Depressive symptoms in women's midlife in relation to their body weight before, during and after childbearing years

Summary Objective This study aimed to examine how weight and weight changes related to pregnancy were associated with depressive symptoms 11–16 years after childbirth. Method We followed 16,998 first‐time mothers from the Danish National Birth Cohort up till 16 years after birth and estimated associ...

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Published inObesity science & practice Vol. 2; no. 4; pp. 415 - 425
Main Authors Bliddal, M., Pottegård, A., Kirkegaard, H., Olsen, J., Sørensen, T. I. A., Nohr, E. A.
Format Journal Article
LanguageEnglish
Published United States John Wiley & Sons, Inc 01.12.2016
John Wiley and Sons Inc
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Abstract Summary Objective This study aimed to examine how weight and weight changes related to pregnancy were associated with depressive symptoms 11–16 years after childbirth. Method We followed 16,998 first‐time mothers from the Danish National Birth Cohort up till 16 years after birth and estimated associations between depressive symptoms and pre‐pregnancy body mass index (BMI) (kg m−2), weight changes in different time periods, and BMI‐adjusted waist circumference 7 years after birth (WCBMI, cm). Depressive symptoms were estimated by the Center for Epidemiologic Studies Depression 10‐item scale. Multiple logistic regression analyses were used to estimate odds ratios (OR) and 95% confidence intervals. Results Compared with normal‐weight, we found that underweight, overweight and obesity were associated with greater odds of depressive symptoms (1.29, 1.24 and 1.73, respectively). Compared with weight change ±1 BMI unit during the total follow‐up period, greater odds for depressive symptoms were observed with weight loss (OR 1.14, 0.96–1.36) or gain of 2–2.99 kg m−2 (OR 1.11, 0.92–1.33) or gain of ≥3 kg m−2 (OR 1.68, 1.46–1.94). WCBMI > 2.2 cm was associated with greater odds of depressive symptoms (OR 1.16, 0.99–1.36) than waist circumference as predicted by BMI. Conclusion Low and high pre‐pregnancy BMI, weight changes and WCBMI larger than predicted were associated with more depressive symptoms in midlife.
AbstractList Summary Objective This study aimed to examine how weight and weight changes related to pregnancy were associated with depressive symptoms 11–16 years after childbirth. Method We followed 16,998 first‐time mothers from the Danish National Birth Cohort up till 16 years after birth and estimated associations between depressive symptoms and pre‐pregnancy body mass index (BMI) (kg m−2), weight changes in different time periods, and BMI‐adjusted waist circumference 7 years after birth (WCBMI, cm). Depressive symptoms were estimated by the Center for Epidemiologic Studies Depression 10‐item scale. Multiple logistic regression analyses were used to estimate odds ratios (OR) and 95% confidence intervals. Results Compared with normal‐weight, we found that underweight, overweight and obesity were associated with greater odds of depressive symptoms (1.29, 1.24 and 1.73, respectively). Compared with weight change ±1 BMI unit during the total follow‐up period, greater odds for depressive symptoms were observed with weight loss (OR 1.14, 0.96–1.36) or gain of 2–2.99 kg m−2 (OR 1.11, 0.92–1.33) or gain of ≥3 kg m−2 (OR 1.68, 1.46–1.94). WCBMI > 2.2 cm was associated with greater odds of depressive symptoms (OR 1.16, 0.99–1.36) than waist circumference as predicted by BMI. Conclusion Low and high pre‐pregnancy BMI, weight changes and WCBMI larger than predicted were associated with more depressive symptoms in midlife.
