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BMC Pregnancy Childbirth. 2015 Jul 31;15:158. doi: 10.1186/s12884-015-0595-z.

Physical activity, depressed mood and pregnancy worries in European obese pregnant women: results from the DALI study.

Author information

1
Department of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Centre, Van der Boechorststraat 7, 1081BT, Amsterdam, The Netherlands. lindadewit88@gmail.com.
2
Department of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Centre, Van der Boechorststraat 7, 1081BT, Amsterdam, The Netherlands. j.jelsma@vumc.nl.
3
Department of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Centre, Van der Boechorststraat 7, 1081BT, Amsterdam, The Netherlands. mnm.vanpoppel@vumc.nl.
4
Institute for Sport Science, University of Graz, Graz, Austria. mnm.vanpoppel@vumc.nl.
5
Department of Healthcare Research, PHL University College, Limburg Catholic University College, Hasselt, Belgium. annick.bogaerts@ucll.be.
6
Institute of Metabolic Science, Addenbrookes Hospital, Cambridge, UK. dsworkster@gmail.com.
7
Department of Obstetrics and Gynecology, Medizinische Universität Graz, Graz, Austria. gernot.desoye@medunigraz.at.
8
Institut de Recerca de L'Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. rcorcoy@santpau.cat.
9
CIBER Bioengineering, Biomaterials and Nanotechnology, Instituto de Salud Carlos III, Madrid, Spain. rcorcoy@santpau.cat.
10
Medical University of Vienna, Vienna City, Austria. alexandra.kautzky-willer@meduniwien.ac.
11
Medical University of Vienna, Vienna City, Austria. juergen.harreiter@meduniwien.ac.at.
12
KU Leuven Department of Development and Regeneration: Pregnancy, Fetus and Neonate, Gynaecology and Obstetrics, University Hospitals Leuven, Leuven, Belgium. andre.vanassche@uzkuleuven.be.
13
KU Leuven Department of Development and Regeneration: Pregnancy, Fetus and Neonate, Gynaecology and Obstetrics, University Hospitals Leuven, Leuven, Belgium. roland.devlieger@uzleuven.be.
14
KU Leuven Department of Development and Regeneration: Pregnancy, Fetus and Neonate, Gynaecology and Obstetrics, University Hospitals Leuven, Leuven, Belgium. dirk.timmerman@uz.kuleuven.ac.be.
15
Recherche en Santé Lawson SA, Bronschhofen, Switzerland. david.hill@lhrionhealth.ca.
16
University Hospital of Copenhagen - Rigshospitalet, Copenhagen, Denmark. peter.damm@regionh.dk.
17
University Hospital of Copenhagen - Rigshospitalet, Copenhagen, Denmark. elisabeth.mathiesen@regionh.dk.
18
Akademia Medyczna im Karola Marcinkowskiego, Poznan, Poland. ewozegow@ump.edu.pl.
19
Akademia Medyczna im Karola Marcinkowskiego, Poznan, Poland. agazaw@post.home.pl.
20
BAP Health Outcomes Research SL, Oviedo, Spain. pablo@baphealth.com.
21
Universita Degli Studi di Padova, Padova, Italy. annunziata.lapolla@sanita.padova.it.
22
Universita Degli Studi di Padova, Padova, Italy. mariagrazia.dalfra@sanita.padova.it.
23
Università di Pisa, Pisa, Italy. stefano.delprato@med.unipi.it.
24
Università di Pisa, Pisa, Italy. a.bertolotto@ao-pisa.toscana.it.
25
National University of Ireland, Galway, Ireland. fidelma.dunne@nuigalway.ie.
26
Odense University Hospital, Odense, Denmark. dortemj@dadlnet.dk.
27
Odense University Hospital, Odense, Denmark. ll.torvin@dadlnet.dk.
28
Department of Medical Psychology, EMGO+ Institute for Health and Care Research, VU University Medical Centre, Amsterdam, The Netherlands. fj.snoek@vumc.nl.
29
Department of Medical Psychology, Academic Medical Centre, Amsterdam, The Netherlands. fj.snoek@vumc.nl.

Abstract

BACKGROUND:

The purpose of this study was to examine the association between mental health status (i.e. depressed mood and pregnancy-related worries) and objectively measured physical activity levels in obese pregnant women from seven European countries.

METHODS:

Baseline data from the vitamin D and lifestyle intervention for the prevention of gestational diabetes mellitus (DALI) study were used. Time spent in moderate-to-vigorous physical activity (MVPA) and sedentary behaviour was measured with accelerometers. Depressed mood was measured with the WHO well-being index (WHO-5) and pregnancy-related worries with the Cambridge Worry Scale (CWS). In addition, socio-demographic characteristics, lifestyle factors, and perceptions and attitude regarding weight management and physical activity were measured. Linear regression analyses were performed to assess the association of mental health status with MVPA and sedentary behaviour.

RESULTS:

A total of 98 obese pregnant women from Austria, Belgium, Ireland, Italy, Poland, Spain and the Netherlands were included. Women had a mean age of 31.6 ± 5.8 years, a pre-pregnancy BMI of 34.1 ± 4.3 kg/m(2), and were on average 15.4 ± 2.8 weeks pregnant. WHO-5 scores indicative of depressed mood (<50) were reported by 27.1 % of the women and most frequently endorsed pregnancy-related worries pertained to own and the baby's health. Women with good well-being spent 85% more time in MVPA compared to women with a depressed mood (P = 0.03). No differences in MVPA levels were found for women with no, some, or many pregnancy worries. Depressed mood and pregnancy-related worries were not associated with sedentary behaviour.

CONCLUSIONS:

These findings suggest that in pregnant women who are obese, a depressed mood, but not pregnancy-related worries, may be associated with less physical activity. The combined risk of poor mental health and low physical activity levels makes women vulnerable for pregnancy complications. Whether a depressed mood may be a barrier for improving physical activity warrants further study.

PMID:
26228253
PMCID:
PMC4521453
DOI:
10.1186/s12884-015-0595-z
[Indexed for MEDLINE]
Free PMC Article

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