Influence of psychosocial factors on postpartum weight retention

Pedersen, P; Baker, JL; Henriksen, TB; Lissner, L; Heitmann, BL; Sørensen, TIA; Nohr, EA

Influence of psychosocial factors on postpartum weight retention

Pedersen, P Baker, JL Henriksen, TB Lissner, L Heitmann, BL Sørensen, TIA Nohr, EA

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Publication Type:: Journal Article
Citation:: Obesity, 2011, 19 (3), pp. 639 - 646
Issue Date:: 2011-03-01

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Field	Value	Language
dc.contributor.author	Pedersen, P	en_US
dc.contributor.author	Baker, JL	en_US
dc.contributor.author	Henriksen, TB	en_US
dc.contributor.author	Lissner, L	en_US
dc.contributor.author	Heitmann, BL	en_US
dc.contributor.author	Sørensen, TIA	en_US
dc.contributor.author	Nohr, EA	en_US
dc.date.issued	2011-03-01	en_US
dc.identifier.citation	Obesity, 2011, 19 (3), pp. 639 - 646	en_US
dc.identifier.issn	1930-7381	en_US
dc.identifier.uri	http://hdl.handle.net/10453/117392
dc.description.abstract	For some women, pregnancy may increase the risk of future obesity with consequences for health and well-being. Psychosocial factors may be partly responsible for this. The aim of this study was to examine the association between psychosocial factors during pregnancy and postpartum weight retention (PPWR) at 6 and 18 months. A total of 37,127 women in The Danish National Birth Cohort (DNBC; 1996-2002) participated in four telephone interviews before and after delivery. They gave information about their experience of distress, depression and anxiety, social support, and psychosocial burdens during pregnancy. PPWR was defined as retention ≥5 kg at 6 and 18 months postpartum according to a woman's prepregnancy weight. The associations were examined by use of logistic regression and presented as odds radios with 95% confidence intervals. Women who were more likely to feel depressed/anxious or distressed during pregnancy had a higher risk of PPWR at 6 months (1.35 (1.27; 1.44) and 1.30 (1.22; 1.38)) and 18 months (1.34 (1.24; 1.45) and 1.32 (1.23; 1.42)). Likewise, women who felt burdened by their economy or working situation had a higher risk of PPWR as did women with the lowest incomes or less education. Women who reported a high level of distress or depression/anxiety both during pregnancy and in the first 6 months of motherhood had the highest risk of PPWR 18 months postpartum (1.54 (1.39; 1.71) and 1.49 (1.32; 1.69), respectively). Feeling distressed, depressed, or anxious during pregnancy was associated with higher PPWR as was personal and economical burdens. Adverse psychosocial characteristics may be a common determinant of weight retention after childbirth. © 2010 The Obesity Society.	en_US
dc.relation.ispartof	Obesity	en_US
dc.relation.isbasedon	10.1038/oby.2010.175	en_US
dc.subject.classification	Endocrinology & Metabolism	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Pregnancy Complications	en_US
dc.subject.mesh	Depression, Postpartum	en_US
dc.subject.mesh	Obesity	en_US
dc.subject.mesh	Weight Gain	en_US
dc.subject.mesh	Logistic Models	en_US
dc.subject.mesh	Odds Ratio	en_US
dc.subject.mesh	Risk Factors	en_US
dc.subject.mesh	Cohort Studies	en_US
dc.subject.mesh	Depression	en_US
dc.subject.mesh	Stress, Psychological	en_US
dc.subject.mesh	Anxiety	en_US
dc.subject.mesh	Postpartum Period	en_US
dc.subject.mesh	Pregnancy	en_US
dc.subject.mesh	Socioeconomic Factors	en_US
dc.subject.mesh	Denmark	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Interviews as Topic	en_US
dc.title	Influence of psychosocial factors on postpartum weight retention	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	19	en_US
utslib.for	MD Multidisciplinary	en_US
utslib.for	111403 Paediatrics	en_US
utslib.for	170106 Health, Clinical and Counselling Psychology	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	19	en_US

Abstract:

For some women, pregnancy may increase the risk of future obesity with consequences for health and well-being. Psychosocial factors may be partly responsible for this. The aim of this study was to examine the association between psychosocial factors during pregnancy and postpartum weight retention (PPWR) at 6 and 18 months. A total of 37,127 women in The Danish National Birth Cohort (DNBC; 1996-2002) participated in four telephone interviews before and after delivery. They gave information about their experience of distress, depression and anxiety, social support, and psychosocial burdens during pregnancy. PPWR was defined as retention ≥5 kg at 6 and 18 months postpartum according to a woman's prepregnancy weight. The associations were examined by use of logistic regression and presented as odds radios with 95% confidence intervals. Women who were more likely to feel depressed/anxious or distressed during pregnancy had a higher risk of PPWR at 6 months (1.35 (1.27; 1.44) and 1.30 (1.22; 1.38)) and 18 months (1.34 (1.24; 1.45) and 1.32 (1.23; 1.42)). Likewise, women who felt burdened by their economy or working situation had a higher risk of PPWR as did women with the lowest incomes or less education. Women who reported a high level of distress or depression/anxiety both during pregnancy and in the first 6 months of motherhood had the highest risk of PPWR 18 months postpartum (1.54 (1.39; 1.71) and 1.49 (1.32; 1.69), respectively). Feeling distressed, depressed, or anxious during pregnancy was associated with higher PPWR as was personal and economical burdens. Adverse psychosocial characteristics may be a common determinant of weight retention after childbirth. © 2010 The Obesity Society.

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http://hdl.handle.net/10453/117392