COVID-19, lifestyle behaviors and mental health: A mixed methods study of women 6 months following a hypertensive pregnancy
IntroductionThe COVID-19 pandemic introduced unprecedented challenges to both the physical and psychological health of postpartum women. The aim of this study was to determine how the COVID-19 pandemic affected the diet, physical activity and mental health of women 6 months following a hypertensive...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-10-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.1000371/full |
| _version_ | 1811182073828868096 |
|---|---|
| author | Megan L. Gow Megan L. Gow Megan L. Gow Chris Rossiter Lynne Roberts Lynne Roberts Maddison J. Henderson Lin Yang Lin Yang Judith Roche Erin Hayes Alison Canty Elizabeth Denney-Wilson Elizabeth Denney-Wilson Amanda Henry Amanda Henry |
| author_facet | Megan L. Gow Megan L. Gow Megan L. Gow Chris Rossiter Lynne Roberts Lynne Roberts Maddison J. Henderson Lin Yang Lin Yang Judith Roche Erin Hayes Alison Canty Elizabeth Denney-Wilson Elizabeth Denney-Wilson Amanda Henry Amanda Henry |
| author_sort | Megan L. Gow |
| collection | DOAJ |
| description | IntroductionThe COVID-19 pandemic introduced unprecedented challenges to both the physical and psychological health of postpartum women. The aim of this study was to determine how the COVID-19 pandemic affected the diet, physical activity and mental health of women 6 months following a hypertensive disorder of pregnancy.MethodsMixed methods sub-study of the Blood Pressure Postpartum trial, which recruited women following a hypertensive disorder of pregnancy from six Sydney metropolitan hospitals. Cross sectional analysis of baseline quantitative data, collected at 6-months postpartum from March 2019-February 2022, and qualitative data analysis from semi-structured telephone interviews, was performed. Dates of COVID-19 lockdowns for Sydney, Australia were collected from government websites. Diet (vegetable, fruit, alcohol, take away intake) and physical activity (walking, vigorous activity, strength training frequency and duration) were assessed using the self-report NSW Population Health Survey. Depression and anxiety were assessed using the Edinburgh Depression Scale and GAD-7 scale, respectively. Outcome data were compared between women who completed surveys “In Lockdown” vs. “Not in Lockdown” as well as “Prior to any Lockdown” vs. “During or Following any Lockdown”.ResultsOf 506 participants, 84 women completed the study surveys “In Lockdown,” and 149 completed the surveys “Prior to any Lockdown.” Thirty-four participants were interviewed. There were no statistically significant differences in diet, physical activity, depression and anxiety among women who completed the survey “In Lockdown” vs. “Not in Lockdown.” “Prior to any Lockdown,” participants were more likely to do any walking (95% vs. 89%, p = 0.017), any vigorous activity (43% vs. 30%, p = 0.006) or any strength training (44% vs. 33%, p = 0.024), spent more time doing vigorous activity (p = 0.003) and strength training (p = 0.047) and were more likely to drink alcohol at least monthly (54% vs. 38%, p < 0.001) compared with “During or Following any Lockdown.”ConclusionsOur findings suggest that the confinements of lockdown did not markedly influence the mental health, diet and physical activity behaviors of women 6 months following hypertensive pregnancy. However, physical activity levels were reduced following the emergence of COVID-19, suggesting targeted efforts may be necessary to re-engage postpartum women with exercise.Trial registrationhttps://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=376286&isReview=true, identifier: ACTRN12618002004246. |
| first_indexed | 2024-04-11T09:27:06Z |
| format | Article |
