Prediction of Factors Affecting Cognitive Performance in Pregnant Women Using Robust Regression Methods
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Abstract
Introduction: This study compared the outcomes of cognitive function assessments between pregnant and non-pregnant women groups to demonstrate alterations occurring during pregnancy. Furthermore, we aimed to determine the factors acting on cognitive functions in pregnant women.
Material and Methods: 42 pregnant and 42 non-pregnant women were included in the study. In order to compare cognitive performances, Montreal Cognitive Assessment test was applied to women.
Results: The assessed scores of cognitive functioning were significantly different between pregnant and non-pregnant women (p <0.001). The test value was obtained as 22.29±4.57 with pregnants and as 26.02±2.19 with non-pregnant womens. The cognitive measurements yielded lower scores in the pregnant women. A negative correlation was found between the progesterone hormone levels and cognitive scores (p = 0.025). Progesterone hormone, TSH hormone and age of the pregnant were found to be important among the factors affecting the cognitive performances in pregnants (p=0.04; p=0.001; p=0.033, respectively).
Conclusion: Significant reductions in cognitive functions are observed in women during pregnancy. During pregnancy, in order to increase the cognitive level of women, hormonal values of pregnant women should be followed
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32. Aleshina E, Cherkasova V, Cheremiskin V. Cognitive disorders in pregnant women with a malfunction of the autonomic nervous system. Act Nerv Super Rediviva, 2015;57(1-2):3-5.
33. Keskin FE, Ozyazar M, Pala AS, Elmali AD, Yilmaz B, Uygunoglu U, Bozluolcay M, Tuten A, Bingöl A, Hatipoglu E. Evaluation of cognitive functions in gestational diabetes mellitus. Experimental and Clinical Endocrinology & Diabetes. 2015 Apr;123(04):246-51.
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35. Rohilla L, Das K, Kaur S. Assessment of the Cognitive Impairment in the Elderly Persons Admitted in a Tertiary CareHospital: A Pilot Study. Journal of Nursing Science & Practice, 2018;7(2):20-24.
36. Oren N, Yogev-Seligmann G, Ash E, Hendler T, Giladi N, Lerner Y. The Montreal cognitive assessment in cognitively-intact elderly: A case for age adjusted cutoffs. Journal of Alzheimer's Disease. 2015 Jan 1;43(1):19-22.
37. Dandan L, Jianrong Z, Shiqi X, Huan W. Application of Montreal cognitive assessment scale in screening of mild cognitive impairment among community elderly, Journal of Nursing Science 2018;(15):29
2. Sahin H, Ongan, D, Inanc N, Baser M, Mucuk S. Believes of the Pregnants: Does Food Choice Affect The Gender And The Physical Characteristics of the Baby. Aile ve Toplum Dergisi 2009;5:41-51.
3. Inanir S, Cakmak B, Nacar MC, Guler AE, Inanir A. Body Image perception and self-esteem during pregnancy. International Journal of Women’s Health and Reproduction Sciences 2015;3;196-200.
4. Kumcağiz H, Ersanli E, Murat N. The Development of a Self-perception of Pregnants Scale and its Psychometric Features. Journal of Psychiatric Nursing/Psikiyatri Hemsireleri Dernegi. 2017 Jan 1;8(1).
5. Arslan S, Okçu G, Coşkun AM, Temiz F. Women’s perceptıon of pregnancy and the affectıng factors. HSP, 2019;6(1):179- 92.
6. Ali RS, Farooqui M, Gnanasan S. Traditional and Complementary Medicine Use Among Women to Conceive and During Pregnancy: A Literature Review. Value in Health. 2016 Nov 1;19(7):A907.
7. Sherwin BB. Estrogen and cognitive functioning in women: lessons we have learned. Behavioral neuroscience. 2012 Feb;126(1):123.
8. Babacan Gümüş A, Çevik N, Hataf Hyusni S, Biçen Ş, Keskin G, Tuna Malak A. Characteristics associated with self esteem and body image in pregnancy. Anatolian Journal of Clinical Investigation. 2011;5(1):7-14.
9. Besen MA. Sexuality and Aesthetic. Duzce Medical Journal, 2014;16(1):70-2.
10. Demirbas H, Kadioglu H. Adaptation to pregnancy in prenatal period women and factors associated with adaptation. Clinical and Experimental Health Sciences. 2014 Oct 1;4(4):200-206.
11. Karakuş A, Yanıkkerem E. Postpartum Dönemde Inkontinans Ve Yaşam Kalitesi: Son 10 Yillik Çalişmalar. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2015 Sep 29;2(3):54-9.
12. Chang SR, Chao YM, Kenney NJ. I am a woman and I’m pregnant: body image of women in Taiwan during the third trimester of pregnancy. Birth. 2006 Jun;33(2):147- 53.
13. Taskin L. Maternity and Women's Health Nursing. 2016, 13. Edition. Ankara: Akademisyen.
14. Kok G, Guvenc G, Bilsel H, Guvener A. Does Body Image Perceptions of Women Differ During Pregnancy? Journal of Education and Research in Nursing. 2018 Dec 1;15(4):209-15.
