Prenatal stress exposure related to maternal bereavement and risk of childhood overweight
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Updated: Jun 10, 2026

Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
Jiong Li1, Jørn Olsen, Mogens Vestergaard
1Department of Epidemiology, School of Public Health, University of Aarhus, Aarhus, Denmark. jl@soci.au.dk
Insights
Maternal bereavement during pregnancy may increase childhood overweight risk. This study found a higher prevalence of overweight in children whose mothers experienced severe stress before or during pregnancy.
Area of Science:
- Reproductive Health
- Pediatric Health
- Epidemiology
Background:
- Prenatal stress is a potential risk factor for later-life obesity.
- Maternal bereavement during pregnancy is a significant stressor.
- The association between prenatal stress and offspring overweight requires further investigation.
Purpose of the Study:
- To investigate the association between prenatal stress from maternal bereavement and the risk of overweight in school-aged offspring.
- To examine if maternal loss during pregnancy impacts child's body mass index (BMI) later in life.
Main Methods:
- A population-based cohort study of 65,212 children born in Denmark (1970-1989).
- Identified 459 children exposed to prenatal stress due to maternal bereavement within one year before pregnancy or during pregnancy.
- Compared the prevalence of overweight in exposed versus unexposed children during school age health examinations (7-13 years).
Main Results:
- Children exposed to prenatal stress showed a higher prevalence of overweight, particularly from age 10 onwards.
- Adjusted odds ratio (OR) for overweight at age 12 was 1.68 (95% CI 1.08-2.61).
- The highest ORs for overweight were observed when maternal bereavement occurred 6 to 0 months before pregnancy.
Conclusions:
- Severe pre-pregnancy stress, specifically maternal bereavement, is linked to an increased risk of overweight in offspring during childhood.
- These findings highlight the long-term impact of prenatal stress on child's metabolic health.
- Further research into the mechanisms linking prenatal stress and childhood obesity is warranted.
Background:
It has been suggested that prenatal stress contributes to the risk of obesity later in life. In a population-based cohort study, we examined whether prenatal stress related to maternal bereavement during pregnancy was associated with the risk of overweight in offspring during school age.
Methodology/Principal Findings:
We followed 65,212 children born in Denmark from 1970-1989 who underwent health examinations from 7 to 13 years of age in public or private schools in Copenhagen. We identified 459 children as exposed to prenatal stress, defined by being born to mothers who were bereaved by death of a close family member from one year before pregnancy until birth of the child. We compared the prevalence of overweight between the exposed and the unexposed. Body mass index (BMI) values and prevalence of overweight were higher in the exposed children, but not significantly so until from 10 years of age and onwards, as compared with the unexposed children. For example, the adjusted odds ratio (OR) for overweight was 1.68 (95% confidence interval [CI] 1.08-2.61) at 12 years of age and 1.63 (95% CI 1.00-2.61) at 13 years of age. The highest ORs were observed when the death occurred in the period from 6 to 0 month before pregnancy (OR 3.31, 95% CI 1.71-6.42 at age 12, and OR 2.31, 95% CI 1.08-4.97 at age 13).
Conclusions/Significance:
Our results suggest that severe pre-pregnancy stress is associated with an increased risk of overweight in the offspring in later childhood.
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