Psychology Health & Medicine最新文献

{"title":"Prospective physicians' body image, and prejudices against obesity: a cross-sectional descriptive study.","authors":"Rana Can Özdemir, Meryem Türkan Işik, Mustafa Levent Özgönül","doi":"10.1080/13548506.2025.2460337","DOIUrl":"10.1080/13548506.2025.2460337","url":null,"abstract":"<p><p>The aim of this study was to determine medical school students' body image perceptions and prejudices towards obese individuals, reveal the relationship between these two concepts, determine the influencing factors, and raise awareness of the issue. The sample of the study consisted of 665 medical school students. 'Student Information Form', 'GAMS-27 Obesity Prejudice Scale' and 'Body Appreciation Scale' were used to collect data. For data analysis arithmetic mean, standard deviation, frequency, percentage distribution, t test/one-way analysis of variance, correlation coefficient, Shapiro-Wilk test, Kolmogorov-Smirnov test, Spearman rho correlation coefficient, Kruskal Wallis H test, Mann-Whitney U test and Single One-way ANOVA F test were used. The overall Body Appreciation Scale and GAMS-27 Obesity Prejudice Scale mean scores were 27.57 ± 4.22 and 82.75 ± 10.68, respectively. There was no relationship between the Body Appreciation Scale and GAMS-27 Obesity Prejudice Scale mean scores (<i>p</i> > 0.05). The participants were prejudiced towards obese individuals. Factors such as gender, year of study, participation in sports, perceived body image, and desire to care for an obese patient did not affect the scores on the GAMS-27 Obesity Prejudice Scale and Body Appreciation Scale.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1643-1656"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Loneliness and depression: the mediating effect of perceived social strain in older adults with diabetes-a cross-sectional study.","authors":"Emma Cho, George Demiris","doi":"10.1080/13548506.2025.2465651","DOIUrl":"10.1080/13548506.2025.2465651","url":null,"abstract":"<p><p>Loneliness is a known risk factor for social strain which refers to the capability of certain social relationships to act as a source of stress. Social strain has been shown to negatively affect mental health outcomes such as depression in older adults. Older adults with diabetes are at greater risk for loneliness. However, limited research has examined there is a lack the complex relationship among loneliness, social strain, and depression in this population. The purpose of this study was to examine the relationship between loneliness and depression in older adults with diabetes and to explore the mediating role of social strain in this association. This cross-sectional study was developed as a secondary data analysis using data from the National Social Life, Health, and Aging Project in the U.S.A. The sample consisted of 379 older adults aged 50 to 88 years. Loneliness, social strain, and depression were assessed using a multi-item survey questionnaire. Bivariate analysis and macro PROCESS in SPSS were used to analyze the data. Mediation analysis revealed a positive, direct effect of loneliness on depression (path c': β = 1.61, <i>p</i> < .001), and a positive, indirect effect of loneliness on depression through perceived social strain (β = 0.20, <i>p</i> < .001). These findings suggest that the relationship between loneliness and depression is partially mediated by social strain. Interventions that target both loneliness and the negative perceptions or interactions associated with social strain could help reduce depression in this population.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1674-1684"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12336356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cross-cultural examination of physical activity and healthy food consumption among Ethiopian immigrants in Israel and the general population in regard to type 2 diabetes.","authors":"Dalia Betolin-Schermann, Shiri Shinan-Altman","doi":"10.1080/13548506.2025.2469192","DOIUrl":"10.1080/13548506.2025.2469192","url":null,"abstract":"<p><p>The global rise in type 2 diabetes mellitus (T2DM) highlights the need for effective preventive health behaviors, such as maintaining a nutritious diet, optimal body weight, and regular physical activity. Ethiopian immigrants (EIs) in Israel, an ethnic minority, are vulnerable to T2DM, with a risk significantly higher than the general population. This study aims to assess and compare health