15. Kumcagız H. Pregnant women, body image and self-esteem according to the examination of some of the variables. Journal of Human Sciences. 2012 Aug 10;9(2):691-703.
16. Boscaglia N, Skouteris H, Wertheim EH. Changes in body image satisfaction during pregnancy: A comparison of high exercising and low exercising women. Australian and New Zealand Journal of Obstetrics and Gynaecology. 2003 Feb;43(1):41-5.
17. Smith SA, Hulsey T, Goodnight W. Effects of obesity on pregnancy. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2008 Mar 1;37(2):176-84.
18. Bencaiova G, Burkhardt T, Breymann C. Anemia—prevalence and risk factors in pregnancy. European journal of internal medicine. 2012 Sep 1;23(6):529-33.
19. Breymann C. Iron deficiency anemia in pregnancy. InSeminars in hematology 2015 Oct 1 (Vol. 52, No. 4, pp. 339-347). WB Saunders.
20. Kucukceran H, Baser D, Agadayi EZ, Alsancak A, Kahveci R. Iron Deficiency Anemia Prevalence and the Factors Which Cause the Iron Deficiency during Pregnancy Term in Ankara Akyurt Region. Konuralp Medical Journal 2018;10:13-19. 21.McArdle HJ, Ashworth CJ. Micronutrients in fetal growth and development. British medical bulletin. 1999 Jan 1;55(3):499-510.
22. Kabaran S, Samur G. Maternal obesity and pregnancy. Journal of Nutrition and Dietetics, 2010;(38): 45-52. 23.Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, & Spong CY. Williams obstetrik. İstanbul: Nobel Tıp kitabevleri, 2010;1104-1121.
24. Costantine M. Physiologic and pharmacokinetic changes in pregnancy. Frontiers in pharmacology. 2014 Apr 3;5:65. 25. Yorulmaz O. Robust Regression Method and Diagnose Of Outliers on Several Social Data. Balikesir University Journal Of Social Sciences Institute, 2009;12(21):76- 88.
26. Chen H. Robust regression with projection based m-estimators. InProceedings Ninth IEEE International Conference on Computer Vision 2003 Oct 13 (pp. 878-885). IEEE.
27. Ahdesmäki M, Lähdesmäki H, Gracey A, Shmulevich I, Yli-Harja, O. Robust regression for periodicity detection in non uniformly sampled time-course gene expression data. BMC bioinformatics, 2007;8(1):233.
28. Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL, Chertkow H. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society. 2005 Apr;53(4):695-9.
29. Selekler K, Cangöz B, Uluc S. Power of discrimination of Montreal Cognitive Assessment (MOCA) Scale in Turkish patients with mild cognitive impairement and Alzheimer's disease. Turkish Journal of Geriatrics. 2010;13(3):166-71.
30. De Groot RH, Vuurman EF, Hornstra G, Jolles J. Differences in cognitive performance during pregnancy and early motherhood. Psychological medicine. 2006 Jul;36(7):1023-32.
31. Crawley R, Grant S, Hinshaw KI. Cognitive changes in pregnancy: mild decline or societal stereotype?. Applied Cognitive Psychology: The Official Journal of the Society for Applied Research in Memory and Cognition. 2008 Dec;22(8):1142-62.
32. Aleshina E, Cherkasova V, Cheremiskin V. Cognitive disorders in pregnant women with a malfunction of the autonomic nervous system. Act Nerv Super Rediviva, 2015;57(1-2):3-5.
33. Keskin FE, Ozyazar M, Pala AS, Elmali AD, Yilmaz B, Uygunoglu U, Bozluolcay M, Tuten A, Bingöl A, Hatipoglu E. Evaluation of cognitive functions in gestational diabetes mellitus. Experimental and Clinical Endocrinology & Diabetes. 2015 Apr;123(04):246-51.
34. Gujski M, Pinkas J, Witczak M, Owoc A, Bojar I. Models of cognitive functions with respect to selected parameters of functional state of the thyroid gland in post menopausal women. Endokrynologia Polska. 2017;68(3):290-8.
35. Rohilla L, Das K, Kaur S. Assessment of the Cognitive Impairment in the Elderly Persons Admitted in a Tertiary CareHospital: A Pilot Study. Journal of Nursing Science & Practice, 2018;7(2):20-24.
36. Oren N, Yogev-Seligmann G, Ash E, Hendler T, Giladi N, Lerner Y. The Montreal cognitive assessment in cognitively-intact elderly: A case for age adjusted cutoffs. Journal of Alzheimer's Disease. 2015 Jan 1;43(1):19-22.
37. Dandan L, Jianrong Z, Shiqi X, Huan W. Application of Montreal cognitive assessment scale in screening of mild cognitive impairment among community elderly, Journal of Nursing Science 2018;(15):29
| Files | ||
| Issue | Vol 7 No 1 (2021) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jbe.v7i1.6295 | |
| Keywords | ||
| Pregnancy Cognitive Performance Progesterone TSH Robust Regression | ||
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How to Cite
1.
Doganer A, Tok A, Demirel G. Prediction of Factors Affecting Cognitive Performance in Pregnant Women Using Robust Regression Methods. JBE. 2021;7(1):60-69.
