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Perinatal dietary patterns and symptomatic depression: A prospective cohort study.
- Source :
- Maternal & Child Nutrition; Jan2024, Vol. 20 Issue 1, p1-11, 11p
- Publication Year :
- 2024
-
Abstract
- To promote maternal and infant health, there is a need to optimise the dietary pattern of pregnant women to reduce perinatal depression. This prospective cohort study was conducted from June 2020 to February 2022, 300 women from a medical center were interviewed during late pregnancy and at 4–6 weeks postpartum. Dietary patterns were derived by factor analysis using a semiquantitative food frequency questionnaire. Symptomatic depression was defined using the Edinburgh Postpartum Depression Scale (EPDS, ranged 0–30). Their dairy, vegetable and fruit intakes were below the Taiwanese recommendations for pregnant women. Symptomatic depression (EPDS ≥10) affected 31.3% in the third trimester and 35.7% postpartum. Pre‐ and post‐EPDS scores were positively correlated (r = 0.386, p < 0.001). Approximately 55% of those depressed before delivery were also depressed postpartum. For late pregnancy, four dietary patterns were identified ('Good oil', 'Vegetables and fruits', 'Omnivorous' and 'Refined‐grain and organ meats'). Dietary patterns were classified according to quartiles (Q). Higher omnivorous pattern scores reduced the risk of depression. For prenatal depression, with Q1 as a reference, the risk was reduced by 38% for Q2, 43% for Q3 and 59% for Q4 (p for trend = 0.068). These findings became evident postpartum (reduced risk by 68% for Q2, 69% for Q3 and 70% for Q4 (p = 0.031; p for trend = 0.0032). The association between dietary patterns and depression encourages the routine nutritional management of pregnant women. Key messages: Perinatal women have a higher prevalence of symptomatic depression, and more than half of women with antenatal depression also have postpartum depression.Pregnant women often face challenges in trying to achieve a healthy diet, as reflected in our findings on low vegetable and fruit intake.An omnivorous pattern was found to protect against symptomatic depression in late pregnancy, which persisted into the early postpartum period.Through effective nutritional counselling, paying attention to the risk of depression in perinatal women is expected to reduce women's pregnancy anxiety. [ABSTRACT FROM AUTHOR]
- Subjects :
- MOTHERS
POSTPARTUM depression
VEGETABLES
CONFIDENCE intervals
FOOD consumption
CROSS-sectional method
THIRD trimester of pregnancy
PREGNANT women
INTERVIEWING
NUTRITIONAL requirements
COMPARATIVE studies
RISK assessment
DAIRY products
DIETARY supplements
RESEARCH funding
PUBLIC hospitals
QUESTIONNAIRES
FRUIT
DESCRIPTIVE statistics
CHI-squared test
DISEASE prevalence
SOCIAL classes
HEALTH behavior
FACTOR analysis
PRENATAL care
ANXIETY
LOGISTIC regression analysis
ODDS ratio
LONGITUDINAL method
EDINBURGH Postnatal Depression Scale
PREGNANCY
Subjects
Details
- Language :
- English
- ISSN :
- 17408695
- Volume :
- 20
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Maternal & Child Nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 174408441
- Full Text :
- https://doi.org/10.1111/mcn.13561