Body mass index, eating attitudes, and symptoms of depression and anxiety in pregnancy and the postpartum period
Body mass index, eating attitudes, and symptoms of depression and anxiety in pregnancy and the postpartum period
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DOI：
10.1097/00006842-200003000-00019
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发表时间：
2000-03-01
影响因子：
3.3
通讯作者：
Brownell, KD
中科院分区：
文献类型：
--
作者：
Carter, AS;Baker, CW;Brownell, KD
目的：该报告描述了64名妇女在怀孕和产后期间的体重指数（BMI; kg/m2），饮食态度和情感症状之间的关系。方法：作为一项更大规模研究的一部分，妇女在怀孕期间被招募，并前瞻性地随访至产后14个月。测量包括自我报告的孕前和产后B个月的BMI以及怀孕、4个月和产后14个月的饮食态度（EAT）、抑郁症状（CES-D）和焦虑症状（STAI）。结果：在怀孕期间，抑郁或焦虑的症状与同时饮食态度或BMI的措施没有显着相关性。然而，在产后14个月，饮食态度的措施和抑郁和焦虑症状相关联。BMI的测量与产后4个月和14个月的抑郁和焦虑症状有关。四个月的饮食态度和BMI预测14个月的产后抑郁症状，超过怀孕，和4个月的产后情感症状的措施。结果表明，超重的妇女在产后4个月时有焦虑升高的风险，在产后4个月和14个月时有抑郁症状。结论：这些结果为BMI、饮食态度与产后抑郁和焦虑症状之间存在显着（尽管是适度的）关系提供了证据，而这些症状在怀孕期间并不存在。
Objective: This report describes associations between body mass index (BMI; kg/m(2)), eating attitudes, and affective symptoms across pregnancy and the postpartum period in a sample of 64 women. Methods: As part of a larger study, women were recruited during pregnancy and followed prospectively to 14 months postpartum. Measures included self-reported prepregnancy and B-month postpartum BMI as well as pregnancy, 4-month, and 14-month postpartum eating attitudes (EAT), depressive symptoms (CES-D), and anxiety symptoms (STAI). Results: During pregnancy, symptoms of depression or anxiety were not significantly correlated with concurrent eating attitudes or measures of BMI. However, at 14 months postpartum, measures of eating attitudes and both depression and anxiety symptoms were associated. Measures of BMI were associated with depressive and anxiety symptoms at both 4 and 14 months postpartum. Four-month eating attitudes and BMI predicted 14-month postpartum depressive symptoms, beyond pregnancy, and 4-month postpartum measures of affective symptoms. Results suggested that overweight women were at risk for elevated anxiety at 4 months and depressive symptoms at both 4 and 14 months postpartum. Conclusions: These results provide evidence for a significant, albeit moderate, relationship between BMI, eating attitudes, and symptoms of depression and anxiety in the postpartum period that are not present during pregnancy.