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BMC Public Health
Published in: BMC Public Health 1/2024

Open Access 01-12-2024 | Mood Disorders | Research

Exploring the relationship between sunlight exposure, psychological health, and gestational weight gain: a prospective observational study

Authors: Satvinder Kaur, Ee Yin Kok, Nor Aini Jamil, Susy K. Sebayang

Published in: BMC Public Health | Issue 1/2024

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Abstract

Introduction

Gestational weight gain (GWG) is influenced by various factors during pregnancy. This study attempts to explore the relationship between environmental factors i.e., sunlight exposure and psychological health i.e. psychological well-being and sleep quality during pregnancy with total gestational weight gain.

Methods

This was a prospective observational study conducted in government maternity clinics in Kuala Lumpur. Pregnant women aged 19–39 years without comorbidities were recruited during second trimester and followed up until birth. The participants were required to wear a UVB dosimeter for a total of three consecutive days (2 weekdays and 1 weekend) to determine sunlight exposure (SED) during their second trimester. The PSQI and DASS-21 were used to determine sleep quality and psychological wellbeing, respectively. GWG data were collected from clinic health records. The association of sun exposure and psychological health with total GWG was determined using multiple linear regression.

Results

A total of 73 pregnant women aged 27.9 ± 3.3 years were included in the analysis. The prevalence of pregnant women exhibiting stress, anxiety, and depression symptoms was 11%, 40%, and 16% respectively. The global PSQI median score was 5 (IQR = 3), with 59% having poor sleep quality. Median sleep duration was 7 h (IQR = 2) while median sleep efficiency was 92% (IQR = 14). The median SED was 0.04 (IQR = 0.09), with 51% of them being under the 50th percentile. The majority had adequate GWG (58%). Sleep parameters were not found to be correlated with total GWG except for sleep latency (ρ = -0.356, p = 0.002). Sunlight exposure was found to have no significant relationship with sleep and total GWG. Adjusted multiple linear regression showed that greater depression is associated with higher total GWG (β = 0.239, p = 0.039) while controlling for sleep quality.

