The impact of sleep, stress, and depression on postpartum weight retention: A systematic review

Objective: To review the impact of sleep, stress, and/or depression on postpartum weight retention. Methods: We searched three electronic databases, PubMed, ISI Web of Science, and Psyclnfo. Studies were included if they were published between January 1990 and September 2013 in English, measured sleep, stress, and/or depression in the postpartum period, and assessed the association of these factors with postpartum weight retention. Two reviewers reviewed included articles and rated study quality using a modified version of the Downs and Black scale. Results: Thirteen studies met our pre-defined eligibility criteria, reporting on 9 study samples. Two were cross-sectional studies and eleven were longitudinal studies. The study sample size ranged from 74 to 37,127. All four studies examining short sleep duration and postpartum weight retention reported a positive association. The four studies examining postpartum stress and weight retention reported non-significant associations only. Of 7 studies examining postpartum depression and weight retention, 3 reported non-significant associations, and 4 reported positive associations. Conclusion: Research investigating the impact of postpartum sleep, stress, depression on weight retention is limited. Future longitudinal studies are needed. (C) 2014 Elsevier Inc. All rights reserved.