Postpartum weight retention and its relation with depression

authors:

avatar Hediye Riazi ORCID , * , avatar Hedyeh Riazi , avatar Zohreh Mahmoodi , avatar Nasrin Boroomandnia

Koomesh: Vol.19, issue 2; 276-285
published online: June 02, 2017
article type: issue_documents_importer
received: November 02, 2015
accepted: February 02, 2017

how to cite: Riazi H, Riazi H, Mahmoodi Z, Boroomandnia N. Postpartum weight retention and its relation with depression. koomesh. 2017;19(2):e151080. 

Abstract

Introduction: Postpartum weight retention plays an important role in the development of obesity and its associated health risks in women. The objective of this study was to determine the postpartum weight retention rate and its relationship with postpartum depression. Materials and Methods: An analytical study performed on 309 women, 6 months after childbirth. Data was collected by self-constructed demographic/obstetric characteristics questionnaires and Edinburgh postnatal depression scale. Results: At six months after child birth 83.5% of the women did not achieve pre-pregnancy weight and the average retained weight was 4.04 kg. Forty five point five percent of women faced substantial postpartum weight retention (≥5 kg). Eighteen point one percent of women were at risk of postpartum depression. Based on logistic regression analysis, inadequate sleep (P Conclusion: The results of this research highlight the importance of postpartum weight retention and its role in women’s health. Due to the high levels of postpartum weight retention, the need for specific educational programs about postpartum weight management by healthcare providers is crucial.

References

  • 1.

    Nehring I, Schmoll S, Beyerlein A, Hauner H, von Kries R. Gestational weight gain and long-term postpartum weight retention: a meta-analysis. Am J Clin Nutr 2011; 94: 1225-1231.

  • 2.

    Huang TT, Dai FT. Weight retention predictors for Taiwanese women at six-month postpartum. J Nurs Res 2007; 15: 11-20.

  • 3.

    Xiao RS, Kroll-Desrosiers AR, Goldberg RJ, Pagoto SL, Person SD, Waring ME. The impact of sleep, stress, and depression on postpartum weight retention: A systematic review. J Psychosom Res 2014; 77: 351-358.

  • 4.

    Shrewsbury VA, Robb KA, Power C, Wardle J. Socioeconomic differences in weight retention, weight-related attitudes and practices in postpartum women. Matern Child Health J 2009; 13: 231-240.

  • 5.

    Oken E, Taveras EM, Popoola FA, Rich-Edwards JW, Gillman MW. Television, walking, and diet: associations with postpartum weight retention. Am J Prev Med 2007; 32: 305-311.

  • 6.

    Gunderson EP, Rifas-Shiman SL, Oken E, Rich-Edwards JW, Kleinman KP, Taveras EM, Gillman MW. Association of fewer hours of sleep at 6 months postpartum with substantial weight retention at 1 year postpartum. Am J Epidemiol 2008; 167: 178-187.

  • 7.

    Montgomery KS, Bushee TD, Phillips JD, Kirkpatrick T, Catledge C, Braveboy K, ORourke C, Patel N, Prophet M, Cooper A. Womens challenges with postpartum weight loss. Matern Child Health J 2011; 15: 1176-1184.

  • 8.

    Craigie AM, Macleod M, Barton KL, Treweek S, Anderson AS. Supporting postpartum weight loss in women living in deprived communities: design implications for a randomised control trial. Eur J Clin Nutr 2011; 65: 952-958.

  • 9.

    Goyal D, Gay C, Lee KA. How much does low socioeconomic status increase the risk of prenatal and postpartum depressive symptoms in first-time mothers? Women's Health Issues 2010; 20: 96-104.

  • 10.

    Stice E, Presnell K, Shaw H, Rohde P. Psychological and behavioral risk factors for obesity onset in adolescent girls: a prospective study. J Consult Clin Psychol 2005; 73: 195.

  • 11.

