Association between maternal postpartum depression and children's physical growth in early childhood: a birth cohort study

BackgroundUntreated maternal postpartum depression (PPD) has consequences for children's physical growth, but no published study has evaluated changes in this effect over time. Here we therefore aimed to evaluate the dynamic effects of PPD on the physical growth of children in a prospective bir...

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Main Authors: Qiong He, Gang Cheng, Simin He, Gang Tian, Xiaowei Xie, Ni Jiang, Xianying Min, Chao Li, Rui Li, Yan Shi, Tong Zhou, Yan Yan
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2023.1135876/full
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author Qiong He
Qiong He
Gang Cheng
Simin He
Gang Tian
Xiaowei Xie
Ni Jiang
Xianying Min
Chao Li
Rui Li
Yan Shi
Tong Zhou
Yan Yan
author_facet Qiong He
Qiong He
Gang Cheng
Simin He
Gang Tian
Xiaowei Xie
Ni Jiang
Xianying Min
Chao Li
Rui Li
Yan Shi
Tong Zhou
Yan Yan
author_sort Qiong He
collection DOAJ
description BackgroundUntreated maternal postpartum depression (PPD) has consequences for children's physical growth, but no published study has evaluated changes in this effect over time. Here we therefore aimed to evaluate the dynamic effects of PPD on the physical growth of children in a prospective birth cohort.MethodsBetween 2015 and 2019, 960 mother-child pairs in Changsha, China were followed up when the child was aged 1–48 months. Data were obtained through household surveys. The mothers' depressive symptoms were measured using the Edinburgh Postpartum Depression Scale (EPDS) at 1 month postpartum. Linear mixed models were used to examine the changes in the association of PPD and EPDS scores with physical growth in six different age groups of children between 1 and 48 months.ResultsA total of 604 mother-child pairs completed the follow-up, and 3.3% of mothers reported PPD. No associations were found between PPD and weight or height growth at any age. While EPDS scores were associated with weight gain (β = −0.014, 95% CI (−0.025, −0.002), P = 0.024) and height growth (β = −0.044, 95% CI (−0.084, −0.004), P = 0.030) rates at 1–3 months, no associations were found in older children.LimitationsThe number of mothers who reported PPD was relatively small, and the measurement of PPD was not continuously taken.ConclusionsAfter adjustments for confounders, no dynamic association was found between PPD and children's weight and height growth. EPDS scores, in contrast, did negatively affect children's weight and height growth at age 1–3 months, but this effect was not long-lasting.
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spelling doaj.art-1ef46a40cac94afd84a0b75728ad28d92023-07-26T07:15:23ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-07-011110.3389/fped.2023.11358761135876Association between maternal postpartum depression and children's physical growth in early childhood: a birth cohort studyQiong He0Qiong He1Gang Cheng2Simin He3Gang Tian4Xiaowei Xie5Ni Jiang6Xianying Min7Chao Li8Rui Li9Yan Shi10Tong Zhou11Yan Yan12Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, ChinaMedical Record Management and Statistical Information Center, Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, ChinaBackgroundUntreated maternal postpartum depression (PPD) has consequences for children's physical growth, but no published study has evaluated changes in this effect over time. Here we therefore aimed to evaluate the dynamic effects of PPD on the physical growth of children in a prospective birth cohort.MethodsBetween 2015 and 2019, 960 mother-child pairs in Changsha, China were followed up when the child was aged 1–48 months. Data were obtained through household surveys. The mothers' depressive symptoms were measured using the Edinburgh Postpartum Depression Scale (EPDS) at 1 month postpartum. Linear mixed models were used to examine the changes in the association of PPD and EPDS scores with physical growth in six different age groups of children between 1 and 48 months.ResultsA total of 604 mother-child pairs completed the follow-up, and 3.3% of mothers reported PPD. No associations were found between PPD and weight or height growth at any age. While EPDS scores were associated with weight gain (β = −0.014, 95% CI (−0.025, −0.002), P = 0.024) and height growth (β = −0.044, 95% CI (−0.084, −0.004), P = 0.030) rates at 1–3 months, no associations were found in older children.LimitationsThe number of mothers who reported PPD was relatively small, and the measurement of PPD was not continuously taken.ConclusionsAfter adjustments for confounders, no dynamic association was found between PPD and children's weight and height growth. EPDS scores, in contrast, did negatively affect children's weight and height growth at age 1–3 months, but this effect was not long-lasting.https://www.frontiersin.org/articles/10.3389/fped.2023.1135876/fullpostpartum depressionphysical developmentbirth cohortchildrenpanel data
spellingShingle Qiong He
Qiong He
Gang Cheng
Simin He
Gang Tian
Xiaowei Xie
Ni Jiang
Xianying Min
Chao Li
Rui Li
Yan Shi
Tong Zhou
Yan Yan
Association between maternal postpartum depression and children's physical growth in early childhood: a birth cohort study
Frontiers in Pediatrics
postpartum depression
physical development
birth cohort
children
panel data
title Association between maternal postpartum depression and children's physical growth in early childhood: a birth cohort study
title_full Association between maternal postpartum depression and children's physical growth in early childhood: a birth cohort study
title_fullStr Association between maternal postpartum depression and children's physical growth in early childhood: a birth cohort study
title_full_unstemmed Association between maternal postpartum depression and children's physical growth in early childhood: a birth cohort study
title_short Association between maternal postpartum depression and children's physical growth in early childhood: a birth cohort study
title_sort association between maternal postpartum depression and children s physical growth in early childhood a birth cohort study
topic postpartum depression
physical development
birth cohort
children
panel data
url https://www.frontiersin.org/articles/10.3389/fped.2023.1135876/full
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