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

Matteo C Sattler; Judith G M Jelsma; Annick Bogaerts; David Simmons; Gernot Desoye; Rosa Corcoy; Juan M Adelantado; Alexandra Kautzky-Willer; Jürgen Harreiter; Frans A van Assche; Roland Devlieger; Goele Jans; Sander Galjaard; David Hill; Peter Damm; Elisabeth R Mathiesen; Ewa Wender-Ozegowska; Agnieszka Zawiejska; Kinga Blumska; Annunziata Lapolla; Maria G Dalfrà; Alessandra Bertolotto; Fidelma Dunne; Dorte M Jensen; Lise Lotte T Andersen; Frank J Snoek; Mireille N M van Poppel

doi:10.1186/s12884-017-1595-y

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

Matteo C Sattler, Judith G M Jelsma, Annick Bogaerts, David Simmons, Gernot Desoye, Rosa Corcoy, Juan M Adelantado, Alexandra Kautzky-Willer, Jürgen Harreiter, Frans A van Assche, Roland Devlieger, Goele Jans, Sander Galjaard, David Hill, Peter Damm, Elisabeth R Mathiesen, Ewa Wender-Ozegowska, Agnieszka Zawiejska, Kinga Blumska, Annunziata LapollaMaria G Dalfrà, Alessandra Bertolotto, Fidelma Dunne, Dorte M Jensen, Lise Lotte T Andersen, Frank J Snoek, Mireille N M van Poppel

Department of Clinical Medicine

4 Citations (Scopus)

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Abstract

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.

Original language	English
Article number	404
Journal	B M C Pregnancy and Childbirth
Volume	17
Number of pages	11
ISSN	1471-2393
DOIs	https://doi.org/10.1186/s12884-017-1595-y
Publication status	Published - 4 Dec 2017

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Sattler, M. C., Jelsma, J. G. M., Bogaerts, A., Simmons, D., Desoye, G., Corcoy, R., Adelantado, J. M., Kautzky-Willer, A., Harreiter, J., van Assche, F. A., Devlieger, R., Jans, G., Galjaard, S., Hill, D., Damm, P., Mathiesen, E. R., Wender-Ozegowska, E., Zawiejska, A., Blumska, K., ... van Poppel, M. N. M. (2017). Correlates of poor mental health in early pregnancy in obese European women. B M C Pregnancy and Childbirth, 17, Article 404. https://doi.org/10.1186/s12884-017-1595-y

Sattler, MC, Jelsma, JGM, Bogaerts, A, Simmons, D, Desoye, G, Corcoy, R, Adelantado, JM, Kautzky-Willer, A, Harreiter, J, van Assche, FA, Devlieger, R, Jans, G, Galjaard, S, Hill, D, Damm, P , Mathiesen, ER, Wender-Ozegowska, E, Zawiejska, A, Blumska, K, Lapolla, A, Dalfrà, MG, Bertolotto, A, Dunne, F, Jensen, DM, Andersen, LLT, Snoek, FJ & van Poppel, MNM 2017, 'Correlates of poor mental health in early pregnancy in obese European women', B M C Pregnancy and Childbirth, vol. 17, 404. https://doi.org/10.1186/s12884-017-1595-y

@article{7b675efbe1ed45dc83c5feaf95a44e76,

title = "Correlates of poor mental health in early pregnancy in obese European women",

abstract = "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.",

author = "Sattler, {Matteo C} and Jelsma, {Judith G M} and Annick Bogaerts and David Simmons and Gernot Desoye and Rosa Corcoy and Adelantado, {Juan M} and Alexandra Kautzky-Willer and J{\"u}rgen Harreiter and {van Assche}, {Frans A} and Roland Devlieger and Goele Jans and Sander Galjaard and David Hill and Peter Damm and Mathiesen, {Elisabeth R} and Ewa Wender-Ozegowska and Agnieszka Zawiejska and Kinga Blumska and Annunziata Lapolla and Dalfr{\`a}, {Maria G} and Alessandra Bertolotto and Fidelma Dunne and Jensen, {Dorte M} and Andersen, {Lise Lotte T} and Snoek, {Frank J} and {van Poppel}, {Mireille N M}",

year = "2017",

month = dec,

day = "4",

doi = "10.1186/s12884-017-1595-y",

language = "English",

volume = "17",

journal = "B M C Pregnancy and Childbirth",

issn = "1471-2393",

publisher = "BioMed Central Ltd.",

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TY - JOUR

T1 - Correlates of poor mental health in early pregnancy in obese European women

AU - Sattler, Matteo C

AU - Jelsma, Judith G M

AU - Bogaerts, Annick

AU - Simmons, David

AU - Desoye, Gernot

AU - Corcoy, Rosa

AU - Adelantado, Juan M

AU - Kautzky-Willer, Alexandra

AU - Harreiter, Jürgen

AU - van Assche, Frans A

AU - Devlieger, Roland

AU - Jans, Goele

AU - Galjaard, Sander

AU - Hill, David

AU - Damm, Peter

AU - Mathiesen, Elisabeth R

AU - Wender-Ozegowska, Ewa

AU - Zawiejska, Agnieszka

AU - Blumska, Kinga

AU - Lapolla, Annunziata

AU - Dalfrà, Maria G

AU - Bertolotto, Alessandra

AU - Dunne, Fidelma

AU - Jensen, Dorte M

AU - Andersen, Lise Lotte T

AU - Snoek, Frank J

AU - van Poppel, Mireille N M

PY - 2017/12/4

Y1 - 2017/12/4

N2 - 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.

AB - 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.

U2 - 10.1186/s12884-017-1595-y

DO - 10.1186/s12884-017-1595-y

M3 - Journal article

C2 - 29202779

SN - 1471-2393

VL - 17

JO - B M C Pregnancy and Childbirth

JF - B M C Pregnancy and Childbirth

M1 - 404

ER -

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

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