Prenatal Exposure to Gestational Diabetes Mellitus is Associated with Mental Health Outcomes and Physical Activity has a Modifying Role.

Autor: Alves JM; University of Southern California., Smith A; University of Southern California., Chow T; Kaiser Permanente Southern California., Negriff S; Kaiser Permanente Southern California., Carter S; Kaiser Permanente Southern California., Xiang AH; Kaiser Permanente Southern California., Page KA; University of Southern California.
Jazyk: angličtina
Zdroj: Research square [Res Sq] 2023 Aug 29. Date of Electronic Publication: 2023 Aug 29.
DOI: 10.21203/rs.3.rs-3290222/v1
Abstrakt: Background: Studies suggest a link between prenatal gestational diabetes mellitus (GDM) exposure and poor mental health outcomes. We examined associations between prenatal GDM exposure and depressive and anxiety symptoms in children and assessed physical activity as a potential modifier of these associations.
Method: Seventy children (Age M(SD) : 12(2.0), 56% GDM, 59% female) and their parents completed surveys: Center for Epidemiological Studies Depression Scale for Children (CES-DC), State-Trait Anxiety Inventory for Children (STAIC), Child Behavior Checklist (CBCL), and 3-day physical activity recall (3DPAR). Associations between mental health measures with GDM exposure and interactions between GDM exposure and child moderate-to-vigorous physical activity (MVPA) were assessed using regression.
Results: GDM-exposed children had higher anxiety (p = 0.03) and internalizing symptoms (CBCL) (p = 0.04) than unexposed children. There was an interaction between GDM exposure and child MVPA on anxiety (p = 0.02), internalizing (p = 0.04) and externalizing symptoms (p = 0.004). In the low MVPA group, GDM exposed children had more depressive (p = 0.03), anxiety (p = 0.003), and internalizing symptoms (p = 0.03) than unexposed children. In the high MVPA group, there were no group differences except with externalizing symptoms (p = 0.04).
Conclusion: Prenatal GDM is associated with higher anxiety and internalizing symptoms in children. Child MVPA modified the relationship between GDM exposure and mental health outcomes suggesting that physical activity during childhood could mitigate the negative mental health outcomes associated with prenatal GDM exposure.
Competing Interests: Declarations Competing Interests: The authors have nothing to disclose or conflict of interests.
Databáze: MEDLINE
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