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Published on: December 5, 2015
Maternal psychological distress during pregnancy and childhood cardio-metabolic risk factors
C C V Silva1, F O L Vehmeijer2, H El Marroun3
1Erasmus MC, University Medical Center Rotterdam, The Generation R Study Group, Rotterdam, the Netherlands; Erasmus MC - Sophia Children's Hospital, University Medical Center Rotterdam, Department of Pediatrics, Rotterdam, the Netherlands.
Insights
Maternal psychological distress during pregnancy was linked to higher heart rate in boys and elevated triglycerides in girls at age 10. These findings highlight potential sex-specific impacts on offspring cardio-metabolic health.
Area of Science:
- Obstetrics and Gynecology
- Pediatrics
- Psychology
Background:
- Prenatal psychological distress may program offspring for cardio-metabolic diseases.
- Understanding these associations is crucial for early intervention strategies.
Purpose of the Study:
- To investigate the link between maternal psychological distress (overall, depression, anxiety) during pregnancy and cardio-metabolic risk factors in 10-year-old children.
- To explore potential sex-specific differences in these associations.
Main Methods:
- Population-based prospective cohort study of 4,088 mother-child pairs.
- Maternal psychological distress assessed using the Brief Symptom Inventory during pregnancy.
- Child cardio-metabolic risk factors (heart rate, blood pressure, insulin, glucose, lipids, CRP) measured at age 10.
Main Results:
- Maternal psychological distress, depression, and anxiety were associated with higher childhood heart rate in boys.
- Maternal anxiety during pregnancy was linked to higher childhood triglycerides in girls.
- No significant associations were found between maternal psychological distress and childhood blood pressure, cholesterol, insulin, glucose, or C-reactive protein.
Conclusions:
- Maternal psychological distress during pregnancy may influence offspring heart rate and triglyceride levels, with sex-specific patterns.
- Further research is needed to confirm these findings and evaluate long-term cardio-metabolic outcomes.
Background And Aims:
Previous studies suggest that psychological distress during pregnancy may lead to fetal developmental adaptations, which programme cardio-metabolic disease of the offspring. We examined the associations of maternal overall psychological distress, depression and anxiety during pregnancy with cardio-metabolic risk factors in 10-year-old children and explore potential sex-specific differences.
Methods And Results:
In a population-based prospective cohort study among 4,088 mothers and their children, information about overall psychological distress, including depression and anxiety was obtained through the Brief Symptom Inventory during pregnancy. We measured child blood pressure and heart rate and insulin, glucose, serum lipids and C-reactive protein blood concentrations at 10 years. Analyses were performed in the total group and in boys and girls separately. Psychological distress during pregnancy was associated with higher childhood heart rate among boys only (differences 0.34 (95% Confidence Interval (CI) 0.18, 0.50) standard deviation scores (SDS), 0.22 (95% CI 0.06, 0.38) SDS, 0.33 (95% CI 0.19, 0.48) SDS, for overall psychological distress, depression and anxiety, respectively). Maternal anxiety during pregnancy was associated with higher childhood triglycerides among girls (difference 0.35 (95% CI 0.17, 0.53) SDS). Maternal psychological distress was not associated with childhood blood pressure, cholesterol, insulin, glucose and C-reactive protein concentrations.
Conclusions:
Maternal psychological distress may influence their offspring heart rate and triglycerides concentrations. Further studies are needed to replicate these findings and assess the long-term cardio-metabolic consequences of maternal psychological distress.
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