Prevalence of anxiety and depressive symptoms among obese pregnant and postpartum women: an intervention study

Claesson, Ing-Marie; Josefsson, Ann; Sydsjö, Gunilla

doi:10.1186/1471-2458-10-766

Cited by 46 publications

(54 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The subjects were randomly divided into three groups, weight loss alone, exercise alone and weight loss and exercise. Subjects were free from other clinical conditions including diabetes (fasting blood glucose level o100 mg dl À1 and HBA 1c o6.0%), psychological or emotional problems, 21 or obstructive sleep apnea. 22 Although participants were hypertensive, no subjects were taking antihypertensive agents or any other medications.…”

Section: Methods Subjectsmentioning

confidence: 99%

Different mechanisms in weight loss-induced blood pressure reduction between a calorie-restricted diet and exercise

et al. 2011

View full text Add to dashboard Cite

The present study compared the effectiveness of a mild calorie-restricted diet (D) alone, exercise (EX) alone and a combination of D+EX on weight loss-induced blood pressure (BP) reduction over 24 weeks. We focussed especially on the relationship between sympathetic nervous activity, as indicated from measures of plasma norepinephrine (NE), and insulin resistance (homeostasis model of insulin resistance, HOMA-IR). The three groups each comprised 30 obese, hypertensive men. Body mass index (BMI), fat mass, waist-to-hip ratio, BP, plasma NE and HOMA-IR were measured every 2 weeks during the first 4 weeks and subsequently every 4 weeks for the next 20 weeks. All basal parameters were similar among the three groups. At 24 weeks, the combination group with D+EX comprised a significantly higher prevalence of normotensive subjects than the D alone or EX alone group (Po0.05). In the D alone group, plasma NE was decreased significantly at 2 weeks, reductions in BMI, fat mass and BP were observed at 8 weeks, and waist-to-hip ratios and HOMA-IR were decreased at 12 weeks. In comparison, in the EX alone group, significant reductions of fat mass and HOMA-IR were observed at 4 weeks. Plasma NE and HOMA-IR were reduced at 8 weeks while decreases in BP were detected at 12 weeks. In the D+EX group, significant reductions in plasma NE were observed at 2 weeks followed by significant decreases in BMI, fat mass, waist-to-hip ratio, BP levels and HOMA-IR at 4 weeks. The magnitudes of reductions of all parameters were greatest in the D+EX group. These results demonstrate that D+EX exerts a stronger ameliorative effect on weight loss, weight loss-induced BP reduction, normalization of BP, sympathetic activation and insulin resistance compared with D or EX alone. D and EX might, perhaps, exert different mechanisms on weight loss and weight loss-induced BP reduction; however, a combination of caloric restriction and exercise is preferred to control BP levels in obese hypertensive patients.

show abstract

Section: Methods Subjectsmentioning

confidence: 99%

Different mechanisms in weight loss-induced blood pressure reduction between a calorie-restricted diet and exercise

et al. 2011

View full text Add to dashboard Cite

show abstract

“…None of the subjects had diabetes (fasting blood glucose levelo100 mg dl À1 and hemoglobin A1co6.0%) or other illnesses, including psychological or emotional problems 36 or obstructive sleep apnea. 37 No subjects were taking antihypertensive agents or other medications.…”

