Antenatal depression and anxiety and early pregnancy BMI among White
British and South Asian women: Retrospective analysis of data from the
Born in Bradford cohort
Abstract
Objective To investigate the association between antenatal depression
and anxiety and early pregnancy Body Mass Index (BMI) within and between
White British and South Asian women. Design Retrospective analysis
Setting The Born in Bradford cohort, UK Population White British and
South Asian pregnant women, 2007-2011 Methods Mother’s BMI was
stratified into six World Health Organisation BMI categories
(underweight, recommended, overweight or obese class 1-3). To determine
associations with outcomes, univariate and multivariate logistic
regression models (adjusting for maternal age, education, deprivation
and smoking) were used. Main outcome measure Depression and anxiety
using the General Health Questionnaire (GHQ); a GHQ score of
>0 for the depression subscale and >6 for
anxiety. Results There were 7824 women included (3514 White British and
4310 South Asian). South Asian women were significantly more likely to
have depression than White British (43.3% vs 36.1% p<0.0001)
and less likely to have anxiety (45.3% vs 48.4% p<0.01).
There was no significant association between early pregnancy BMI and
depression or anxiety in South Asian women. White British women with an
overweight BMI had higher odds of anxiety compared with women with a
recommended BMI (Adjusted Odds Ratio 1.25, 95% Confidence Interval
1.05-1.47). No significant associations were observed for other BMI
categories. Conclusion Although South Asian women have a higher
prevalence of depression than White women in this cohort, the known
associations between maternal obesity and anxiety do not appear to be
present. More studies are needed using validated depression tools for
South Asian pregnant women.