behaviors, specifically physical activity and healthy food consumption, between EIs and Israeli-born individuals (IBs). Utilizing an expanded theory of planned behavior framework, the study incorporates perceived susceptibility to T2DM and perceived health status as additional determinants of these behaviors. A cross-sectional study design was employed, involving a convenience sample of 110 EIs and 97 IBs. Data collection involved questionnaires administered via email or hard-copy. Key variables included attitudes, subjective norms, perceived control, intention, perceived susceptibility, and perceived health status, with logistic regression used to identify significant predictors of health behaviors. Results revealed no significant differences in the rates of physical activity (60.9% for EIs, 60.8% for IBs; <i>p</i> = 0.99) and in healthy food consumption (66.4% for EIs, 78.4% for IBs; <i>p</i> = 0.05). Significant predictors of physical activity differed between the groups. For EIs, intention (OR = 1.35, 95%CI [0.71,1.99], <i>p</i> < 0.001) had a significant effect, while for IBs, this effect was not observed. Perceived health status (OR = 1.63, 95%CI [1.07,2.48], <i>p</i> = 0.023) was a significant predictor across both groups. For healthy food consumption, significant predictors included marital status (OR = 4.25, 95%CI [1.92, 9.44], <i>p</i> < 0.001), BMI (OR = 0.61, 95%CI [0.39, 0.95], <i>p</i> = 0.029), and intention (OR = 2.86,95%CI [1.40,5.86], <i>p</i> = 0.004), with no significant group interaction effects found for these variables. The findings highlight the importance of culturally tailored health interventions that consider both individual and communal beliefs. The study fills a critical gap in preventive health practices among high-risk populations, providing insights for developing effective strategies to promote healthy behaviors in diverse cultural contexts.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1723-1737"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the mechanism of work-family conflict on obesity-related eating behavior among employees: a large-scale cross-sectional study in China.","authors":"Fangjie Dong, Tingting Liao","doi":"10.1080/13548506.2025.2486507","DOIUrl":"10.1080/13548506.2025.2486507","url":null,"abstract":"<p><p>Previous research has demonstrated associations between work-family conflict (WFC) and obesity-related eating behaviors (OEB). However, the mechanism underlying this relationship remain unclear, especially regarding the differential impacts of work-to-family conflict (WtFC) and family-to-work conflict (FtWC). Based on conservation of resources theory, this study investigated how WtFC and FtWC influences OEB through self-efficacy and anxiety, and whether intention to have the first-child (IC1) and second-child (IC2) moderates these relationships. Data were collected from 1,708 Chinese employees aged 19-35 using a cross-sectional survey. Results showed that both WtFC and FtWC positively predicted OEB (<i>β</i> = 0.141, <i>p</i> = 0.001; <i>β</i> = 0.223, <i>p</i> < 0.001). FtWC predicted OEB through two pathways: directly through anxiety (<i>β</i> = 0.066, 95% CI: 0.045 to 0.089) and sequentially through self-efficacy and anxiety (<i>β</i> = 0.003, 95% CI: 0.001 to 0.006). WtFC showed no significant indirect effects through these pathways. IC2 strengthened the mediating effect of anxiety in the FtWC-OEB relationship (Index = 0.011, 95% CI: 0.003 to 0.019), while no significant moderating effect was found for IC1. These findings reveal distinct mechanisms through which WtFC and FtWC influence eating behaviors among Chinese employees, highlighting the complex interplay between work-family dynamics, psychological resources, emotions, and health behaviors. The results provide insights for developing targeted interventions to address OEB in workplace settings.