Physical activity, depressed mood and pregnancy worries in European obese pregnant women: results from the DALI study

TY - JOUR

T1 - Physical activity, depressed mood and pregnancy worries in European obese pregnant women

T2 - results from the DALI study

AU - de Wit, Linda

AU - Jelsma, Judith G M

AU - van Poppel, Mireille N M

AU - Bogaerts, Annick

AU - Simmons, David

AU - Desoye, Gernot

AU - Corcoy, Rosa

AU - Kautzky-Willer, Alexandra

AU - Harreiter, Jürgen

AU - van Assche, Andre

AU - Devlieger, Roland

AU - Timmerman, Dirk

AU - Hill, David

AU - Damm, Peter

AU - Mathiesen, Elisabeth R

AU - Wender-Ozegowska, Ewa

AU - Zawiejska, Agnieszka

AU - Rebollo, Pablo

AU - Lapolla, Annunziata

AU - Dalfrà, Maria G

AU - Del Prato, Stefano

AU - Bertolotto, Alessandra

AU - Dunne, Fidelma

AU - Jensen, Dorte M

AU - Andersen, Liselotte

AU - Snoek, Frank J

PY - 2015/7/31

Y1 - 2015/7/31

N2 - Background: The purpose of this study was to examine the association between mental health status (i.e. depressed mood and pregnancy-related worries) and objectively measured physical activity levels in obese pregnant women from seven European countries. Methods: Baseline data from the vitamin D and lifestyle intervention for the prevention of gestational diabetes mellitus (DALI) study were used. Time spent in moderate-to-vigorous physical activity (MVPA) and sedentary behaviour was measured with accelerometers. Depressed mood was measured with the WHO well-being index (WHO-5) and pregnancy-related worries with the Cambridge Worry Scale (CWS). In addition, socio-demographic characteristics, lifestyle factors, and perceptions and attitude regarding weight management and physical activity were measured. Linear regression analyses were performed to assess the association of mental health status with MVPA and sedentary behaviour. Results: A total of 98 obese pregnant women from Austria, Belgium, Ireland, Italy, Poland, Spain and the Netherlands were included. Women had a mean age of 31.6 ± 5.8 years, a pre-pregnancy BMI of 34.1 ± 4.3 kg/m2, and were on average 15.4 ± 2.8 weeks pregnant. WHO-5 scores indicative of depressed mood (<50) were reported by 27.1 % of the women and most frequently endorsed pregnancy-related worries pertained to own and the baby's health. Women with good well-being spent 85 % more time in MVPA compared to women with a depressed mood (P = 0.03). No differences in MVPA levels were found for women with no, some, or many pregnancy worries. Depressed mood and pregnancy-related worries were not associated with sedentary behaviour. Conclusions: These findings suggest that in pregnant women who are obese, a depressed mood, but not pregnancy-related worries, may be associated with less physical activity. The combined risk of poor mental health and low physical activity levels makes women vulnerable for pregnancy complications. Whether a depressed mood may be a barrier for improving physical activity warrants further study.

AB - Background: The purpose of this study was to examine the association between mental health status (i.e. depressed mood and pregnancy-related worries) and objectively measured physical activity levels in obese pregnant women from seven European countries. Methods: Baseline data from the vitamin D and lifestyle intervention for the prevention of gestational diabetes mellitus (DALI) study were used. Time spent in moderate-to-vigorous physical activity (MVPA) and sedentary behaviour was measured with accelerometers. Depressed mood was measured with the WHO well-being index (WHO-5) and pregnancy-related worries with the Cambridge Worry Scale (CWS). In addition, socio-demographic characteristics, lifestyle factors, and perceptions and attitude regarding weight management and physical activity were measured. Linear regression analyses were performed to assess the association of mental health status with MVPA and sedentary behaviour. Results: A total of 98 obese pregnant women from Austria, Belgium, Ireland, Italy, Poland, Spain and the Netherlands were included. Women had a mean age of 31.6 ± 5.8 years, a pre-pregnancy BMI of 34.1 ± 4.3 kg/m2, and were on average 15.4 ± 2.8 weeks pregnant. WHO-5 scores indicative of depressed mood (<50) were reported by 27.1 % of the women and most frequently endorsed pregnancy-related worries pertained to own and the baby's health. Women with good well-being spent 85 % more time in MVPA compared to women with a depressed mood (P = 0.03). No differences in MVPA levels were found for women with no, some, or many pregnancy worries. Depressed mood and pregnancy-related worries were not associated with sedentary behaviour. Conclusions: These findings suggest that in pregnant women who are obese, a depressed mood, but not pregnancy-related worries, may be associated with less physical activity. The combined risk of poor mental health and low physical activity levels makes women vulnerable for pregnancy complications. Whether a depressed mood may be a barrier for improving physical activity warrants further study.

KW - Accelerometry

KW - Adult

KW - Anxiety

KW - Attitude to Health

KW - Austria

KW - Belgium

KW - Denmark

KW - Depression

KW - Europe

KW - Exercise

KW - Female

KW - Great Britain

KW - Humans

KW - Ireland

KW - Italy

KW - Linear Models

KW - Motor Activity

KW - Netherlands

KW - Obesity

KW - Poland

KW - Pregnancy

KW - Pregnancy Complications

KW - Sedentary Lifestyle

KW - Spain

KW - Young Adult

U2 - 10.1186/s12884-015-0595-z

DO - 10.1186/s12884-015-0595-z

M3 - Journal article

C2 - 26228253

SN - 1471-2393

VL - 15

SP - 1

EP - 10

JO - B M C Pregnancy and Childbirth

JF - B M C Pregnancy and Childbirth

M1 - 158

ER -