Gestational weight gain and risk factors for postpartum depression symptoms from the Japan Environment and Children's Study: a prospective cohort study

Kyozuka, Hyo; Kanno, Aya; Murata, Tsuyoshi; Fukuda, Toma; Yasuda, Shun; Yasumura, Seiji; Kuse, Masahito; Satô, Akiko; Ogata, Yuka; Hashimoto, Koichi; Nishigori, Hidekazu; Fujimori, Keiya

doi:10.1016/j.jad.2021.01.080

Cited by 13 publications

(19 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recently, some studies validated the appropriate gestational weight gain for different pre-pregnancy BMI categories based on the risk of adverse obstetric outcomes in Japan. 14,15,17,18 In the present study, we referred to pre-pregnancy BMI categories and recommended weight gain during pregnancy based on these studies (Table 2), because both participants of previous studies and those of the present study comprised only Japanese individuals, and we used validated placental weight accounting for gestational age and sex of newborns using a Japanese sample. 16 Overweight and obesity are often the consequence of an accumulation of unhealthy lifestyles.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, for the subsequent analysis of pre-pregnancy BMI on the z-score of placental weight, gestational weight gain was categorized into "insufficient," "appropriate," or "excessive," based on the pre-pregnancy BMI according to criteria described by previous Japanese epidemiological study (Table 1). 14,15,17,18 Outcomes Birthweight and placental weight were measured by a midwife soon after delivery. The z-scores of birth weight were calculated using the "New Japanese Neonatal Anthropometric Charts".…”

Section: Exposurementioning

confidence: 99%

“…In contrast, insufficient gestational weight gain is associated with an increased incidence of preterm labor, birth of small-for-gestational-age (SGA) infants, and low birthweight. [13][14][15] Recently, a novel approach for standardizing a placental weight growth curve, which accounts for gestational age at delivery and newborn sex, was established for Japanese women. 16 While both BMI before pregnancy and weight gain during pregnancy affect fetal growth, appropriate gestational weight gain, according to pre-pregnancy BMI, for appropriate placental growth has not yet been elucidated.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effect of gestational weight gain on placental weight: A single tertiary referral center study of Japanese women

Jin

Kyozuka

Fukuda

et al. 2021

J of Obstet and Gynaecol

Self Cite

View full text Add to dashboard Cite

AimThe effect of gestational weight gain on placental weight has not been elucidated. We aimed to examine the effect of body weight gain during pregnancy on the Japanese standardized z‐score of placental weight, based on the pre‐pregnancy body mass index.MethodsThis retrospective cohort study included Japanese women with singleton pregnancies who gave birth during 2013–2019 at Ohta Nishinouchi Hospital. Participants (n = 3610) were categorized by their pre‐pregnancy body mass index: G1 (<18.5 kg/m2), G2 (18.5 to <20.0 kg/m2), G3 (20.0 to <23.0 kg/m2), G4 (23.0 to <25.0 kg/m2), and G5 (≥25.0 kg/m2). Multiple linear regression analysis was used to identify associations between insufficient or excessive gestational weight gain in each body mass index category and z‐score of placental weight, with adjustments for maternal age, assisted reproductive technology, and maternal pre‐pregnancy conditions, such as hypertension, diabetes mellitus, myoma uteri, and uterine anomalies.ResultsAmong the 3610 women assessed, 479, 692, 1292, 435, and 711 were in G1–G5, respectively. In G1, G3, and G4, excessive weight gain increased the placental weight z‐score ([B: 0.50, 95% confidence interval [CI]: 0.23–0.76], [B: 0.19, 95% CI: 0.19–0.33], and [B: 0.18, 95% CI: 0.10–0.26]). Insufficient weight gain decreased the placental weight z‐score in G3 (B: −0.19, 95% CI: −0.33 to −0.06) and G4 (B: −0.21, 95% CI: −0.29 to −0.13) women.ConclusionThe effect of weight gain during pregnancy on placental size varies by pre‐pregnancy body mass index. This result may guide personalized pre‐conception counseling to improve the outcomes of offspring.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Exposurementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of gestational weight gain on placental weight: A single tertiary referral center study of Japanese women

Jin

Kyozuka

Fukuda

et al. 2021

J of Obstet and Gynaecol

Self Cite

View full text Add to dashboard Cite

show abstract

“…In addition to prepregnancy BMI, several studies have examined the correlation between gestational weight gain and obstetric outcomes in the recent years. Excessive gestational weight gain is associated with an increased risk of cesarean section, complicated deliveries, fetal acidosis, birth of large‐for‐gestational‐age infants, and postpartum depression 11–13 …”

Section: Introductionmentioning

confidence: 99%

“…Excessive gestational weight gain is associated with an increased risk of cesarean section, complicated deliveries, fetal acidosis, birth of large-for-gestational-age infants, and postpartum depression. [11][12][13] Women from Asian countries generally have a lower BMI than those from Western countries. 14 Compared to a high prepregnancy BMI, being underweight at the time of pregnancy has also been reported to be associated with preterm birth and fetal growth restriction.…”

Section: Introductionmentioning

confidence: 99%

Effect of gestational weight gain on preeclampsia among underweight women: A single tertiary referral center study in Japanese women

Kyozuka

Jin

Fujimori

et al. 2022

J of Obstet and Gynaecol

Self Cite

View full text Add to dashboard Cite

Aim To examine the effect of weight gain during pregnancy on preeclampsia among women with a prepregnancy body mass index < 18.5 kg/m2. Methods This retrospective cohort study included 479 Japanese women with singleton pregnancies and a prepregnancy body mass index < 18.5 kg/m2, who gave birth between 2013 and 2019 at Ohta Nishinouchi Hospital. The study included 22 (18 with preeclampsia and four with gestational hypertension) and 457 patients with and without hypertensive disorders of pregnancy, respectively. Results The prevalence of hypertensive disorders of pregnancy and preeclampsia was 4.6% and 3.8%, respectively. With weight gain during pregnancy (continuous variable) set as a reference, multiple logistic regression revealed that excessive weight gain during pregnancy increased the risk of preeclampsia (adjusted odds ratio: 1.13, 95% confidence interval: 1.00–1.28, p < 0.05) and hypertensive disorders of pregnancy (adjusted odds ratio: 1.15, 95% confidence interval: 1.03–1.29, p < 0.05). Based on receiver operating characteristic curve analyses (area under the curve 0.65, 95% confidence interval: 0.50–0.80; p < 0.05), we determined the cutoff value of weight gain during pregnancy for the occurrence of preeclampsia among women with body mass index < 18.5 kg/m2 to be 13.0 kg, with sensitivity and specificity of 0.50 and 0.78, respectively. Conclusion This study indicates that excessive weight gain during pregnancy increases preeclampsia risk among underweight women and provides new recommendations for weight gain during pregnancy for such women. Further research regarding the pathogenesis of preeclampsia for underweight women is warranted.

show abstract

“A systematic review of risk factors of postpartum depression. Evidence from Asian culture “

Yaqoob,

Ju,

Bibi

et al. 2024

Acta Psychologica

View full text Add to dashboard Cite

Gestational weight gain and risk factors for postpartum depression symptoms from the Japan Environment and Children's Study: a prospective cohort study

Cited by 13 publications

References 25 publications

Effect of gestational weight gain on placental weight: A single tertiary referral center study of Japanese women

Effect of gestational weight gain on placental weight: A single tertiary referral center study of Japanese women

Effect of gestational weight gain on preeclampsia among underweight women: A single tertiary referral center study in Japanese women

“A systematic review of risk factors of postpartum depression. Evidence from Asian culture “

Contact Info

Product

Resources

About