有無減肥經驗」為有效預測病態飲食行為傾向的危險因子；(4)具病態飲食行為傾向的高危險群及低危險群其熱量、蛋白質、醣類、脂肪、礦物質、維生素、粗纖維及膳食纖維的攝取，沒有顯著差異。

關鍵字

病態飲食行為 ； 體型意識 ； 飲食態度測驗 ； 懷孕婦女

並列摘要

The purpose of this study was to investigate the body image, and the tendency of eating disorders among pregnant women. In addition, the differences in eating behaviors, nutrient intakes and body image were also compared in pregnant women of EAT(＋) and EAT(－).Written questionnaires includes demographics, EDI, EAT and 24hrs dietary recall were use to collect data. Results included (1)there were 35.5 % of pregnant women ever intentionally lose weight pre-pregnancy (2)the score of EDI-DT was 4.25±3.53,EDI-BD was 10.36±5.97 (3)the score of EAT-26 was 6.67±5.77, and 3 % of all pregnant women had score above the cutoff point(EAT-26≧20, EAT(＋)).Logistic regression analysis demonstrated the “ try to lose weight in pre-pregnancy ” was independently related to the tendency of eating disorders for pregnant women (4)In pregnant women, the intakes of energy, protein, carbohydrate, fat, mineral, vitamin, dietary fiber and crude fiber were not significant differences in EAT(＋) and EAT(－).

並列關鍵字

eating disorders ； body image ； EAT-26 ； pregnant women

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