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Perinatal weight and risk of prenatal and postpartum depressive symptoms

机译:产前和产后抑郁症状的围产期重量和风险

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Abstract Purpose Prepregnancy obesity and weight changes accompanying pregnancy (gestational weight gain and postpartum weight retention) may be associated with risk of maternal depressive symptoms during pregnancy and in the postpartum. The few studies that have examined these relationships report conflicting findings. Methods We studied pregnant ( n ?= 2112) and postpartum ( n ?= 1686) women enrolled in Project Viva. We used self-reported prepregnancy and postpartum weight and measured prenatal weight to calculate prepregnancy body mass index (BMI), gestational weight gain (GWG), and postpartum weight retention at 6 months after birth. We assessed elevated depressive symptoms (EDS) with the Edinburgh Postnatal Depression Scale (≥13 on 0–30 scale) at midpregnancy and 6 months postpartum. We used logistic regression to estimate the odds of prenatal and postpartum EDS in relation to prepregnancy BMI, GWG, and postpartum weight retention. Results A total of 214 (10%) participants experienced prenatal EDS and 151 (9%) postpartum EDS. Neither prepregnancy BMI nor GWG was associated with prenatal EDS. Prepregnancy obesity (BMI ≥ 30 kg per m 2 ) was associated with higher odds of postpartum EDS (odds ratio?= 1.69, 95% confidence interval, 1.01–2.83) compared to normal prepregnancy weight in a model adjusted for age, race/ethnicity, nativity, education, marital status, household income, parity, pregnancy intention, and smoking. Conclusions Prepregnancy obesity is associated with elevated depressive symptoms in the postpartum period. Given the current obesity epidemic in the US and the consequences of perinatal depression, additional prevention and screening efforts in this population may be warranted.
机译:摘要目的预孕期肥胖和伴有妊娠(妊娠重量增益和产后保留)的重量变化可能与妊娠期间和产后的母体抑郁症状的风险相关。审查了这些关系的少数研究报告了相互矛盾的调查结果。我们研究了怀孕的方法(n?= 2112)和产后(n?= 1686)妇女参加了项目Viva。我们使用自我报告的预妊娠和产物重量和测量产前重量以计算出生后6个月的预妊娠体重指数(BMI),妊娠重量增益(GWG)和产后重量保留。我们评估了在中间妊娠和6个月的爱丁堡产后抑郁症(≥13时≥13)的抑郁症状(EDS)。我们使用Logistic回归来估算与预妊娠BMI,GWG和产后重量保留相关的产前和产后ED的几率。结果共计214名(10%)参与者经历产前EDS和151(9%)产后EDS。既不是预孕期BMI和GWG都不与产前EDS相关。与正常预妊娠重量在调整为年龄,种族/民族的模型中的正常预妊娠重量相比,预孕肥胖症(每平方米≥30kg/ m 2)与产后的产后较高的次数(差异Δ= 1.69,95%,1.01-2.83)相关。 ,诞生,教育,婚姻状况,家庭收入,平价,怀孕意图和吸烟。结论预孕性肥胖与产后时期的抑郁症状升高有关。鉴于美国目前的肥胖疫情以及围产期抑郁的后果,可能需要额外的预防和筛查该人群的努力。

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