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1768-1789"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nutritional knowledge, carbohydrate quality, and fat phobia: cross-sectional study on vegetarians.","authors":"Fatma Beyza Gökcüoğlu, Müge Arslan","doi":"10.1080/13548506.2025.2470878","DOIUrl":"10.1080/13548506.2025.2470878","url":null,"abstract":"<p><p>In contemporary society, where vegetarian diets are gaining popularity, it is imperative to develop a profound understanding of these individuals' dietary choices and their health implications. Specifically, it is crucial to examine how the prevalence of fat phobia affects their dietary preferences, in order to promote a balanced nutritional approach. The aim of the study is to evaluate the carbohydrate quality and nutrition knowledge level of vegan and vegetarian individuals in Istanbul, Turkey, and to examine their relationship with fatphobia. A questionnaire consisting of questions about sociodemographic characteristics, eating habits, the Nutrition Knowledge Level Scale for Adults, Fat Phobia Scale, and a 24-hour Food Consumption Record Form was administered face-to-face to 500 vegetarian individuals aged 18-65 living in Istanbul. Individuals in this study are 26.4% vegan, 10.4% lacto-vegetarian, 25.4% lacto-ovo-vegetarian, 12% pollo-vegetarian, 10.4% pesco-vegetarian and 15.4% semi-vegetarian. The group that has the highest Basic Nutrition Information (47.51 ± 7.95), Food Preference Information (24.27 ± 6.04), Evaluation of Daily Food Preferences as Correct (6.89 ± 1, 33) are vegans. The group with the highest Evaluating the Importance Degree of the Relationship Between Nutrition and Health (9.27 ± 0.89) and Carbohydrate Quality Index value (11.08 ± 2.14) are pesco-vegetarians. The group with the highest Fat Phobia Scale (3.23 ± 0.28) are pollo-vegetarians. There was no statistically significant difference between the Carbohydrate Quality Index values and 'Fat Phobia Scale Total' scores of the different vegetarian dietary types (<i>p</i> > 0.05). It has been found that pesco-vegetarians have the highest carbohydrate quality index. Pollo-vegetarians, on the other hand, are noted for having the highest fat phobia.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1738-1756"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of behavioural changes via text messaging on weight loss in women with overweight and obesity.","authors":"Emre Duman, Esra Tunçer, Gülsüm Şahin-Bodur, Selen Yılmaz, Alev Keser","doi":"10.1080/13548506.2025.2512154","DOIUrl":"10.1080/13548506.2025.2512154","url":null,"abstract":"<p><p>This study examined the effectiveness of short message service (SMS)-based behavioral modifications combined with nutritional education on weight loss among women with overweight and obesity. Participants were divided into a control group receiving only nutritional education and an intervention group receiving both nutritional education and daily SMS reminders for 90 days. Data collection included demographic details, health status, anthropometric measurements, and responses to the Attitude Scale for Healthy Nutrition (ASHN), the Mediterranean Diet Adherence Scale (MEDAS), and the International Physical Activity Questionnaire (IPAQ). Surveys and measurements were conducted at the start, after four weeks, and at twelve weeks. The final analysis involved 62 women, with a median age of 43 years. The intervention group had 29 participants, while the control group had 33. Results showed a significant reduction in body weight and BMI from baseline to 12 weeks. However, no significant differences in weight loss were observed between the groups. Changes in MEDAS scores varied, with an initial increase in the intervention group and a decrease in the control group. By week 12, MEDAS scores were similar in both groups. Although group differences were not statistically significant, the study highlights the potential of SMS as a motivational tool for healthy eating behaviors.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1832-1847"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does message framing affect intentions to improve diet and physical activity? A randomized study in UK adults.","authors":"G Landi, G Finlayson, C Keyworth","doi":"10.1080/13548506.2025.2502839","DOIUrl":"10.1080/13548506.2025.2502839","url":null,"abstract":"<p><p>Engaging in regular physical activity and a healthy diet, in line with World Health Organisation (WHO) recommendations, have robust benefits on physical and mental health. One way to influence behaviour change is by improving the effectiveness of health communication. This study of 190 participants explored the effectiveness of message framing and temporal focus on behavioural intention to increase physical activity and improve diet. In this cross-sectional between-subjects design, ANCOVAs were conducted to investigate the main effects of message frame, message focus and the interaction effects on behavioural intentions with respect to diet and PA. Furthermore, regression analyses were used to determine the predictors of