Kapadia MZ, Gaston A, Van Blyderveen S, Schmidt L, Beyene J, McDonald H, McDonald S. Psychological factors and trimester-specific gestational weight gain:a systematic review. PubMed PMID: 25541218.
J Psychosom Obstet Gynaecol. 2015 Mar;36(1):15-22. Epub 2014 Dec 26.
Psychological factors and trimester-specific gestational weight gain: a systematic review.
Kapadia MZ(1), Gaston A, Van Blyderveen S, Schmidt L, Beyene J, McDonald H, McDonald S.
Excess gestational weight gain (GWG), which has reached epidemic proportions, is associated with numerous adverse pregnancy outcomes. Early pregnancy provides a unique opportunity for counseling pregnant women since many women are motivated to engage in healthy behaviors. A systematic review was conducted to summarize the relation between psychological factors and trimester-specific GWG, i.e. GWG measured at the end of each trimester. Eight databases were searched for affect, cognition and personality factors. The guidelines on meta-analysis of Observational Studies in Epidemiology were followed. The methodological quality of each study was assessed using a modified Newcastle-Ottawa Scale. Of 3620 non-duplicate titles and abstracts, 74 articles underwent full-text review. Two cohort studies met the inclusion criteria. Distress was negatively associated with first trimester GWG among both adolescents and non-adolescents. Body image dissatisfaction was associated with second trimester GWG only among non-adolescents. No association emerged between perceived stress, state and trait anxiety and body image dissatisfaction among adolescents and trimester-specific GWG. The relation between trimester-specific GWG and a number of weight-related and dietary-related cognitions, affective states and personality traits remain unexplored. Given the limited number of studies, further high-quality evidence is required to examine the association between psychological factors and trimester-specific GWG, especially for cognitive and personality factors.
PMID: 25541218 [PubMed - as supplied by publisher]