Section: Methods Subjectsmentioning

confidence: 99%

Effects of weight loss on renal function in overweight Japanese men

et al. 2011

View full text Add to dashboard Cite

Obesity is known as an independent risk factor for renal injury. Sympathetic nerve activation may have an important role of the pathogenesis of obesity, and hypertension may underpin the development of cardiovascular events. In the present study, we evaluated the effects of weight loss (WL) on renal function, especially focusing on sympathetic nervous activity. In 154 overweight or obese Japanese men (89 normotensive and 65 untreated mild hypertensive subjects), body weight, body mass index (BMI), total body fat mass, blood pressure (BP), serum creatinine, blood urea nitrogen, creatinine clearance (CCr) (calculated with the Cockcroft-Gault equation) and plasma norepinephrine (NE) were measured before and after a 12-month period of WL with a mild caloric-restricted diet and exercise. A significant WL was defined as 10% or more WL compared with the entry period. In total, 97 (63.0%) subjects succeeded in significant (by 14.3%) WL at 12 months, and 57 subjects (37.0%) did not succeed in significant WL but they lost 7.7% weight. At entry, levels of plasma NE, serum creatinine and fat mass were significantly lower and CCr was greater in the group with a significant WL compared with those without WL. BMI, total body fat mass and plasma NE significantly decreased, and CCr increased with WL. At both baseline and at the 12-month period, fat mass and plasma NE negatively correlated with CCr and positively correlated with creatinine at each time point. Changes in fat mass and plasma NE over 12 months correlated with changes in creatinine, and only changes in fat mass negatively correlated with changes in CCr. Basal fat mass and plasma NE correlated positively with serum creatinine at 12 months and negatively with CCr at the same time point. In multiple regression analyses, basal plasma NE and fat mass were significant determinants of serum creatinine levels and CCr at 12 months.In conclusion, WL improved renal function (as evident from measures of creatinine and CCr) in overweight individuals. Basal plasma NE levels and total body fat mass could be predictors for improvement in renal function associated with WL. Suppression of sympathetic nervous activation associated with WL may have a role in the ameliorative effects on renal function.

show abstract

“…Thus, prenatal care is the right moment to trace and approach mental disorders, (8) as well as the use of psychotropic drugs by women of childbearing age. Nurses can perform this tracing by means of specific instruments, provide mental health counselling and, if necessary, refer the patient to a psychiatrist for treatment.…”

Section: Discussionmentioning

confidence: 99%

Prevalência de transtornos mentais e fatores associados em gestantes

et al. 2015

View full text Add to dashboard Cite

Objective: To identify the prevalence of mental disorders and associated factors in pregnant women. Methods: Cross-sectional study with 394 pregnant women, randomly and proportionally selected. Data were collected during home visits, using a semi-structured questionnaire. Bivariate logistic regression was used for the analysis. Results: A total of 51 pregnant women (12.94%) were diagnosed with mental disorder and this number was significantly higher among those between 19 and 30 years of age, unmarried, white skin colored, who were in the second trimester of pregnancy, had a chronic disease associated and had been hospitalized during the current pregnancy. Nine of them were taking psychotropic drugs, and antidepressants were the most commonly used drug. Conclusion: The prevalence of self-reported mental disorders was 12.94% and the associated variables were: age, marital status, skin color, pregnancy trimester, hospitalization during pregnancy and chronic disease. ResumoObjetivo: Identificar a prevalência de transtornos mentais e fatores associados em gestantes. Métodos: Estudo transversal realizado com 394 gestantes, selecionadas de forma aleatória e proporcional. Os dados foram coletados nos domicílios, com aplicação de questionário semiestruturado. Para a análise foi utilizada a regressão logística bivariada. Resultados: Referiram diagnóstico de transtorno mental 51 gestantes (12,94%) e isto foi significativamente maior entre aquelas com idade entre 19 e 30 anos, sem companheiro, de cor branca, que estavam no segundo trimestre de gestação, tinha alguma doença crônica associada e foi internada na gestação atual. Nove delas faziam uso de psicofármacos, sendo os antidepressivos os mais utilizados. Conclusão: A prevalência de transtornos mentais auto-referido foi de 12,94% e as variáveis associadas foram: idade, situação conjugal, cor, trimestre de gestação, internação durante a gestação e doença crônica.

show abstract

Prevalence of anxiety and depressive symptoms among obese pregnant and postpartum women: an intervention study

Cited by 46 publications

References 37 publications

Different mechanisms in weight loss-induced blood pressure reduction between a calorie-restricted diet and exercise

Different mechanisms in weight loss-induced blood pressure reduction between a calorie-restricted diet and exercise

Effects of weight loss on renal function in overweight Japanese men

Prevalência de transtornos mentais e fatores associados em gestantes

Contact Info

Product

Resources

About