孕晚期静坐行为与抑郁和妊娠相关焦虑的关系

目的 探究北京地区孕晚期妇女总静坐行为和不同类型静坐行为与抑郁和妊娠相关焦虑的关系.方法 以中国孕产妇队列研究(CPWCS)·协和项目中的576例孕晚期妇女为研究对象.CPWCS项目自2018年5月起,在北京市通州区妇幼保健院采用方便抽样的方法纳入年龄≥16岁,孕5～12周的孕早期妇女,并进行基线调查.于研究对象孕晚期...

Associations of sedentary behavior with depressive symptoms and pregnancy-related anxiety in the third trimester

Objective To explore the associations of total sedentary behavior and different types of sedentary behavior with depressive symptoms and pregnancy-related anxiety among pregnant women in the third trimester in Beijing.Methods Data of 576 participates from the Chinese Pregnant Women Cohort study(CPWCS)were studied.Pregnant women aged ≥16 years old and 5-12 weeks of gestation were included by using non-randomized sampling and their general information was collected.CPWSC followed the participants in their third trimester,and the sedentary behaviors were collected by using the Pregnancy Physical Activity Questionnaire(PPAQ).The depressive symptoms and pregnancy-related anxiety were evaluated using the Edinburgh postpartum depression scale(EPDS)and pregnancy-related anxiety scale(PAQ),respectively.Logistic regression models were conducted to analyze the associations.Results Pregnant women with elevated depressive symptoms and pregnancy-related anxiety accounted for 25.00% and 28.82%,respectively.Logistic regression models showed that women with high level of using a computer or writing or watching TV or videos during non-working time had higher odds to have elevated depressive symptoms(OR=1.72,95%CI:1.08-2.75;OR=1.90,95%CI:1.15-3.14).Women with moderate or high levels of total sedentary behavior had higher odds to develop elevated pregnancy-related anxiety(OR=1.80,95%CI:1.14-2.84;OR=1.72,95%CI:1.07-2.75),as compared with those with low level.Moderate and high levels of watching TV or videos during non-working time were associated with higher odds of pregnancy-related anxiety(OR=2.69,95%CI:1.52-4.78;OR=2.82,95%CI:1.68-4.75).High level of calling,reading,and talking during non-working time was associated with higher odds of pregnancy-related anxiety(OR=2.37,95%CI:1.23-4.57).Conclusion Sedentary behavior of women in the third trimester was associated with depression and pregnancy-related anxiety.Reducing the use of computer or writing,watching TV or video,calling,reading,and talking during non-working time may help prevent and reduce depression and pregnancy-related anxiety during pregnancy.