Psychological issues facing obese pregnant women: a systematic review

Faria-Schützer, Débora Bicudo; Surita, Fernanda Garanhani; Nascimento, Simony Lira do; Vieira, Carla Maria; Turato, Egberto Ribeiro

doi:10.3109/14767058.2016.1163543

Cited by 17 publications

(11 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Also in their trial, the participants reported of good psychological well-being at baseline. This is in contrast to previous studies showing a high prevalence (15%–25%) of depression and anxiety among pregnant women with overweight/obesity2 7 8 58–61 and that especially the levels of anxiety increases from early to late pregnancy in this population 59. Compared with the general population of pregnant women with overweight/obesity, a higher percentage of women in the ETIP trial reported to fulfil the recommendations for physical activity during and after pregnancy,32 the number of pregnancy complications were lower, as was the percentage of women exceeding the Institute of Medicine guidelines for gestational weight gain 32 33.…”

Section: Discussioncontrasting

confidence: 62%

“…About 20% of pregnant women report reduced psychological well-being and symptoms of depression and anxiety during pregnancy and postpartum 1–3. The prevalence of reduced psychological well-being among pregnant women who are overweight and obese is found to be even higher; about 30% 1 2 4–8. For the purpose of this paper, psychological well-being is defined as ‘people’s cognitive and affective evaluations of their lives; happiness, absence of negative emotions (eg, depression, anxiety), satisfaction with life, and positive functioning’ 9.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of supervised exercise training during pregnancy on psychological well-being among overweight and obese women: secondary analyses of the ETIP-trial, a randomised controlled trial

Garnæs

Helvik²,

Stafne

et al. 2019

BMJ Open

View full text Add to dashboard Cite

ObjectivesWomen with high body mass index (BMI) have increased risk for symptoms of anxiety and depression during pregnancy and postpartum. In this prespecified secondary analysis from the exercise training in pregnancy trial, our aim was to examine effects of supervised exercise during pregnancy on psychological well-being in late pregnancy and postpartum among women with a prepregnancy BMI ≥28 kg/m2.DesignSingle-centre, parallel group, randomised controlled trial.SettingUniversity Hospital, Norway.ParticipantsNinety-one women (age 31.2±4.1 years, BMI 34.5±4.2 kg/m2), 46 in the exercise group, 45 in the control group, were included in the trial.InterventionThe exercise group was offered 3 weekly supervised exercise sessions (35 min of moderate intensity walking/running and 25 min of resistance training), until delivery.Primary and secondary outcomes measuresPrimary analyses were based on intention to treat, with secondary perprotocol analyses. To assess psychological well-being, we used the ‘Psychological General Well-Being Index’ (PGWBI) at inclusion (gestational week 12–18), late pregnancy (gestational week 34–37) and 3 months postpartum. We assessed postpartum depression using the ‘Edinburgh Postnatal Depression Scale’ (EPDS).ResultsNumbers completed data collection: late pregnancy 72 (exercise 38, control 36), postpartum 70 (exercise 36, control 34). In the exercise group, 50% adhered to the exercise protocol. Baseline PGWBI for all women was 76.4±12.6. Late pregnancy PGWBI; exercise 76.6 (95% CI 72.2 to 81.0), control 74.0 (95% CI 69.4 to 78.5) (p=0.42). Postpartum PGWBI; exercise 85.4 (95% CI 81.9 to 88.8), control 84.6 (95% CI 80.8 to 88.4) (with no between-group difference, p=0.77). There was no between-group difference in EPDS; exercise 2.96 (95% CI 1.7 to 4.2), control 3.48 (95% CI 2.3 to 4.7) (p=0.55).ConclusionsWe found no effect of supervised exercise during pregnancy on psychological well-being among women with high BMI. Our findings may be hampered by low adherence to the exercise protocol.Trial registration number NCT01243554

show abstract

Section: Discussioncontrasting

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Effects of supervised exercise training during pregnancy on psychological well-being among overweight and obese women: secondary analyses of the ETIP-trial, a randomised controlled trial

