Parental psychological distress during pregnancy and the risk of childhood lower lung function and asthma: a population-based prospective cohort study
BackgroundAlthough maternal psychological distress during pregnancy is associated with increased risks of respiratory morbidity in preschool children, it is unknown whether this association persists into later childhood.ObjectiveTo examine the association between parental psychological distress duri...
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| Veröffentlicht in: | Thorax 2020-12, Vol.75 (12), p.1074-1081 |
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| creator | van Meel, Evelien R Saharan, Gautam Jaddoe, Vincent WV de Jongste, Johan C Reiss, Irwin KM Tiemeier, Henning El Marroun, Hanan Duijts, Liesbeth |
| description | BackgroundAlthough maternal psychological distress during pregnancy is associated with increased risks of respiratory morbidity in preschool children, it is unknown whether this association persists into later childhood.ObjectiveTo examine the association between parental psychological distress during pregnancy and lung function and asthma in children of school age.MethodsThis study of 4231 children was embedded in a population-based prospective cohort. Parental psychological distress was assessed by the Brief Symptom Inventory during and 3 years after pregnancy, and in mothers also at 2 and 6 months after pregnancy. At age 10 years, lung function was obtained by spirometry and asthma by questionnaire.ResultsThe prevalence of asthma was 5.9%. Maternal overall psychological distress during pregnancy was associated with a lower forced vital capacity (FVC) (z-score difference −0.10 (95% CI −0.20 to –0.01) per 1-unit increase), maternal depressive symptoms during pregnancy with a lower forced expiratory volume in the first second (FEV1) and FVC (−0.13 (95% CI −0.24 to –0.01) and −0.13 (95% CI −0.24 to –0.02) when using clinical cut-offs) in their children. All maternal psychological distress measures during pregnancy were associated with an increased risk of asthma (range OR: 1.46 (95% CI 1.12 to 1.90) to 1.91 (95% CI 1.26 to 2.91)). Additional adjustment for paternal psychological distress during pregnancy and parental psychological distress after pregnancy did not materially change the associations. Paternal psychological distress during pregnancy was not associated with childhood respiratory morbidity.ConclusionMaternal, but not paternal, psychological distress during pregnancy is associated with an increased risk of asthma and partly lower lung function in children. This suggests intrauterine programming for the risk of later-life respiratory disease. |
| doi_str_mv | 10.1136/thoraxjnl-2019-214099 |
| format | Article |
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Parental psychological distress was assessed by the Brief Symptom Inventory during and 3 years after pregnancy, and in mothers also at 2 and 6 months after pregnancy. At age 10 years, lung function was obtained by spirometry and asthma by questionnaire.ResultsThe prevalence of asthma was 5.9%. Maternal overall psychological distress during pregnancy was associated with a lower forced vital capacity (FVC) (z-score difference −0.10 (95% CI −0.20 to –0.01) per 1-unit increase), maternal depressive symptoms during pregnancy with a lower forced expiratory volume in the first second (FEV1) and FVC (−0.13 (95% CI −0.24 to –0.01) and −0.13 (95% CI −0.24 to –0.02) when using clinical cut-offs) in their children. All maternal psychological distress measures during pregnancy were associated with an increased risk of asthma (range OR: 1.46 (95% CI 1.12 to 1.90) to 1.91 (95% CI 1.26 to 2.91)). Additional adjustment for paternal psychological distress during pregnancy and parental psychological distress after pregnancy did not materially change the associations. Paternal psychological distress during pregnancy was not associated with childhood respiratory morbidity.ConclusionMaternal, but not paternal, psychological distress during pregnancy is associated with an increased risk of asthma and partly lower lung function in children. This suggests intrauterine programming for the risk of later-life respiratory disease.</description><identifier>ISSN: 0040-6376</identifier><identifier>EISSN: 1468-3296</identifier><identifier>DOI: 10.1136/thoraxjnl-2019-214099</identifier><identifier>PMID: 33046570</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and British Thoracic Society</publisher><subject>Adult ; Age ; Anxiety ; Asthma ; Asthma - epidemiology ; Body mass index ; Child ; Childhood ; Children & youth ; Cohort analysis ; Depression - psychology ; Ethnicity ; Fathers - psychology ; Female ; Forced Expiratory Volume ; Health Surveys ; Humans ; Lung - physiopathology ; Male ; Mothers - psychology ; paediatric asthma ; Population-based studies ; Pregnancy ; Pregnancy Complications - psychology ; Prevalence ; Prospective Studies ; Psychological Distress ; psychology ; Questionnaires ; Respiratory Epidemiology ; Spirometry ; Vital Capacity</subject><ispartof>Thorax, 2020-12, Vol.75 (12), p.1074-1081</ispartof><rights>Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.