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Stress during pregnancy and gestational weight gain
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نویسنده
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Kominiarek Michelle A. ,Grobman William ,Adam Emma ,Buss Claudia ,Culhane Jennifer ,Entringer Sonja ,Simhan Hyagriv ,Wadhwa Pathik D. ,Kim Kwang-Youn ,Keenan-Devlin Lauren ,Borders Ann
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منبع
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journal of perinatology - 2018 - دوره : 38 - شماره : 5 - صفحه:462 -467
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چکیده
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Objectiveto evaluate the association between prenatal stress and gestational weight gain (gwg).study designthis was an analysis of women recruited between 2013–2015 from four sites in the us. we tested associations between responses at 32–35 weeks to the life experiences survey (les), a 37-item measure of events and perceived stress, and gwg categories. bivariable comparisons and logistic regression were used to estimate the association between the total les score and the odds of achieving adequate gwg.resultamong the 725 women, those with adequate gwg had lower median les scores (5) compared to women with inadequate (7) and excessive (7) gwg, p = 0.02. after adjusting for age, initial bmi, income, education, marital status and gestational diabetes, lower les scores (multiples of the median) were associated with adequate gwg (aor 0.81, 95% ci 0.67–0.98).conclusionlower reported stress, as measured by the les, was associated with a greater chance of women achieving adequate gwg. this relationship highlights the potential for interventions directed toward psychosocial support to have salutary effects upon gwg.
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آدرس
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Northwestern University, Department of Obstetrics and Gynecology, USA, Northwestern University, Department of Obstetrics and Gynecology, USA, Northwestern University, Department of Education and Social Policy, USA, University of California, Health and Disease Research Program, USA. Charite, Universitatsmedizin, Germany, Children’s Hospital of Pennsylvania, Division of Adolescent Medicine, USA, University of California, Health and Disease Research Program, USA. Charite, Universitatsmedizin, Germany, University of Pittsburgh, Department of Obstetrics and Gynecology, USA, University of California, Health and Disease Research Program, USA, Northwestern University, USA, NorthShore University Health System and University of Chicago Priztker School of Medicine, Department of Obstetrics and Gynecology, USA, NorthShore University Health System and University of Chicago Priztker School of Medicine, Department of Obstetrics and Gynecology, USA
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Authors
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