TY - JOUR
T1 - Stress during pregnancy and gestational weight gain
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
N1 - Funding Information:
Funding This study was supported by: HHSN275201200007— HHSN27500005. National Children’s Study: Vanguard Study—Task Order 5: Stress and Cortisol Measurement for the National Children’s Study (AB) and K23HD076010 from the Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health (MAK).
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.
AB - 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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U2 - 10.1038/s41372-018-0051-9
DO - 10.1038/s41372-018-0051-9
M3 - Article
C2 - 29379158
AN - SCOPUS:85041133869
VL - 38
SP - 462
EP - 467
JO - Journal of Perinatology
JF - Journal of Perinatology
SN - 0743-8346
IS - 5
ER -