Evidence mapPaperPMID 32703266Full record

Trial reportBMC medicine2020

Evaluation of antenatal risk factors for postpartum depression: a secondary cohort analysis of the cluster-randomised GeliS trial.

Hamimatunnisa Johar, Julia Hoffmann, Julia Günther, Seryan Atasoy, Lynne Stecher, Monika Spies, Hans Hauner, Karl-Heinz Ladwig

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01958307 (Healthy Living in Pregnancy), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01958307 nacompletednot on this map

Healthy Living in Pregnancy

TypeinterventionalSponsorTechnical University of MunichRan2013 to 2022Enrolled2,286ConditionsLifestyle, Weight Gain, PregnancyArmsLifestyle intervention
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 32 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Hamimatunnisa JoharInstitute of Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Ingolstädter Landstraße 1, 85764, Neuherberg, Germany.ORCID 0000-0001-8713-4121
Julia HoffmannInstitute of Nutritional Medicine, Else Kröner-Fresenius-Centre for Nutritional Medicine, Klinikum rechts der Isar, Technical University of Munich, Georg-Brauchle-Ring 62, 80992, Munich, Germany.ORCID 0000-0002-5504-7311
Julia GüntherInstitute of Nutritional Medicine, Else Kröner-Fresenius-Centre for Nutritional Medicine, Klinikum rechts der Isar, Technical University of Munich, Georg-Brauchle-Ring 62, 80992, Munich, Germany.ORCID 0000-0003-1489-7528
Seryan AtasoyInstitute of Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Ingolstädter Landstraße 1, 85764, Neuherberg, Germany.ORCID 0000-0003-1496-652X
Lynne StecherInstitute of Nutritional Medicine, Else Kröner-Fresenius-Centre for Nutritional Medicine, Klinikum rechts der Isar, Technical University of Munich, Georg-Brauchle-Ring 62, 80992, Munich, Germany.
Monika SpiesInstitute of Nutritional Medicine, Else Kröner-Fresenius-Centre for Nutritional Medicine, Klinikum rechts der Isar, Technical University of Munich, Georg-Brauchle-Ring 62, 80992, Munich, Germany.ORCID 0000-0001-7770-0847
Hans HaunerInstitute of Nutritional Medicine, Else Kröner-Fresenius-Centre for Nutritional Medicine, Klinikum rechts der Isar, Technical University of Munich, Georg-Brauchle-Ring 62, 80992, Munich, Germany. hans.hauner@tum.de.ORCID 0000-0002-1682-5088
Karl-Heinz LadwigInstitute of Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Ingolstädter Landstraße 1, 85764, Neuherberg, Germany. Karl-Heinz.Ladwig@tum.de.ORCID 0000-0003-0710-1720
TUM Klinikum · DEJustus-Liebig-Universität Gießen · DE

Funding

AOK Bayern NABavarian State Ministry of Health and Care (Health Initiative "Gesund.Leben.Bayern.") NABayerisches Staatsministerium für Ernährung, Landwirtschaft und Forsten (DE) NACompetence Centre for Nutrition (KErn) NADEDIPAC consortium by the Joint Programming Initiative (JPI) "A Healthy Diet for a Healthy Life" NAElse Kröner-Fresenius Centre for Nutritional Medicine NA
6 · The paper itself

Abstract

backgroundMaternal weight variables are important predictors of postpartum depression (PPD). While preliminary evidence points to an association between pre-pregnancy obesity and PPD, the role of excessive gestational weight gain (GWG) on PPD is less studied. In this secondary cohort analysis of the German 'healthy living in pregnancy' (GeliS) trial, we aimed to investigate associations between weight-related variables and PPD and to assess the influence of GWG on the risk for PPD.

methodsWe included women with normal weight, overweight, and obesity (BMI 18.5-40.0 kg/m

resultsOf the total 1583 participants, 45.6% (n = 722) showed excessive GWG and 7.9% (n = 138) experienced PPD. Pre-pregnancy BMI (per 5-unit increase; OR = 1.23, 95% CI 1.08-1.41, p = 0.002) and pre-pregnancy overweight or obesity were significantly positively associated with the odds of developing PPD, particularly among women with an antenatal history of anxiety or depressive symptoms (overweight: OR = 1.93, 95% CI = 1.15-3.22, p = 0.01; obesity: OR = 2.11, 95% CI = 1.13-3.96, p = 0.02). Sociodemographic or lifestyle factors did not additively influence the odds of having PPD. In fully adjusted models, there was no significant evidence that GWG or the occurrence of excessive GWG increased the odds of experiencing PPD (excessive vs. non-excessive: OR = 3.48, 95% CI 0.35-34.94; GWG per 1 kg increase: OR = 1.16, 95% CI 0.94-1.44).

conclusionPre-pregnancy overweight or obesity is associated with PPD independent of concurrent risk factors. History of anxiety or depressive symptoms suggests a stress-induced link between pre-pregnancy weight and PPD.

trial registrationNCT01958307 , ClinicalTrials.gov, retrospectively registered on 9 October 2013.

Indexed as

AdultCohort StudiesDepression, PostpartumFemaleHumansObesityOverweightPregnancyPrenatal DiagnosisProspective StudiesRisk FactorsWeight GainAnxietyEPDSGestational weight gainLifestyle interventionObesity preventionPostpartum depressionPredictorRoutine careWell-being

Identifiers

PMID32703266
PMCPMC7379365
OpenAlexW3043947656

What Socratic holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.