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21-04-2022

Perceived social support predicts self-reported and objective health and health behaviors among pregnant women

Auteurs: Amanda M. Mitchell, Jennifer M. Kowalsky, Lisa M. Christian, Martha A. Belury, Rachel M. Cole

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 4/2022

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Abstract

Perinatal health and health behaviors play a crucial role in maternal and neonatal health. Data examining psychosocial factors which predict self-reported health and health behaviors as well as objective indicators downstream of health behaviors among pregnant women are lacking. In this longitudinal study design with 131 pregnant women, perceived social support was examined as a predictor of self-rated health and average levels of sleep quality, health-promoting and health-impairing behaviors, and red blood cell (RBC) polyunsaturated fatty acids across early, mid, and late pregnancy. Participants provided a blood sample and fatty acid methyl esters were analyzed by gas chromatography. Measures included the Multidimensional Scale of Perceived Social Support, Pittsburgh Sleep Quality Index, and Prenatal Health Behavior Scale. Regression models demonstrated that, after adjustment for income, race/ethnicity, age, relationship status, pre-pregnancy body mass index, greater social support was associated with better self-rated health (p = 0.001), greater sleep quality (p = 0.001), fewer health-impairing behaviors (p = 0.02), and higher RBC omega-3 fatty acids (p = 0.003). Associations among social support with health-promoting behaviors, RBC omega-6 fatty acids, or gestational weight gain were not significant. Findings underscore the benefits of perceived social support in the context of pregnancy. Examination of pathways that link social support with these outcomes will be meaningful in determining the ways in which perinatal psychosocial interventions may promote health.
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Literatuur
go back to reference ACOG. (2015). Physical activity and exercise during pregnancy and the postpartum period. Committee Opinion No. 650. Obstetrics and Gynecology, 126, 135–142.CrossRef ACOG. (2015). Physical activity and exercise during pregnancy and the postpartum period. Committee Opinion No. 650. Obstetrics and Gynecology, 126, 135–142.CrossRef
go back to reference Christian, L. M. (2015). Stress and immune function during pregnancy: An emerging focus in mind-body medicine. Current Directions in Psychological Science, 24(1), 3–9.CrossRef Christian, L. M. (2015). Stress and immune function during pregnancy: An emerging focus in mind-body medicine. Current Directions in Psychological Science, 24(1), 3–9.CrossRef
go back to reference Christian, L. M., Blair, L. M., Porter, K., Lower, M., Cole, R. M., & Belury, M. A. (2016). Polyunsaturated fatty acid (PUFA) status in pregnant women: Associations with sleep quality, inflammation, and length of gestation. PloS One, 11(2), e0148752. Christian, L. M., Blair, L. M., Porter, K., Lower, M., Cole, R. M., & Belury, M. A. (2016). Polyunsaturated fatty acid (PUFA) status in pregnant women: Associations with sleep quality, inflammation, and length of gestation. PloS One, 11(2), e0148752.
go back to reference Christian, L. M., Carroll, J. E., Porter, K., & Hall, M. H. (2019). Sleep quality across pregnancy and postpartum: Effects of parity and race. Sleep Health, 5(4), 327–334. Christian, L. M., Carroll, J. E., Porter, K., & Hall, M. H. (2019). Sleep quality across pregnancy and postpartum: Effects of parity and race. Sleep Health, 5(4), 327–334.
go back to reference Christian, L. M., Kowalsky, J. M., Mitchell, A. M., & Porter, K. (2018). Associations of postpartum sleep, stress, and depressive symptoms with LPS-stimulated cytokine production among African American and White women. Journal of Neuroimmunology, 316, 98–106. Christian, L. M., Kowalsky, J. M., Mitchell, A. M., & Porter, K. (2018). Associations of postpartum sleep, stress, and depressive symptoms with LPS-stimulated cytokine production among African American and White women. Journal of Neuroimmunology, 316, 98–106.
