Obesity Surgery

, Volume 28, Issue 6, pp 1629–1635 | Cite as

Depression and Anxiety: Lack of Associations with an Inadequate Diet in a Sample of Pregnant Women with a History of Bariatric Surgery—a Multicenter Prospective Controlled Cohort Study

  • Goele JansEmail author
  • Christophe Matthys
  • Annick Bogaerts
  • Lieveke Ameye
  • Frank Delaere
  • Kristien Roelens
  • Anne Loccufier
  • Hilde Logghe
  • Ben De Becker
  • Johan Verhaeghe
  • Roland Devlieger
Original Contributions



Anxiety and depression levels are higher in obese compared to those in normal weight pregnant women. The aims of this study are to examine anxiety and depression in pregnancy following bariatric surgery and to compare with obese pregnant controls considering the dietary intake of polyunsaturated fatty acids (PUFA), folate, and vitamin B12.


Anxiety (State-Trait Anxiety Inventory) and depression (Edinburgh Postnatal Depression Scale) were examined in the first (T1) and third (T3) pregnancy trimester in 54 women with bariatric surgery and 25 obese. T1 and T3 dietary intake of PUFA, folate, and vitamin B12 intake was assessed using a 3-day food record. Mixed models with a compound symmetry covariance structure and regression models were applied.


About half of the women with surgery had high state and trait anxiety scores (≥ 40), which did not significantly change during pregnancy. Every 10-kg postoperative weight loss was associated with an increase in T1 state and trait anxiety with respectively 2.7 and 2.3 points. A smoking woman had a 8.6-point higher state anxiety score than a non-smoking woman in T1. In T3, every additional hour of sleep was associated with a decrease in trait anxiety score with 1.59 points. Anxiety and depression scores were not associated with and could not be explained by inadequate PUFAs, folate, and vitamin B12 intakes. Anxiety scores were higher following surgery than those in untreated obesity at both time points.


Pregnancy following bariatric surgery induces high levels of anxiety that are not associated with an inadequate maternal diet.


Anxiety Depression Pregnancy Bariatric surgery Obesity Maternal diet 



We would like to thank the UCLL students for their contribution in analyzing the dietary data.


RD is recipient of a postdoctoral research grant from the FWO Flanders (2010–2015).

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Consent Statement

Informed consent was obtained from all individual participants included in the study.

Ethical Statement

This study was in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2017

Authors and Affiliations

  • Goele Jans
    • 1
    • 2
    Email author
  • Christophe Matthys
    • 3
    • 4
  • Annick Bogaerts
    • 1
    • 2
    • 5
  • Lieveke Ameye
    • 1
  • Frank Delaere
    • 6
  • Kristien Roelens
    • 7
  • Anne Loccufier
    • 8
  • Hilde Logghe
    • 9
  • Ben De Becker
    • 10
  • Johan Verhaeghe
    • 1
    • 11
  • Roland Devlieger
    • 1
    • 10
    • 11
  1. 1.Department of Development and RegenerationKU LeuvenLeuvenBelgium
  2. 2.Faculty of Health and Social Work, Research Unit Healthy LivingUC Leuven-LimburgLeuvenBelgium
  3. 3.Department of Clinical and Experimental MedicineKU LeuvenLeuvenBelgium
  4. 4.Department of EndocrinologyUniversity Hospitals LeuvenLeuvenBelgium
  5. 5.Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC)University of AntwerpAntwerpBelgium
  6. 6.Faculty of Health and Social Work, Nutrition and DieteticsUC Leuven-LimburgLeuvenBelgium
  7. 7.Department of Obstetrics and GynecologyGhent University HospitalGhentBelgium
  8. 8.Department of Obstetrics and GynecologyAZ St-Jan BrugesBrugesBelgium
  9. 9.Department of Obstetrics and GynecologyAZ St-LucasBrugesBelgium
  10. 10.Department of Obstetrics and GynecologyAZ St. Augustinus WilrijkWilrijkBelgium
  11. 11.Department of Obstetrics and GynecologyUniversity Hospitals LeuvenLeuvenBelgium

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