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Maternal prenatal anxiety and depression and trajectories of cardiometabolic risk factors across childhood and adolescence: a prospective cohort study

OBJECTIVES: Quantifying long-term offspring cardiometabolic health risks associated with maternal prenatal anxiety and depression can guide cardiometabolic risk prevention. This study examines associations between maternal prenatal anxiety and depression, and offspring cardiometabolic risk from birt...

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Autores principales: Matvienko-Sikar, Karen, O' Neill, Kate, Fraser, Abigail, Hayes, Catherine, Howe, Laura, Huizink, Anja C, Kearney, Patricia M, Khashan, Ali, Redsell, Sarah A, O’Keeffe, Linda M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8679111/
https://www.ncbi.nlm.nih.gov/pubmed/34911713
http://dx.doi.org/10.1136/bmjopen-2021-051681
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author Matvienko-Sikar, Karen
O' Neill, Kate
Fraser, Abigail
Hayes, Catherine
Howe, Laura
Huizink, Anja C
Kearney, Patricia M
Khashan, Ali
Redsell, Sarah A
O’Keeffe, Linda M
author_facet Matvienko-Sikar, Karen
O' Neill, Kate
Fraser, Abigail
Hayes, Catherine
Howe, Laura
Huizink, Anja C
Kearney, Patricia M
Khashan, Ali
Redsell, Sarah A
O’Keeffe, Linda M
author_sort Matvienko-Sikar, Karen
collection PubMed
description OBJECTIVES: Quantifying long-term offspring cardiometabolic health risks associated with maternal prenatal anxiety and depression can guide cardiometabolic risk prevention. This study examines associations between maternal prenatal anxiety and depression, and offspring cardiometabolic risk from birth to 18 years. DESIGN: This study uses data from the Avon Longitudinal Study of Parents and Children (ALSPAC) cohort. PARTICIPANTS: Participants were 526–8606 mother–offspring pairs from the ALSPAC cohort. SETTING: British birth cohort set, Bristol, UK. PRIMARY AND SECONDARY OUTCOMES: Exposures were anxiety (Crown-Crisp Inventory score) and depression (Edinburgh Postnatal Depression Scale score) measured at 18 and 32 weeks gestation. Outcomes were trajectories of offspring body mass index; fat mass; lean mass; pulse rate; glucose, diastolic and systolic blood pressure (SBP); triglycerides, high-density lipoprotein cholesterol and non-high-density lipoprotein cholesterol and insulin from birth/early childhood to 18 years. Exposures were analysed categorically using clinically relevant, cut-offs and continuously to examine associations across the distribution of prenatal anxiety and depression. RESULTS: We found no strong evidence of associations between maternal anxiety and depression and offspring trajectories of cardiometabolic risk factors. Depression at 18 weeks was associated with higher SBP at age 18 (1.62 mm Hg (95% CI 0.17 to 3.07). Anxiety at 18 weeks was also associated with higher diastolic blood pressure at 7 years in unadjusted analyses (0.70 mm Hg (95% CI 0.02 to 1.38)); this difference persisted at age 18 years (difference at 18 years; 0.89 mm Hg (95% CI 0.05 to 1.73). No associations were observed for body mass index; fat mass; lean mass; pulse rate; glucose; triglycerides, high-density lipoprotein cholesterol and non-high-density lipoprotein cholesterol and insulin. CONCLUSIONS: This is the first examination of maternal prenatal anxiety and depression and trajectories of offspring cardiometabolic risk. Our findings suggest that prevention of maternal prenatal anxiety and depression may have limited impact on offspring cardiometabolic health across the first two decades of life.