| id | doaj.art-98c1edf5541a432998ce7e73a677c5eb |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-11T09:27:06Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-98c1edf5541a432998ce7e73a677c5eb2022-12-22T04:32:00ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-10-011010.3389/fpubh.2022.10003711000371COVID-19, lifestyle behaviors and mental health: A mixed methods study of women 6 months following a hypertensive pregnancyMegan L. Gow0Megan L. Gow1Megan L. Gow2Chris Rossiter3Lynne Roberts4Lynne Roberts5Maddison J. Henderson6Lin Yang7Lin Yang8Judith Roche9Erin Hayes10Alison Canty11Elizabeth Denney-Wilson12Elizabeth Denney-Wilson13Amanda Henry14Amanda Henry15The University of Sydney Children's Hospital Westmead Clinical School, Westmead, NSW, AustraliaDiscipline of Paediatrics and Child Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, AustraliaWomen's and Children's Health, St George Hospital, Kogarah, NSW, AustraliaSusan Wakil School of Nursing and Midwifery, The University of Sydney, Sydney, NSW, AustraliaWomen's and Children's Health, St George Hospital, Kogarah, NSW, AustraliaSt George and Sutherland Clinical Campus, School of Clinical Medicine, University of New South Wales, Sydney, NSW, AustraliaThe University of Sydney Children's Hospital Westmead Clinical School, Westmead, NSW, AustraliaWomen's and Children's Health, St George Hospital, Kogarah, NSW, AustraliaOffice of Medical Education, University of New South Wales, Sydney, NSW, AustraliaRoyal Hospital for Women, Randwick, NSW, AustraliaRoyal Prince Alfred Hospital, Camperdown, NSW, AustraliaWomen's Health Initiative Translational Unit, South Western Sydney Local Health District, Liverpool, NSW, AustraliaSusan Wakil School of Nursing and Midwifery, The University of Sydney, Sydney, NSW, Australia0Sydney Local Health District, Sydney, NSW, AustraliaWomen's and Children's Health, St George Hospital, Kogarah, NSW, Australia1Discipline of Women's Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, AustraliaIntroductionThe COVID-19 pandemic introduced unprecedented challenges to both the physical and psychological health of postpartum women. The aim of this study was to determine how the COVID-19 pandemic affected the diet, physical activity and mental health of women 6 months following a hypertensive disorder of pregnancy.MethodsMixed methods sub-study of the Blood Pressure Postpartum trial, which recruited women following a hypertensive disorder of pregnancy from six Sydney metropolitan hospitals. Cross sectional analysis of baseline quantitative data, collected at 6-months postpartum from March 2019-February 2022, and qualitative data analysis from semi-structured telephone interviews, was performed. Dates of COVID-19 lockdowns for Sydney, Australia were collected from government websites. Diet (vegetable, fruit, alcohol, take away intake) and physical activity (walking, vigorous activity, strength training frequency and duration) were assessed using the self-report NSW Population Health Survey. Depression and anxiety were assessed using the Edinburgh Depression Scale and GAD-7 scale, respectively. Outcome data were compared between women who completed surveys “In Lockdown” vs. “Not in Lockdown” as well as “Prior to any Lockdown” vs. “During or Following any Lockdown”.ResultsOf 506 participants, 84 women completed the study surveys “In Lockdown,” and 149 completed the surveys “Prior to any Lockdown.” Thirty-four participants were interviewed. There were no statistically significant differences in diet, physical activity, depression and anxiety among women who completed the survey “In Lockdown” vs. “Not in Lockdown.” “Prior to any Lockdown,” participants were more likely to do any walking (95% vs. 89%, p = 0.017), any vigorous activity (43% vs. 30%, p = 0.006) or any strength training (44% vs. 33%, p = 0.024), spent more time doing vigorous activity (p = 0.003) and strength training (p = 0.047) and were more likely to drink alcohol at least monthly (54% vs. 38%, p < 0.001) compared with “During or Following any Lockdown.”ConclusionsOur findings suggest that the confinements of lockdown did not markedly influence the mental health, diet and physical activity behaviors of women 6 months following hypertensive pregnancy. However, physical activity levels were reduced following the emergence of COVID-19, suggesting targeted efforts may be necessary to re-engage postpartum women with exercise.Trial registrationhttps://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=376286&isReview=true, identifier: ACTRN12618002004246.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1000371/fullCOVID-19postpartumdietphysical activitydepressionanxiety |
