Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Bi-Directional Associations of Affective States and Diet among Low-Income Hispanic Pregnant Women using Ecological Momentary Assessment

Version 1 : Received: 22 August 2022 / Approved: 30 August 2022 / Online: 30 August 2022 (04:33:53 CEST)

A peer-reviewed article of this Preprint also exists.

Mason, T.B.; Wang, W.-L.; Bastain, T.; O’Connor, S.G.; Cabison, J.; Naya, C.H.; Chu, D.; Eckel, S.P.; Habre, R.; Breton, C.V.; Dunton, G.F. Bi-Directional Associations of Affective States and Diet among Low-Income Hispanic Pregnant Women Using Ecological Momentary Assessment. Psychiatry Int. 2022, 3, 273-285. Mason, T.B.; Wang, W.-L.; Bastain, T.; O’Connor, S.G.; Cabison, J.; Naya, C.H.; Chu, D.; Eckel, S.P.; Habre, R.; Breton, C.V.; Dunton, G.F. Bi-Directional Associations of Affective States and Diet among Low-Income Hispanic Pregnant Women Using Ecological Momentary Assessment. Psychiatry Int. 2022, 3, 273-285.

Abstract

Background: Affective states play a role in dietary behaviors. Yet, little research has studied within-subjects associations between affect and diet during pregnancy. We examined the acute bidirectional relationships between affect and food intake and moderation by pre-pregnancy body mass index (BMI) in low-income, Hispanic pregnant women using ecological momentary assessment (EMA). Methods: Women (N=57) completed four days of EMA during their first trimester. Women responded to five random prompts per day about their current affect and past two-hour food intake. Results: Higher positive affect (PA) or lower negative affect (NA) predicted greater likelihood of fruit/vegetable consumption in the next two hours in women with lower pre-pregnancy BMI and lower likelihood in women with higher pre-pregnancy BMI. Higher PA predicted less likelihood of fast food consumption in the next two hours in women with lower pre-pregnancy BMI and slightly higher likelihood in women with higher pre-pregnancy BMI. Women with lower pre-pregnancy BMI had higher PA when they reported consuming chips/fries in the past two hours, and women with higher pre-pregnancy BMI had lower PA when they reported consumption of chips/fries in the past two hours. Conclusions: Results showed differential relationships between affect and food intake as a function of pre-pregnancy BMI.

Keywords

affect; pregnancy; food intake; body mass index; ecological momentary assessment

Subject

Biology and Life Sciences, Food Science and Technology

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