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Impact of sedentary behavior and emotional support on prenatal psychological distress and birth outcomes during the COVID-19 pandemic.
Hipwell, Alison E; Tung, Irene; Sherlock, Phillip; Tang, Xiaodan; McKee, Kim; McGrath, Monica; Alshawabkeh, Akram; Bastain, Tracy; Breton, Carrie V; Cowell, Whitney; Dabelea, Dana; Duarte, Cristiane S; Dunlop, Anne L; Ferrera, Assiamira; Herbstman, Julie B; Hockett, Christine W; Karagas, Margaret R; Keenan, Kate; Krafty, Robert T; Monk, Catherine; Nozadi, Sara S; O'Connor, Thomas G; Oken, Emily; Osmundson, Sarah S; Schantz, Susan; Wright, Rosalind; Comstock, Sarah S.
Affiliation
  • Hipwell AE; Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
  • Tung I; Department of Psychology, California State University Dominguez Hills, Carson, CA, USA.
  • Sherlock P; Department of Medical Social Sciences, Northwestern University, Chicago, IL, USA.
  • Tang X; Department of Medical Social Sciences, Northwestern University, Chicago, IL, USA.
  • McKee K; Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA.
  • McGrath M; Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, MD, USA.
  • Alshawabkeh A; College of Engineering, Northeastern University, Boston, MA, USA.
  • Bastain T; Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
  • Breton CV; Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
  • Cowell W; Department of Pediatrics, Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA.
  • Dabelea D; Lifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
  • Duarte CS; Department of Psychiatry, Columbia University, New York, NY, USA.
  • Dunlop AL; Department of Gynecology & Obstetrics, Emory University School of Medicine, Atlanta, GA, USA.
  • Ferrera A; Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
  • Herbstman JB; Department of Environmental Health Sciences, Columbia Mailman School of Public Health, New York, NY, USA.
  • Hockett CW; Department of Pediatrics, Avera Research Institute, South Dakota School of Medicine, Vermillion, SD, USA.
  • Karagas MR; Department of Epidemiology, Geisel School of Medicine, Dartmouth, Lebanon, NH, USA.
  • Keenan K; Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, IL, USA.
  • Krafty RT; Department of Biostatistics and Bioinformatics, Emory University, Atlanta, GA, USA.
  • Monk C; Departments of Obstetrics & Gynecology, and Psychiatry, Columbia University Medical Center, New York State Psychiatric Institute, New York, NY, USA.
  • Nozadi SS; Community Environmental Health Program, Health Sciences Center, University of New Mexico, Albuquerque, NM, USA.
  • O'Connor TG; Departments of Psychiatry, Psychology, Neuroscience, and Obstetrics and Gynecology, University of Rochester, Rochester, NY, USA.
  • Oken E; Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA.
  • Osmundson SS; Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, TN, USA.
  • Schantz S; Beckman Institute for Advanced Science and Technology, Urbana, IL, USA.
  • Wright R; Icahn School of Medicine at Mount Sinai, New York, NY, USA.
  • Comstock SS; Department of Food Science & Human Nutrition, Michigan State University, East Lansing, MI, USA.
Psychol Med ; : 1-14, 2023 Mar 08.
Article in En | MEDLINE | ID: mdl-36883203
ABSTRACT
Abstract.

BACKGROUND:

Studies have reported mixed findings regarding the impact of the coronavirus disease 2019 (COVID-19) pandemic on pregnant women and birth outcomes. This study used a quasi-experimental design to account for potential confounding by sociodemographic characteristics.

METHODS:

Data were drawn from 16 prenatal cohorts participating in the Environmental influences on Child Health Outcomes (ECHO) program. Women exposed to the pandemic (delivered between 12 March 2020 and 30 May 2021) (n = 501) were propensity-score matched on maternal age, race and ethnicity, and child assigned sex at birth with 501 women who delivered before 11 March 2020. Participants reported on perceived stress, depressive symptoms, sedentary behavior, and emotional support during pregnancy. Infant gestational age (GA) at birth and birthweight were gathered from medical record abstraction or maternal report.

RESULTS:

After adjusting for propensity matching and covariates (maternal education, public assistance, employment status, prepregnancy body mass index), results showed a small effect of pandemic exposure on shorter GA at birth, but no effect on birthweight adjusted for GA. Women who were pregnant during the pandemic reported higher levels of prenatal stress and depressive symptoms, but neither mediated the association between pandemic exposure and GA. Sedentary behavior and emotional support were each associated with prenatal stress and depressive symptoms in opposite directions, but no moderation effects were revealed.

CONCLUSIONS:

There was no strong evidence for an association between pandemic exposure and adverse birth outcomes. Furthermore, results highlight the importance of reducing maternal sedentary behavior and encouraging emotional support for optimizing maternal health regardless of pandemic conditions.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Psychol Med Year: 2023 Document type: Article Affiliation country: United States
Fulltext
Add to My VHL
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Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Psychol Med Year: 2023 Document type: Article Affiliation country: United States