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Updated: May 22, 2025

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
Maternal depression during pregnancy and children's physical development
Di Pi1,2, Shuifang Lei1,2, Wenjing Chang3
1State Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, Jiangsu 211166, China.
Insights
Prenatal depression significantly increases the risk of childhood overweight and obesity. Maternal depressive symptoms during pregnancy are linked to adverse growth trajectories in children up to 36 months old.
Area of Science:
- Perinatal mental health
- Childhood development
- Public health
Background:
- Prenatal maternal psychological distress, especially depression, is recognized as a factor affecting fetal growth.
- The impact of prenatal depression on early childhood development, including growth trajectories and obesity risk, requires further investigation.
Purpose of the Study:
- To investigate the association between prenatal depression and children's growth trajectories from 1 to 36 months.
- To examine the odds of childhood overweight and obesity in relation to prenatal depression, considering maternal anxiety and stress.
Main Methods:
- Analysis of data from 4,710 mother-child dyads in the Jiangsu Birth Cohort.
- Assessment of maternal psychological distress across trimesters, categorized into mild, moderate, and severe depression groups.
- Utilized weight-for-length z-scores (WLZ) and trajectory models to assess overweight/obesity and growth patterns; generalized estimating equations (GEE) were employed for analysis.
Main Results:
- Increased prenatal depressive symptomatology was associated with a 28%-41% higher odds of childhood overweight/obesity across all trimesters.
- Five distinct WLZ growth trajectory patterns were identified.
- Children of mothers with more severe depressive symptoms had a 39%-47% higher likelihood of following a very-high-stable growth trajectory.
Conclusions:
- Prenatal depression significantly impacts adverse growth patterns and increases the risk of childhood overweight and obesity.
- Findings underscore the critical need for early intervention strategies targeting maternal mental health during pregnancy.
- Maternal psychological distress during pregnancy has lasting effects on child development and health outcomes.
Abstract:
Prenatal maternal psychological distress, particularly depression, has been increasingly recognized as a factor that influences fetal growth; however, its impact on early childhood development remains less well understood. The present study investigated the association between prenatal depression and children's growth trajectories, as well as the odds of overweight and obesity from 1 to 36 months, while also accounting for maternal anxiety and stress. We analyzed data from 4710 mother-child dyads in the Jiangsu Birth Cohort, assessing maternal psychological distress across trimesters and categorizing participants into groups with mild, moderate, and severe depressive symptomatology. Children's weight-for-length z-scores (WLZ) were used to assess overweight/obesity prevalence, and growth patterns were identified through trajectory models. The results from the generalized estimating equations analysis showed that greater depressive symptomatology during pregnancy was associated with a 28% to 41% increase in the odds of childhood overweight/obesity across all three trimesters, compared with mild depressive symptomatology. We identified five distinct WLZ growth trajectory patterns, and found that mothers with greater depressive symptomatology were 39%-47% more likely to have children who followed a very-high-stable growth trajectory, compared with mothers with mild depressive symptomatology. These findings highlight the significant impact of prenatal depression on adverse growth patterns and childhood overweight/obesity, underscoring the need for early intervention.
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