Correlates of poor mental health in early pregnancy in obese European women

BMC Pregnancy and Childbirth

Research Article

Peter Damm¹  Elisabeth R. Mathiesen¹  Annick Bogaerts²  Frank J. Snoek³  Gernot Desoye⁴  Judith G. M. Jelsma⁵  Jürgen Harreiter⁶  Alexandra Kautzky-Willer⁶  Agnieszka Zawiejska⁷  Ewa Wender-Ozegowska⁷  Kinga Blumska⁷  Juan M. Adelantado⁸  Rosa Corcoy⁹  David Simmons^1,10  Matteo C. Sattler^1,11  Mireille N. M. van Poppel^1,12  Frans A. van Assche^1,13  Roland Devlieger^1,13  Goele Jans^1,13  Sander Galjaard^1,14  Fidelma Dunne^1,15  Dorte M. Jensen^1,16  Lise Lotte T. Andersen^1,16  David Hill^1,17  Maria G. Dalfrà^1,18  Annunziata Lapolla^1,18  Alessandra Bertolotto^1,19 

[1] Center for Pregnant Women with Diabetes, Departments of Endocrinology and Obstetrics, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark;Department of Development and Regeneration KULeuven, University of Leuven, Leuven, Belgium and Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Belgium and Faculty of Health and Social Work, research unit Healthy Living, UC Leuven-Limburg, Leuven, Belgium;Department of Medical Psychology, VU University Medical Centre, Amsterdam, the Netherlands;Department of Medical Psychology, Academic Medical Centre, Amsterdam, the Netherlands;Department of Obstetrics and Gynecology, Medizinische Universität Graz, Graz, Austria;Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Centre, Amsterdam, the Netherlands;Division of Endocrinology and Metabolism, Department of Medicine III, Medical University of Vienna, Vienna, Austria;Division of Reproduction, Poznan University of Medical Sciences, Poznan, Poland;Institut de Recerca de L’Hospital de la Santa Creu i Sant Pau, Barcelona, Spain;Institut de Recerca de L’Hospital de la Santa Creu i Sant Pau, Barcelona, Spain;CIBER Bioengineering, Biomaterials and Nanotechnology, Instituto de Salud Carlos III, Zaragaza, Spain;Institute of Metabolic Science, Addenbrookes Hospital, Cambridge, England and Macarthur Clinical School, Western Sydney University, Sydney, Australia;Institute of Sport Science, University of Graz, Mozartgasse 14, 8010, Graz, Austria;Institute of Sport Science, University of Graz, Mozartgasse 14, 8010, Graz, Austria;Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Centre, Amsterdam, the Netherlands;KU Leuven Department of Development and Regeneration: Pregnancy, Fetus and Neonate, Gynaecology and Obstetrics, University Hospitals, Leuven, Belgium;KU Leuven Department of Development and Regeneration: Pregnancy, Fetus and Neonate, Gynaecology and Obstetrics, University Hospitals, Leuven, Belgium;Department of Obstetrics and Gynaecology Division of Obstetrics and Prenatal Medicine, Erasmus Medical Centre, Rotterdam, The Netherlands;National University of Ireland, Galway, Ireland;Odense University Hospital, Odense, Denmark;Recherche en Santé Lawson SA, Bronschhofen, Switzerland;Universita Degli Studi di Padova, Padova, Italy;Università di Pisa, Pisa, Italy;

关键词: Mental health;    Depression;    Pregnancy;    Obesity;   

DOI  :  10.1186/s12884-017-1595-y

 received in 2017-04-13, accepted in 2017-11-24,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundDepression during pregnancy is associated with higher maternal morbidity and mortality, and subsequent possible adverse effects on the cognitive, emotional and behavioral development of the child. The aim of the study was to identify maternal characteristics associated with poor mental health, in a group of overweight/obese pregnant women in nine European countries, and thus, to contribute to better recognition and intervention for maternal depression.MethodsIn this cross-sectional observational study, baseline data from early pregnancy (< 20 weeks) of the DALI (Vitamin D and Lifestyle Intervention for gestational diabetes mellitus prevention) study were analyzed. Maternal mental health was assessed with the World Health Organization Well-Being Index (WHO–5). Women were classified as having a low (WHO–5 ≤ 50) or high wellbeing.Results.A total of 735 pregnant women were included. The prevalence of having a low wellbeing was 27.2%, 95% CI [24.0, 30.4]. Multivariate analysis showed independent associations between low wellbeing and European ethnicity, OR = .44, 95% CI [.25, .77], shift work, OR = 1.81, 95% CI [1.11, 2.93], insufficient sleep, OR = 3.30, 95% CI [1.96, 5.55], self-efficacy, OR = .95, 95% CI [.92, .98], social support, OR = .94, 95% CI [.90, .99], and pregnancy-related worries (socioeconomic: OR = 1.08, 95% CI [1.02, 1.15]; health: OR = 1.06, 95% CI [1.01, 1.11]; relationship: OR = 1.17, 95% CI [1.05, 1.31]).ConclusionsMental health problems are common in European overweight/obese pregnant women. The identified correlates might help in early recognition and subsequent treatment of poor mental health problems during pregnancy. This is important to reduce the unfavorable effects of poor mental health on pregnancy outcomes.Trial registrationISRCTN70595832, 02.12.2011.

【 授权许可】

CC BY   
© The Author(s). 2017