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spelling pubmed-86791112022-01-04 Maternal prenatal anxiety and depression and trajectories of cardiometabolic risk factors across childhood and adolescence: a prospective cohort study Matvienko-Sikar, Karen O' Neill, Kate Fraser, Abigail Hayes, Catherine Howe, Laura Huizink, Anja C Kearney, Patricia M Khashan, Ali Redsell, Sarah A O’Keeffe, Linda M BMJ Open Mental Health OBJECTIVES: Quantifying long-term offspring cardiometabolic health risks associated with maternal prenatal anxiety and depression can guide cardiometabolic risk prevention. This study examines associations between maternal prenatal anxiety and depression, and offspring cardiometabolic risk from birth to 18 years. DESIGN: This study uses data from the Avon Longitudinal Study of Parents and Children (ALSPAC) cohort. PARTICIPANTS: Participants were 526–8606 mother–offspring pairs from the ALSPAC cohort. SETTING: British birth cohort set, Bristol, UK. PRIMARY AND SECONDARY OUTCOMES: Exposures were anxiety (Crown-Crisp Inventory score) and depression (Edinburgh Postnatal Depression Scale score) measured at 18 and 32 weeks gestation. Outcomes were trajectories of offspring body mass index; fat mass; lean mass; pulse rate; glucose, diastolic and systolic blood pressure (SBP); triglycerides, high-density lipoprotein cholesterol and non-high-density lipoprotein cholesterol and insulin from birth/early childhood to 18 years. Exposures were analysed categorically using clinically relevant, cut-offs and continuously to examine associations across the distribution of prenatal anxiety and depression. RESULTS: We found no strong evidence of associations between maternal anxiety and depression and offspring trajectories of cardiometabolic risk factors. Depression at 18 weeks was associated with higher SBP at age 18 (1.62 mm Hg (95% CI 0.17 to 3.07). Anxiety at 18 weeks was also associated with higher diastolic blood pressure at 7 years in unadjusted analyses (0.70 mm Hg (95% CI 0.02 to 1.38)); this difference persisted at age 18 years (difference at 18 years; 0.89 mm Hg (95% CI 0.05 to 1.73). No associations were observed for body mass index; fat mass; lean mass; pulse rate; glucose; triglycerides, high-density lipoprotein cholesterol and non-high-density lipoprotein cholesterol and insulin. CONCLUSIONS: This is the first examination of maternal prenatal anxiety and depression and trajectories of offspring cardiometabolic risk. Our findings suggest that prevention of maternal prenatal anxiety and depression may have limited impact on offspring cardiometabolic health across the first two decades of life. BMJ Publishing Group 2021-12-15 /pmc/articles/PMC8679111/ /pubmed/34911713 http://dx.doi.org/10.1136/bmjopen-2021-051681 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Mental Health
Matvienko-Sikar, Karen
O' Neill, Kate
Fraser, Abigail
Hayes, Catherine
Howe, Laura
Huizink, Anja C
Kearney, Patricia M
Khashan, Ali
Redsell, Sarah A
O’Keeffe, Linda M
Maternal prenatal anxiety and depression and trajectories of cardiometabolic risk factors across childhood and adolescence: a prospective cohort study
title Maternal prenatal anxiety and depression and trajectories of cardiometabolic risk factors across childhood and adolescence: a prospective cohort study
title_full Maternal prenatal anxiety and depression and trajectories of cardiometabolic risk factors across childhood and adolescence: a prospective cohort study
title_fullStr Maternal prenatal anxiety and depression and trajectories of cardiometabolic risk factors across childhood and adolescence: a prospective cohort study
title_full_unstemmed Maternal prenatal anxiety and depression and trajectories of cardiometabolic risk factors across childhood and adolescence: a prospective cohort study
title_short Maternal prenatal anxiety and depression and trajectories of cardiometabolic risk factors across childhood and adolescence: a prospective cohort study
title_sort maternal prenatal anxiety and depression and trajectories of cardiometabolic risk factors across childhood and adolescence: a prospective cohort study
topic Mental Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8679111/
https://www.ncbi.nlm.nih.gov/pubmed/34911713
http://dx.doi.org/10.1136/bmjopen-2021-051681
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