Depressive Symptoms and Obesity/Weight Gain Factors Among Black and Hispanic Pregnant Women

Shieh, Carol; Wu, Jingwei

doi:10.1080/07370016.2014.868730

Cited by 11 publications

(11 citation statements)

References 28 publications

(32 reference statements)

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“…Our finding is not in line with a recent study among 725 women in which lower reported stress was associated with a greater chance of women achieving adequate gestational weight gain [14]. However, some previous studies also suggest that anxiety and depression may be protective of increased weight gain [15,17]. In the USA-study mentioned above, the association between anxiety and a higher adequacy of weight gain disappeared after adjustment for confounders, among which was physical activity [31].…”

Section: Interpretation Of Main Findingscontrasting

confidence: 99%

“…In our study population, 23.1% of women had pre-pregnancy overweight or obesity and 20.1% and 45.0% of women experienced inadequate and excessive weight gain, respectively, which is in line with population figures [5,[31][32][33][34]. Although results of some previous studies suggested that psychological distress, depression, or anxiety during pregnancy are associated with gestational weight gain [14][15][16][17], one systematic review has reported no association [9] and a second systematic review only reported an association of depression, but not psychological distress and anxiety, with gestational weight gain [7]. Most previous studies did not define cutoffs for psychological distress to consider clinical importance and sample sizes were modest.…”

Section: Interpretation Of Main Findingssupporting

confidence: 88%

“…Psychological distress and weight Electronic supplementary material The online version of this article (https://doi.org/10.1007/s12529-019-09832-0) contains supplementary material, which is available to authorized users. gain in pregnant women may also affect each other [14][15][16][17]. Two systematic reviews among, in total, 12 studies have been performed on the association between psychological distress and weight gain in pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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Psychological Distress and Weight Gain in Pregnancy: a Population-Based Study

et al. 2019

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Background Psychological distress and inappropriate or excessive weight gain are common in pregnancy and are associated with adverse maternal and offspring outcomes. Psychological well-being and weight status of women during pregnancy might be interrelated. We aimed to examine whether psychological distress during pregnancy is associated with gestational weight gain. Method In a population-based cohort of 3393 pregnant women, information about psychological distress, depressive and anxiety symptoms was assessed at 20 weeks of gestation using the Brief Symptom Inventory questionnaire. Weight was repeatedly measured during pregnancy and obtained by questionnaire before and after pregnancy. Linear regression and multinomial logistic regression models were used. Weight gain in the second half of pregnancy, total weight gain, and the risks of inadequate and excessive total weight gain were the main outcome measures. Results In total, 7.0% of all women experienced psychological distress. Overall psychological distress and anxiety were associated with lower weight gain in the second half of pregnancy (differences − 1.00 kg (95% confidence interval (CI) − 1.62, − 0.37) and − 0.68 kg (95% CI-1.24,-0.11), respectively). These associations fully attenuated into non-significance after taking account for socio-demographic variables. Similar results were observed for total weight gain. Only women with anxiety symptoms had, independently of potential confounders, a lower risk of excessive weight gain (odds ratio (OR) 0.61 (95% CI 0.48, 0.91)). Conclusions In this large prospective cohort study, the observed associations of psychological distress with weight gain during pregnancy seem to be largely explained by common socio-demographic factors.

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Section: Interpretation Of Main Findingscontrasting

confidence: 99%

Section: Interpretation Of Main Findingssupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

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Psychological Distress and Weight Gain in Pregnancy: a Population-Based Study

et al. 2019

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“…Studies were also performed in Europe (9%), Asia (2%) and Africa (2%). Sample sizes ranged from 56 (Shieh & Wu, 2014) to just over 600,000 (Kim et al., 2014) women and included women ranging in age from under 20 to over 40 years, with most women being within the ages of 20–29 years. Articles that were quantitatively analyzed most frequently included the racial/ethnic groups of White/Non-Hispanic White (72%), Black/Non-Hispanic Black (66%), Hispanic (45%), and Asian (20%).…”

