Journal of psychosomatic research · 2025
Effects of psychosocial and behavioural determinants on allostatic load in early pregnant women: A cross-sectional study.
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Yuan Dehui, Wang Minghuan, Bu Sisi, Xiong Min, Lu Liang, Zhang Liu, Li Yuhong
Аннотация
OBJECTIVE: Allostatic load (AL) reflects the cumulative wear and tear from chronic environmental challenges to the body and has an impact on adverse pregnancy outcomes. This study explored the influence of psychosocial and behavioural factors on AL among pregnant women.
METHODS: This cross-sectional study included 455 Chinese women in early pregnancy from January to May 2022. AL was assessed by waist-to-hip ratio, body mass index, glucose, high-density lipoprotein, total cholesterol, systolic blood pressure, diastolic blood pressure, and high-sensitivity C-reactive protein. Depression was assessed using the Edinburgh Postpartum Depression Scale. Physical activity was assessed using the short version of the International Physical Activity Questionnaire. Life purpose was assessed using the Ryff Scale of Psychological Well-Being. Pregnancy-related anxiety was assessed by the Chinese Pregnancy Related Anxiety Scale. Odds ratios (OR) and 95 % confidence intervals (CIs) were estimated using logistic regression analysis.
RESULTS: 36.7 % of pregnant women had high AL (AL ≥ 3). Multivariate analysis showed university degree or above (OR = 0.47, 95 % CI 0.25-0.88), moderate physical activity level (OR = 0.38, 95 % CI 0.21-0.69), life purpose (OR = 1.17, 95 % CI 1.05-1.32), and depression (OR = 0.08, 95 % CI 0.07-0.94) were independently associated with AL.
CONCLUSIONS: Healthcare providers should consider the impact of education, life purpose, depression and physical activity on physiological wear in early pregnancy to detect high AL and promote maternal and child health.
METHODS: This cross-sectional study included 455 Chinese women in early pregnancy from January to May 2022. AL was assessed by waist-to-hip ratio, body mass index, glucose, high-density lipoprotein, total cholesterol, systolic blood pressure, diastolic blood pressure, and high-sensitivity C-reactive protein. Depression was assessed using the Edinburgh Postpartum Depression Scale. Physical activity was assessed using the short version of the International Physical Activity Questionnaire. Life purpose was assessed using the Ryff Scale of Psychological Well-Being. Pregnancy-related anxiety was assessed by the Chinese Pregnancy Related Anxiety Scale. Odds ratios (OR) and 95 % confidence intervals (CIs) were estimated using logistic regression analysis.
RESULTS: 36.7 % of pregnant women had high AL (AL ≥ 3). Multivariate analysis showed university degree or above (OR = 0.47, 95 % CI 0.25-0.88), moderate physical activity level (OR = 0.38, 95 % CI 0.21-0.69), life purpose (OR = 1.17, 95 % CI 1.05-1.32), and depression (OR = 0.08, 95 % CI 0.07-0.94) were independently associated with AL.
CONCLUSIONS: Healthcare providers should consider the impact of education, life purpose, depression and physical activity on physiological wear in early pregnancy to detect high AL and promote maternal and child health.