Associations between lifestyle and well-being in early and late pregnancy in women with overweight or obesity: Secondary analyses of the PEARS RCT

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Health Psychology Pub Date : 2025-01-16 DOI:10.1111/bjhp.12776

Kaat Philippe, Alexander P. Douglass, Fionnuala M. McAuliffe, Catherine M. Phillips

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Abstract

Objectives

The associations between individual lifestyle behaviours and well-being are still poorly understood, particularly in the antenatal period when women are exposed to physiological changes and increased psychological distress. A healthy lifestyle score (HLS) comprising protective lifestyle behaviours may be useful for studying links between overall lifestyle and psychosocial outcomes. This study aimed to examine bidirectional associations between a HLS and its components and psychological well-being in pregnant women with overweight/obesity.

Design

Secondary analyses of data from the PEARS trial.

Methods

Healthy lifestyle scores (scored 0–5) based on maternal diet (AHEI-P), physical activity (MET-minutes), alcohol consumption, smoking, and sleep habits were created for 330 and 287 mothers with overweight/obesity in early (14–16 weeks gestation) and late pregnancy (28 weeks gestation), respectively. Psychological well-being was measured with the WHO-5 well-being index. Cross-lagged path models (crude/adjusted) tested the directionality of relationships between lifestyle (composite score/individual components) and well-being cross-sectionally and over time in pregnancy.

Results

The mean early pregnancy BMI was 29.2 kg/m². The mean well-being score was 56.3% in early and 60.7% in late pregnancy. Significant autoregressive effects were observed for the HLS, all individual components, and well-being from early to late pregnancy. Well-being was positively correlated with the HLS, physical activity, and sleep variables within time points (in early and/or late pregnancy). Sleep and no smoking in early pregnancy predicted higher well-being in late pregnancy.

Conclusions

Overall healthy lifestyle, physical activity, and especially sleep duration and quality are associated with psychological well-being in pregnancy, and should be promoted antenatally.

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超重或肥胖妇女妊娠早期和晚期生活方式与健康之间的关系：梨随机对照试验的二次分析

目标：个人生活方式行为与幸福之间的联系仍然知之甚少，特别是在产前期间，妇女暴露于生理变化和增加的心理困扰。包含保护性生活方式行为的健康生活方式评分（HLS）可能有助于研究总体生活方式与社会心理结果之间的联系。本研究旨在探讨超重/肥胖孕妇HLS及其成分与心理健康之间的双向关系。设计：对梨试验数据进行二次分析。方法：对330例妊娠早期（14-16周）和287例妊娠晚期（28周）超重/肥胖的母亲分别建立基于母亲饮食（AHEI-P）、身体活动（MET-minutes）、饮酒、吸烟和睡眠习惯的健康生活方式评分（评分0-5分）。使用WHO-5幸福指数测量心理健康。交叉滞后路径模型（粗糙/调整）测试了生活方式（综合得分/个体成分）与怀孕期间幸福感之间的关系的指向性。结果：孕早期平均BMI为29.2 kg/m2。怀孕初期的平均幸福感为56.3%，怀孕后期的平均幸福感为60.7%。从妊娠早期到晚期，观察到HLS、所有个体成分和幸福感的显著自回归效应。在时间点内（妊娠早期和/或妊娠晚期），幸福感与HLS、身体活动和睡眠变量呈正相关。怀孕早期的睡眠和不吸烟预示着怀孕后期的幸福感更高。结论：整体健康的生活方式、身体活动，尤其是睡眠时间和质量与妊娠期心理健康相关，应在产前加以促进。

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来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.