体育活动在2015年巴西佩洛塔斯出生队列中母亲体重指数和抑郁症状之间的前瞻性关联中的作用

IF 3.7 2区 医学 Q1 PSYCHIATRY
Luciana Tornquist , Debora Tornquist , Inácio Crochemore-Silva , Gregore Iven Mielke , Mariângela Freitas da Silveira , Pedro Curi Hallal , Marlos Rodrigues Domingues
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引用次数: 0

摘要

产妇肥胖与产后抑郁有关,体育锻炼具有保护作用。本研究旨在探讨适度和剧烈体育活动(MVPA)在母亲体重指数(BMI)和抑郁症状之间的前瞻性关联中的作用。使用爱丁堡抑郁量表在产后3个月和48个月评估抑郁症状。BMI是根据产后24个月的体重和身高测量以及自我报告的孕前体重来计算的。在妊娠12-16周和产后24个月用加速度计测量MVPA。1953名怀孕母亲和2546名产后母亲的加速度测量数据可用。BMI与抑郁症状无显著相关性。然而,MVPA可调节孕前BMI与产后3个月抑郁症状的关系(p = 0.04)。在MVPA较低的母亲中,BMI与抑郁症状之间的关联不显著。然而,在MPVA≥42分钟/天的患者中,相关性变得显著且呈负相关(β: - 0.125;95% ci:−0.248;−0.001),BMI和MVPA较高的母亲抑郁症状评分较低。综上所述,MVPA在BMI与抑郁症状之间的关系中发挥着积极的作用,这加强了在母亲中推广MVPA的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The role of physical activity in the prospective association between body mass index and depressive symptoms in mothers from the 2015 Pelotas (Brazil) Birth Cohort
Maternal obesity has been associated with postpartum depression and a protective role of physical activity is indicated. This study aims to examine the role of moderate and vigorous physical activity (MVPA) in the prospective association between body mass index (BMI) and depressive symptoms in a cohort of mothers. Depressive symptoms were assessed at 3 and 48 months postpartum using the Edinburgh Depression Scale. BMI was calculated from weight and height measurements at 24 months postpartum and self-reported pre-pregnancy weight. MVPA was measured by accelerometers at 12–16 weeks of pregnancy and 24 months postpartum. Accelerometry data were available for 1953 mothers in pregnancy and 2546 postpartum. BMI was not significantly associated with depressive symptoms. However, the relationship between pre-gestational BMI and depressive symptoms 3 months postpartum was moderated by MVPA (p = 0.04). Among mothers with low MVPA, the association between BMI and depressive symptoms was not significant. However, among those who performed ≥42 min of MPVA/day, the relationship became significant and inverse (β: −0.125; 95 %CI: −0.248; −0.001), with mothers with higher BMI and high MVPA having lower depressive symptom scores. In conclusion, MVPA performs a positive role in the association between BMI and depressive symptoms, reinforcing the importance of MVPA promotion among mothers.
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来源期刊
Journal of psychiatric research
Journal of psychiatric research 医学-精神病学
CiteScore
7.30
自引率
2.10%
发文量
622
审稿时长
130 days
期刊介绍: Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;
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