Psychosocial Influences in Dietary Patterns During Pregnancy

Hurley, Kristen M.; Caulfield, Laura E.; Sacco, Lisa M.; Costigan, Kathleen A.; DiPietro, Janet A.

doi:10.1016/j.jada.2005.03.007

Cited by 129 publications

(120 citation statements)

References 19 publications

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“…Neurophysiological dysregulations associated with anxiety might lead to an altered stress response or higher cortisol levels, responses associated with an appetite up-regulation (Kapadia et al, 2015). For example, it has been shown that pregnant women with elevated anxiety during pregnancy consume more food and have a decreased intake of vitamins (Hurley et al, 2005). Furthermore, inflammation has been shown to be a shared mechanism associated with obesity and mental disorders contributing to a dysregulation of several neuroregulatory systems (Nousen et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Obesity and anxiety during pregnancy and postpartum: A systematic review

Nagl

Linde

Stepan

et al. 2015

Journal of Affective Disorders

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Section: Discussionmentioning

confidence: 99%

Obesity and anxiety during pregnancy and postpartum: A systematic review

Nagl

Linde

Stepan

et al. 2015

Journal of Affective Disorders

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“…Earlier studies have demonstrated that pregnant women with elevated levels of stress and anxiety consume more food, such as fats, oils, sweets and snacks, but also have a decreased intake of vitamins [52]. Subjects with such an eating behaviour are often described as ‘emo eaters'.…”

Section: Discussionmentioning

confidence: 99%

Anxiety and Depressed Mood in Obese Pregnant Women: A Prospective Controlled Cohort Study

Bogaerts

Devlieger

Nuyts³

et al. 2013

Obes Facts

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Background: The psychological health in obese women during pregnancy has been poorly studied. Objective: To compare levels of anxiety and depressed mood during pregnancy in obese versus normal-weight women. Methods: 63 obese pregnant women and 156 normal-weight controls were included prospectively before 15 weeks of gestation. Levels of state and trait anxiety and depressed mood were measured during the first, second and third trimester of pregnancy. A linear mixed-effect model with repeated measures was used to evaluate group differences. Results: The levels of state anxiety significantly increased from trimester 1 to trimester 3 in obese pregnant women (beta = 3.70; p = 0.007), while this parameter remained constant throughout pregnancy in normal-weight women. Levels of trait anxiety and depressed mood significantly decreased from trimester 1 to trimester 2 in controls, but not in obese pregnant women. Variables such as maternal education, ethnicity, marital state, psychological history and miscarriages, parity and smoking behaviour had significant effects on anxiety and/or depressed moods during pregnancy. Obese pregnant women show higher levels of anxiety and depressive symptomatology compared to normal-weight pregnant women. Conclusion: Interventional programmes aiming at preventing the deleterious influence of maternal obesity on perinatal outcomes should include a psycho-educational program specifically tailored to this high-risk group.

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“…Psychosocial stress contributes to unhealthy eating [95], also during pregnancy [96]. For example, pregnant women who reported higher levels of psychosocial stress ate more food overall and consumed less folate, possibly due to decreased fruit intake [96].…”

Section: Eatingmentioning

confidence: 99%

“…For example, pregnant women who reported higher levels of psychosocial stress ate more food overall and consumed less folate, possibly due to decreased fruit intake [96]. Another study found that pregnancy-specific stress was associated with unhealthy eating, and inversely associated with healthy eating and vitamin use [94].…”

Section: Eatingmentioning

confidence: 99%

Mechanisms underlying the effects of prenatal psychosocial stress on child outcomes: beyond the HPA axis

Beijers

Buitelaar²,

Weerth

2014

Eur Child Adolesc Psychiatry

283

275

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Accumulating evidence from preclinical and clinical studies indicates that maternal psychosocial stress and anxiety during pregnancy adversely affect child outcomes. However, knowledge on the possible mechanisms underlying these relations is limited. In the present paper, we review the most often proposed mechanism, namely that involving the HPA axis and cortisol, as well as other less well-studied but possibly relevant and complementary mechanisms. We present evidence for a role of the following mechanisms: compromised placental functioning, including the 11β-HSD2 enzyme, increased catecholamines, compromised maternal immune system and intestinal microbiota, and altered health behaviors including eating, sleep, and exercise. The roles of (epi)genetics, the postnatal environment and the fetus are also discussed. We conclude that maternal prenatal psychosocial stress is a complex phenomenon that affects maternal emotions, behavior and physiology in many ways, and may influence the physiology and functioning of the fetus through a network of different pathways. The review concludes with recommendations for future research that helps our understanding of the mechanisms by which maternal prenatal stress exerts its effect on the fetus.

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Psychosocial Influences in Dietary Patterns During Pregnancy

Cited by 129 publications

References 19 publications

Obesity and anxiety during pregnancy and postpartum: A systematic review

Obesity and anxiety during pregnancy and postpartum: A systematic review

Anxiety and Depressed Mood in Obese Pregnant Women: A Prospective Controlled Cohort Study

Mechanisms underlying the effects of prenatal psychosocial stress on child outcomes: beyond the HPA axis

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