behavioural intentions (including perceived stress and BMI). Previous research suggests that BMI moderates responses to gain-framed messages, while stress impairs impulse control and affects dietary choice, making them critical variables in understanding behaviour change. Therefore, BMI and stress are included in the study because both factors could influence health behaviours and the effectiveness of message framing. There were no significant main effects or two-way interactions for the frame of focus on intentions to be more physically active. However, there was a significant three-way interaction between temporal focus, message frame and stress, such that people with higher perceived stress had a greater intention to improve their diet when the message was gain-farmed and had a focus on short-term rather than long-term gains. Furthermore, BMI was a significant predictor of both diet and intentions to be more physically active. The findings highlight the need for more research on the potential efficacy of message framing in health communication for preventive behaviours.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1814-1831"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Around-the-clock: Caregiving at night for juveniles living with type 1 diabetes - a systematic review.","authors":"Vivienne Howard, Rebecca Maguire, Enda De Bruin, Jennifer Deane-King, Natalie Duda, Siobhan Corrigan","doi":"10.1080/13548506.2025.2468529","DOIUrl":"10.1080/13548506.2025.2468529","url":null,"abstract":"<p><p>Caring for children with type 1 diabetes (T1D) can require around-the-clock attention but there is little acknowledgment of the impact that nocturnal caregiving can have on caregivers in clinical care provision. This systematic review aimed to (1) explicate nocturnal caregiving practice (NCP) by identifying and synthesising peer-reviewed research to establish the prevalence and nature of NCP, (2) explore the impacts of NCP for caregivers, (3) evaluate the perceived value of technology for supporting NCP, and (4) examine potential solutions for mitigating NCP burden. In January, 2022, the databases CINAHL, MEDLINE, Web of Science, PsycINFO, Scopus and EMBASE were searched to identify peer-reviewed studies, published in English since 1997, which addressed NCP for juveniles with T1D. Quantitative, qualitative and mixed-methods studies were included. Risk of bias analysis was carried out using the quality assessment with diverse studies tool. Where possible, quantitative data were aggregated. Qualitative data was subjected to a narrative synthesis, using thematic analysis. Thirty-one studies met inclusion criteria, comprising 3,547 caregivers. 88% of caregivers engaged in NCP, though frequency was variable. Over 50% of participants (19-80%) failed to get adequate sleep and 54% reported poor sleep quality. Qualitative testimony detailed adverse impacts of NCP; exhaustion, difficulty making illness-management decisions, negative impacts on mood and physical health. Benefits from technology were equivocal. Evidence regarding predictors and associations for NCP, such as patient age, was contradictory. 83% of authors recommended that sleep be routinely addressed in clinic, which is not current practice. This review provides clear evidence that NCP in T1D is pervasive with significant negative impacts on caregivers. These secondary impacts of juvenile T1D need to be acknowledged so that care guidelines can be modified and psychosocial supports can be developed for use in clinical treatment environments.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1701-1722"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of quality of life and eating behavior in outpatients with type 2 diabetes mellitus and/or systemic arterial hypertension: a cross-sectional study.","authors":"Lilia Schug de Moraes, Antonio Orlando Farias Martins-Filho, Lusiana Chagas Liermann, Cristina Bossle de Castilhos, Larissa Amaral de Matos, Ana Maria Pandolfo Feoli, Anne Y Castro Marques, Lúcia Rota Borges, Renata Torres Abib Bertacco","doi":"10.1080/13548506.2025.2458252","DOIUrl":"10.1080/13548506.2025.2458252","url":null,"abstract":"<p><p>To evaluate the quality of life and eating behavior of patients with type 2 diabetes mellitus and/or systemic arterial hypertension treated at a specialized outpatient service in southern Brazil. The cross-sectional study included adults and elderly individuals previously diagnosed with type 2 diabetes mellitus and/or