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 in | Obesity science & practice Vol. 2; no. 4; pp. 415 - 425 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
John Wiley & Sons, Inc
01.12.2016
John Wiley and Sons Inc |
Subjects | |
Online Access | Get full text |
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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. |
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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 – name: 4 Clinical Pharmacology, Department of Public Health University of Southern Denmark Odense Denmark – name: 6 Novo Nordisk Foundation Center for Basic Metabolic Research University of Copenhagen Copenhagen Denmark – 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 – name: 3 OPEN – Odense Patient data Explorative Network Odense University Hospital Odense Denmark |
Author_xml | – sequence: 1 givenname: M. orcidid: 0000-0002-7637-3730 surname: Bliddal fullname: Bliddal, M. email: mette.bliddal@rsyd.dk organization: Odense University Hospital – sequence: 2 givenname: A. surname: Pottegård fullname: Pottegård, A. organization: University of Southern Denmark – sequence: 3 givenname: H. surname: Kirkegaard fullname: Kirkegaard, H. organization: University of Southern Denmark – sequence: 4 givenname: J. surname: Olsen fullname: Olsen, J. organization: Aarhus University – sequence: 5 givenname: T. I. A. surname: Sørensen fullname: Sørensen, T. I. A. organization: Bristol University – sequence: 6 givenname: E. A. surname: Nohr fullname: Nohr, E. A. organization: Odense University Hospital |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28090347$$D View this record in MEDLINE/PubMed |
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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 |
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