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Depression and anxiety : lack of associations with an inadequate diet in a sample of pregnant women with a history of bariatric surgery : a multicenter prospective controlled cohort study

(2018) OBESITY SURGERY. 28(6). p.1629-1635
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Abstract
Anxiety and depression levels are higher in obese compared to those in normal weight pregnant women. The aims of this study are to examine anxiety and depression in pregnancy following bariatric surgery and to compare with obese pregnant controls considering the dietary intake of polyunsaturated fatty acids (PUFA), folate, and vitamin B-12. Anxiety (State-Trait Anxiety Inventory) and depression (Edinburgh Postnatal Depression Scale) were examined in the first (T1) and third (T3) pregnancy trimester in 54 women with bariatric surgery and 25 obese. T1 and T3 dietary intake of PUFA, folate, and vitamin B-12 intake was assessed using a 3-day food record. Mixed models with a compound symmetry covariance structure and regression models were applied. About half of the women with surgery had high state and trait anxiety scores ( 40), which did not significantly change during pregnancy. Every 10-kg postoperative weight loss was associated with an increase in T1 state and trait anxiety with respectively 2.7 and 2.3 points. A smoking woman had a 8.6-point higher state anxiety score than a non-smoking woman in T1. In T3, every additional hour of sleep was associated with a decrease in trait anxiety score with 1.59 points. Anxiety and depression scores were not associated with and could not be explained by inadequate PUFAs, folate, and vitamin B-12 intakes. Anxiety scores were higher following surgery than those in untreated obesity at both time points. Pregnancy following bariatric surgery induces high levels of anxiety that are not associated with an inadequate maternal diet.
Keywords
LIFE-STYLE, POSTNATAL DEPRESSION, CONTROLLED-TRIAL, WEIGHT, PREVALENCE, SCALE, NUTRITION, OUTCOMES, OBESITY, SLEEP, Anxiety, Depression, Pregnancy, Bariatric surgery, Obesity, Maternal, diet

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Chicago
Jans, Goele, Christophe Matthys, Annick Bogaerts, Lieveke Ameye, Frank Delaere, Kristien Roelens, Anne Loccufier, et al. 2018. “Depression and Anxiety : Lack of Associations with an Inadequate Diet in a Sample of Pregnant Women with a History of Bariatric Surgery : a Multicenter Prospective Controlled Cohort Study.” Obesity Surgery 28 (6): 1629–1635.
APA
Jans, Goele, Matthys, C., Bogaerts, A., Ameye, L., Delaere, F., Roelens, K., Loccufier, A., et al. (2018). Depression and anxiety : lack of associations with an inadequate diet in a sample of pregnant women with a history of bariatric surgery : a multicenter prospective controlled cohort study. OBESITY SURGERY, 28(6), 1629–1635.
Vancouver
1.
Jans G, Matthys C, Bogaerts A, Ameye L, Delaere F, Roelens K, et al. Depression and anxiety : lack of associations with an inadequate diet in a sample of pregnant women with a history of bariatric surgery : a multicenter prospective controlled cohort study. OBESITY SURGERY. 2018;28(6):1629–35.
MLA
Jans, Goele, Christophe Matthys, Annick Bogaerts, et al. “Depression and Anxiety : Lack of Associations with an Inadequate Diet in a Sample of Pregnant Women with a History of Bariatric Surgery : a Multicenter Prospective Controlled Cohort Study.” OBESITY SURGERY 28.6 (2018): 1629–1635. Print.
@article{8567670,
  abstract     = {Anxiety and depression levels are higher in obese compared to those in normal weight pregnant women. The aims of this study are to examine anxiety and depression in pregnancy following bariatric surgery and to compare with obese pregnant controls considering the dietary intake of polyunsaturated fatty acids (PUFA), folate, and vitamin B-12. Anxiety (State-Trait Anxiety Inventory) and depression (Edinburgh Postnatal Depression Scale) were examined in the first (T1) and third (T3) pregnancy trimester in 54 women with bariatric surgery and 25 obese. T1 and T3 dietary intake of PUFA, folate, and vitamin B-12 intake was assessed using a 3-day food record. Mixed models with a compound symmetry covariance structure and regression models were applied. About half of the women with surgery had high state and trait anxiety scores ( 40), which did not significantly change during pregnancy. Every 10-kg postoperative weight loss was associated with an increase in T1 state and trait anxiety with respectively 2.7 and 2.3 points. A smoking woman had a 8.6-point higher state anxiety score than a non-smoking woman in T1. In T3, every additional hour of sleep was associated with a decrease in trait anxiety score with 1.59 points. Anxiety and depression scores were not associated with and could not be explained by inadequate PUFAs, folate, and vitamin B-12 intakes. Anxiety scores were higher following surgery than those in untreated obesity at both time points. Pregnancy following bariatric surgery induces high levels of anxiety that are not associated with an inadequate maternal diet.},
  author       = {Jans, Goele and Matthys, Christophe and Bogaerts, Annick and Ameye, Lieveke and Delaere, Frank and Roelens, Kristien and Loccufier, Anne and Logghe, Hilde and De Becker, Ben and Verhaeghe, Johan and Devlieger, Roland},
  issn         = {0960-8923},
  journal      = {OBESITY SURGERY},
  keywords     = {LIFE-STYLE,POSTNATAL DEPRESSION,CONTROLLED-TRIAL,WEIGHT,PREVALENCE,SCALE,NUTRITION,OUTCOMES,OBESITY,SLEEP,Anxiety,Depression,Pregnancy,Bariatric surgery,Obesity,Maternal,diet},
  language     = {eng},
  number       = {6},
  pages        = {1629--1635},
  title        = {Depression and anxiety : lack of associations with an inadequate diet in a sample of pregnant women with a history of bariatric surgery : a multicenter prospective controlled cohort study},
  url          = {http://dx.doi.org/10.1007/s11695-017-3060-4},
  volume       = {28},
  year         = {2018},
}

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