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Archives of Women's Mental Health

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Open Access 01-10-2016 | Original Article

Obesity, antenatal depression, diet and gestational weight gain in a population cohort study

Authors: Emma Molyneaux, Lucilla Poston, Mizanur Khondoker, Louise M. Howard

Published in: Archives of Women's Mental Health | Issue 5/2016

Abstract

Purpose

The aims of this paper are to examine: (1) the relationship between high pre-pregnancy BMI and antenatal depression; (2) whether BMI and antenatal depression interact to predict diet and gestational weight gain (GWG).

Methods

Data came from the Avon Longitudinal Study of Parents and Children (ALSPAC). Underweight women were excluded. Pre-pregnancy BMI was self-reported and antenatal depression was assessed using the Edinburgh Postnatal Depression Scale at 18 and 32 weeks’ gestation to identify persistently elevated depressive symptoms (EPDS>12). Dietary patterns were calculated from food frequency questionnaires at 32 weeks’ gestation. GWG was categorised using the USA Institute of Medicine guidelines.

Results

This study included 13,314 pregnant women. Obese women had significantly higher odds of antenatal depression than normal weight controls after adjusting for socio-demographics and health behaviours (aOR 1.39, 95%CI 1.05–1.84). Every unit increase in pre-pregnancy BMI was associated with approximately 3% higher odds of antenatal depression (aOR 1.03, 95%CI 1.01-1.05). Antenatal depression was not meaningfully associated with dietary patterns after adjusting for confounders and was not associated with inadequate or excessive GWG. There was no evidence for an interaction of depression and BMI on either diet or GWG.

Conclusions

Healthcare professionals should be aware of the dose-response relationship between high pre-pregnancy BMI and antenatal depression.

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Title: Obesity, antenatal depression, diet and gestational weight gain in a population cohort study
Authors: Emma Molyneaux
Lucilla Poston
Mizanur Khondoker
Louise M. Howard
Publication date: 01-10-2016
Publisher: Springer Vienna
Published in: Archives of Women's Mental Health / Issue 5/2016
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI: https://doi.org/10.1007/s00737-016-0635-3

ACC 2024 Congress

Springer Medicine

Obesity, antenatal depression, diet and gestational weight gain in a population cohort study

Abstract

Purpose

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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