go back to reference Christian, L. M., Webber, S., Gillespie, S., Strahm, A. M., Schaffir, J., Gokun, Y., & Porter, K. (2021). Maternal depressive symptoms, sleep, and odds of spontaneous early birth: Implications for racial inequities in birth outcomes. Sleep. https://doi.org/10.1093/sleep/zsab133 Christian, L. M., Webber, S., Gillespie, S., Strahm, A. M., Schaffir, J., Gokun, Y., & Porter, K. (2021). Maternal depressive symptoms, sleep, and odds of spontaneous early birth: Implications for racial inequities in birth outcomes. Sleep. https://​doi.​org/​10.​1093/​sleep/​zsab133
go back to reference Dunkel Schetter, C., & Lobel, M. (2012). Pregnancy and birth outcomes: A multilevel analysis of prenatal maternal stress and birth weight. In A. Baum, T. A. Revenson, & J. Singer (Eds.), Handbook of health psychology (pp. 431–463). Psychology Press. Dunkel Schetter, C., & Lobel, M. (2012). Pregnancy and birth outcomes: A multilevel analysis of prenatal maternal stress and birth weight. In A. Baum, T. A. Revenson, & J. Singer (Eds.), Handbook of health psychology (pp. 431–463). Psychology Press.
go back to reference Facco, F. L., Grobman, W. A., Reid, K. J., Parker, C. B., Hunter, S. M., Silver, R. M., Basner, R. C., Saade, G. R., Pien, G. W., Manchanda, S., & Louis, J. M. (2017). Objectively measured short sleep duration and later sleep midpoint in pregnancy are associated with a higher risk of gestational diabetes. American Journal of Obstetrics and Gynecology, 217, 447-e1.CrossRef Facco, F. L., Grobman, W. A., Reid, K. J., Parker, C. B., Hunter, S. M., Silver, R. M., Basner, R. C., Saade, G. R., Pien, G. W., Manchanda, S., & Louis, J. M. (2017). Objectively measured short sleep duration and later sleep midpoint in pregnancy are associated with a higher risk of gestational diabetes. American Journal of Obstetrics and Gynecology, 217, 447-e1.CrossRef
go back to reference Grootendorst-van Mil, N. H., Tiemeier, H., Steenweg-de Graaff, J., Koletzko, B., Demmelmair, H., Jaddoe, V. W., Steegers, E. A., & Steegers-Theunissen, R. P. (2018). Maternal plasma n-3 and n-6 polyunsaturated fatty acids during pregnancy and features of fetal health: Fetal growth velocity, birth weight and duration of pregnancy. Clinical Nutrition, 37(4), 1367–1374. https://doi.org/10.1016/j.clnu.2017.06.010CrossRefPubMed Grootendorst-van Mil, N. H., Tiemeier, H., Steenweg-de Graaff, J., Koletzko, B., Demmelmair, H., Jaddoe, V. W., Steegers, E. A., & Steegers-Theunissen, R. P. (2018). Maternal plasma n-3 and n-6 polyunsaturated fatty acids during pregnancy and features of fetal health: Fetal growth velocity, birth weight and duration of pregnancy. Clinical Nutrition, 37(4), 1367–1374. https://​doi.​org/​10.​1016/​j.​clnu.​2017.​06.​010CrossRefPubMed
go back to reference Hetherington, E., McDonald, S., Williamson, T., Patten, S. B., & Tough, S. C. (2018). Social support and maternal mental health at 4 months and 1 year postpartum: Analysis from the All Our Families cohort. Journal of Epidemiology & Community Health, 72(10), 933–939. https://doi.org/10.1136/jech-2017-210274CrossRef Hetherington, E., McDonald, S., Williamson, T., Patten, S. B., & Tough, S. C. (2018). Social support and maternal mental health at 4 months and 1 year postpartum: Analysis from the All Our Families cohort. Journal of Epidemiology & Community Health, 72(10), 933–939. https://​doi.​org/​10.​1136/​jech-2017-210274CrossRef
go back to reference Jara, A., Dreher, M., Porter, K., & Christian, L. M. (2020). The association of maternal obesity and race with serum adipokines in pregnancy and postpartum: Implications for gestational weight gain and infant birth weight. Brain, Behavior, & Immunity-Health, 3, 100053. Jara, A., Dreher, M., Porter, K., & Christian, L. M. (2020). The association of maternal obesity and race with serum adipokines in pregnancy and postpartum: Implications for gestational weight gain and infant birth weight. Brain, Behavior, & Immunity-Health, 3, 100053.