    Ghanei Gheshlagh R, Parizad N, Sayehmiri K, Zamanian-Azodi M, Rashidy-Pour A. Is there a relationship between metabolic syndrome and depression? A systematic review and meta-analysis. Koomesh 2015; 16: 488-494 (Persian).

  • 12.

    Herring SJ, RichEdwards JW, Oken E, RifasShiman SL, Kleinman KP, Gillman MW. Association of postpartum depression with weight retention 1 year after childbirth. Obesity 2008; 16: 1296-1301.

  • 13.

    Kim KH-c, Bursac Z, DiLillo V, White DB, West DS. Stress, race, and body weight. Health Psychol 2009; 28: 131.

  • 14.

    Stubbs J, Whybrow S, Teixeira P, Blundell J, Lawton C, Westenhoefer J, et al. Problems in identifying predictors and correlates of weight loss and maintenance: implications for weight control therapies based on behaviour change. Obes Rev 2011; 12: 688-708.

  • 15.

    Svetkey LP, Ard JD, Stevens VJ, Loria CM, Young DY, Hollis JF, et al. Predictors of longterm weight loss in adults with modest initial weight loss, by sex and race. Obesity 2012; 20: 1820-1828.

  • 16.

    Rogers S, Hughes B, Tomlinson J, Blissett J. Cortisol metabolism, postnatal depression and weight changes in the first 12 months postpartum. Clini Endocrinol 2016; 85: 881-890.

  • 17.

    Bliddal M, Pottegrd A, Kirkegaard H, Olsen J, Jrgensen JS, Srensen TI, et al. Mental disorders in motherhood according to prepregnancy BMI and pregnancy-related weight changesA Danish cohort study. J Affect Disord 2015; 183: 322-329.

  • 18.

    Dolatian M, Maziar P, Majd HA, Yazdjerdi M. The relationship between mode of delivery and postpartum depression. J Reprod Infertil 2006; 7: 260-268.

  • 19.

    Golzar A, Asgarnajad S, Golizadeh Z. Effectiveness of cognitive behavioral therapy in the treatment of three dynamic conflicts of dependency, anger and motherhood in postpartum depressed mothers. J Appl Psychol 2013; 7: 41-60 (Persian).

  • 20.

    Headen IE, Davis EM, Mujahid MS, Abrams B. Racial-ethnic differences in pregnancy-related weight. Adv Nutr An Int Rev J 2012; 3: 83-94.

  • 21.

    Ostbye T, Peterson BL, Krause KM, Swamy GK, Lovelady CA. Predictors of postpartum weight change among overweight and obese women: results from the Active Mothers Postpartum study. J womens Heal 2012; 21: 215-222.

  • 22.

    Siega-Riz AM, Herring AH, Carrier K, Evenson KR, Dole N, Deierlein A. Sociodemographic, perinatal, behavioral, and psychosocial predictors of weight retention at 3 and 12 months postpartum. Obesity 2010; 18: 1996-2003.

  • 23.

    Maddah M, Nikooyeh B. Weight retention from early pregnancy to three years postpartum: a study in Iranian women. Midwifery 2009; 25: 731-737.

  • 24.

    Althuizen E, van Poppel MN, de Vries JH, Seidell JC, van Mechelen W. Postpartum behaviour as predictor of weight change from before pregnancy to one year postpartum. BMC Public Health 2011; 11: 1.

  • 25.

    Bogaerts A, Devlieger R, Van den Bergh BR, Witters I. Obesity and pregnancy, an epidemiological and intervention study from a psychosocial perspective. Facts Views Vis Obgyn 2014; 6: 81-95.

  • 26.

    Huang TT, Wang HS, Dai FT. Effect of pre-pregnancy body size on postpartum weight retention. Midwifery 2010; 26: 222-231.

  • 27.

    Lyu LC, Lo CC, Chen HF, Wang CY, Liu DM. A prospective study of dietary intakes and influential factors from pregnancy to postpartum on maternal weight retention in Taipei, Taiwan. Br J Nutr 2009; 102: 1828-1837.

