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Women's perceived social support: associations with postpartum weight retention, health behaviors and depressive symptoms.

ABSTRACT: BACKGROUND:Social support may promote healthful behaviors that prevent excess weight at critical periods in women's life. Our objective was to investigate associations of social support at 6?months postpartum with women's health behaviors that have previously been shown to predict weight retention at 1?year postpartum. METHODS:At 6?months postpartum in Project Viva, a pre-birth prospective cohort in Massachusetts, women reported social support using the Turner Support Scale, depressive symptoms using the Edinburgh Postnatal Depression Scale, diet using PrimeScreen, average number of hours walking, light/moderate and vigorous physical activity, television viewing, and sleeping each day. RESULTS:Among 1356 women, greater partner support was associated with higher levels of walking (OR 1.36, 95% CI [1.01, 1.82]) and intake of fiber (OR 1.43, 95% CI [1.06, 1.91]) and lower intake of trans-fat (OR 1.49, 95% CI [1.11, 2.01]). Support from family/friends was marginally related to healthful levels of light/moderate physical activity (OR 1.26, 95% CI [0.96, 1.65]) and television viewing (OR 1.29, 95% CI [0.99, 1.69]). Both sources of support were strongly associated with lower odds of incident depression (OR 0.33, 95% CI [0.20, 0.55] and OR 0.49, 95% CI [0.30, 0.79], respectively). We did not find associations with vigorous physical activity or sleep duration. CONCLUSIONS:Social support is important to the physical and mental health of new mothers and may promote behaviors that limit postpartum weight retention.

SUBMITTER: Faleschini S

PROVIDER: S-EPMC6873672 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature

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Women's perceived social support: associations with postpartum weight retention, health behaviors and depressive symptoms.

Faleschini Sabrina S Millar Lynne L Rifas-Shiman Sheryl L SL Skouteris Helen H Hivert Marie-France MF Oken Emily E

BMC women's health 20191121 1

<h4>Background</h4>Social support may promote healthful behaviors that prevent excess weight at critical periods in women's life. Our objective was to investigate associations of social support at 6 months postpartum with women's health behaviors that have previously been shown to predict weight retention at 1 year postpartum.<h4>Methods</h4>At 6 months postpartum in Project Viva, a pre-birth prospective cohort in Massachusetts, women reported social support using the Turner Support Scale, depre ...[more]

PMID: 31752823

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Project description:BackgroundPostpartum depression was associated with maternal suffering and diminished functioning, increased risk of marital conflict as well as adverse child outcomes. Perceived social support during pregnancy was associated with postpartum depression among women. However, its causal relationship remains unclear. Therefore, we prospectively evaluate the association between perceived social support during early pregnancy and postpartum depressive symptoms.MethodsWe prospectively examined whether perceived social support during early pregnancy affected depressive symptoms at 6?weeks postpartum in a cohort of 3310 women. Perceived social support and postpartum depression were assessed by ENRICHD Social Support Instrument (ESSI) and the postpartum Edinburgh Postpartum Depression Scale (EPDS), respectively. Prevalence of postpartum depressive symptoms was 11.4% (EPDS cutoff?10). As a test of heterogeneity of association in subpopulations, logistic regression models were performed to analyze the association between social support and postpartum depressive symptoms in strata which were defined by the potential confounder candidates. After multiple imputation, multivariable logistic regression was performed to assess the effect of social support on postpartum symptoms in individual items and total score. Two models were built. Model I adjusted for the variables associated with social support or postpartum depression and changed the association estimates by ?10%. Model II adjusted for all variables that may be related to social support or postpartum depression.ResultsSignificant associations between low perceived social support and postpartum depressive symptoms was found(Model I odds ratio: 1.63, 95% confidence interval: 1.15, 2.30; Model II odds ratio: 1.77, 95% confidence interval: 1.24-2.52). Stratified analyses showed that there was little evidence of heterogeneity of association in subpopulations by basic characteristics of participants.ConclusionsThese findings suggest that early intervention may be able to help protect against depression symptoms at 6?weeks postpartum.

Dataset Information

Women's perceived social support: associations with postpartum weight retention, health behaviors and depressive symptoms.

Publications

Women's perceived social support: associations with postpartum weight retention, health behaviors and depressive symptoms.

Similar Datasets

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