Weight-loss behaviors before pregnancy associate with increased risk of postpartum depression from the Japan Environment and Children’s Study

Abstract No studies showed the association between weight-loss behaviors before pregnancy and postpartum depression (PPD). We analyzed data from the nation-wide birth cohort study, the Japan Environment and Children’s Study. Self-administrated questionnaires answered by 62,446 women was analyzed usi...

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Main Authors: Saki Taniguchi, Toshio Masumoto, Youichi Kurozawa
Format: Article
Language:English
Published: Nature Portfolio 2023-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-34547-4
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author Saki Taniguchi
Toshio Masumoto
Youichi Kurozawa
author_facet Saki Taniguchi
Toshio Masumoto
Youichi Kurozawa
author_sort Saki Taniguchi
collection DOAJ
description Abstract No studies showed the association between weight-loss behaviors before pregnancy and postpartum depression (PPD). We analyzed data from the nation-wide birth cohort study, the Japan Environment and Children’s Study. Self-administrated questionnaires answered by 62,446 women was analyzed using logistic regression analysis. PPD was assessed using the Edinburgh Postnatal Depression Scale at 1 month after delivery. Women using at least one weight-loss method had higher risk of PPD than women using no weight-loss methods [women without antenatal psychological distress according to Kessler 6-Item Psychological Distress score: adjusted odds ratio (aOR) 1.318, 95% confidence interval (CI) 1.246–1.394; women with antenatal psychological distress: aOR 1.250, 95% CI 0.999–1.565]. Using extremely unhealthy weight-loss methods was associated with PPD compared with no use of each weight-loss method (vomiting after eating: aOR 1.743, 95% CI 1.465–2.065; smoking: aOR 1.432, 95% CI 1.287–1.591; taking diet pills: aOR 1.308, 95% CI 1.122–1.520). The association between weight-loss behaviors and PPD varied according to pre-pregnancy BMI. In normal-weight women, the weight-loss method score, which indicates the degree of weight-loss method use, was associated with PPD. These results indicate using weight-loss methods before pregnancy is associated with an increased risk of PPD in Japanese women.
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spelling doaj.art-94dac5e175014891941b531b1f9ec2eb2023-05-07T11:12:05ZengNature PortfolioScientific Reports2045-23222023-05-0113111210.1038/s41598-023-34547-4Weight-loss behaviors before pregnancy associate with increased risk of postpartum depression from the Japan Environment and Children’s StudySaki Taniguchi0Toshio Masumoto1Youichi Kurozawa2Tottori Regional Center of The Japan Environment and Children’s Study, Faculty of Medicine, Tottori UniversityDivision of Health Administration and Promotion, Department of Social Medicine, Faculty of Medicine, Tottori UniversityDivision of Health Administration and Promotion, Department of Social Medicine, Faculty of Medicine, Tottori UniversityAbstract No studies showed the association between weight-loss behaviors before pregnancy and postpartum depression (PPD). We analyzed data from the nation-wide birth cohort study, the Japan Environment and Children’s Study. Self-administrated questionnaires answered by 62,446 women was analyzed using logistic regression analysis. PPD was assessed using the Edinburgh Postnatal Depression Scale at 1 month after delivery. Women using at least one weight-loss method had higher risk of PPD than women using no weight-loss methods [women without antenatal psychological distress according to Kessler 6-Item Psychological Distress score: adjusted odds ratio (aOR) 1.318, 95% confidence interval (CI) 1.246–1.394; women with antenatal psychological distress: aOR 1.250, 95% CI 0.999–1.565]. Using extremely unhealthy weight-loss methods was associated with PPD compared with no use of each weight-loss method (vomiting after eating: aOR 1.743, 95% CI 1.465–2.065; smoking: aOR 1.432, 95% CI 1.287–1.591; taking diet pills: aOR 1.308, 95% CI 1.122–1.520). The association between weight-loss behaviors and PPD varied according to pre-pregnancy BMI. In normal-weight women, the weight-loss method score, which indicates the degree of weight-loss method use, was associated with PPD. These results indicate using weight-loss methods before pregnancy is associated with an increased risk of PPD in Japanese women.https://doi.org/10.1038/s41598-023-34547-4
spellingShingle Saki Taniguchi
Toshio Masumoto
Youichi Kurozawa
Weight-loss behaviors before pregnancy associate with increased risk of postpartum depression from the Japan Environment and Children’s Study
Scientific Reports
title Weight-loss behaviors before pregnancy associate with increased risk of postpartum depression from the Japan Environment and Children’s Study
title_full Weight-loss behaviors before pregnancy associate with increased risk of postpartum depression from the Japan Environment and Children’s Study
title_fullStr Weight-loss behaviors before pregnancy associate with increased risk of postpartum depression from the Japan Environment and Children’s Study
title_full_unstemmed Weight-loss behaviors before pregnancy associate with increased risk of postpartum depression from the Japan Environment and Children’s Study
title_short Weight-loss behaviors before pregnancy associate with increased risk of postpartum depression from the Japan Environment and Children’s Study
title_sort weight loss behaviors before pregnancy associate with increased risk of postpartum depression from the japan environment and children s study
url https://doi.org/10.1038/s41598-023-34547-4
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