systemic arterial hypertension. The WHOQOL-bref instrument was used to obtain quality of life. Eating behavior was assessed using the Three-factor Eating Questionnaire-R21. Multiple linear regression and Spearman's correlation were used to examine the relationship between quality of life and eating behavior. And the Mann-Whitney U-test, Kruskal-Wallis and multiple linear regression to verify the relationship between quality of life, behavior, sociodemographic and clinical. E o Spearman's correlation coefficient was used to examine the relationship between quality of life and eating behavior. A significance level of 5% was adopted for all analyses. A total of 326 participants were included, with a mean age of 57.0 ± 12.2 years, the majority of whom were females (70.9%) and adults (53.4%). Females exhibited worse quality of life, as observed in the domains of 'psychological' (p = 0.000), 'environmental' (p = 0.033), and general quality of life (p = 0.017). In addition, associations were also observed between quality of life and age, education level, and sleep duration. Sleeping less than 8 hours/day was the predictor that most contributed to the decrease in quality of life scores. Cognitive restriction was the dimension of eating behavior with the highest score (44.4); however, only uncontrolled eating (p = 0.000) and emotional eating (p = 0.000) were associated with age. Self-perception of quality of life changed according to gender, age group, sleep duration and eating behavior. The quality of life was inversely correlated with emotional eating and uncontrolled eating.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1622-1642"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consumption of ultra-processed foods and its association with sociodemographic, clinical and nutritional characteristics by pregnant women assisted in the public health network.","authors":"Carolina Amaral Oliveira Rodrigues, Ruth Emanuele Silva Andrade, Rosângela Ramos Veloso Silva, Maria Fernanda Santos Figueiredo Brito, Lucinéia de Pinho","doi":"10.1080/13548506.2025.2519226","DOIUrl":"10.1080/13548506.2025.2519226","url":null,"abstract":"<p><p>The consumption of ultra-processed foods has increased in recent decades and is associated with negative health outcomes. During pregnancy, inadequate nutrition can compromise both the mother's health and fetal development, which makes it important to investigate the factors associated with the consumption of these foods by pregnant women, especially those treated in the public health system, a group often exposed to greater social and nutritional vulnerability. The study aims to estimate the prevalence of consumption of ultra-processed foods and its association with sociodemographic, clinical, obstetric and nutritional characteristics among pregnant women assisted in the public health network. This is an epidemiological, cross-sectional and analytical study carried out with 1279 pregnant women between 2018 and 2019. The Food Consumption Frequency Questionnaire was used to verify the consumption of ultra-processed foods, being associated with sociodemographic, obstetric, clinical and nutritional characteristics. during pregnancy, based on the NOVA classification. Poisson regression models were used to describe the crude and adjusted associations of high consumption of ultra-processed foods (scores ≥5) with the other study variables. The prevalence of high consumption of ultra-processed foods was 78.3%. After adjustments, associations of this consumption with the following characteristics were observed: 1) distal level: being between the age groups of up to 20 years (PR = 1.26; <i>p</i> < 0.001) and 21 to 30 years (PR = 1, 14; <i>p</i> = 0.001), have an income of less than 1 minimum wage, equivalent to R$976.00 (PR = 0.89; <i>p</i> = 0.005); 2)intermediate level: not having arterial hypertension (PR = 1.40; <i>p</i> = 0.024), nor diabetes mellitus (PR = 1.32; <i>p</i> = 0.009), and presenting depressive symptoms (PR = 1.06; <i>p</i> = 0.050); 3) proximal level: not having been on a diet during pregnancy (PR = 1.33; <i>p</i> = 0.001) and eating less than 3 meals a day (PR = 1.14; <i>p</i> = 0.029). In conclusion, a high prevalence of pregnant women consuming ultra-processed foods was evidenced in the present study, associated with sociodemographic, clinical and nutritional characteristics.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1848-1865"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}