OBJECTIVEThis study aimed to examine how weight and weight changes related to pregnancy were associated with depressive symptoms 11-16 years after childbirth. METHODWe followed 16,998 first-time mothers from the Danish National Birth Cohort up till 16 years after birth and estimated associations between depressive symptoms and pre-pregnancy body mass index (BMI) (kg m-2), weight changes in different time periods, and BMI-adjusted waist circumference 7 years after birth (WCBMI, cm). Depressive symptoms were estimated by the Center for Epidemiologic Studies Depression 10-item scale. Multiple logistic regression analyses were used to estimate odds ratios (OR) and 95% confidence intervals. RESULTSCompared with normal-weight, we found that underweight, overweight and obesity were associated with greater odds of depressive symptoms (1.29, 1.24 and 1.73, respectively). Compared with weight change ±1 BMI unit during the total follow-up period, greater odds for depressive symptoms were observed with weight loss (OR 1.14, 0.96-1.36) or gain of 2-2.99 kg m-2 (OR 1.11, 0.92-1.33) or gain of ≥3 kg m-2 (OR 1.68, 1.46-1.94). WCBMI > 2.2 cm was associated with greater odds of depressive symptoms (OR 1.16, 0.99-1.36) than waist circumference as predicted by BMI. CONCLUSIONLow and high pre-pregnancy BMI, weight changes and WCBMI larger than predicted were associated with more depressive symptoms in midlife.
ObjectiveThis study aimed to examine how weight and weight changes related to pregnancy were associated with depressive symptoms 11–16 years after childbirth.MethodWe followed 16,998 first‐time mothers from the Danish National Birth Cohort up till 16 years after birth and estimated associations between depressive symptoms and pre‐pregnancy body mass index (BMI) (kg m−2), weight changes in different time periods, and BMI‐adjusted waist circumference 7 years after birth (WCBMI, cm). Depressive symptoms were estimated by the Center for Epidemiologic Studies Depression 10‐item scale. Multiple logistic regression analyses were used to estimate odds ratios (OR) and 95% confidence intervals.ResultsCompared with normal‐weight, we found that underweight, overweight and obesity were associated with greater odds of depressive symptoms (1.29, 1.24 and 1.73, respectively). Compared with weight change ±1 BMI unit during the total follow‐up period, greater odds for depressive symptoms were observed with weight loss (OR 1.14, 0.96–1.36) or gain of 2–2.99 kg m−2 (OR 1.11, 0.92–1.33) or gain of ≥3 kg m−2 (OR 1.68, 1.46–1.94). WCBMI > 2.2 cm was associated with greater odds of depressive symptoms (OR 1.16, 0.99–1.36) than waist circumference as predicted by BMI.ConclusionLow and high pre‐pregnancy BMI, weight changes and WCBMI larger than predicted were associated with more depressive symptoms in midlife.
This study aimed to examine how weight and weight changes related to pregnancy were associated with depressive symptoms 11-16 years after childbirth. We followed 16,998 first-time mothers from the Danish National Birth Cohort up till 16 years after birth and estimated associations between depressive symptoms and pre-pregnancy body mass index (BMI) (kg m ), weight changes in different time periods, and BMI-adjusted waist circumference 7 years after birth (WC , cm). Depressive symptoms were estimated by the Center for Epidemiologic Studies Depression 10-item scale. Multiple logistic regression analyses were used to estimate odds ratios (OR) and 95% confidence intervals. Compared with normal-weight, we found that underweight, overweight and obesity were associated with greater odds of depressive symptoms (1.29, 1.24 and 1.73, respectively). Compared with weight change ±1 BMI unit during the total follow-up period, greater odds for depressive symptoms were observed with weight loss (OR 1.14, 0.96-1.36) or gain of 2-2.99 kg m (OR 1.11, 0.92-1.33) or gain of ≥3 kg m (OR 1.68, 1.46-1.94). WC  > 2.2 cm was associated with greater odds of depressive symptoms (OR 1.16, 0.99-1.36) than waist circumference as predicted by BMI. Low and high pre-pregnancy BMI, weight changes and WC larger than predicted were associated with more depressive symptoms in midlife.