Section: Resultsmentioning

confidence: 99%

“…Predictors of GWG include: pre-pregnancy weight; (Masho, Bishop & Munn, 2013; Rosal et al., 2016) socioeconomic status (SES); maternal health behaviours; (Ota et al., 2011; Heery et al., 2015) maternal age and parity (Vahratian, 2009). To date, the associations reported between race/ethnicity and discordant GWG have been diverse,(Shieh & Wu, 2014; Liu et al., 2014) likely a result of the variability in the definition of race/ethnicity and the social contexts in which they are examined. The revised 2009 IOM guidelines identified culture as a determinant of GWG (Rasmussen & Yaktine, 2009) but lacked systematic review evidence.…”

Section: Introductionmentioning

confidence: 99%

Addressing cultural, racial and ethnic discrepancies in guideline discordant gestational weight gain: a systematic review and meta-analysis

Denize

Acharya

Prince

et al. 2018

PeerJ

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ObjectiveTo systematically review the literature and describe the discrepancies in achieving the 2009 Institute of Medicine (IOM) gestational weight gain (GWG) guidelines across cultures.MethodsTen databases were searched from inception to April 2018. Observational cohort studies were included that examined adult women; reported on a measure of culture; compared cultural groups, and reported on GWG. Articles were broken down into papers that used the current 2009 IOM GWG guidelines and those that used others. A meta-analysis was conducted for studies using the 2009 guidelines examining the prevalence of discordant GWG across cultural groups.ResultsThe review included 86 studies. Overall, 69% of women experienced discordant GWG irrespective of culture. White women experienced excessive GWG most often, and significantly more than Asian and Hispanic women; Black women had a higher prevalence of excessive GWG than Hispanic and Asian women; however, this difference was not significant.ConclusionsThe majority of women experience excessive GWG, with White women experiencing this most often. Culturally diverse GWG guidelines are needed to individualize antenatal care and promote optimal maternal-fetal health outcomes across cultural groups.

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Antenatal and postnatal depression in women with obesity: a systematic review

Steinig

Nagl

Linde

et al. 2017

Arch Womens Ment Health

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Obesity and depression are prevalent complications during pregnancy and associated with severe health risks for the mother and the child. The co-occurrence of both conditions may lead to a particular high-risk group. This review provides a systematic overview of the association between pre-pregnancy obesity and antenatal or postnatal depression. We conducted a systematic electronic literature search for English language articles published between January 1990 and March 2017. Inclusion criteria were (a) adult pregnant women, (b) women with pre-pregnancy obesity and normal weight controls, (c) definition of obesity according to the IOM 1990/2009 criteria, (d) established depression measure, and (e) report on the association between pre-pregnancy obesity and antenatal or postnatal depression. Fourteen (eight prospective (PS), six cross-sectional (CS)) studies were included. One study reported data from a large community-based sample, and one reported cross-national data. Of 13 studies examining pre-pregnancy obesity and antenatal depression, 9 found a higher risk or higher levels of antenatal depression among women with obesity relative to normal weight (6 PS, 3 CS), while 4 studies found no association (2 PS, 2 CS). Of four studies examining pre-pregnancy obesity and postnatal depression, two studies found a positive association (two PS), one study (CS) reported different findings for different obesity classes, and one study found none (PS). The findings suggest that women with obesity are especially vulnerable to antenatal depression. There is a need to develop appropriate screening routines and targeted interventions to mitigate negative health consequences for the mother and the child. Research addressing the association between obesity and postnatal depression is too limited to draw solid conclusions. Results are mainly based on selective samples, and there is a need for further high-quality prospective studies examining the association between pre-pregnancy obesity and antenatal and postnatal depression.

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Depressive Symptoms and Obesity/Weight Gain Factors Among Black and Hispanic Pregnant Women

Cited by 11 publications

References 28 publications

Psychological Distress and Weight Gain in Pregnancy: a Population-Based Study

Psychological Distress and Weight Gain in Pregnancy: a Population-Based Study

Addressing cultural, racial and ethnic discrepancies in guideline discordant gestational weight gain: a systematic review and meta-analysis

Antenatal and postnatal depression in women with obesity: a systematic review

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