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Prenatal Maternal Objective and Subjective Stress Exposures and Rapid Infant Weight Gain.
Felder, Jennifer N; Epel, Elissa; Coccia, Michael; Cordeiro, Alana; Laraia, Barbara; Adler, Nancy; Coleman-Phox, Kimberly; Bush, Nicole R.
Afiliação
  • Felder JN; Department of Psychiatry, University of California, San Francisco, CA; Osher Center for Integrative Medicine, University of California, San Francisco, CA. Electronic address: jennifer.felder@ucsf.edu.
  • Epel E; Department of Psychiatry, University of California, San Francisco, CA; Center for Health and Community, University of California, San Francisco, CA.
  • Coccia M; Center for Health and Community, University of California, San Francisco, CA.
  • Cordeiro A; Center for Health and Community, University of California, San Francisco, CA.
  • Laraia B; Community Health Sciences, University of California, Berkeley, CA.
  • Adler N; Department of Psychiatry, University of California, San Francisco, CA; Center for Health and Community, University of California, San Francisco, CA.
  • Coleman-Phox K; California Preterm Birth Initiative, University of California, San Francisco, CA; Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, CA.
  • Bush NR; Department of Psychiatry, University of California, San Francisco, CA; Center for Health and Community, University of California, San Francisco, CA; Department of Pediatrics, University of California, San Francisco, CA.
J Pediatr ; 222: 45-51, 2020 07.
Article em En | MEDLINE | ID: mdl-32418816
OBJECTIVES: To evaluate the associations between 3 prenatal stress exposures and rapid infant weight gain. STUDY DESIGN: Participants were 162 maternal-child dyads drawn from a nonrandomized controlled trial evaluating a prenatal intervention for reducing women's stress and excessive gestational weight gain and subsequent longitudinal observational study of offspring outcomes. Participants were predominantly low-income and racial or ethnic minorities, and mothers were overweight or obese prepregnancy. Primary exposures were objective stress exposures (number of stressful life events) and subjective distress (maternal perceived stress and depressive symptoms) during pregnancy. The primary outcome was rapid infant weight gain from birth to 6 months, assessed via birth records and in-person anthropometry measurements. RESULTS: In total, 28% of the sample (N = 40) met criteria for rapid infant weight gain. In adjusted models, exposure to prenatal stressful life events was associated with increased odds of rapid infant weight gain (OR 1.40, 95% CI 1.07-1.83, P = .014). Neither prenatal perceived stress (OR 0.47, 95% CI 0.16-1.37, P = .17) nor depressive symptoms (OR 0.89, 95% CI 0.76-1.03, P = .13) were significantly associated with rapid infant weight gain. CONCLUSIONS: Each additional stressful life event a woman experienced during pregnancy was associated with 40% greater odds of rapid infant weight gain. Future research should evaluate whether prenatal interventions that focus on reducing exposure to stressful events prevent rapid infant weight gain.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações na Gravidez / Efeitos Tardios da Exposição Pré-Natal / Estresse Psicológico / Aumento de Peso Limite: Female / Humans / Infant / Male / Newborn / Pregnancy Idioma: En Revista: J Pediatr Ano de publicação: 2020 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações na Gravidez / Efeitos Tardios da Exposição Pré-Natal / Estresse Psicológico / Aumento de Peso Limite: Female / Humans / Infant / Male / Newborn / Pregnancy Idioma: En Revista: J Pediatr Ano de publicação: 2020 Tipo de documento: Article País de publicação: Estados Unidos