Maternal mental health and gestational weight gain in a Brazilian Cohort
| Autor: | Mylena Gonzalez, Dayana Rodrigues Farias, Nathalia C Freitas-Costa, Mônica Araújo Batalha, Gilberto Kac, Thaís Rangel Bousquet Carrilho |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Generalized anxiety disorder Epidemiology Maternal Health Science Gestational Age Anxiety Article Suicidal Ideation 03 medical and health sciences symbols.namesake Young Adult 0302 clinical medicine Pregnancy Weight management medicine Humans 030212 general & internal medicine Poisson regression Prospective Studies Prospective cohort study Depression (differential diagnoses) Nutrition Depressive Disorder Major 030219 obstetrics & reproductive medicine Multidisciplinary Obstetrics business.industry Hospitals Public medicine.disease Gestational Weight Gain Cohort symbols Major depressive disorder Medicine Female medicine.symptom business Brazil |
| Zdroj: | Scientific Reports, Vol 11, Iss 1, Pp 1-11 (2021) Scientific Reports |
| ISSN: | 2045-2322 |
| Popis: | Depression and anxiety are common during pregnancy, but little is known about the influence of these disorders on gestational weight gain (GWG). Data from a prospective cohort of pregnant women followed in a public healthcare center in Rio de Janeiro, Brazil, were used to evaluate the association of depression, anxiety, and suicide risk with GWG. GWG was evaluated at 5–13, 20–26, 30–36, and 37–42 weeks, and GWG adequacy was determined. Statistical analyses included linear mixed-effect models and Poisson regression. We evaluated 206 women, in which 15% (n = 31) presented major depressive disorder, 19.4% (n = 34) suicide risk and 10% (n = 21) generalized anxiety disorder at baseline. Women with depression at the first trimester, persistent depressive symptoms, and anxiety symptoms at the second trimester presented significantly lower rates of GWG per week compared to those without depression or anxiety, respectively. Persistent depressive symptoms represented a 2.40 (95% CI 1.20; 4.81; p = 0.013) increase in the risk of insufficient GWG. There was no significant association between generalized anxiety disorder or suicide risk with GWG. The presence of depression, depressive symptoms, and anxiety during pregnancy were associated with lower GWG rates. Persistent depressive symptoms during pregnancy were directly associated with insufficient GWG. |
| Databáze: | OpenAIRE |
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