go back to reference Lee, K. A., McEnany, G., & Zaffke, M. E. (2000). REM sleep and mood state in childbearing women: Sleepy or weepy? Sleep, 23(7), 877–885.CrossRef Lee, K. A., McEnany, G., & Zaffke, M. E. (2000). REM sleep and mood state in childbearing women: Sleepy or weepy? Sleep, 23(7), 877–885.CrossRef
go back to reference Lobel, M. (1996). The prenatal health behavior scale—revised. State University of New York at Stony Brook. Lobel, M. (1996). The prenatal health behavior scale—revised. State University of New York at Stony Brook.
go back to reference Malek, L., Umberger, W., Makrides, M., & Zhou, S. J. (2016). Adherence to the Australian dietary guidelines during pregnancy: Evidence from a national study. Public Health Nutrition, 19(7), 1155–1163.CrossRef Malek, L., Umberger, W., Makrides, M., & Zhou, S. J. (2016). Adherence to the Australian dietary guidelines during pregnancy: Evidence from a national study. Public Health Nutrition, 19(7), 1155–1163.CrossRef
go back to reference Micheli, K., Komninos, I., Bagkeris, E., Roumeliotaki, T., Koutis, A., Kogevinas, M., & Chatzi, L. (2011). Sleep patterns in late pregnancy and risk of preterm birth and fetal growth restriction. Epidemiology, 22(5), 738–744.CrossRef Micheli, K., Komninos, I., Bagkeris, E., Roumeliotaki, T., Koutis, A., Kogevinas, M., & Chatzi, L. (2011). Sleep patterns in late pregnancy and risk of preterm birth and fetal growth restriction. Epidemiology, 22(5), 738–744.CrossRef
go back to reference Mitchell, A. M., Kowalsky, J. M, Epel, E. S., Lin, J., & Christian, L. M. (2018). Childhood adversity, social support, and telomere length among perinatal women. Psychoneuroendocrinology, 87, 43–52. Mitchell, A. M., Kowalsky, J. M, Epel, E. S., Lin, J., & Christian, L. M. (2018). Childhood adversity, social support, and telomere length among perinatal women. Psychoneuroendocrinology, 87, 43–52.
go back to reference Solar, O., Irwin, A. (2010). A conceptual framework for action on the social determinants of health. Social Determinants of Health Discussion Paper 2 (Policy and Practice). Geneva, World Health Organization. Solar, O., Irwin, A. (2010). A conceptual framework for action on the social determinants of health. Social Determinants of Health Discussion Paper 2 (Policy and Practice). Geneva, World Health Organization.
go back to reference Thornton, P. L., Kieffer, E. C., Salabarría-Peña, Y., Odoms-Young, A., Willis, S. K., Kim, H., & Salinas, M. A. (2006). Weight, diet, and physical activity-related beliefs and practices among pregnant and postpartum Latino women: The role of social support. Maternal and Child Health Journal, 10, 95–104. https://doi.org/10.1007/s10995-005-0025-3CrossRefPubMed Thornton, P. L., Kieffer, E. C., Salabarría-Peña, Y., Odoms-Young, A., Willis, S. K., Kim, H., & Salinas, M. A. (2006). Weight, diet, and physical activity-related beliefs and practices among pregnant and postpartum Latino women: The role of social support. Maternal and Child Health Journal, 10, 95–104. https://​doi.​org/​10.​1007/​s10995-005-0025-3CrossRefPubMed
go back to reference Viau, P. A., Padula, C. A., & Eddy, B. (2002). An exploration of health concerns & health-promotion behaviors in pregnant women over age 35. MCN: the American Journal of Maternal/child Nursing, 27(6), 328–334. Viau, P. A., Padula, C. A., & Eddy, B. (2002). An exploration of health concerns & health-promotion behaviors in pregnant women over age 35. MCN: the American Journal of Maternal/child Nursing, 27(6), 328–334.
go back to reference Ware, J., & Sherbourne, C. (1992). The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30(6), 473–483.CrossRef Ware, J., & Sherbourne, C. (1992). The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30(6), 473–483.CrossRef
Metagegevens
Titel
Perceived social support predicts self-reported and objective health and health behaviors among pregnant women
Auteurs
Amanda M. Mitchell
Jennifer M. Kowalsky
Lisa M. Christian
Martha A. Belury
Rachel M. Cole
Publicatiedatum
21-04-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 4/2022
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-022-00306-5