Gebelikte yeme bozukluğu: Pregoreksiya

Yıl 2024, Cilt: 11 Sayı: 1, 164 - 169, 31.03.2024

Meryem Kahrıman Gizem Köse

https://doi.org/10.52880/sagakaderg.1339403

Öz

Gebelik anoreksiya nervozası olarak bilinen pregoreksiya, gebelik döneminde ağırlık kazanımını kontrol etmek için besin alımını kısıtlayan ve enerji harcamasını arttırıcı faaliyetlere başvuran gebeleri tanımlamaktadır. Bu yeme bozukluğunu yaşayan gebelerde öğün atlama, yemek yemekten kaçınma, telafi edici davranışlara başvurma ve beden imajı bozukluklarının yaygın olduğu bildirilmektedir. Risk grubundaki gebelerin mutlaka multidisipliner bir ekiple takip edilmesi, besin tüketimlerinin düzenli olarak değerlendirilmesi gerekmektedir. Gebelikte değişen fizyolojik süreçler göz önüne alındığında, plazma hacminin artmasına ve gebe kadının depolarının azalmasına bağlı olarak enerji ve besin ögesi ihtiyacı artmaktadır. Yeme bozukluğu olan gebelerin beslenme ve besin öğeleri açısından desteklenmesi gerekmektedir. Yalnızca gebelik sürecinde değil, doğumdan sonra da annenin bebeğe bakım verme süreci ve bu durumun bebek sağlığı üzerindeki etkileri değerlendirilmelidir. Henüz pregoreksiyanın tanısı için geliştirilmiş bir aracın olmaması, hastalığın tanımlanması ve yönetimi konusunda pek çok eksikliğe sebebiyet vermektedir. Bu nedenle bu konu ile ilgili yapılacak araştırmalara ihtiyaç vardır.

Anahtar Kelimeler

Gebelik, Yeme Bozukluğu, Gestasyon, Fetüs

Eating disorder in pregnancy: Pregorexia

Öz

Pregorexia, known as anorexia nervosa in pregnancy, defines pregnant women who limit their food intake and engage in activities that increase energy expenditure to control their weight gain during pregnancy. Skipping meals, avoiding eating, applying compensatory behaviors and body image disorders are common in pregnant women with this eating disorder. Pregnant women in the risk group should be followed up with a multidisciplinary team and their food consumption should be evaluated regularly. Considering the differing physiological processes during pregnancy, the energy and nutrient needs of the pregnant women increase due to the plasma volume enlargement and the decrease in the nutrient stores. Pregnant women with eating disorders should be supported in terms of nutrition and nutrients. Not only during pregnancy, but also after birth, the mother’s caregiving process and the effects on health of the baby should be considered. However, the lack of a tool developed for the diagnosis of pregorexia causes many deficiencies in the definition and management of the disease. Therefore, there is a need for further research on this subject.

Anahtar Kelimeler

Pregnancy, Eating Disorder, Gestation, Fetus

Kaynakça

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