Screening of depression in overweight and obese pregnant women and its predictors

Salehi‐Pourmehr, Hanieh; Dolatkhah, Neda; Gassab-Abdollahi, Nafiseh; Farrin, Nazila; Mojtahedi, Mandana; Farshbaf‐Khalili, Azizeh

doi:10.1111/jog.14100

Cited by 5 publications

(5 citation statements)

References 42 publications

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“…It is likely that taking care of the first child tends to constitute a heavier burden for the primiparous women, but it is also possible that multiparous mothers take measures to conceal their real mental status because they feel ashamed. However, there are some indications that primiparity is associated with reduced PPD 21,22 . We surmise that cultural, familial and financial factors may influence this tendency differently in different countries.…”

Section: Discussionmentioning

confidence: 76%

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Edinburgh Postnatal Depression Scale scores at 2‐week post‐partum may reflect those at 4‐week post‐partum: A single‐center retrospective observational study

Matsuoka

Iwami

Maeda

et al. 2020

J of Obstet and Gynaecol

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Aim Most Japanese institutions screen for post‐partum depression (PPD) using the Edinburgh Postnatal Depression Scale (EPDS) at outpatient visits conducted at 2‐ and 4‐week post‐partum, but there are no published data on the usefulness of EPDS scores 2‐week post‐partum. In the present study, relationships between 2‐week post‐partum EPDS scores and 4‐week post‐partum EPDS scores were investigated to determine whether 2‐week scores may facilitate early intervention in high‐risk mothers. Methods A retrospective analysis of 451 deliveries from 2017 to 2019 was conducted at a single institution. EPDS scores were obtained using the Japanese EPDS 2‐ and 4‐week post‐partum, in conjunction with other perinatal data from medical records. Results In total, 334 of 451 mothers (74.1%) completed the EPDS at both 2‐ and 4‐week post‐partum and were included in the analysis. Of 48 who had higher scores 2‐week post‐partum, 21 (43.8%) continued to be at high risk of PPD. Of 284 who had lower scores 2‐week post‐partum, 9 (3.2%) transitioned to scores indicating high risk. Women considered high‐risk 4‐week post‐partum tended to have exhibited higher scores 2‐week post‐partum. Women who had experienced more deliveries tended to exhibit lower scores, and psychiatric illness was strongly associated with higher EPDS scores (odds ratio 11.2, 95% confidence interval 3.7–33.8, P < 0.01). Conclusion Two‐week EPDS scores closely reflected 4‐week scores, and may facilitate early intervention to prevent PPD. Primiparous mothers and those with a history of psychiatric illness should be followed‐up closely.

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Section: Discussionmentioning

confidence: 76%

“…However, there are some indications that primiparity is associated with reduced PPD. 21,22 We surmise that cultural, familial and financial factors may influence this tendency differently in different countries. Maternal age less than 25 years is thought to be a risk factor for PPD.…”

Section: Discussionmentioning

confidence: 98%

Edinburgh Postnatal Depression Scale scores at 2‐week post‐partum may reflect those at 4‐week post‐partum: A single‐center retrospective observational study

Matsuoka

Iwami

Maeda

et al. 2020

J of Obstet and Gynaecol

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“…Specifically, Tarleton et al (2019) [ 64 ] considered Patient Health Questionnaire (PHQ) scores in a large cohort of 3604 healthy adults and showed a significant relationship between serum magnesium and symptoms. Similarly, Salehi-Pourmehr et al (2019) [ 65 ], who conducted a study on overweight pregnant women, also reported a positive significant correlation.…”

