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Association of physical activity and sedentary behaviour with depression and anxiety symptoms during pregnancy in a multi-ethnic cohort of Asian women

Association of physical activity and sedentary behaviour with depression and anxiety symptoms during pregnancy in a multi-ethnic cohort of Asian women
Association of physical activity and sedentary behaviour with depression and anxiety symptoms during pregnancy in a multi-ethnic cohort of Asian women
Objectives

This study aimed to investigate associations of physical activity (PA) and sedentary behavior (SB) with depression and anxiety symptoms during pregnancy among Chinese, Malay, and Indian women.

Methods

Women answered PA and SB (sitting time and television time) interview questions and self-completed the Edinburgh Postnatal Depression Scale (EPDS) and State-Trait Anxiety Inventory (STAI) questionnaires, at week 26–28 gestation. Sufficient levels of PA (?600MET-minutes/week) and higher sitting time (?7 h/day) were determined. Associations of PA and SB with probable antenatal depression (EPDS-score ?15), higher state anxiety (score ?42), and higher trait anxiety (score ?43) were determined by logistic regression analysis.

Results

Among the 1144 pregnant women included in the study, 7.3, 22.5, and 23.6 % had probable antenatal depression, higher state anxiety, and higher trait anxiety symptoms, respectively. In the adjusted models, women with sufficient level of PA were less likely to have probable antenatal depression (OR 0.54, 95 % CI 0.31–0.94, p?=?0.030) and higher trait anxiety symptoms (OR 0.68, 95 % CI 0.48–0.94, p?=?0.022). PA was not associated with state anxiety symptoms. SB was not associated with any of the investigated outcomes.

Conclusions

Sufficient PA was associated with a reduced likelihood of probable antenatal depression and trait anxiety symptoms. Further investigation of these findings is warranted to determine cause-effect relationships and identify potential preventive strategies.
1434-1816
1119-1128
Natarajan, P.
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Bernard, J.Y.
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Liang, S.
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Loy, S.L.
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Zhe, I.S.
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Kwek, K.
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Godfrey, K.
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Gluckman, P.
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Chong, Y.S.
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Saw, S.M.
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Meaney, M.J.
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Chen, H.
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Muller-Riemenschneider, F.
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Natarajan, P.
fb1ff406-62df-4ba2-b071-6b00fa34960b
Bernard, J.Y.
1a5b77ae-6090-4f80-8db2-4918e444b429
Liang, S.
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Loy, S.L.
967951b0-5a39-4824-abee-abf33a2cd309
Zhe, I.S.
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Kwek, K.
1a9b6c6e-a5e9-40a2-9bfe-44c2cea62a98
Godfrey, K.
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Gluckman, P.
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Chong, Y.S.
b50c99c9-4d83-46c5-a1c7-23f9a553ab8a
Saw, S.M.
0684517e-f27e-49f0-98c3-7630e8fd1bbd
Meaney, M.J.
cb875853-8497-4382-9aff-739714aa49f9
Chen, H.
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Muller-Riemenschneider, F.
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Natarajan, P., Bernard, J.Y., Liang, S., Loy, S.L., Zhe, I.S., Kwek, K., Godfrey, K., Gluckman, P., Chong, Y.S., Saw, S.M., Meaney, M.J., Chen, H. and Muller-Riemenschneider, F. (2016) Association of physical activity and sedentary behaviour with depression and anxiety symptoms during pregnancy in a multi-ethnic cohort of Asian women. Archives of Women's Mental Health, 19 (6), 1119-1128. (doi:10.1007/s00737-016-0664-y). (PMID:27664104)

Record type: Article

Abstract

Objectives

This study aimed to investigate associations of physical activity (PA) and sedentary behavior (SB) with depression and anxiety symptoms during pregnancy among Chinese, Malay, and Indian women.

Methods

Women answered PA and SB (sitting time and television time) interview questions and self-completed the Edinburgh Postnatal Depression Scale (EPDS) and State-Trait Anxiety Inventory (STAI) questionnaires, at week 26–28 gestation. Sufficient levels of PA (?600MET-minutes/week) and higher sitting time (?7 h/day) were determined. Associations of PA and SB with probable antenatal depression (EPDS-score ?15), higher state anxiety (score ?42), and higher trait anxiety (score ?43) were determined by logistic regression analysis.

Results

Among the 1144 pregnant women included in the study, 7.3, 22.5, and 23.6 % had probable antenatal depression, higher state anxiety, and higher trait anxiety symptoms, respectively. In the adjusted models, women with sufficient level of PA were less likely to have probable antenatal depression (OR 0.54, 95 % CI 0.31–0.94, p?=?0.030) and higher trait anxiety symptoms (OR 0.68, 95 % CI 0.48–0.94, p?=?0.022). PA was not associated with state anxiety symptoms. SB was not associated with any of the investigated outcomes.

Conclusions

Sufficient PA was associated with a reduced likelihood of probable antenatal depression and trait anxiety symptoms. Further investigation of these findings is warranted to determine cause-effect relationships and identify potential preventive strategies.

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More information

Accepted/In Press date: 2 September 2016
e-pub ahead of print date: 23 September 2016
Published date: December 2016
Organisations: MRC Life-Course Epidemiology Unit

Identifiers

Local EPrints ID: 404702
URI: http://eprints.soton.ac.uk/id/eprint/404702
ISSN: 1434-1816
PURE UUID: ec5f3fc5-7248-4868-9f3b-16abacf5a14c
ORCID for K. Godfrey: ORCID iD orcid.org/0000-0002-4643-0618

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Date deposited: 17 Jan 2017 16:49
Last modified: 16 Mar 2024 02:42

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Contributors

Author: P. Natarajan
Author: J.Y. Bernard
Author: S. Liang
Author: S.L. Loy
Author: I.S. Zhe
Author: K. Kwek
Author: K. Godfrey ORCID iD
Author: P. Gluckman
Author: Y.S. Chong
Author: S.M. Saw
Author: M.J. Meaney
Author: H. Chen
Author: F. Muller-Riemenschneider

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