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Womens Health Issues. 2012 May-Jun;22(3):e319-28. doi: 10.1016/j.whi.2011.12.001. Epub 2012 Feb 16.

The association between ante- and postnatal depressive symptoms and obesity in both mother and child: a systematic review of the literature.

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  • 1Psychological Sciences, University of Melbourne, Melbourne, Australia. jeannette.milgrom@austin.org.au

Abstract

AIM:

The aim of this paper was to review the literature reporting on the relationship between ante- and postnatal maternal depressive symptoms and both maternal and childhood obesity.

METHOD:

Articles were sourced from Medline, PsychInfo, Health Source: Nursing/Academic Edition, Academic Search Premiere, and CINAHL. The search was limited to English papers published between January 2000 and June 2011 with key search terms including a combination of maternal, ante- and postnatal depression, obesity, and child. After screening, this resulted in 14 articles, 9 that addressed maternal depressive symptoms and maternal obesity and 5 that focused on maternal depressive symptoms and childhood obesity. GRADE guidelines were used to assess the quality of evidence on two outcomes: Maternal overweight/obesity (body mass index [BMI]) and childhood overweight/obesity (BMI).

RESULTS:

Nine studies examined the association between postnatal depressive symptoms and maternal obesity; three were cross-sectional and six were longitudinal. None of the cross-sectional studies that examined the association between postnatal depressive symptoms and maternal obesity (BMI) reported a significant positive association. In contrast, of the six studies that used a longitudinal design, three found an association between depressive symptoms and maternal BMI. Five studies were found examining ante- and postnatal depressive symptoms and childhood obesity, four longitudinal and one cross-sectional. Three found a positive association-the cross-sectional study and two longitudinal studies. The quality of the evidence for the two outcomes-maternal and childhood obesity-was low.

CONCLUSION:

Research addressing perinatal maternal depressive symptoms and maternal obesity, as well as research addressing perinatal maternal depressive symptoms and childhood obesity, is limited, is of low quality as a body of evidence, and thus far findings have been inconclusive. Further longitudinal and prospective research, incorporating objective measures of BMI and validated measures of depression, is warranted.

Copyright © 2012 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

PMID:
22341777
[PubMed - indexed for MEDLINE]
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