Observational studyThe international journal of behavioral nutrition and physical activity2021
Poorer mental health and sleep quality are associated with greater self-reported reward-related eating during pregnancy and postpartum: an observational cohort study.
Observational study in The international journal of behavioral nutrition and physical activity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02217462 (Diet, Obesity, and Weight Change in Pregnancy), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Diet, Obesity, and Weight Change in Pregnancy
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- A Systematic Review of Studies Examining Associations between Sleep Characteristics with Dietary Intake and Eating Behaviors during Pregnancy.Nutrients · 2023Pooled it
- New parents' sleep, movement, health, and well-being across the postpartum period.Behavioral sleep medicineTrial
- Cardiovascular health and depression among postpartum women in the United States.American journal of preventive cardiology · 2026Article
- Observational
- Breastfeeding Practices, Insomnia Symptoms, Anxiety, and Depression Among Lebanese Mothers: A Cross-Sectional Study.Food science & nutrition · 2026Article
- Maternal Prenatal Psychosocial Stress in Relation to Maternal and Neonatal Anemia.Current developments in nutrition · 2026Article
- Mid-pregnancy psychosocial distress and the risk of third-trimester small-for-gestational-age fetuses: a prospective cohort study in coastal Indonesia.Frontiers in psychiatry · 2026Article
- Twenty years of behavioral nutrition- A reflection on the road less travelled.The international journal of behavioral nutrition and physical activity · 2025Article
- Experiences of working as a clinical nurse while pregnant during the coronavirus disease-2019 pandemic: a qualitative study.BMC nursing · 2025Article
- Observational
- Trajectories and predictors of maternal eating behaviors across the first year postpartum: The role of women's childhood trauma in emotional, external and restraint eating.Eating behaviors · 2025Article
- Food addiction and dietary restraint in postpartum women: The role of childhood trauma exposure and postpartum depression.Appetite · 2023Article
- Incorporating Skills for Managing Mood, Stress, and Sleep into a Gestational Weight Gain Intervention.Journal of contemporary psychotherapy · 2023Article
- Article
- Potential mechanisms and modulators of food intake during pregnancy.Frontiers in nutrition · 2023Review
- Maternal Factors Affecting the Macronutrient Composition of Transitional Human Milk.International journal of environmental research and public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundDepression, stress, and poor-quality sleep are common during pregnancy and postpartum, but the relationship of these factors with reward-related eating is not well understood. This observational cohort study examines associations of depression, stress, and sleep quality with self-reported reward-related eating in pregnancy and postpartum.
methodsParticipants were enrolled at < 12 weeks gestation and followed through 1 year postpartum. Self-reported measures obtained at baseline and 23-31 weeks postpartum included the Edinburgh Postnatal Depression Scale, Perceived Stress Scale, Pittsburgh Sleep Quality Index; reward-related eating measures included the Power of Food Scale (assessing hedonic hunger), modified Yale Food Addiction Scale (assessing addictive-like eating), and frequency and intensity of cravings. Linear and logistic regression models estimated associations of depressive symptoms, stress, and sleep quality with reward-related eating during pregnancy and postpartum, as well as change in each predictor with change in outcome.
resultsDuring pregnancy, greater depressive symptoms (β ± SE = 0.03 ± 0.01, p < .01), higher stress (0.03 ± 0.01, p < .01), and worse sleep quality (0.03 ± 0.01, p = 0.03) were associated with greater hedonic hunger. Similarly, greater depressive symptoms (OR = 1.08, 95% CI: 1.02, 1.14, p = .01), higher stress (OR = 1.09, 95% CI: 1.04, 1.14, p = <.01), and worse sleep quality (OR = 1.09, 95% CI: 1.00, 1.18, p = .04) were associated with greater odds of addictive-like eating. These associations were also significant in postpartum except that sleep quality was not associated with hedonic hunger. Greater depressive symptoms (β ± SE = 0.06 ± 0.02, p < .01; 0.08 ± 0.02, p = <.01), higher stress (0.04 ± 0.01, p < .01; 0.06 ± 0.02, p < .01), and worse sleep quality (0.11 ± 0.03, p < .01; 0.13 ± 0.03, p < .01) during pregnancy were associated with stronger and more frequent cravings, respectively. Increased depressive symptoms from pregnancy to postpartum was associated with increased hedonic hunger (β ± SE = 1.17 ± 0.57, p = 0.01) and addictive-like eating (0.88 ± 0.33, p = 0.01), and increased stress was associated with increased hedonic hunger (1.71 ± 0.76, p = 0.02). Change in stress was not associated with change in addictive-like eating and change in sleep quality was not associated with change in either hedonic hunger or addictive-like eating.
conclusionsGreater depressive symptoms, perceived stress, and poorer sleep quality are associated with greater self-reported reward-related eating during pregnancy and postpartum, suggesting that efforts to improve diet during and after pregnancy may benefit from addressing mental health and sleep.
trial registrationClinicaltrials.gov Registration ID - NCT02217462 . Date of registration - August 13, 2014.
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