
Journal of Shanghai Jiao Tong University (Medical Science) ›› 2026, Vol. 46 ›› Issue (3): 408-414.doi: 10.3969/j.issn.1674-8115.2026.03.016
• Review • Previous Articles
Xu Yulin, Du Bowen, Wang Jian, Sun Kun(
)
Received:2025-09-07
Accepted:2025-12-30
Online:2026-03-28
Published:2026-03-30
Contact:
Sun Kun
E-mail:sunkun@xinhuamed.com.cn
Supported by:CLC Number:
Xu Yulin, Du Bowen, Wang Jian, Sun Kun. Review of impact of maternal perinatal mental health on offspring cardiovascular system[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2026, 46(3): 408-414.
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URL: https://xuebao.shsmu.edu.cn/EN/10.3969/j.issn.1674-8115.2026.03.016
| [1] | World Health Organization. Guide for integration of perinatal mental health in mate rnal and child health services [M]//Geneva:World Health Organization, 2022. |
| [2] | 陈静, 邹涛, 赵丹青, 等. 围产期精神障碍筛查与诊治专家共识 [J]. 中国全科医学, 2023, 26(28): 3463-3470. |
| Chen J, Zou T, Zhao D Q, et al. Expert consensus on screening, diagnosis and treatment of perinatal mental disorders[J]. Chinese General Practice, 2023, 26(28): 3463-3470. | |
| [3] | Duffy M, Churchill R, Kak L P, et al. Strengthening perinatal mental health is a requirement to reduce maternal and newborn mortality[J]. Lancet Reg Health Am, 2024, 39: 100912. |
| [4] | Lancet T. Perinatal depression: a neglected aspect of maternal health[J]. Lancet, 2023, 402(10403): 667. |
| [5] | Shah N. Mood disorder in the perinatal period[J]. BMJ, 2012, 344: e1209. |
| [6] | VanderKruik R, Barreix M, Chou D, et al. The global prevalence of postpartum psychosis: a systematic review[J]. BMC Psychiatry, 2017, 17(1): 272. |
| [7] | Woody C A, Ferrari A J, Siskind D J, et al. A systematic review and meta-regression of the prevalence and incidence of perinatal depression[J]. J Affect Disord, 2017, 219: 86-92. |
| [8] | Mai S Y, Liu Y, He H C, et al. The effects of different exercise programs on the prevention of perinatal depression: a systematic review and meta-analysis[J]. Clin Exp Obstet Gynecol, 2023, 50: 9. |
| [9] | Zhu X Y, Shi M Q, Jiang Z M, et al. Global, regional, and national burden of cardiovascular diseases attributable to metabolic risks across all age groups from 1990 to 2021: an analysis of the 2021 global burden of disease study data[J]. BMC Public Health, 2025, 25(1): 1704. |
| [10] | Barker D J. The origins of the developmental origins theory[J]. J Intern Med, 2007, 261(5): 412-417. |
| [11] | ARIMA Y, Fukuoka H. Developmental origins of health and disease theory in cardiology[J]. J Cardiol, 2020, 76(1): 14-17. |
| [12] | Bodunde E O, Buckley D, O'Neill E, et al. Pregnancy and birth complications and long-term maternal mental health outcomes: a systematic review and meta-analysis[J]. BJOG, 2025, 132(2): 131-142. |
| [13] | 杨业环, 郑睿敏, 杨丽, 等. 孕产期常见心理障碍对子代心身发育影响的研究进展[J]. 中国妇幼卫生杂志, 2021, 12(5): 76-80. |
| Yang Y H, Zheng R M, Yang L, et al. Research progress on the influence of common mental disorders during pregnancy and childbirth on the psychosomatic development of offspring[J]. Chinese Journal of Women and Children Health, 2021, 12(5): 76-80. | |
| [14] | Bai Z H, Han J R, An J, et al. The global, regional, and national patterns of change in the burden of congenital birth defects, 1990-2021: an analysis of the global burden of disease study 2021 and forecast to 2040[J]. eClinicalMedicine, 2024, 77: 102873. |
