Improvements in Maternal Cardiovascular Health Over the Perinatal Period Longitudinally Predict Lower Postpartum Psychological Distress Among Individuals Who Began Their Pregnancies With Overweight or Obesity

被引:0
作者
Donofry, Shannon D. [1 ,2 ]
Jouppi, Riley J. [2 ]
Call, Christine C. [3 ]
Conlon, Rachel P. Kolko [3 ]
Levine, Michele D. [2 ,3 ,4 ]
机构
[1] RAND, 4570 Fifth Ave,Suite 600, Pittsburgh, PA 15213 USA
[2] Univ Pittsburgh, Dept Psychol, Pittsburgh, PA USA
[3] Univ Pittsburgh, Sch Med, Dept Psychiat, Pittsburgh, PA USA
[4] Univ Pittsburgh, Dept Obstet Gynecol & Reprod Sci, Pittsburgh, PA USA
来源
JOURNAL OF THE AMERICAN HEART ASSOCIATION | 2024年 / 13卷 / 12期
关键词
cardiovascular health; depression; health behaviors; postpartum; pregnancy; stress; SLEEP QUALITY INDEX; STUDIES DEPRESSION SCALE; PHYSICAL-ACTIVITY; INFANT DEVELOPMENT; PERCEIVED STRESS; UNITED-STATES; EATING INDEX; DISEASE RISK; CES-D; WOMEN;
D O I
10.1161/JAHA.123.034153
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BACKGROUND: Adverse cardiovascular events during pregnancy (eg, preeclampsia) occur at higher rates among individuals with overweight or obesity (body mass index >= 25 kg/m(2)) and have been associated with postpartum depression. The present study examined whether changes in cardiovascular health (CVH) during the perinatal period, as defined by the American Heart Association's Life's Essential 8 framework, predicted postpartum psychological functioning among individuals with prepregnancy body mass index >= 25 kg/m(2). METHODS AND RESULTS: Pregnant individuals (N = 226; mean +/- SD age = 28.43 +/- 5.4 years; mean body mass index = 34.17 +/- 7.15 kg/m(2)) were recruited at 12 to 20 weeks of gestation (mean, 15.64 +/- 2.45 weeks) for a longitudinal study of health and well-being. Participants completed ratings of depression and perceived stress and reported on CVH behaviors (dietary intake, physical activity, nicotine exposure, and sleep) at baseline and at 6 months postpartum. Body mass index and CVH behaviors were used to calculate a composite CVH score at both time points. Linear regression analyses were performed to examine whether change in CVH related to postpartum symptom scores. Because sleep was measured in only a subset of participants (n = 114), analyses were conducted with and without sleep. Improved CVH was associated with lower postpartum depression (beta = -0.18, P<0.01) and perceived stress (beta = -0.13, P=0.02) scores. However, when including sleep, these relationships were no longer significant (all P>0.4). CONCLUSIONS: Improvements in CVH from early pregnancy to 6 months postpartum were associated with lower postpartum depressive symptoms and perceived stress but not when including sleep in the CVH metric, potentially due to the large reduction in sample size. These data suggest that intervening during pregnancy to promote CVH may improve postpartum psychological functioning among high-risk individuals.
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页数:15
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