English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Background  Depression, stress, and poor-quality sleep are common during pregnancy and postpartum, but the relationship of these factors with reward-related eating is not well understood. This observational cohort study examines associations of depression, stress, and sleep quality with self-reported reward-related eating in pregnancy and postpartum .Methods  Participants were enrolled at < 12 weeks gestation and followed through 1 year postpartum. Self-reported measures obtained at baseline and 23–31 weeks postpartum included the Edinburgh Postnatal Depression Scale, Perceived Stress Scale, Pittsburgh Sleep Quality Index; reward-related eating measures included the Power of Food Scale (assessing hedonic hunger), modified Yale Food Addiction Scale (assessing addictive-like eating), and frequency and intensity of cravings. Linear and logistic regression models estimated associations of depressive symptoms, stress, and sleep quality with reward-related eating during pregnancy and postpartum, as well as change in each predictor with change in outcome.    Results  During pregnancy, greater depressive symptoms (β ± SE = 0.03 ± 0.01,   p   < .01), higher stress (0.03 ± 0.01,   p   < .01), and worse sleep quality (0.03 ± 0.01,   p   = 0.03) were associated with greater hedonic hunger. Similarly, greater depressive symptoms (OR = 1.08, 95% CI: 1.02, 1.14,   p   = .01), higher stress (OR = 1.09, 95% CI: 1.04, 1.14,   p   = <.01), and worse sleep quality (OR = 1.09, 95% CI: 1.00, 1.18,   p   = .04) were associated with greater odds of addictive-like eating. These associations were also significant in postpartum except that sleep quality was not associated with hedonic hunger. Greater depressive symptoms (β ± SE = 0.06 ± 0.02,   p   < .01; 0.08 ± 0.02,   p   = <.01), higher stress (0.04 ± 0.01,   p   < .01; 0.06 ± 0.02,   p   < .01), and worse sleep quality (0.11 ± 0.03,   p   < .01; 0.13 ± 0.03,   p   < .01) during pregnancy were associated with stronger and more frequent cravings, respectively. Increased depressive symptoms from pregnancy to postpartum was associated with increased hedonic hunger (β ± SE = 1.17 ± 0.57,   p   = 0.01) and addictive-like eating (0.88 ± 0.33,   p   = 0.01), and increased stress was associated with increased hedonic hunger (1.71 ± 0.76,   p   = 0.02). Change in stress was not associated with change in addictive-like eating and change in sleep quality was not associated with change in either hedonic hunger or addictive-like eating.    Conclusions  Greater depressive symptoms, perceived stress, and poorer sleep quality are associated with greater self-reported reward-related eating during pregnancy and postpartum, suggesting that efforts to improve diet during and after pregnancy may benefit from addressing mental health and sleep.    Trial registration  Clinicaltrials.gov  Registration ID –  NCT02217462 .  Date of registration – August 13, 2014    Supplementary Information  The online version contains supplementary material available at 10.1186/s12966-021-01124-9.

the international journal of behavioural nutrition and physical activity

Poorer mental health and sleep quality are associated with greater self-reported reward-related eating during pregnancy and postpartum: an observational cohort study