Summary Objective This study aimed to examine how weight and weight changes related to pregnancy were associated with depressive symptoms 11–16 years after childbirth. Method We followed 16,998 first‐time mothers from the Danish National Birth Cohort up till 16 years after birth and estimated associations between depressive symptoms and pre‐pregnancy body mass index (BMI) (kg m −2 ), weight changes in different time periods, and BMI‐adjusted waist circumference 7 years after birth (WC BMI , cm). Depressive symptoms were estimated by the Center for Epidemiologic Studies Depression 10‐item scale. Multiple logistic regression analyses were used to estimate odds ratios (OR) and 95% confidence intervals. Results Compared with normal‐weight, we found that underweight, overweight and obesity were associated with greater odds of depressive symptoms (1.29, 1.24 and 1.73, respectively). Compared with weight change ±1 BMI unit during the total follow‐up period, greater odds for depressive symptoms were observed with weight loss (OR 1.14, 0.96–1.36) or gain of 2–2.99 kg m −2 (OR 1.11, 0.92–1.33) or gain of ≥3 kg m −2 (OR 1.68, 1.46–1.94). WC BMI  > 2.2 cm was associated with greater odds of depressive symptoms (OR 1.16, 0.99–1.36) than waist circumference as predicted by BMI. Conclusion Low and high pre‐pregnancy BMI, weight changes and WC BMI larger than predicted were associated with more depressive symptoms in midlife.
Author Olsen, J.
Bliddal, M.
Sørensen, T. I. A.
Pottegård, A.
Kirkegaard, H.
Nohr, E. A.
AuthorAffiliation 7 Institute of Preventive Medicine Bispebjerg and Frederiksberg Hospitals – Part of Copenhagen University Hospital Copenhagen Denmark
3 OPEN – Odense Patient data Explorative Network Odense University Hospital Odense Denmark
5 Department of Public Health, Section for Epidemiology Aarhus University Aarhus Denmark
6 Novo Nordisk Foundation Center for Basic Metabolic Research University of Copenhagen Copenhagen Denmark
8 MRC Integrative Epidemiology Unit Bristol University Bristol UK
1 Institute of Clinical Research, Research Unit of Gynaecology and Obstetrics University of Southern Denmark Odense Denmark
4 Clinical Pharmacology, Department of Public Health University of Southern Denmark Odense Denmark
2 Department of Gynaecology and Obstetrics Odense University Hospital Odense Denmark
AuthorAffiliation_xml – name: 8 MRC Integrative Epidemiology Unit Bristol University Bristol UK
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– name: 1 Institute of Clinical Research, Research Unit of Gynaecology and Obstetrics University of Southern Denmark Odense Denmark
– name: 2 Department of Gynaecology and Obstetrics Odense University Hospital Odense Denmark
– name: 5 Department of Public Health, Section for Epidemiology Aarhus University Aarhus Denmark
– name: 7 Institute of Preventive Medicine Bispebjerg and Frederiksberg Hospitals – Part of Copenhagen University Hospital Copenhagen Denmark
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Issue 4
Keywords Body mass index
maternal health
body‐weight changes
depressive symptoms
Language English
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Snippet Summary Objective This study aimed to examine how weight and weight changes related to pregnancy were associated with depressive symptoms 11–16 years after...
This study aimed to examine how weight and weight changes related to pregnancy were associated with depressive symptoms 11-16 years after childbirth. We...
ObjectiveThis study aimed to examine how weight and weight changes related to pregnancy were associated with depressive symptoms 11–16 years after...
OBJECTIVEThis study aimed to examine how weight and weight changes related to pregnancy were associated with depressive symptoms 11-16 years after childbirth....
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SubjectTerms Abdomen
Body mass index
Body weight
Body weight loss
body‐weight changes
Childbirth & labor
depressive symptoms
Epidemiology
Health care
Lifestyles
maternal health
Mental depression
Mental disorders
Mothers
Obesity
Original
Overweight
Population
Pregnancy
Questionnaires
Studies
Underweight
Weight control
Womens health
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Title Depressive symptoms in women's midlife in relation to their body weight before, during and after childbearing years
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fosp4.75
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Volume 2
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