Garnæs

Helvik²,

Stafne

et al. 2019

BMJ Open

View full text Add to dashboard Cite

show abstract

“…The association between modifiable behavioral factors such as dietary habits, physical activity, and psychological states with excessive GWG is controversial. [5][6][7] In this sense, a systematic review about the effectiveness of diet or exercise, or both interventions for preventing excessive GWG demonstrated that diet or exercise reduced the frequency of excessive GWG by 20% (relative risk [RR] ¼ 0.8; 95% confidence interval [CI]: 0.73-0.87) while minimally increasing the risk for inadequate GWG (RR ¼ 1.14; 95%CI: 1.02-1.27). 8 The association between short sleep duration (SSD) and obesity is well-described, and the negative influence of SSD on energy balance regulation and its potential to impact on weight status has also been established.…”

Section: Introductionmentioning

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

Self Cite

View full text Add to dashboard Cite

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.

show abstract

“…However, regardless of direction of weight change, chronic stressors often lead to worsening of metabolic control, such as impaired glucose or insulin resistance [21], and increase the reward value of highly palatable food [22, 23]. There are sparse but suggestive studies during pregnancy showing higher levels of psychological distress—stress, anxiety, and depression—are associated with greater gestational weight gain [24, 25]. Greater psychological distress during pregnancy is associated with higher fasting glucose, apparently mediated by greater body mass index (BMI) [26].…”

Section: Introductionmentioning

confidence: 99%

Effects of a Mindfulness-Based Intervention on Distress, Weight Gain, and Glucose Control for Pregnant Low-Income Women: A Quasi-Experimental Trial Using the ORBIT Model

et al. 2019

View full text Add to dashboard Cite

Background Stress can lead to excessive weight gain. Mindfulness-based stress reduction that incorporates mindful eating shows promise for reducing stress, overeating, and improving glucose control. No interventions have tested mindfulness training with a focus on healthy eating and weight gain during pregnancy, a period of common excessive weight gain. Here, we test the effectiveness of such an intervention, the Mindful Moms Training (MMT), on perceived stress, eating behaviors, and gestational weight gain in a high-risk sample of low income women with overweight/obesity. Method We conducted a quasi-experimental study assigning 115 pregnant women to MMT for 8 weeks and comparing them to 105 sociodemographically and weight equivalent pregnant women receiving treatment as usual. Our main outcomes included weight gain (primary outcome), perceived stress, and depression. Results Women in MMT showed significant reductions in perceived stress (β = − 0.16) and depressive symptoms (β = − 0.21) compared to the treatment as usual (TAU) control group. Consistent with national norms, the majority of women (68%) gained excessive weight according to Institute of Medicine weight-gain categories, regardless of group. Slightly more women in the MMT group gained below the recommendation. Among secondary outcomes, women in MMT reported increased physical activity (β = 0.26) and had lower glucose post-oral glucose tolerance test (β = − 0.23), being 66% less likely to have impaired glucose tolerance, compared to the TAU group. Conclusion A short-term intervention led to significant improvements in stress, and showed promise for preventing glucose intolerance. However, the majority of women gained excessive weight. A longer more intensive intervention may be needed for this high-risk population. Clinical Trials.gov #NCT01307683.

show abstract

Psychological issues facing obese pregnant women: a systematic review

Abstract: There is an emotional demand related to obesity during pregnancy, which should be considered by prenatal multidisciplinary care team. There is a need to increasing attention and support provided for obese pregnant women.

Cited by 17 publications

References 19 publications

Effects of supervised exercise training during pregnancy on psychological well-being among overweight and obese women: secondary analyses of the ETIP-trial, a randomised controlled trial

Effects of supervised exercise training during pregnancy on psychological well-being among overweight and obese women: secondary analyses of the ETIP-trial, a randomised controlled trial

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

Effects of a Mindfulness-Based Intervention on Distress, Weight Gain, and Glucose Control for Pregnant Low-Income Women: A Quasi-Experimental Trial Using the ORBIT Model

Contact Info

Product

Resources

About