Section: Resultsmentioning

confidence: 86%

The Role and the Effect of Magnesium in Mental Disorders: A Systematic Review

et al. 2020

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Introduction: Magnesium is an essential cation involved in many functions within the central nervous system, including transmission and intracellular signal transduction. Several studies have shown its usefulness in neurological and psychiatric diseases. Furthermore, it seems that magnesium levels are lowered in the course of several mental disorders, especially depression. Objectives: In this study, we wish to evaluate the presence of a relationship between the levels of magnesium and the presence of psychiatric pathology as well as the effectiveness of magnesium as a therapeutic supplementation. Methods: A systematic search of scientific records concerning magnesium in psychiatric disorders published from 2010 up to March 2020 was performed. We collected a total of 32 articles: 18 on Depressive Disorders (DD), four on Anxiety Disorders (AD), four on Attention Deficit Hyperactivity Disorder (ADHD), three on Autism Spectrum Disorder (ASD), one on Obsessive–Compulsive Disorder (OCD), one on Schizophrenia (SCZ) and one on Eating Disorders (ED). Results: Twelve studies highlighted mainly positive results in depressive symptoms. Seven showed a significant correlation between reduced plasma magnesium values and depression measured with psychometric scales. Two papers reported improved depressive symptoms after magnesium intake, two in association with antidepressants, compared to controls. No significant association between magnesium serum levels and panic or Generalized Anxiety Disorder (GAD) patients, in two distinct papers, was found. In two other papers, a reduced Hamilton Anxiety Rating Scale (HAM-A) score in depressed patients correlated with higher levels of magnesium and beneficial levels of magnesium in stressed patients was found. Two papers reported low levels of magnesium in association with ADHD. Only one of three papers showed lower levels of magnesium in ASD. ED and SCZ reported a variation in magnesium levels in some aspects of the disease. Conclusion: The results are not univocal, both in terms of the plasma levels and of therapeutic effects. However, from the available evidence, it emerged that supplementation with magnesium could be beneficial. Therefore, it is necessary to design ad hoc clinical trials to evaluate the efficacy of magnesium alone or together with other drugs (antidepressants) in order to establish the correct use of this cation with potential therapeutic effects.

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“…Maternal depression is a serious mental issue that can have a negative impact on the lives of women. Hormonal influence, neurotransmitter function and nutritional deficiencies due to malnutrition or poor nutrition are among the contributing biological factors [ 46 ]. In particular, authors described physical activity education, protein, fat, oleic acid, monounsaturated fatty acids, potassium, magnesium and zinc as strong predictors of depression [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

Ethnic Disparities and Obesity Risk Factors in Pregnant Women: A Retrospective Observational Cohort Study

et al. 2023

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(1) Background: This article focuses on the prevalence of overweight and obesity in pregnancy in different ethnic groups and assesses the existence of associated comorbidities. (2) Materials and Methods: A retrospective observational cohort study of 16803 pregnant women was carried out between 2012 and 2018 in the health region of Lleida (72% of the total). The relationship between overweight and obesity and different variables was analyzed by calculating the adjusted odds ratio (aOR) and 95% confidence intervals with multivariate logistic regression models. (3) Results: The prevalence of obesity in pregnant women rose from 11.1% in 2012 to 13.4% in 2018, and there was an age-related weight gain. A high incidence of overweight and obesity was recorded in pregnant women from ethnic groups: Maghrebi, sub-Saharan African and Latin America populations presented ORs of 4.08, 3.18 and 1.59, respectively. Hypertension was the variable most affected by body mass index (BMI) > 25 (OR = 3.39) followed by gestational diabetes mellitus (OR = 2.35). Depression was also associated with obesity. (4) Conclusions: The BMI of pregnant women is influenced by individual, ethnic and clinical factors. Mental health conditions such as depression are associated with BMI.

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Screening of depression in overweight and obese pregnant women and its predictors

Cited by 5 publications

References 42 publications

Edinburgh Postnatal Depression Scale scores at 2‐week post‐partum may reflect those at 4‐week post‐partum: A single‐center retrospective observational study

Edinburgh Postnatal Depression Scale scores at 2‐week post‐partum may reflect those at 4‐week post‐partum: A single‐center retrospective observational study

The Role and the Effect of Magnesium in Mental Disorders: A Systematic Review

Ethnic Disparities and Obesity Risk Factors in Pregnant Women: A Retrospective Observational Cohort Study

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