| [15] | Kang L Y, Cao G Y, Jing W Z, et al. Global, regional, and national incidence and mortality of congenital birth defects from 1990 to 2019[J]. Eur J Pediatr, 2023, 182(4): 1781-1792. |
| [16] | Buskens E, Grobbee D E, Frohn-Mulder I M, et al. Aspects of the aetiology of congenital heart disease[J]. Eur Heart J, 1995, 16(5): 584-587. |
| [17] | American Academy of Pediatrics. Diagnostic and statistical manual of mental disorders[M]. 5th ed. Arlington: American Psychiatric Publishing, 2013. |
| [18] | El-Den S, O'Reilly C L, Chen T F. A systematic review on the acceptability of perinatal depression screening[J]. J Affect Disord, 2015, 188: 284-303. |
| [19] | Cox J L, Holden J M, Sagovsky R. Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale[J]. Br J Psychiatry, 1987, 150(6): 782-786. |
| [20] | Kroenke K, Spitzer R L, Williams J B W. The PHQ-9: validity of a brief depression severity measure[J]. J Gen Intern Med, 2001, 16(9): 606-613. |
| [21] | Nisar A, Yin J, Waqas A, et al. Prevalence of perinatal depression and its determinants in Mainland China: a systematic review and meta-analysis[J]. J Affect Disord, 2020, 277: 1022-1037. |
| [22] | Ng K Y B, Cherian G, Kermack A J, et al. Systematic review and meta-analysis of female lifestyle factors and risk of recurrent pregnancy loss[J]. Sci Rep, 2021, 11(1): 7081. |
| [23] | Yin X, Sun N, Jiang N, et al. Prevalence and associated factors of antenatal depression: systematic reviews and meta-analyses[J]. Clin Psychol Rev, 2021, 83: 101932. |
| [24] | Mastorci F, Vicentini M, Viltart O, et al. Long-term effects of prenatal stress: changes in adult cardiovascular regulation and sensitivity to stress[J]. Neurosci Biobehav Rev, 2009, 33(2): 191-203. |
| [25] | Spitzer R L, Kroenke K, Williams J B, et al. A brief measure for assessing generalized anxiety disorder: the GAD-7[J]. Arch Intern Med, 2006, 166(10): 1092-1097. |
| [26] | Dennis C L, Falah-Hassani K, Shiri R. Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis[J]. Br J Psychiatry, 2017, 210(5): 315-323. |
| [27] | WHO Team. Stress [EB/OL]. (2023-02-21) [2025-09-07] https://www.who.int/news-room/questions-and-answers/item/stress. |
| [28] | Russell G, Lightman S. The human stress response[J]. Nat Rev Endocrinol, 2019, 15(9): 525-534. |
| [29] | Schalla M, Stengel A. The role of stress in perinatal depression and anxiety-A systematic review[J]. Front Neuroendocrinol, 2024, 72: 101117. |
| [30] | Lee E H. Review of the psychometric evidence of the perceived stress scale[J]. Asian Nurs Res, 2012, 6(4): 121-127. |
| [31] | Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress[J]. J Health Soc Behav, 1983, 24(4): 385-396. |
| [32] | van Dijk A E, Dawe K, Deanfield J, et al. The association of maternal prenatal psychosocial stress with vascular function in the child at age 10-11 years: findings from the Avon longitudinal study of parents and children[J]. Eur J Prev Cardiol, 2014, 21(9): 1097-1108. |
| [33] | Matvienko-Sikar K, O' Neill K, Fraser A, et al. Maternal prenatal anxiety and depression and trajectories of cardiometabolic risk factors across childhood and adolescence: a prospective cohort study[J]. BMJ Open, 2021, 11(12): e051681. |
