Mental Health, Behavior Change Skills, and Eating Behaviors in Postpartum Women

Yu, Yang; Ma, Qianheng; Fernandez, I. Diana; Groth, Susan W.

doi:10.1177/01939459211021625

Cited by 5 publications

(8 citation statements)

References 67 publications

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“…An American study found that women’s eating behavior did not change significantly during the first 6–18 months following childbirth [ 16 ], although some researchers have speculated that postpartum eating behavior may impact mental health [ 14 ]. In the present study, we extended the scope to investigate the relationship between pre-existing eating patterns, food intake behavior, and psychological depression [ 14 , 32 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

“…A previous study by Yu et al (2022). found that emotional overeating and other unhealthy eating behaviors were positively associated with postpartum depression (PPD) in women 6–18 months after childbirth [ 16 ]. Research has also indicated concerning links between early postpartum eating habits, such as emotion-driven eating and problematic eating attitudes requiring psychiatric attention, and PPD [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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Excessive gestational weight gain and emotional eating are positively associated with postpartum depressive symptoms among taiwanese women

Wu,

Gau,

Cheng

et al. 2023

BMC Women's Health

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Background Excessive gestational weight gain and emotional eating may be associated with postpartum depression symptoms. This study was designed to identify how gestational weight gain and eating behaviors are related to postpartum depression (PPD) symptoms among women in Taiwan. Methods A cross-sectional study was conducted from March 2022 to October 2022 with 318 postpartum women recruited in Taipei, Taiwan. Gestational weight gain (GWG) for the total pregnancy period was recorded as inadequate, adequate, or excessive, based on the 2009 Institute of Medicine recommendations (IOM), accounting for pre-pregnancy body mass index category. Eating behavior at one month postpartum was measured on a 16-item 5-point Likert scale with three subscales: uncontrolled, restrained, and emotional. Maternal depressive symptoms were measured using the Edinburgh Postnatal Depression Scale with a cutoff score of 13. Results The prevalence of postpartum depression symptoms (Edinburgh Postnatal Depression Scale ≥ 13) was 23.9% at one month postpartum. Logistic regression analysis revealed that excessive gestational weight gain and emotional eating were positively associated with postpartum depression symptoms at that time. Conclusion Evidence presented here suggests that emotional eating and excessive GWG are associated with PPD symptoms in a Taiwanese population. In addition, it should be a public health priority to ensure a particular focus on mental health during the postpartum period. Healthcare providers should discourage pregnant women from unhealthy eating habits by targeting appropriate GWG and focusing on demand eating to reduce PPD in the postpartum period.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Excessive gestational weight gain and emotional eating are positively associated with postpartum depressive symptoms among taiwanese women

Wu,

Gau,

Cheng

et al. 2023

BMC Women's Health

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“…Prenatal stress has been linked to the initiation of various physical and mental health issues in women, including inadequate nutrition, heightened risk of cardiovascular diseases, elevated anxiety levels and postpartum depression 15. Postpartum stress may lead to postpartum depression and postpartum weight retention due to abnormal eating behaviours 16. Studies have confirmed that depression is associated with an elevated risk of cardiovascular disease,17 18 while postpartum weight retention is associated with later adverse cardiovascular health 19…”

Section: Introductionmentioning

confidence: 99%

Postpartum stress in the first 6 months after delivery: a longitudinal study in Nantong, China