| spellingShingle | Megan L. Gow Megan L. Gow Megan L. Gow Chris Rossiter Lynne Roberts Lynne Roberts Maddison J. Henderson Lin Yang Lin Yang Judith Roche Erin Hayes Alison Canty Elizabeth Denney-Wilson Elizabeth Denney-Wilson Amanda Henry Amanda Henry COVID-19, lifestyle behaviors and mental health: A mixed methods study of women 6 months following a hypertensive pregnancy Frontiers in Public Health COVID-19 postpartum diet physical activity depression anxiety |
| title | COVID-19, lifestyle behaviors and mental health: A mixed methods study of women 6 months following a hypertensive pregnancy |
| title_full | COVID-19, lifestyle behaviors and mental health: A mixed methods study of women 6 months following a hypertensive pregnancy |
| title_fullStr | COVID-19, lifestyle behaviors and mental health: A mixed methods study of women 6 months following a hypertensive pregnancy |
| title_full_unstemmed | COVID-19, lifestyle behaviors and mental health: A mixed methods study of women 6 months following a hypertensive pregnancy |
| title_short | COVID-19, lifestyle behaviors and mental health: A mixed methods study of women 6 months following a hypertensive pregnancy |
| title_sort | covid 19 lifestyle behaviors and mental health a mixed methods study of women 6 months following a hypertensive pregnancy |
| topic | COVID-19 postpartum diet physical activity depression anxiety |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.1000371/full |
| work_keys_str_mv | AT meganlgow covid19lifestylebehaviorsandmentalhealthamixedmethodsstudyofwomen6monthsfollowingahypertensivepregnancy AT meganlgow covid19lifestylebehaviorsandmentalhealthamixedmethodsstudyofwomen6monthsfollowingahypertensivepregnancy AT meganlgow covid19lifestylebehaviorsandmentalhealthamixedmethodsstudyofwomen6monthsfollowingahypertensivepregnancy AT chrisrossiter covid19lifestylebehaviorsandmentalhealthamixedmethodsstudyofwomen6monthsfollowingahypertensivepregnancy AT lynneroberts covid19lifestylebehaviorsandmentalhealthamixedmethodsstudyofwomen6monthsfollowingahypertensivepregnancy AT lynneroberts covid19lifestylebehaviorsandmentalhealthamixedmethodsstudyofwomen6monthsfollowingahypertensivepregnancy AT maddisonjhenderson covid19lifestylebehaviorsandmentalhealthamixedmethodsstudyofwomen6monthsfollowingahypertensivepregnancy AT linyang covid19lifestylebehaviorsandmentalhealthamixedmethodsstudyofwomen6monthsfollowingahypertensivepregnancy AT linyang covid19lifestylebehaviorsandmentalhealthamixedmethodsstudyofwomen6monthsfollowingahypertensivepregnancy AT judithroche covid19lifestylebehaviorsandmentalhealthamixedmethodsstudyofwomen6monthsfollowingahypertensivepregnancy AT erinhayes covid19lifestylebehaviorsandmentalhealthamixedmethodsstudyofwomen6monthsfollowingahypertensivepregnancy AT alisoncanty covid19lifestylebehaviorsandmentalhealthamixedmethodsstudyofwomen6monthsfollowingahypertensivepregnancy AT elizabethdenneywilson covid19lifestylebehaviorsandmentalhealthamixedmethodsstudyofwomen6monthsfollowingahypertensivepregnancy AT elizabethdenneywilson covid19lifestylebehaviorsandmentalhealthamixedmethodsstudyofwomen6monthsfollowingahypertensivepregnancy AT amandahenry covid19lifestylebehaviorsandmentalhealthamixedmethodsstudyofwomen6monthsfollowingahypertensivepregnancy AT amandahenry covid19lifestylebehaviorsandmentalhealthamixedmethodsstudyofwomen6monthsfollowingahypertensivepregnancy |