| [34] | Plana-Ripoll O, Liu X Q, Momen N C, et al. Prenatal exposure to maternal stress following bereavement and cardiovascular disease: a nationwide population-based and sibling-matched cohort study[J]. Eur J Prev Cardiol, 2016, 23(10): 1018-1028. |
| [35] | Yang F, Janszky I, Roos N, et al. Prenatal exposure to severe stress and the risk of heart failure up to middle-age[J]. JACC Heart Fail, 2024, 12(8): 1353-1362. |
| [36] | Dolk H, McCullough N, Callaghan S, et al. Risk factors for congenital heart disease: the Baby Hearts Study, a population-based case-control study[J]. PLoS One, 2020, 15(2): e0227908. |
| [37] | Ban L, Gibson J E, West J, et al. Maternal depression, antidepressant prescriptions, and congenital anomaly risk in offspring: a population-based cohort study[J]. BJOG, 2014, 121(12): 1471-1481. |
| [38] | Gu J, Guan H B. Maternal psychological stress during pregnancy and risk of congenital heart disease in offspring: a systematic review and meta-analysis[J]. J Affect Disord, 2021, 291: 32-38. |
| [39] | Becker M, Pinhasov A, Ornoy A. Animal models of depression: what can they teach us about the human disease?[J]. Diagnostics (Basel), 2021, 11(1): 123. |
| [40] | Bartlett A A, Singh R, Hunter R G. Anxiety and epigenetics[J]. Adv Exp Med Biol, 2017, 978: 145-166. |
| [41] | Quaedackers J S, Roelfsema V, Fraser M, et al. Cardiovascular and endocrine effects of a single course of maternal dexamethasone treatment in preterm fetal sheep[J]. BJOG, 2005, 112(2): 182-191. |
| [42] | Martyn C N, Greenwald S E. Impaired synthesis of elastin in walls of aorta and large conduit arteries during early development as an initiating event in pathogenesis of systemic hypertension[J]. Lancet, 1997, 350(9082): 953-955. |
| [43] | Rakers F, Bischoff S, Schiffner R, et al. Role of catecholamines in maternal-fetal stress transfer in sheep[J]. Am J Obstet Gynecol, 2015, 213(5): 684.e1-684.e9. |
| [44] | Moisiadis V G, Matthews S G. Glucocorticoids and fetal programming part 1: outcomes[J]. Nat Rev Endocrinol, 2014, 10(7): 391-402. |
| [45] | Moisiadis V G, Matthews S G. Glucocorticoids and fetal programming part 2: mechanisms[J]. Nat Rev Endocrinol, 2014, 10(7): 403-411. |
| [46] | Jahnke J R, Terán E, Murgueitio F, et al. Maternal stress, placental 11β-hydroxysteroid dehydrogenase type 2, and infant HPA axis development in humans: psychosocial and physiological pathways[J]. Placenta, 2021, 104: 179-187. |
| [47] | Wintour E M, Johnson K, Koukoulas I, et al. Programming the cardiovascular system, kidney and the brain: a review[J]. Placenta, 2003, 24(Suppl A): S65-S71. |
| [48] | Moritz K M, de Matteo R, Dodic M, et al. Prenatal glucocorticoid exposure in the sheep alters renal development in utero: implications for adult renal function and blood pressure control[J]. Am J Physiol Regul Integr Comp Physiol, 2011, 301(2): R500-R509. |
| [49] | Czarzasta K, Wojciechowska M, Segiet-Swiecicka A, et al. The effect of depressive-like behavior in pregnant rat dams on the cardiovascular system in their offspring[J]. Stress, 2021, 24(5): 652-658. |
| [50] | Czarzasta K, Sztechman D, Zera T, et al. Age- and sex-dependent cardiovascular impact of maternal perinatal stress and altered dopaminergic metabolism in the medulla oblongata of the offspring[J]. Am J Physiol Heart Circ Physiol, 2024, 327(3): H614–H630. |
