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Pre- and Early Pregnancy Onset Depression and Subsequent Rate of Gestational Weight Gain
Pre- and Early Pregnancy Onset Depression and Subsequent Rate of Gestational Weight Gain
- Source :
- J Womens Health (Larchmt)
- Publication Year :
- 2019
- Publisher :
- Mary Ann Liebert, Inc., publishers, 2019.
-
Abstract
- Background: Depression is associated with weight change outside of pregnancy. We assessed associations of prepregnancy or early pregnancy onset depression with gestational weight gain (GWG) rate overall and according to Institute of Medicine (IOM) recommendations. Materials and Methods: Depression from 6 months prepregnancy through 20 weeks gestation was identified in a health care system in northern California with perinatal depression screening (2011–2016; n = 87,600). GWG rate (lbs/week) was calculated using weight at delivery and at diagnosis or depression screening ≤20 weeks. Results: Compared to women without prepregnancy or early pregnancy depression, women with prepregnancy onset depression had 11% greater risk of GWG rate IOM recommendations (95% CI: 1.01–1.05), with a stronger association for >IOM in normal weight women. Early pregnancy onset depression was associated with 0.04 lbs/week greater GWG rate (95% CI: 0.02–0.07) and 4% greater risk of GWG rate >IOM recommendations (95% CI: 1.02–1.07) compared to no prepregnancy or early pregnancy depression, with stronger associations in obese women. Conclusions: Women with prepregnancy onset depression may be at higher risk for GWG both below and above recommendations. Women with early onset prenatal depression may be at slightly higher risk for GWG rate above recommendations. Our results suggest that the relationship between depression and GWG may vary based on timing of depression onset, prepregnancy body mass index category, and antidepressant use. Additional research should identify factors that predict how a woman's lifestyle behaviors and weight change after depression diagnosis.
- Subjects :
- Adult
050103 clinical psychology
medicine.medical_specialty
Adolescent
Early pregnancy factor
California
Body Mass Index
03 medical and health sciences
Young Adult
Pregnancy
medicine
Humans
0501 psychology and cognitive sciences
Depression (differential diagnoses)
030304 developmental biology
0303 health sciences
biology
Obstetrics
business.industry
Depression
05 social sciences
Weight change
General Medicine
Original Articles
Middle Aged
medicine.disease
Gestational Weight Gain
biology.protein
Gestation
Female
sense organs
medicine.symptom
business
Weight gain
Perinatal Depression
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- J Womens Health (Larchmt)
- Accession number :
- edsair.doi.dedup.....3a686b2ea6c4d82a3d943a413b509229