The impact of body mass index on the pregnancy outcomes and risk of perinatal depression: Findings from a multicenter Italian study

Autor: Antonio Ventriglio, Melania Severo, Annamaria Petito, Luigi Nappi, Salvatore Iuso, Mario Altamura, Valeria Sannicandro, Eleonora Milano, Giulia Arcidiacono, Melanie Di Salvatore, Fiammetta Gallone, Laura De Masi, Alessia Marconcini, Elisa Giannaccari, Giuseppe Maruotti, Giuseppe Luigi Palma, Mario Vicino, Antonio Perrone, Antonella Caroli, Isabella Di Pinto, Antonello Bellomo
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: European Psychiatry, Vol 66 (2023)
Druh dokumentu: article
ISSN: 0924-9338
1778-3585
DOI: 10.1192/j.eurpsy.2023.2412
Popis: Abstract Background Body Mass Index (BMI) is an informative factor on body fatness which has been associated to higher levels of Perinatal Depression (PD) and complications during pregnancy. We aimed to explore the impact of pre-pregnancy and postnatal BMI on the risk of Perinatal Depression and pregnancy outcomes among women recruited at their third trimester of pregnancy. Methods We report on findings from a large multi-centre study conducted in the South of Italy and involving 1611 women accessing three urban gynaecological departments from July to November 2020. Pregnant women were assessed at their third trimester of pregnancy (T0) and after the childbirth (T1) ;The Edinburgh Postnatal Depression Scale (EPDS) has been employed for the screening of PD over time (T0 and T1) as well as other standardized measures for neuroticism, resilience, and quality of life at baseline. BMI (T0 and T1) and other socio-demographic and clinical characteristics have been collected. Results Over-weight and obesity (higher levels of BMI) were associated with higher risk of PD (higher scores of EPDS), higher neuroticism and poorer subjective psychological well-being among enrolled women. Also, obesity and over-weight were associated with lower education, higher number of physical comorbidities, medical treatments and complications during pregnancy. Conclusions Over-weight and obesity may impact on mental health and pregnancy outcome of women enrolled. Psycho-educational interventions aimed to improve the management of physical and emotional issues may reduce the risk of PD and complications during pregnancy.
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