Conclusion

Depression was associated with total GWG when sleep quality was controlled for while sunlight exposure had no significant association with GWG. Future studies should study the complex relationship between factors of mental health, sleep, and weight gain during pregnancy. Healthcare providers may be better equipped to develop interventions aimed to prevent negative maternal and fetal health outcomes.
Literature
1.
Nurul-Farehah S, Rohana AJ, Hamid NA, Daud Z, Asis SHH. Determinants of Suboptimal gestational weight gain among antenatal women residing in the highest Gross Domestic Product (GDP) Region of Malaysia. Nutrients. 2022;14(7):1436.CrossRefPubMedPubMedCentral
2.
Yong HY, MohdShariff Z, MohdYusof BN, Rejali Z, Tee YYS, Bindels J, et al. Pre-pregnancy BMI influences the association of dietary quality and gestational weight gain: The SECOST Study. Int J Environ Res Public Health. 2019;16(19):3735.CrossRefPubMedPubMedCentral
3.
Wu Y, Wan S, Gu S, Mou Z, Dong L, Luo Z, et al. Gestational weight gain and adverse pregnancy outcomes: a prospective cohort study. BMJ Open. 2020;10(9):e038187.CrossRefPubMedPubMedCentral
4.
Martínez-Hortelano JA, Cavero-Redondo I, Álvarez-Bueno C, Garrido-Miguel M, Soriano-Cano A, Martínez-Vizcaíno V. Monitoring gestational weight gain and prepregnancy BMI using the 2009 IOM guidelines in the global population: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2020;20:649.CrossRefPubMedPubMedCentral
5.
Wang D, Wang M, Darling AM, Perumal N, Liu E, Danaei G, et al. Gestational weight gain in low-income and middle-income countries: a modelling analysis using nationally representative data. BMJ Glob Heal. 2020;5(11):e003423.CrossRef
6.
Voerman E, Santos S, Inskip H, Amiano P, Barros H, Charles M-A, et al. Association of gestational weight gain with adverse maternal and infant outcomes. JAMA. 2019;321:1702–15.CrossRefPubMedPubMedCentral
7.
Wang G, Deng Y, Jiang Y, Lin Q, Dong S, Song Y, et al. Trajectories of sleep quality from late pregnancy to 36 months postpartum and association with maternal mood disturbances: a longitudinal and prospective cohort study. Sleep. 2018;41.
8.
Tapia VL, Vasquez BV, Vu B, Liu Y, Steenland K, Gonzales GF. Association between maternal exposure to particulate matter (PM(2.5)) and adverse pregnancy outcomes in Lima, Peru. J Expo Sci Environ Epidemiol. 2020;30:689–97.CrossRefPubMedPubMedCentral
9.
Kominiarek MA, Grobman W, Adam E, Buss C, Culhane J, Entringer S, et al. Stress during pregnancy and gestational weight gain. J Perinatol Off J Calif Perinat Assoc. 2018;38:462–7.
10.
11.
Zhang X, Wang Y, Chen X, Zhang X. Associations between prenatal sunshine exposure and birth outcomes in China. Sci Total Environ. 2020;713:136472.CrossRefPubMed
12.
Wernerfelt N, Slusky D, Zeckhauser R. Second trimester sunlight and asthma: evidence from two independent studies. Am J Heal Econ. 2017;3:227–53.CrossRef
13.
Oberlander TF, Weinberg J, Papsdorf M, Grunau R, Misri S, Devlin AM. Prenatal exposure to maternal depression, neonatal methylation of human glucocorticoid receptor gene (NR3C1) and infant cortisol stress responses. Epigenetics. 2008;3:97–106.CrossRefPubMed
14.
Zhao S, Peng X, Zhou H, Ge J, Zhou M, Walker AN, et al. Association between gestational depression and weight management behaviors during pregnancy: a cross-sectional study in Eastern China. Front public Heal. 2022;10:915786.CrossRef
15.
Sánchez-Villegas A, Henríquez-Sánchez P, Ruiz-Canela M, Lahortiga F, Molero P, Toledo E, et al. A longitudinal analysis of diet quality scores and the risk of incident depression in the SUN Project. BMC Med. 2015;13:197.CrossRefPubMedPubMedCentral
16.
17.
Lewy AJ, Wehr TA, Goodwin FK, Newsome DA, Markey SP. Light suppresses melatonin secretion in humans. Science. 1980;210:1267–9.CrossRefPubMed
18.
Rodrigues CZ, Cardoso MA, Maruyama JM, Neves PAR, Qi L, Lourenço BH. Vitamin D insufficiency, excessive weight gain, and insulin resistance during pregnancy. Nutr Metab Cardiovasc Dis. 2022;32:2121–8.CrossRefPubMed
19.
20.
Hill C, Lipsky LM, Betts GM, Siega-Riz AM, Nansel TR. A prospective study of the relationship of sleep quality and duration with gestational weight gain and fat gain. J Womens Health (Larchmt). 2021;30:405–11.CrossRefPubMed
21.
Lovibond SH, Lovibond PF. Manual for the Depression Anxiety and Stress Scales. 2nd ed. Sydney: Psychology Foundation; 1995.
22.
Buysse D, Reynolds C, Monk T, Berman S. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193–213.CrossRefPubMed
23.
Farah NM, Saw Yee T, Mohd Rasdi HF. Self-Reported Sleep Quality Using the Malay Version of the Pittsburgh Sleep Quality Index (PSQI-M) In Malaysian Adults. Int J Environ Res Public Health. 2019;16(23):4750.CrossRefPubMedPubMedCentral
24.
Jamil NA, Yew MH, Noor Hafizah Y, Gray SR, Poh BK, Macdonald HM. Estimated vitamin D synthesis and dietary vitamin D intake among Asians in two distinct geographical locations (Kuala Lumpur, 3°N v. Aberdeen, 57°N) and climates. Public Health Nutr. 2018;21:3118–24.CrossRefPubMedPubMedCentral
25.
Sudhanshu S, Upadhyay P, Sahu M, Rawat V, Bhatia V. Sun exposure, UV irradiance and serum 25-hydroxycholecalciferol in pregnant women in rural north India. Public Health Nutr. 2017;20:1755–9.CrossRefPubMed
26.
Kift R, Berry JL, Vail A, Durkin MT, Rhodes LE, Webb AR. Lifestyle factors including less cutaneous sun exposure contribute to starkly lower vitamin D levels in U.K. South Asians compared with the white population. Br J Dermatol. 2013;169:1272–8.CrossRefPubMed
27.
Jang H, Koo FK, Ke L, Clemson L, Cant R, Fraser DR, et al. Culture and sun exposure in immigrant East Asian women living in Australia. Women Health. 2013;53:504–18.CrossRefPubMed
28.
Diffey BL. Modelling the seasonal variation of vitamin D due to sun exposure. Br J Dermatol. 2010;162:1342–8.CrossRefPubMed
29.
Chang JJ, Pien GW, Duntley SPMG. Sleep deprivation during pregnancy and maternal and fetal outcomes: is there a relationship? Sleep Med Rev. 2010;14:107–14.CrossRefPubMed
30.
Nedeltcheva AV, Kessler L, Imperial J, Penev PD. Exposure to recurrent sleep restriction in the setting of high caloric intake and physical inactivity results in increased insulin resistance and reduced glucose tolerance. J Clin Endocrinol Metab. 2009;94:3242–50.CrossRefPubMedPubMedCentral
31.
Cattane N, Räikkönen K, Anniverno R, Mencacci C, Riva MA, Pariante CM, et al. Depression, obesity and their comorbidity during pregnancy: effects on the offspring’s mental and physical health. Mol Psychiatry. 2021;26:462–81.CrossRefPubMed
32.
Hofmann SG, Asnaani A, Vonk IJJ, Sawyer AT, Fang A. the efficacy of cognitive behavioral therapy: a review of meta-analyses. Cognit Ther Res. 2012;36:427–40.CrossRefPubMedPubMedCentral
33.
van der Windt M, van Zundert SKM, Schoenmakers S, Jansen PW, van Rossem L, Steegers-Theunissen RPM. Effective psychological therapies to improve lifestyle behaviors in (pre)pregnant women: a systematic review. Prev Med reports. 2021;24:101631.CrossRef
34.
Shieh C, Wu J. Depressive symptoms and obesity/weight gain factors among Black and Hispanic pregnant women. J Community Health Nurs. 2014;31:8–19.CrossRefPubMed
35.
Raaj S, Verghese V, Tharmaseelan M, Duffy R, N K Sinnadorai NKST. Perinatal mental health in Malaysia: understanding the treatment gap and recommendations for the future. BJPsych Int. 2023;20:9–12.
Metadata
Title
Exploring the relationship between sunlight exposure, psychological health, and gestational weight gain: a prospective observational study
Authors
Satvinder Kaur
Ee Yin Kok
Nor Aini Jamil
Susy K. Sebayang
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-024-17677-w

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