Psychosocial predictors of gestational weight gain and the role of mindfulness

Matthews, Jeni; Huberty, Jennifer; Leiferman, Jenn A.; Buman, Matthew P.

doi:10.1016/j.midw.2017.10.008

Cited by 21 publications

(17 citation statements)

References 63 publications

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“…23 In contrast to these findings, another study found no association between stress and excessive GWG. 24 Race/ethnicity and socioeconomic status were described as determinants of maternal stress, while parental stress negatively affected quality of life among women. 25 The association between dietary patterns and diet quality with GWG has been previously described; 26,27 however, the results remain controversial.…”

Section: Discussionmentioning

confidence: 99%

The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

Paulino

Pinho-Pompeu

Raikov

et al. 2020

Rev Bras Ginecol Obstet

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Objective To evaluate the influence of health-related behaviors including food intake, physical activity, sleep time, smoking habits, stress, depression, and optimism on excessive gestational weight gain (GWG) among women with overweight and obesity. Methods A cross-sectional study was conducted at the Women's Hospital of the Universidade de Campinas, Campinas, state of São Paulo, Brazil, with 386 mediate postpartum women that fit the inclusion criteria of ≥ 19 years old, first prenatal care visit at or before 14 weeks, and single live baby. Dietary habits, physical exercise practice, sleep duration, smoking and alcohol habits were self-reported. Psychosocial history was evaluated using the Edinburgh Postpartum Depression Scale (EPDS), Perceived Stress Scale (PSS), and Life Orientation Test-Revised (LOT-R). Sociodemographic, obstetric, anthropometric, and neonatal data were retrieved from medical records. Descriptive statistics and stepwise logistic regression were performed. Results The prevalence of overweight and obesity was 29.27% and 24.61%, respectively, according to the body mass index (BMI). Excessive GWG was observed in 47.79% of women with overweight and in 45.26% of women with obesity. Excessive GWG among overweight and obese women was associated with inadequate vegetable and bean consumption (odds ratio [OR] = 2.95, 95% confidence interval [CI]: 1.35–6.46 and OR = 1.91; 95%CI: 1.01–3.63, respectively) and stress (OR = 1.63; 95%CI 1.01–2.64). After adjustment by maternal age, multiparity, sleep duration, smoking, and alcohol intake, we found that stress (PSS ≥ 20) was associated with excessive GWG in women with overweight or obesity (OR: 1.75; 95%CI: 1.03–2.96). Conclusion Among women with overweight and obesity, stress is the main variable associated with excessive GWG. Inadequate vegetables and beans consumption also showed association with excessive GWG.

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Section: Discussionmentioning

confidence: 99%

The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

Paulino

Pinho-Pompeu

Raikov

et al. 2020

Rev Bras Ginecol Obstet

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“…Further studies should measure stress or related constructs several times throughout pregnancy allowing structural equation modelling and enlighten the complex relationship between stress, related constructs and weight (gain). This idea is also supported by the fact that recently published articles found trimester-specific associations between stress and GWG 20,21 . Additionally, several psychosocial stress instruments differ in their www.nature.com/scientificreports www.nature.com/scientificreports/ ability to measure prepartal stress 22 .…”

Section: Discussionmentioning

confidence: 72%

Psychosocial stress and longitudinally measured gestational weight gain throughout pregnancy: The Ulm SPATZ Health Study

Braig

Logan

Reister³

et al. 2020

Sci Rep

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Psychosocial stress is thought to influence gestational weight gain (GWG), but results are inconsistent. We investigated the relationship of questionnaire-based maternal stress and related constructs assessed at childbirth with maternal weight measured throughout pregnancy. Data were derived from the Ulm SPATZ Health Study, a birth cohort recruited from the general population (04/2012-05/2013, Ulm, Germany). Adjusted generalized estimating equations were performed. Regression coefficients (b) and 95% confidence intervals, each highest versus lowest tertile of stress or related constructs, are presented. In 748 women, we observed positive associations for maternal chronic stress (b = 4.36 kg (1.77; 6.95)), depressive symptoms (b = 2.50 kg (0.14; 4.86)), anxiety symptoms (b = 3.26 kg (0.62, 5.89)), and hair cortisol (b = 3.35 kg (0.86; 5.83)) with maternal weight at the first gestational month. GWG was considerably lower in mothers with higher chronic stress. Pregnancy-related anxiety was positively related to weight at first month (b = 4.16 kg (1.74; 6.58)) and overall GWG. In contrast, no association was observed between anxiety symptoms and GWG. Odds ratios for association with inadequate weight gain according to Institute of Medicine recommended cutoffs differed from the results presented obove. There is evidence of an association between stress and weight gain lying beyond the recommended cutoffs , which however needs further corroboration.

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“…The authors did not find significant associations between depressive symptoms and GWG adequacy or GWG trajectories. Matthews et al 32 conducted a cross-sectional study with 1073 USA pregnant women and found a positive association between depressive symptoms and GWG at the second trimester. Hence, it is possible to observe no consensus about the association between maternal depression or depressive symptoms and GWG.…”

Section: Discussionmentioning

confidence: 99%

“…Braig, et al 45 measured depressive symptoms retrospectively reported after birth, which could have introduced bias due to the women’s memory and/or her current mental health status. Finally, although Matthews et al 32 evaluated trimester-specific associations during pregnancy, the cross-sectional design did not allow the authors to model the GWG trajectories.…”

Section: Discussionmentioning

confidence: 99%

“…A systematic review revealed that depressive symptoms during pregnancy were associated with preterm birth and low birth weight 24 . Maternal mental health may modify appetite 25 , dietary quality 26 , 27 , and physical activity 28 , 29 , which can also contribute to weight changes, and more specifically, lead to inadequate gestational weight gain (GWG) 6 , 30 – 32 .…”

Section: Introductionmentioning

confidence: 99%

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Maternal mental health and gestational weight gain in a Brazilian Cohort

Farias

Carrilho

Freitas-Costa

et al. 2021

Sci Rep

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Depression and anxiety are common during pregnancy, but little is known about the influence of these disorders on gestational weight gain (GWG). Data from a prospective cohort of pregnant women followed in a public healthcare center in Rio de Janeiro, Brazil, were used to evaluate the association of depression, anxiety, and suicide risk with GWG. GWG was evaluated at 5–13, 20–26, 30–36, and 37–42 weeks, and GWG adequacy was determined. Statistical analyses included linear mixed-effect models and Poisson regression. We evaluated 206 women, in which 15% (n = 31) presented major depressive disorder, 19.4% (n = 34) suicide risk and 10% (n = 21) generalized anxiety disorder at baseline. Women with depression at the first trimester, persistent depressive symptoms, and anxiety symptoms at the second trimester presented significantly lower rates of GWG per week compared to those without depression or anxiety, respectively. Persistent depressive symptoms represented a 2.40 (95% CI 1.20; 4.81; p = 0.013) increase in the risk of insufficient GWG. There was no significant association between generalized anxiety disorder or suicide risk with GWG. The presence of depression, depressive symptoms, and anxiety during pregnancy were associated with lower GWG rates. Persistent depressive symptoms during pregnancy were directly associated with insufficient GWG.

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Psychosocial predictors of gestational weight gain and the role of mindfulness

Cited by 21 publications

References 63 publications

The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

Psychosocial stress and longitudinally measured gestational weight gain throughout pregnancy: The Ulm SPATZ Health Study

Maternal mental health and gestational weight gain in a Brazilian Cohort

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