Wang,

Gu,

Gao

et al. 2023

BMJ Open

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ObjectivesThe objective is to to explore the longitudinal change trajectories of postpartum stress and its related factors.DesignA longitudinal study with follow-ups from 42 days to 6 months after delivery.Settings and participantsA total of 406 postpartum women were recruited at baseline (42 days after delivery) from 6 hospitals in Nantong, Jiangsu Province, China, and followed up at 3 and 6 months. After the follow-ups, 358 postpartum women were retained for further analysis.MethodsPostpartum stress was evaluated using the Maternal Postpartum Stress Scale (MPSS) at baseline (42 days) and 3 and 6 months after delivery. MPSS has three dimensions, such as: personal needs and fatigue, infant nurturing and body changes and sexuality. Postpartum depression and anxiety were measured using the Edinburgh Postnatal Depression Scale and the short-form Depression, Anxiety and Stress Scale, respectively. The MPSS scores were normalised using a rank-based inverse normal transformation.ResultsPostpartum stress decreased significantly after 3 months, and postpartum stress reduced further after 6 months. Additionally, the scores for all three dimensions reduced after 6 months, while infant nurturing reduced after both 3 and 6 months. Older age (β=0.028, p=0.049), higher education level (β=0.153, p=0.005) and higher body mass index (BMI) (β=0.027, p=0.008) of the postpartum women were significantly associated with higher postpartum stress levels in corresponding dimensions at 42 days. Older age was also associated with higher postpartum stress at 3 (β=0.030, p=0.033) and 6 months (β=0.050, p<0.001) in the dimension of personal needs and fatigue. Postpartum stress levels were significantly higher in women with depression or anxiety symptoms.ConclusionsPostpartum stress continuously declined from 42 days to 6 months after delivery. Postpartum women with older age, higher education levels, higher BMI and anxiety or depression symptoms should be the target population for early intervention.

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“…These women are at increased risk for excessive gestational weight gain (GWG) 3 and therefore postpartum weight retention (PPWR) 4 . Globally, 50% to 75% of women are not returning to pre‐pregnancy weight 12 months after childbirth, 5,6 and this may lead to long‐term weight retention and associated cardiovascular and metabolic risks 5,7 . Body composition (i.e., fat‐ and muscle mass, visceral fat) is a strong marker for women's global metabolic health, but data on the evolution of maternal body composition after childbirth are scarce 4 …”

Section: Introductionmentioning

confidence: 99%

“…4 Globally, 50% to 75% of women are not returning to pre-pregnancy weight 12 months after childbirth, 5,6 and this may lead to long-term weight retention and associated cardiovascular and metabolic risks. 5,7 Body composition (i.e., fat-and muscle mass, visceral fat) is a strong marker for women's global metabolic health, but data on the evolution of maternal body composition after childbirth are scarce. 4 Women with pre-pregnancy overweight or obesity, whether or not in combination with excessive GWG, are at increased risk for postpartum depressive symptoms compared to their counterparts with a normal weight at the start of pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Mental health after childbirth and the impact on postpartum weight retention and body composition. Data from the INTER‐ACT randomized controlled trial

et al. 2022

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Objective: To study the evolution of maternal mental health during the first year after childbirth in women with previous excessive gestational weight gain, and the relationship with postpartum weight retention and body composition.Methods: Anthropometric and mental health data of 505 women of the INTER-ACT RCT control group were collected and assessed using descriptive statistics and mixed model analyses.Results: At 6 weeks postpartum 28% of women reported depressive symptoms, 46% anxiety, 47% low sense of coherence and 48% low quality of life. From 6 weeks to 12 months postpartum there was a monthly increase (+0.38, p = .003) in anxiety and a monthly decrease (À0.39, p = .008) in quality of life. High levels of depressive symptoms at 6 weeks postpartum predicted higher body fat (+0.9%, p = .01) and higher waist circumference (+1.3 cm, p = .02) in the first year postpartum. High sense of coherence at 6 weeks postpartum predicted lower body fat (À0.8%, p = .01) the first year postpartum. Conclusions:In women with a history of excessive gestational weight gain, the first year after childbirth is characterized by a high prevalence of mental health problems in which levels of anxiety and quality of life deteriorate over time. Moreover, high levels of depressive symptoms and low sense of coherence in the first weeks postpartum predict unfavourable body composition outcomes in the year after childbirth.

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Mental Health, Behavior Change Skills, and Eating Behaviors in Postpartum Women

Cited by 5 publications

References 67 publications

Excessive gestational weight gain and emotional eating are positively associated with postpartum depressive symptoms among taiwanese women

Excessive gestational weight gain and emotional eating are positively associated with postpartum depressive symptoms among taiwanese women

Postpartum stress in the first 6 months after delivery: a longitudinal study in Nantong, China

Mental health after childbirth and the impact on postpartum weight retention and body composition. Data from the INTER‐ACT randomized controlled trial

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