Association Between Maternal Weight Perception Before and During Pregnancy and Postpartum Depression Status in Southern China.

IF 4.8 2区医学 Q1 NUTRITION & DIETETICS

Nutrients Pub Date : 2024-10-30 DOI:10.3390/nu16213696

Qin Zhang, Menglu Qiu, Laidi Guo, Yuanyuan Li, Zhencheng Xie, Wanyi Yang, Lishan Ouyang, Jia Yin, Yun Zhou, Minghan Fu, Ye Ding, Zhixu Wang

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引用次数: 0

Abstract

Objective: Postpartum depression (PPD) is a common complication after childbirth. Weight misperception can lead to self-esteem issues and mental health problems, especially in women and adolescents. The aim of this study was to investigate the association between weight perception before and during pregnancy and the status of PPD in Southern China.

Methods: From October 2021 to November 2023, a multi-stage sampling method was used to recruit 2169 eligible mothers aged 18-49 who had delivered live-born singleton infants within 3 to 180 days postpartum. Anthropometric measurements and face-to-face questionnaire surveys were conducted to collect data. The Kappa test was used to assess the agreement between actual and perceived weight. The generalized linear model incorporating multiplicative interaction analysis was applied to explore the associations among variables.

Results: The prevalence of PPD status was 18.0%. Among women, 35.2% perceived their pre-pregnancy weight (PPW) as abnormal, while 33.1% perceived their gestational weight gain (GWG) as inappropriate. There was poor agreement between maternal actual and perceived PPW/GWG (Kappa = 0.366, p < 0.001; Kappa = 0.188, p < 0.001), with 27.8% of women misperceiving their PPW and 52.1% misperceiving their GWG. The results of the general linear model indicated that women who perceived their PPW as underweight (β = 0.70, p = 0.016) or overweight/obese (β = 0.86, p < 0.001), as well as those who perceived their GWG as excessive (β = 0.47, p = 0.028) were more likely to exhibit PPD status. The interaction analysis results showed that those who perceived their PPW as underweight and their GWG as insufficient (β = 1.75, p = 0.020), as well as those who perceived their PPW as overweight/obese and their GWG as excessive (β = 0.90, p = 0.001) had a positive interactive effect on the occurrence of PPD status, while underestimating PPW and GWG may be a protective factor against PPD status (β = -1.03, p = 0.037).

Conclusion: These findings support that maternal weight perception plays a role in the development of PPD status. Further improvement is needed in personalized health education for weight management, both prior to and throughout the pregnancy period. This can help women reduce weight anxiety, better understand their body image, and potentially lower the risk of developing PPD.

查看原文本刊更多论文

中国南方孕产妇孕前和孕期体重感知与产后抑郁状况之间的关系。

目的：产后抑郁症（PPD）是一种常见的产后并发症。体重认知错误会导致自尊问题和心理健康问题，尤其是在妇女和青少年中。本研究旨在调查华南地区孕前和孕期体重感知与产后抑郁状况之间的关联：方法：在2021年10月至2023年11月期间，采用多阶段抽样方法招募了2169名符合条件的18-49岁、产后3-180天内分娩过活产单胎婴儿的母亲。通过人体测量和面对面问卷调查收集数据。Kappa 检验用于评估实际体重与感知体重之间的一致性。应用包含乘法交互分析的广义线性模型来探讨变量之间的关联：结果：PPD 感染率为 18.0%。35.2%的妇女认为自己的孕前体重（PPW）不正常，33.1%的妇女认为自己的妊娠体重增加（GWG）不适当。孕产妇的实际体重与感知的 PPW/GWG 之间的一致性较差（Kappa = 0.366，p < 0.001；Kappa = 0.188，p < 0.001），27.8% 的妇女错误地认为其 PPW，52.1% 的妇女错误地认为其 GWG。一般线性模型的结果表明，认为自己 PPW 偏低（β = 0.70，p = 0.016）或超重/肥胖（β = 0.86，p < 0.001）的妇女以及认为自己 GWG 过高（β = 0.47，p = 0.028）的妇女更有可能表现出 PPD 状态。交互作用分析结果表明，认为其 PPW 过低和其 GWG 不足（β = 1.75，p = 0.020）以及认为其 PPW 超重/肥胖和其 GWG 过高（β = 0.90，p = 0.001）的受试者对 PPD 状态的发生有正交互作用，而低估 PPW 和 GWG 可能是 PPD 状态的保护因素（β = -1.03，p = 0.037）：这些研究结果表明，孕产妇的体重认知在 PPD 状况的发展中起着一定的作用。需要进一步改进体重管理方面的个性化健康教育，包括孕前和整个孕期。这可以帮助妇女减轻体重焦虑，更好地了解自己的身体形象，并有可能降低罹患 PPD 的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nutrients NUTRITION & DIETETICS-

CiteScore

9.20

自引率

15.30%

发文量

4599

审稿时长

16.74 days

期刊介绍： Nutrients (ISSN 2072-6643) is an international, peer-reviewed open access advanced forum for studies related to Human Nutrition. It publishes reviews, regular research papers and short communications. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced.