在怀孕前和怀孕期间,母亲的体重感知与中国南部产后抑郁症状况之间的关联
Qin Zhang1, Menglu Qiu1, Laidi Guo1
1Department of Maternal, Child and Adolescent Health, School of Public Health, Nanjing Medical University, Nanjing 211166, China.
Nutrients
|November 9, 2024
概括
母亲的体重感知显著影响产后抑郁症 (PPD) 风险. 错误的怀孕前体重或妊娠体重增加增加了PPD的可能性,突出需要更好的体重管理教育.
科学领域:
- 生殖健康 生殖健康
- 孕产妇心理健康 孕产妇心理健康
- 营养精神病学 营养精神病学
背景情况:
- 产后抑郁症 (PPD) 影响了大量的母亲,影响了母亲的福祉和婴儿的发育.
- 体重误解与心理困扰有关,包括自尊问题和心理健康挑战,特别是在女性中.
研究的目的:
- 调查怀孕前体重 (PPW) 和孕期体重增加 (GWG) 感知与中国南部PPD发生之间的关联.
- 探索在怀孕前和怀孕期间对体重状况的错误看法如何导致患PPD的风险.
主要方法:
- 一种多阶段的抽样方法招募了2169名母亲 (18-49岁) 在产后3-180天内.
- 通过人体测量和面对面调查收集的数据.
- 卡帕测试评估了实际和感知体重之间的一致性;通用线性模型分析了关联,包括相互作用效应.
主要成果:
- 后发性病的患病率为18.0%;35.2%误认为PPW,33.1%误认为GWG,一致性较差 (卡帕<0.4).
- 将PPW视为体重不足或超重/肥胖,并将GWG视为过度,与更高的PPD风险有关.
- 特定的错误认知组合 (体重不足的PPW/不足的GWG;体重过多的PPW/过多的GWG) 显示了对PPD的显著积极相互作用效应;低估体重可能是保护性的.
结论:
- 母亲的体重感知是PPD发展的一个重要因素.
- 在怀孕前和怀孕期间,关于体重管理的个性化健康教育对于减少体重焦虑和身体形象问题至关重要.
- 改善体重感知可能会降低PPD的风险,提高母亲的心理健康结果.
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