ارتباط چاقی قبل از بارداری با نتایج غربالگری افسردگی و اضطراب دوران بارداری و بعد از زایمان در زنان مراجعه¬کننده به مراکز بهداشتی درمانی تبریز، 1391-92

The association between pre-pregnancy obesity and screening results of depression for all trimesters of pregnancy, postpartum and 1 year after birth: a cohort study.


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دانشگاه علوم پزشکی تبریز
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نویسندگان: هانیه صالحی پورمهر , عزیزه فرشباف خلیلی , سکینه محمد علیزاده چرندابی , نیر جعفریلر اقدم , سمیه رفیعی

کلمات کلیدی: Body mass index (BMI); depression; obesity; postpartum; pregnancy

نشریه: 55348 , 46 , 1 , 2018

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نویسنده ثبت کننده مقاله عزیزه فرشباف خلیلی
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه طب فیزیکی وتوانبخشی
کد مقاله 62348
عنوان فارسی مقاله ارتباط چاقی قبل از بارداری با نتایج غربالگری افسردگی و اضطراب دوران بارداری و بعد از زایمان در زنان مراجعه¬کننده به مراکز بهداشتی درمانی تبریز، 1391-92
عنوان لاتین مقاله The association between pre-pregnancy obesity and screening results of depression for all trimesters of pregnancy, postpartum and 1 year after birth: a cohort study.
ناشر 5
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ بلی
عنوان نشریه (خارج از لیست فوق)
نوع مقاله Original Article
نحوه ایندکس شدن مقاله ایندکس شده سطح یک – ISI - Web of Science
آدرس لینک مقاله/ همایش در شبکه اینترنت https://www.degruyter.com/view/j/jpme.2018.46.issue-1/jpm-2016-0277/jpm-2016-0277.xml?format=INT

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OBJECTIVE: To determine the relationship between pre-pregnancy obesity and screening results of gestational and post-delivery depression in women referred to the health centers of Tabriz, Iran. METHODS: In this cohort study, 62 and 245 pregnant women with class 2-3 obesity [body mass index (BMI)≥35 kg/m2] and normal-weight (BMI 18.5-24.9 kg/m2) were enrolled, respectively, in the first trimester of pregnancy from December 2012 to January 2016. For matching of groups, nulliparous and multiparous mothers aged 18-35 years were selected with the ratio of 1:4 in obese and normal BMI groups from the same recruitment center and to controlling the confounder factors, inclusion criteria were considered. The Edinburgh Postnatal Depression Scale (EPDS) was completed in five time points, the first, second, third trimester of pregnancy, 6-8 weeks and 12 months after delivery. Independent t-test, Mann-Whitney, chi-square, Fisher's exact tests and multivariate logistic and linear regression adjusted for confounders were used. P<0.05 was considered as statistically significant. RESULTS: Based on the EPDS, 12.7% of normal weight women in first, 13.5% in second, 10.2% in third trimester of pregnancy, 7.8% in 6-8 weeks of postpartum and 10.6% in 1 year after delivery screened positive for depression. This proportion was greater in class 2-3 obese women (32.3%, 33.3%, 28.8% in trimesters of pregnancy and 35.4%, 19.4% in postpartum period, respectively) (P<0.05). The results of multivariate logistic regression adjusted for confounding factors showed that the risk of depression in the first trimester of pregnancy for class 2-3 obesity was 3.25-fold greater than normal weight group [adjusted odds ratio (aOR) 3.25, 95% confidence interval (CI) 1.68-6.28]. This risk was 3.29-fold in the second (aOR 3.29, 95% CI 1.67-6.47), 4-folds in the third trimester (aOR 4.003, 95% CI 1.84-8.70 for third), 7.5-fold in the 6-8 weeks of postpartum (aOR 7.46, 95% CI 3.30-16.89) and 1.83-fold (aOR 7.46, 95% CI 3.30-16.89) for 1 year after birth. CONCLUSIONS: Pre-pregnancy obesity was associated with probability of gestational and post-delivery depression. Therefore, training and planning to conduct required interventions to resolve obesity seem be helpful in this regard.

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نویسنده نفر چندم مقاله
هانیه صالحی پورمهراول
عزیزه فرشباف خلیلیپنجم
سکینه محمد علیزاده چرندابیدوم
نیر جعفریلر اقدمسوم
سمیه رفیعیچهارم

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[Journal of Perinatal Medicine] The association between pre-pregnancy obesity and screening results of depression for all t.pdf1396/11/26174349دانلود