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Cited by 92Maternal Mental Health During Pregnancy and PostpartumMaternal and Neonatal HealthcareBirth, Development, and Health

Antenatal and postpartum depressive symptoms are differentially associated with early childhood weight and adiposity

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Ertel, Karen A., Koenen, Karestan C., Rich-Edwards, Janet W., Gillman, Matthew W.·2010·Paediatric and Perinatal Epidemiology
DOI 10.1111/j.1365-3016.2010.01098.xPMC PMC4106300
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Abstract

Antenatal depression is associated with small-for-gestational age, but few studies have examined associations with weight during childhood. Similarly, few studies address whether antenatal and postpartum depression differentially affect child weight. Among 838 mother-child dyads in Project Viva, a prospective cohort study, we examined relationships of antenatal and postpartum depression with child weight and adiposity. We assessed maternal depression at mid-pregnancy and 6 months postpartum with the Edinburgh Postnatal Depression Scale (score > or =13 indicating probable depression). We assessed child outcomes at age 3 years: body mass index (BMI) z-score, weight-for-height z-score, sum of subscapular (SS) and triceps (TR) skinfold thickness (SS + TR) for overall adiposity, and SS : TR ratio for central adiposity. Sixty-nine (8.2%) women experienced antenatal depression and 59 (7.0%) postpartum depression. Mean (SD) outcomes at age 3 were: BMI z-score, 0.45 (1.01); SS + TR, 16.72 (4.03) mm; SS : TR, 0.64 (0.15). In multivariable models, antenatal depression was associated with lower child BMI z-score (-0.24 [95% confidence interval: -0.49, 0.00]), but higher SS : TR (0.05 [0.01, 0.09]). There was no evidence of a dose-response relationship between antenatal depression and these outcomes. Postpartum depression was associated with higher SS + TR (1.14 [0.11, 2.18]). In conclusion, whereas antenatal depression was associated with smaller size and central adiposity at age 3 years, postpartum depression was associated with higher overall adiposity.

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  • Triceps and subscapular skinfold thicknesses did not differ between infants of depressed and nondepressed mothers.

    “Two studies demonstrated that the triceps and subscapular skinfold thicknesses did not differ between infants of depressed and nondepressed mothers (one study was conducted in Belgium, Germany, Italy, Poland, and Spain;113 the other was from the United States112).”

    From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [112]

    The Results report minimal difference in the combined skinfold measure (SS+TR) with antenatal depression, but higher SS+TR with postpartum depression (1.14 mm, 95% CI 0.11–2.18). Skinfolds were measured at age 3, not in infants. Thus the paper does not support the unqualified claim that skinfold thicknesses did not differ between the groups. (LLM, conf=0.86)

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  • Maternal postpartum depression had a very small effect on child's weight.

    “Finally, four studies demonstrated that maternal PPD had no effect100,113,126 or a very small effect112 on the child’s weight.”

    From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [112]

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Research works printed but not linked: 2

  1. [23]Mokdad A Serdula MK Dietz WH Bowman BA Marks JS Koplan JP The spread of the obesitiy epidemic in the United States Journal of the American Medical Association 1999 828 1519 1522 10546690
  2. [48]Gillman M A lifecourse approach to obesity Kuh D Ben-Shlomo Y A lifecourse approach to chronic disease epidemiology 2 Oxford UK Oxford University Press 2004

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Authors
Ertel, K. A., Koenen, K. C., Rich-Edwards, J. W., & Gillman, M. W.
Affiliations
  • Harvard University (US)
  • Brigham and Women's Hospital (US)
Corresponding author
Ertel, Karen A.
ORCID
Venue
Paediatric and Perinatal Epidemiology
Publisher
Wiley
Published
2010-03
Volume
24
Issue
2
Pages
179-189
ISSN
  • 0269-5022 (ISSN-L)
  • 1365-3016
DOI
10.1111/j.1365-3016.2010.01098.x
PMC
PMC4106300
OpenAlex
W2148997536
Cited by
92
References
71
Citations by year
2026: 4 · 2025: 2 · 2024: 9 · 2023: 4 · 2022: 3 · 2021: 5 · 2020: 3 · 2019: 10 · 2018: 6 · 2017: 6 · 2016: 3 · 2015: 9 · 2014: 6 · 2013: 6 · 2012: 11
FWCI
6.90
Type
journal article
Language
en
Open access
Licence
doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 2010 d)
Locations
  • Paediatric and Perinatal Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • ScholarWorks@UMassAmherst (University of Massachusetts Amherst) (submittedVersion)
Funders
  • National Institutes of Health
  • National Heart, Lung, and Blood Institute (K24HL068041, HL 64925, HL-68041, R01HL064925)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (R37HD034568, HD34568, R01HD034568)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
Keywords
antenatal depression, postpartum depression, maternal depression, child weight, childhood adiposity, abdominal obesity, body mass index, skinfold thickness, small for gestational age, Project Viva cohort
MeSH terms
Body Weight, Child Development, Child, Preschool, Depressive Disorder, Female, Humans, Infant, Infant, Newborn, Male, Mothers, Pregnancy, Reference Values, Skinfold Thickness, Cohort Studies, Body Mass Index, Depression, Postpartum, Adiposity

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