Stress during pregnancy and gestational weight gain

Michelle A. Kominiarek*, William Grobman, Emma Adam, Claudia Buss, Jennifer Culhane, Sonja Entringer, Hyagriv Simhan, Pathik D. Wadhwa, Kwang Youn Kim, Lauren Keenan-Devlin, Ann Borders

*Corresponding author for this work

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective: To evaluate the association between prenatal stress and gestational weight gain (GWG). Study design: This was an analysis of women recruited between 2013-2015 from four sites in the US. We tested associations between responses at 32-35 weeks to the Life Experiences Survey (LES), a 37-item measure of events and perceived stress, and GWG categories. Bivariable comparisons and logistic regression were used to estimate the association between the total LES score and the odds of achieving adequate GWG. Result: Among the 725 women, those with adequate GWG had lower median LES scores (5) compared to women with inadequate (7) and excessive (7) GWG, p = 0.02. After adjusting for age, initial BMI, income, education, marital status and gestational diabetes, lower LES scores (multiples of the median) were associated with adequate GWG (aOR 0.81, 95% CI 0.67-0.98). Conclusion: Lower reported stress, as measured by the LES, was associated with a greater chance of women achieving adequate GWG. This relationship highlights the potential for interventions directed toward psychosocial support to have salutary effects upon GWG.

Original languageEnglish (US)
Pages (from-to)462-467
Number of pages6
JournalJournal of Perinatology
Volume38
Issue number5
DOIs
StatePublished - May 1 2018

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Weight Gain
Life Change Events
Pregnancy
Gestational Diabetes
Marital Status
Logistic Models
Surveys and Questionnaires
Education

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Kominiarek, Michelle A. ; Grobman, William ; Adam, Emma ; Buss, Claudia ; Culhane, Jennifer ; Entringer, Sonja ; Simhan, Hyagriv ; Wadhwa, Pathik D. ; Kim, Kwang Youn ; Keenan-Devlin, Lauren ; Borders, Ann. / Stress during pregnancy and gestational weight gain. In: Journal of Perinatology. 2018 ; Vol. 38, No. 5. pp. 462-467.
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Kominiarek, MA, Grobman, W, Adam, E, Buss, C, Culhane, J, Entringer, S, Simhan, H, Wadhwa, PD, Kim, KY, Keenan-Devlin, L & Borders, A 2018, 'Stress during pregnancy and gestational weight gain', Journal of Perinatology, vol. 38, no. 5, pp. 462-467. https://doi.org/10.1038/s41372-018-0051-9

Stress during pregnancy and gestational weight gain. / Kominiarek, Michelle A.; Grobman, William; Adam, Emma; Buss, Claudia; Culhane, Jennifer; Entringer, Sonja; Simhan, Hyagriv; Wadhwa, Pathik D.; Kim, Kwang Youn; Keenan-Devlin, Lauren; Borders, Ann.

In: Journal of Perinatology, Vol. 38, No. 5, 01.05.2018, p. 462-467.

Research output: Contribution to journalArticle

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AU - Kominiarek, Michelle A.

AU - Grobman, William

AU - Adam, Emma

AU - Buss, Claudia

AU - Culhane, Jennifer

AU - Entringer, Sonja

AU - Simhan, Hyagriv

AU - Wadhwa, Pathik D.

AU - Kim, Kwang Youn

AU - Keenan-Devlin, Lauren

AU - Borders, Ann

PY - 2018/5/1

Y1 - 2018/5/1

N2 - Objective: To evaluate the association between prenatal stress and gestational weight gain (GWG). Study design: This was an analysis of women recruited between 2013-2015 from four sites in the US. We tested associations between responses at 32-35 weeks to the Life Experiences Survey (LES), a 37-item measure of events and perceived stress, and GWG categories. Bivariable comparisons and logistic regression were used to estimate the association between the total LES score and the odds of achieving adequate GWG. Result: Among the 725 women, those with adequate GWG had lower median LES scores (5) compared to women with inadequate (7) and excessive (7) GWG, p = 0.02. After adjusting for age, initial BMI, income, education, marital status and gestational diabetes, lower LES scores (multiples of the median) were associated with adequate GWG (aOR 0.81, 95% CI 0.67-0.98). Conclusion: Lower reported stress, as measured by the LES, was associated with a greater chance of women achieving adequate GWG. This relationship highlights the potential for interventions directed toward psychosocial support to have salutary effects upon GWG.

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