</rights><rights>2020 Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b522t-3fce550745d93465f4b6d62ba39a4417a4599f1bcc3c8d052264d231b944624e3</citedby><cites>FETCH-LOGICAL-b522t-3fce550745d93465f4b6d62ba39a4417a4599f1bcc3c8d052264d231b944624e3</cites><orcidid>0000-0001-6731-9452 ; 0000-0002-0826-9931</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33046570$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Meel, Evelien R</creatorcontrib><creatorcontrib>Saharan, Gautam</creatorcontrib><creatorcontrib>Jaddoe, Vincent WV</creatorcontrib><creatorcontrib>de Jongste, Johan C</creatorcontrib><creatorcontrib>Reiss, Irwin KM</creatorcontrib><creatorcontrib>Tiemeier, Henning</creatorcontrib><creatorcontrib>El Marroun, Hanan</creatorcontrib><creatorcontrib>Duijts, Liesbeth</creatorcontrib><title>Parental psychological distress during pregnancy and the risk of childhood lower lung function and asthma: a population-based prospective cohort study</title><title>Thorax</title><addtitle>Thorax</addtitle><addtitle>Thorax</addtitle><description>BackgroundAlthough maternal psychological distress during pregnancy is associated with increased risks of respiratory morbidity in preschool children, it is unknown whether this association persists into later childhood.ObjectiveTo examine the association between parental psychological distress during pregnancy and lung function and asthma in children of school age.MethodsThis study of 4231 children was embedded in a population-based prospective cohort. Parental psychological distress was assessed by the Brief Symptom Inventory during and 3 years after pregnancy, and in mothers also at 2 and 6 months after pregnancy. At age 10 years, lung function was obtained by spirometry and asthma by questionnaire.ResultsThe prevalence of asthma was 5.9%. Maternal overall psychological distress during pregnancy was associated with a lower forced vital capacity (FVC) (z-score difference −0.10 (95% CI −0.20 to –0.01) per 1-unit increase), maternal depressive symptoms during pregnancy with a lower forced expiratory volume in the first second (FEV1) and FVC (−0.13 (95% CI −0.24 to –0.01) and −0.13 (95% CI −0.24 to –0.02) when using clinical cut-offs) in their children. All maternal psychological distress measures during pregnancy were associated with an increased risk of asthma (range OR: 1.46 (95% CI 1.12 to 1.90) to 1.91 (95% CI 1.26 to 2.91)). Additional adjustment for paternal psychological distress during pregnancy and parental psychological distress after pregnancy did not materially change the associations. Paternal psychological distress during pregnancy was not associated with childhood respiratory morbidity.ConclusionMaternal, but not paternal, psychological distress during pregnancy is associated with an increased risk of asthma and partly lower lung function in children. This suggests intrauterine programming for the risk of later-life respiratory disease.</description><subject>Adult</subject><subject>Age</subject><subject>Anxiety</subject><subject>Asthma</subject><subject>Asthma - epidemiology</subject><subject>Body mass index</subject><subject>Child</subject><subject>Childhood</subject><subject>Children & youth</subject><subject>Cohort analysis</subject><subject>Depression - psychology</subject><subject>Ethnicity</subject><subject>Fathers - psychology</subject><subject>Female</subject><subject>Forced Expiratory Volume</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Lung - physiopathology</subject><subject>Male</subject><subject>Mothers - psychology</subject><subject>paediatric asthma</subject><subject>Population-based studies</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - psychology</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Psychological Distress</subject><subject>psychology</subject><subject>Questionnaires</subject><subject>Respiratory Epidemiology</subject><subject>Spirometry</subject><subject>Vital Capacity</subject><issn>0040-6376</issn><issn>1468-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkUuPFCEUhYnROO3oT9CQuHFTyqugcWEymfhKJtGFrgkFVBctDSVQo_1H_L3S9tg-FsYVIfc7J_fcA8BDjJ5iTPmzOqWsv25j6AjCsiOYISlvgRVmfN1RIvltsEKIoY5Twc_AvVK2CKE1xuIuOKMUMd4LtALf3uvsYtUBzmVvphTSxpv2s77U7EqBdsk-buCc3SbqaPZQRwvr5GD25RNMIzSTD3ZKycKQvrgMw9LwcYmm-hR_0LrUaaefQw3nNC9BHwbdoIuzzTaV2TX02kGTWqQKS13s_j64M-pQ3IOb9xx8fPXyw-Wb7urd67eXF1fd0BNSOzoa1_dIsN5K2hKNbOCWk0FTqRnDQrNeyhEPxlCztqhpOLOE4kEyxglz9By8OPrOy7Bz1rRTZB3UnP1O571K2qs_J9FPapOuleBCMEGbwZMbg5w-L65UtfPFuBB0dGkpirAecS4JQg19_Be6TUuOLV6jOJKtQCoa1R8p005TshtPy2CkDs2rU_Pq0Lw6Nt90j35PclL9rLoB6AgMu-1_e-JfktOy_9Z8BySv0Ew</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>van Meel, Evelien R</creator><creator>Saharan, Gautam</creator><creator>Jaddoe, Vincent WV</creator><creator>de Jongste, Johan C</creator><creator>Reiss, Irwin KM</creator><creator>Tiemeier, Henning</creator><creator>El Marroun, Hanan</creator><creator>Duijts, Liesbeth</creator><general>BMJ Publishing Group Ltd and British Thoracic Society</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6731-9452</orcidid><orcidid>https://orcid.org/0000-0002-0826-9931</orcidid></search><sort><creationdate>20201201</creationdate><title>Parental psychological distress during pregnancy and the risk of childhood lower lung function and asthma: a population-based prospective cohort study</title><author>van Meel, Evelien R ; Saharan, Gautam ; Jaddoe, Vincent WV ; de Jongste, Johan C ; Reiss, Irwin KM ; Tiemeier, Henning ; El Marroun, Hanan ; Duijts, Liesbeth</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b522t-3fce550745d93465f4b6d62ba39a4417a4599f1bcc3c8d052264d231b944624e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Age</topic><topic>Anxiety</topic><topic>Asthma</topic><topic>Asthma - epidemiology</topic><topic>Body mass index</topic><topic>Child</topic><topic>Childhood</topic><topic>Children & youth</topic><topic>Cohort analysis</topic><topic>Depression - psychology</topic><topic>Ethnicity</topic><topic>Fathers - psychology</topic><topic>Female</topic><topic>Forced Expiratory Volume</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Lung - physiopathology</topic><topic>Male</topic><topic>Mothers - psychology</topic><topic>paediatric asthma</topic><topic>Population-based studies</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - psychology</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Psychological Distress</topic><topic>psychology</topic><topic>Questionnaires</topic><topic>Respiratory Epidemiology</topic><topic>Spirometry</topic><topic>Vital Capacity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Meel, Evelien R</creatorcontrib><creatorcontrib>Saharan, Gautam</creatorcontrib><creatorcontrib>Jaddoe, Vincent WV</creatorcontrib><creatorcontrib>de Jongste, Johan C</creatorcontrib><creatorcontrib>Reiss, Irwin KM</creatorcontrib><creatorcontrib>Tiemeier, Henning</creatorcontrib><creatorcontrib>El Marroun, Hanan</creatorcontrib><creatorcontrib>Duijts, Liesbeth</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Thorax</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Meel, Evelien R</au><au>Saharan, Gautam</au><au>Jaddoe, Vincent WV</au><au>de Jongste, Johan C</au><au>Reiss, Irwin KM</au><au>Tiemeier, Henning</au><au>El Marroun, Hanan</au><au>Duijts, Liesbeth</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Parental psychological distress during pregnancy and the risk of childhood lower lung function and asthma: a population-based prospective cohort study</atitle><jtitle>Thorax</jtitle><stitle>Thorax</stitle><addtitle>Thorax</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>75</volume><issue>12</issue><spage>1074</spage><epage>1081</epage><pages>1074-1081</pages><issn>0040-6376</issn><eissn>1468-3296</eissn><abstract>BackgroundAlthough maternal psychological distress during pregnancy is associated with increased risks of respiratory morbidity in preschool children, it is unknown whether this association persists into later childhood.ObjectiveTo examine the association between parental psychological distress during pregnancy and lung function and asthma in children of school age.MethodsThis study of 4231 children was embedded in a population-based prospective cohort. Parental psychological distress was assessed by the Brief Symptom Inventory during and 3 years after pregnancy, and in mothers also at 2 and 6 months after pregnancy. At age 10 years, lung function was obtained by spirometry and asthma by questionnaire.ResultsThe prevalence of asthma was 5.9%. Maternal overall psychological distress during pregnancy was associated with a lower forced vital capacity (FVC) (z-score difference −0.10 (95% CI −0.20 to –0.01) per 1-unit increase), maternal depressive symptoms during pregnancy with a lower forced expiratory volume in the first second (FEV1) and FVC (−0.13 (95% CI −0.24 to –0.01) and −0.13 (95% CI −0.24 to –0.02) when using clinical cut-offs) in their children. All maternal psychological distress measures during pregnancy were associated with an increased risk of asthma (range OR: 1.46 (95% CI 1.12 to 1.90) to 1.91 (95% CI 1.26 to 2.91)). Additional adjustment for paternal psychological distress during pregnancy and parental psychological distress after pregnancy did not materially change the associations. Paternal psychological distress during pregnancy was not associated with childhood respiratory morbidity.ConclusionMaternal, but not paternal, psychological distress during pregnancy is associated with an increased risk of asthma and partly lower lung function in children. This suggests intrauterine programming for the risk of later-life respiratory disease.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and British Thoracic Society</pub><pmid>33046570</pmid><doi>10.1136/thoraxjnl-2019-214099</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-6731-9452</orcidid><orcidid>https://orcid.org/0000-0002-0826-9931</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Age Anxiety Asthma Asthma - epidemiology Body mass index Child Childhood Children & youth Cohort analysis Depression - psychology Ethnicity Fathers - psychology Female Forced Expiratory Volume Health Surveys Humans Lung - physiopathology Male Mothers - psychology paediatric asthma Population-based studies Pregnancy Pregnancy Complications - psychology Prevalence Prospective Studies Psychological Distress psychology Questionnaires Respiratory Epidemiology Spirometry Vital Capacity |
| title | Parental psychological distress during pregnancy and the risk of childhood lower lung function and asthma: a population-based prospective cohort study |
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