Physical activity, depressed mood and pregnancy worries in European obese pregnant women: results from the DALI study
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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Physical activity, depressed mood and pregnancy worries in European obese pregnant women : results from the DALI study. / de Wit, Linda; Jelsma, Judith G M; van Poppel, Mireille N M; Bogaerts, Annick; Simmons, David; Desoye, Gernot; Corcoy, Rosa; Kautzky-Willer, Alexandra; Harreiter, Jürgen; van Assche, Andre; Devlieger, Roland; Timmerman, Dirk; Hill, David; Damm, Peter; Mathiesen, Elisabeth R; Wender-Ozegowska, Ewa; Zawiejska, Agnieszka; Rebollo, Pablo; Lapolla, Annunziata; Dalfrà, Maria G; Del Prato, Stefano; Bertolotto, Alessandra; Dunne, Fidelma; Jensen, Dorte M; Andersen, Liselotte; Snoek, Frank J.
I: B M C Pregnancy and Childbirth, Bind 15, 158, 2015, s. 1-10.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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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
Y1 - 2015
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/m(2), 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/m(2), 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
VL - 15
SP - 1
EP - 10
JO - B M C Pregnancy and Childbirth
JF - B M C Pregnancy and Childbirth
SN - 1471-2393
M1 - 158
ER -
ID: 161626766