  • 28.

    Rode L, Kjrgaard H, Ottesen B, Damm P, Hegaard HK. Association between gestational weight gain according to body mass index and postpartum weight in a large cohort of Danish women. Matern Child Health J 2012; 16: 406-413.

  • 29.

    Lipsky LM, Strawderman MS, Olson CM. Maternal weight change between 1 and 2 years postpartum: the importance of 1 year weight retention. Obesity 2012; 20: 1496-1502.

  • 30.

    Linne Y, Dye L, Barkeling B, Rssner S. Weight development over time in parous womenthe SPAWN study15 years follow-up. Int J Obes 2003; 27: 1516-1522.

  • 31.

    Biesmans K, Franck E, Ceulemans C, Jacquemyn Y, Van Bogaert P. Weight during the postpartum period: what can health care workers do? Matern Child Health J 2013; 17: 996-1004.

  • 32.

    Boghossian NS, Yeung EH, Lipsky LM, Poon AK, Albert PS. Dietary patterns in association with postpartum weight retention. Am J Clin Nutr 2013; 97: 1338-1345.

  • 33.

    Bastian LA, Pathiraja VC, Krause K, Brouwer RJN, Swamy GK, Lovelady CA, stbye T. Multiparity is associated with high motivation to change diet among overweight and obese postpartum women. Womens Heal Issues 2010; 20: 133-138.

  • 34.

    Moshki M, Baloochi Beydikhti T, Cheravi K. The relationship of postpartum depression to health control beliefs and demographic factors. ZUMS J 2014; 22: 74-85. (Persian).

  • 35.

    Hosseini SH, Naghibi A, Khademlou M. Post partum depression and its relationship with some related factors. J Babol Univ Med Sci 2008; 10: 76-81. (Persian).

  • 36.

    Khooshemehry G, Feizabady AS, Naserkhaki V. Prevalence of postpartum depression and the factors that decides in clinics in the North of Tehran. Sci J Hamadan Nurs Midwifery Facul 2011; 19: 59-69 (Persian).

  • 37.

    Rahmani F, Asadollahi M, seyed fatemi N, A. B. Its predisposing factors of postpartum depression in women referring to health centers - medical Congress healthy society with the participation of nurses and midwives Hamadan University of Medical Sciences and Health Services - School of Nursing and Midwifery; city of Tabriz 1386. (Persian).

  • 38.

    Nikpour M, Abedian Z, Mokhber N, Khaleghi Z, Ebrahimzadeh S, Hosseini Z. Relationship between delivery method and postpartum depression. J Fundam Ment Heal 2012; 14: 46-53.

  • 39.

    Maracy M, Iranpour S, Esmaillzadeh A, Kheirabadi G. Dietary patterns during pregnancy and the risk of postpartum depression. Iran J Epidemiol 2014; 10: 45-55.

  • 40.

    Sharifi K, Sooky Z, Akbari H, Sharifi SM. Aseessment of the relationship between the method of delievery and postpartum depression. J Kashan Univ Med Sci 2008; 12 (Persian).

  • 41.

    Salmalian HF, nasiri amiri FK. The prevalence of depression before and after childbirth and its relationship with some of the factors. J Babol Univ Med Sci 2007; 10: 67-75 (Persian).

  • 42.

    Bethea CL, Lu NZ, Gundlah C, Streicher JM. Diverse actions of ovarian steroids in the serotonin neural system. Front Neuroendocrinol 2002; 23: 41-100.

  • 43.

    George GC, Milani TJ, Hanss-Nuss H, Freeland-Graves JH. Compliance with dietary guidelines and relationship to psychosocial factors in low-income women in late postpartum. J Am Diet Assoc 2005; 105: 916-926.

  • 44.

    Rothberg BE, Magriples U, Kershaw TS, Rising SS, Ickovics JR. Gestational weight gain and subsequent postpartum weight loss among young, low-income, ethnic minority women. Am J Obstet Gynecol 2011; 204: e1- e11.##.