孕期负性情绪与体重管理行为的相关性研究

目的 本研究旨在探究孕期负性情绪与孕期体重管理行为之间的关联性。方法 采用多阶段分层抽样的方法对江苏省常州市的孕妇开展横断面调查。通过问卷调查的方式收集社会人口学特征、抑郁、焦虑和孕期体重管理行为(运动管理、饮食管理和管理目标)的情况。应用多元线性回归分析探索负性情绪与孕期体重管理行为的相关关系。结果 在784名参与者中,孕期抑郁137(17.5%)例,孕期相关焦虑330(42.1%)例。单因素分析结果显示有无负性情绪两组间的体重管理量表得分有差异(P<0.05)。多因素线性回归分析结果显示负性情绪与运动管理行为(β=-1.108, P<0.01)、饮食管理行为(β=-0.737, P<0.01)和管理目标行为(β=-0.602, P<0.01)呈现负向相关。结论 妊娠期负性情绪对体重管理行为有负向影响。孕期体重管理的干预需要考虑孕妇的心理状态,对经历负性情绪的孕妇应当采取个性化的干预和治疗。

Correlation between negative emotions during pregnancy and weight management behavior

Objective To investigate the association between maternal negative emotions and pregnancy weight management behaviors. Methods A cross-sectional survey was conducted among pregnant women in Changzhou City, Jiangsu Province by multi-stage stratified sampling method. Questionnaires were used to collect socio-demographic characteristics, depression, anxiety, and pregnancy weight management behaviors(exercise management, diet management, and management goals). Multiple linear regression analyses were used to explore the relationship between negative emotions and weight management behaviors during pregnancy. Results Among the 784 participants, 137(17.5%)cases of depression during pregnancy and 330(42.1%)cases of pregnancy-related anxiety were reported. Univariate analysis showed that there was a difference in weight management scale scores between the two groups with and without negative emotions(P< 0.05). The results of multivariate linear regression analysis showed that negative emotions and exercise management behaviors(β=-1.108, P<0.01), diet management behaviors(β=-0.737, P<0.01)and management goal behaviors(β=-0.602, P<0.01)showed a negative correlation. Conclusion Negative emotions during pregnancy have an adverse impact on weight management behaviors. Psychological health of pregnant women should be fully considered in weight management during pregnancy.