Cargando…

Psychosocial stress and longitudinally measured gestational weight gain throughout pregnancy: The Ulm SPATZ Health Study

Psychosocial stress is thought to influence gestational weight gain (GWG), but results are inconsistent. We investigated the relationship of questionnaire-based maternal stress and related constructs assessed at childbirth with maternal weight measured throughout pregnancy. Data were derived from th...

Descripción completa

Detalles Bibliográficos
Autores principales: Braig, S., Logan, C. A., Reister, F., Rothenbacher, D., Genuneit, J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7005281/
https://www.ncbi.nlm.nih.gov/pubmed/32029794
http://dx.doi.org/10.1038/s41598-020-58808-8
_version_ 1783494902265413632
author Braig, S.
Logan, C. A.
Reister, F.
Rothenbacher, D.
Genuneit, J.
author_facet Braig, S.
Logan, C. A.
Reister, F.
Rothenbacher, D.
Genuneit, J.
author_sort Braig, S.
collection PubMed
description Psychosocial stress is thought to influence gestational weight gain (GWG), but results are inconsistent. We investigated the relationship of questionnaire-based maternal stress and related constructs assessed at childbirth with maternal weight measured throughout pregnancy. Data were derived from the Ulm SPATZ Health Study, a birth cohort recruited from the general population (04/2012–05/2013, Ulm, Germany). Adjusted generalized estimating equations were performed. Regression coefficients (b) and 95% confidence intervals, each highest versus lowest tertile of stress or related constructs, are presented. In 748 women, we observed positive associations for maternal chronic stress (b = 4.36 kg (1.77; 6.95)), depressive symptoms (b = 2.50 kg (0.14; 4.86)), anxiety symptoms (b = 3.26 kg (0.62, 5.89)), and hair cortisol (b = 3.35 kg (0.86; 5.83)) with maternal weight at the first gestational month. GWG was considerably lower in mothers with higher chronic stress. Pregnancy-related anxiety was positively related to weight at first month (b = 4.16 kg (1.74; 6.58)) and overall GWG. In contrast, no association was observed between anxiety symptoms and GWG. Odds ratios for association with inadequate weight gain according to Institute of Medicine recommended cutoffs differed from the results presented obove. There is evidence of an association between stress and weight gain lying beyond the recommended cut-offs, which however needs further corroboration.
format Online
Article
Text
id pubmed-7005281
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Nature Publishing Group UK
record_format MEDLINE/PubMed
spelling pubmed-70052812020-02-18 Psychosocial stress and longitudinally measured gestational weight gain throughout pregnancy: The Ulm SPATZ Health Study Braig, S. Logan, C. A. Reister, F. Rothenbacher, D. Genuneit, J. Sci Rep Article Psychosocial stress is thought to influence gestational weight gain (GWG), but results are inconsistent. We investigated the relationship of questionnaire-based maternal stress and related constructs assessed at childbirth with maternal weight measured throughout pregnancy. Data were derived from the Ulm SPATZ Health Study, a birth cohort recruited from the general population (04/2012–05/2013, Ulm, Germany). Adjusted generalized estimating equations were performed. Regression coefficients (b) and 95% confidence intervals, each highest versus lowest tertile of stress or related constructs, are presented. In 748 women, we observed positive associations for maternal chronic stress (b = 4.36 kg (1.77; 6.95)), depressive symptoms (b = 2.50 kg (0.14; 4.86)), anxiety symptoms (b = 3.26 kg (0.62, 5.89)), and hair cortisol (b = 3.35 kg (0.86; 5.83)) with maternal weight at the first gestational month. GWG was considerably lower in mothers with higher chronic stress. Pregnancy-related anxiety was positively related to weight at first month (b = 4.16 kg (1.74; 6.58)) and overall GWG. In contrast, no association was observed between anxiety symptoms and GWG. Odds ratios for association with inadequate weight gain according to Institute of Medicine recommended cutoffs differed from the results presented obove. There is evidence of an association between stress and weight gain lying beyond the recommended cut-offs, which however needs further corroboration. Nature Publishing Group UK 2020-02-06 /pmc/articles/PMC7005281/ /pubmed/32029794 http://dx.doi.org/10.1038/s41598-020-58808-8 Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Braig, S.
Logan, C. A.
Reister, F.
Rothenbacher, D.
Genuneit, J.
Psychosocial stress and longitudinally measured gestational weight gain throughout pregnancy: The Ulm SPATZ Health Study
title Psychosocial stress and longitudinally measured gestational weight gain throughout pregnancy: The Ulm SPATZ Health Study
title_full Psychosocial stress and longitudinally measured gestational weight gain throughout pregnancy: The Ulm SPATZ Health Study
title_fullStr Psychosocial stress and longitudinally measured gestational weight gain throughout pregnancy: The Ulm SPATZ Health Study
title_full_unstemmed Psychosocial stress and longitudinally measured gestational weight gain throughout pregnancy: The Ulm SPATZ Health Study
title_short Psychosocial stress and longitudinally measured gestational weight gain throughout pregnancy: The Ulm SPATZ Health Study
title_sort psychosocial stress and longitudinally measured gestational weight gain throughout pregnancy: the ulm spatz health study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7005281/
https://www.ncbi.nlm.nih.gov/pubmed/32029794
http://dx.doi.org/10.1038/s41598-020-58808-8
work_keys_str_mv AT braigs psychosocialstressandlongitudinallymeasuredgestationalweightgainthroughoutpregnancytheulmspatzhealthstudy
AT loganca psychosocialstressandlongitudinallymeasuredgestationalweightgainthroughoutpregnancytheulmspatzhealthstudy
AT reisterf psychosocialstressandlongitudinallymeasuredgestationalweightgainthroughoutpregnancytheulmspatzhealthstudy
AT rothenbacherd psychosocialstressandlongitudinallymeasuredgestationalweightgainthroughoutpregnancytheulmspatzhealthstudy
AT genuneitj psychosocialstressandlongitudinallymeasuredgestationalweightgainthroughoutpregnancytheulmspatzhealthstudy