| [51] | Matuszek M A, Gibson K J, Lumbers E R, et al. Impact of Cortisol on alpha-actin content in vascular smooth muscle cells of fetal sheep[J]. Clin Exp Pharmacol Physiol, 2006, 33(3): 197-203. |
| [52] | Hutanu C, Cox B E, DeSpain K, et al. Vascular development in early ovine gestation: carotid smooth muscle function, phenotype, and biochemical markers[J]. Am J Physiol Regul Integr Comp Physiol, 2007, 293(1): R323-R333. |
| [53] | Blood A B, Zhao Y, Long W, et al. L-type Ca2+ channels in fetal and adult ovine cerebral arteries[J]. Am J Physiol Regul Integr Comp Physiol, 2002, 282(1): R131-R138. |
| [54] | Segar J L, Roghair R D, Segar E M, et al. Early gestation dexamethasone alters baroreflex and vascular responses in newborn lambs before hypertension[J]. Am J Physiol Regul Integr Comp Physiol, 2006, 291(2): R481-R488. |
| [55] | Lee J H, Zhang J, Massmann G A, et al. Antenatal betamethasone increases vascular reactivity to endothelin-1 by upregulation of CD38/cADPR signaling[J]. J Dev Orig Health Dis, 2014, 5(1): 56-62. |
| [56] | Okawa T, Honda S, Sanpei M, et al. Effects of nitric oxide and prostacyclin on hemodynamic response by big endothelin-1 in near term fetal sheep[J]. J Perinat Med, 2004, 32(6): 495-499. |
| [57] | Roghair R D, Lamb F S, Miller F J Jr, et al. Early gestation dexamethasone programs enhanced postnatal ovine coronary artery vascular reactivity[J]. Am J Physiol Regul Integr Comp Physiol, 2005, 288(1): R46-R53. |
| [58] | Roghair R D, Segar J L, Sharma R V, et al. Newborn lamb coronary artery reactivity is programmed by early gestation dexamethasone before the onset of systemic hypertension[J]. Am J Physiol Regul Integr Comp Physiol, 2005, 289(4): R1169-R1176. |
| [59] | Anwar M A, Schwab M, Poston L, et al. Betamethasone-mediated vascular dysfunction and changes in hematological profile in the ovine fetus[J]. Am J Physiol, 1999, 276(4): H1137-H1143. |
| [60] | Ogletree M L. Overview of physiological and pathophysiological effects of thromboxane A2[J]. Fed Proc, 1987, 46(1): 133-138. |
| [61] | Khafagy G, Gamal M, El-Rafie M. Effect of aerobic exercise during pregnancy on antenatal depression[J]. Int J Women′s Health, 2016: 53. |
| [62] | Poyatos-León R, García-Hermoso A, Sanabria-Martínez G, et al. Effects of exercise-based interventions on postpartum depression: a meta-analysis of randomized controlled trials[J]. Birth, 2017, 44(3): 200-208. |
| [63] | Koivusalo S B, Rönö K, Klemetti M M, et al. Gestational diabetes mellitus can be prevented by lifestyle intervention: the Finnish gestational diabetes prevention study (RADIEL): a randomized controlled trial[J]. Diabetes Care, 2016, 39(1): 24-30. |
| [64] | Bennett C J, Walker R E, Blumfield M L, et al. Interventions designed to reduce excessive gestational weight gain can reduce the incidence of gestational diabetes mellitus: a systematic review and meta-analysis of randomised controlled trials[J]. Diabetes Res Clin Pract, 2018, 141: 69-79. |
| [65] | Müller J J, Antonow-Schlorke I, Kroegel N, et al. Cardiovascular effects of prenatal stress-Are there implications for cerebrovascular, cognitive and mental health outcome?[J]. Neurosci Biobehav Rev, 2020, 117: 78-97. |
| [66] | Dagher R K, Bruckheim H E, Colpe L J, et al. Perinatal depression: challenges and opportunities[J]. J Womens Health (Larchmt), 2021, 30(2): 154-159. |
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