FP7 Outputs
Published December 4, 2017 | Version v1
Journal article Open

Correlates of poor mental health in early pregnancy in obese European women

Authors/Creators

  • 1. Institute of Sport Science, University of Graz, Mozartgasse 14, 8010, Graz, Austria
  • 2. Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Centre, Amsterdam, the Netherlands
  • 3. Department of Development and Regeneration KULeuven, University of Leuven, Leuven, Belgium and Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Belgium and Faculty of Health and Social Work, research unit Healthy Living, UC Leuven-Limburg, Leuven, Belgium
  • 4. Institute of Metabolic Science, Addenbrookes Hospital, Cambridge, England and Macarthur Clinical School, Western Sydney University, Sydney, Australia
  • 5. Department of Obstetrics and Gynecology, Medizinische Universität Graz, Graz, Austria
  • 6. Institut de Recerca de L'Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
  • 7. Division of Endocrinology and Metabolism, Department of Medicine III, Medical University of Vienna, Vienna, Austria
  • 8. KU Leuven Department of Development and Regeneration: Pregnancy, Fetus and Neonate, Gynaecology and Obstetrics, University Hospitals, Leuven, Belgium
  • 9. Recherche en Santé Lawson SA, Bronschhofen, Switzerland
  • 10. Center for Pregnant Women with Diabetes, Departments of Endocrinology and Obstetrics, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
  • 11. Division of Reproduction, Poznan University of Medical Sciences, Poznan, Poland
  • 12. Universita Degli Studi di Padova, Padova, Italy
  • 13. Università di Pisa, Pisa, Italy
  • 14. National University of Ireland, Galway, Ireland
  • 15. Odense University Hospital, Odense, Denmark
  • 16. Department of Medical Psychology, VU University Medical Centre, Amsterdam, the Netherlands

Description

Background: Depression during pregnancy is associated with higher maternal morbidity and mortality, and subsequent possible adverse effects on the cognitive, emotional and behavioral development of the child. The aim of the study was to identify maternal characteristics associated with poor mental health, in a group of overweight/obese pregnant women in nine European countries, and thus, to contribute to better recognition and intervention for maternal depression.

Methods: In this cross-sectional observational study, baseline data from early pregnancy (< 20 weeks) of the DALI (Vitamin D and Lifestyle Intervention for gestational diabetes mellitus prevention) study were analyzed. Maternal mental health was assessed with the World Health Organization Well-Being Index (WHO–5). Women were classified as having a low (WHO–5 ≤ 50) or high wellbeing.

Results.: A total of 735 pregnant women were included. The prevalence of having a low wellbeing was 27.2%, 95% CI [24.0, 30.4]. Multivariate analysis showed independent associations between low wellbeing and European ethnicity, OR = .44, 95% CI [.25, .77], shift work, OR = 1.81, 95% CI [1.11, 2.93], insufficient sleep, OR = 3.30, 95% CI [1.96, 5.55], self-efficacy, OR = .95, 95% CI [.92, .98], social support, OR = .94, 95% CI [.90, .99], and pregnancy-related worries (socioeconomic: OR = 1.08, 95% CI [1.02, 1.15]; health: OR = 1.06, 95% CI [1.01, 1.11]; relationship: OR = 1.17, 95% CI [1.05, 1.31]).

Conclusions: Mental health problems are common in European overweight/obese pregnant women. The identified correlates might help in early recognition and subsequent treatment of poor mental health problems during pregnancy. This is important to reduce the unfavorable effects of poor mental health on pregnancy outcomes.

Trial registration: ISRCTN70595832, 02.12.2011.

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Additional details

Funding

European Commission
DALI - Vitamin D And LIfestyle Intervention for Gestational Diabetes Mellitus (GDM) Prevention 242187