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Obesity and anxiety during pregnancy and postpartum: A systematic review.

Abstract：

BACKGROUND:Obesity and anxiety during the perinatal period are common and associated with poor health outcomes for the mother and the child. Despite the well-documented health risks of both pregnancy obesity and anxiety, associations between the two have rarely been explored. With this review we aim to provide a systematic overview of the current state of evidence concerning associations between ante- and postnatal anxiety and pregnancy obesity, excessive gestational weight gain, and postpartum weight retention. METHODS:We conducted a systematic literature search in PubMed, Web of Science, and PsychINFO. RESULTS:13 Records matched our inclusion criteria. Five out of seven studies focusing on pregnancy obesity and anxiety suggest a positive association with ante- or postnatal anxiety. Surprisingly, no study examined anxiety disorders according to DSM and it remains unknown whether anxiety symptomatology reaches clinical relevance. Results from a small number of life-style intervention studies (n=3) suggest that interventions could benefit from a stronger focus on mental health. There were not enough studies on associations between excessive gestational weight gain (n=2) or postpartum weight retention (n=3) and anxiety making it difficult to draw conclusions about possible associations. LIMITATION:The number of included studies is rather small and studies were included irrespective of the study quality which might limit the generalizability of the results. CONCLUSIONS:The majority of the included studies suggest that obese pregnant women might constitute a subgroup that is especially vulnerable for comorbid anxiety and in need of targeted psychological support. However, further high-quality studies, particularly including anxiety disorders, are needed.

journal_name

J Affect Disord

journal_title

Journal of affective disorders

authors

Nagl M,Linde K,Stepan H,Kersting A

doi

10.1016/j.jad.2015.06.054

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

293-305

eissn

0165-0327

issn

1573-2517

pii

S0165-0327(15)30032-X

journal_volume

186

pub_type

杂志文章,评审

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