Iron Deficiency and Risk of Maternal Depression in Pregnancy: An Observational Study

Dama, Manish; Lieshout, Ryan J. Van; Mattina, Gabriella Francesca; Steiner, Meir

doi:10.1016/j.jogc.2017.09.027

Cited by 28 publications

(23 citation statements)

References 38 publications

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“…and Dama et al . in their studies also reported high levels of depression among pregnant women with IDA,[3132] whereas Kang et al . documented a relationship between anxiety and anemia.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of anemia among pregnant women attending a public-sector hospital in Bangalore, South India

Vindhya

Nath

Metgud

et al. 2019

J Family Med Prim Care

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Background: Anemia affects almost two-thirds of pregnant women in developing countries and contributes to maternal mortality and low birthweight. According to the National Family Health Survey-4 reports, maternal anemia continues to be a public health problem. Objective: To study the prevalence of anemia and its risk factors among pregnant women attending a public-sector hospital. Materials and Methods: This study was nested within an ongoing cohort study “ÇASCADE” which is exploring the effect of prenatal exposure to maternal cortisol and psychological distress on infant development in Bangalore. The respondents were enrolled from the antenatal clinic at Jayanagar General Hospital, which is a sub-district hospital. A total of 280 women who fulfilled the eligibility criteria were enrolled. Results: The prevalence of anemia was observed to be 33.9%; proportion of mild and moderate anemia was almost similar (48.4 and 49.5%). The mean hemoglobin level of all the participants was 11.33 ± 1.460 g/dl. The mean hemoglobin level concentration was high during early gestation with a slight decrease by 21–24 weeks. Prenatal depression but not anxiety appeared to be a strong predictor of anemia on bivariate as well as multivariate analysis. No association was observed with socio-demographic and obstetric variables. Conclusion: The burden of maternal anemia was considerably high in the study population. Although iron-folic acid supplementation is available under the national health program to address this issue, it is important to consider and address other risk factors when designing and implementing target interventions for anemia control in selected populations.

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“…and Dama et al . in their studies also reported high levels of depression among pregnant women with IDA,[3132] whereas Kang et al . documented a relationship between anxiety and anemia.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of anemia among pregnant women attending a public-sector hospital in Bangalore, South India

Vindhya

Nath

Metgud

et al. 2019

J Family Med Prim Care

View full text Add to dashboard Cite

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“…A Canadian 2017 cross-sectional study in Quebec demonstrated that 97% of pregnant women had dietary intakes of iron below the proposed EAR; however, with supplementation, only 10% of women had inadequate iron intakes [ 39 ]. Iron deficiency during pregnancy poses serious health problems for the offspring and mother, such as preterm delivery, low birthweight and maternal depression [ 40 , 41 ]. The prevalence of postpartum iron-deficiency anaemia varies between 4–27% worldwide [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Do the Dietary Intakes of Pregnant Women Attending Public Hospital Antenatal Clinics Align with Australian Guide to Healthy Eating Recommendations?

et al. 2020

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The maternal diet influences the long-term health status of both mother and offspring. The current study aimed to compare dietary intakes of pregnant women compared to food and nutrient recommendations in the Australian Guide to Healthy Eating (AGHE) and Nutrient Reference Values (NRVs). Usual dietary intake was assessed in a sample of women in their 3rd trimester of pregnancy attending antenatal outpatient clinics at John Hunter Hospital, Newcastle, New South Wales (NSW). Dietary intake was measured using the Australian Eating Survey, a validated, semi-quantitative 120-item food frequency questionnaire. Daily food group servings and nutrient intakes were compared to AGHE and NRV targets. Of 534 women participating, none met the AGHE recommendations for all food groups. Highest adherence was for fruit serves (38%), and lowest for breads and cereals (0.6%). Only four women met the pregnancy NRVs for folate, iron, calcium, zinc and fibre from food alone. Current dietary intakes of Australian women during pregnancy do not align with national nutrition guidelines. This highlights the importance of routine vitamin and mineral supplementation during pregnancy, as intakes from diet alone may commonly be inadequate. Future revisions of dietary guidelines and pregnancy nutrition recommendations should consider current dietary patterns. Pregnant women currently need more support to optimise food and nutrient intakes.

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“…For example, selenium is an essential micronutrient associated with human health outcomes such as cancers, cardiovascular, and autoimmune disease ( 32 , 33 ). Amongst UK women low whole-blood selenium levels have recently been linked to increased pre-eclampsia and pregnancy-induced hypertension risk ( 34 ) whilst iron deficiency has been associated with higher rates of depression in pregnancy ( 35 ). Regarding potassium low fruit and vegetable intakes may be one factor contributing to declining intake.…”

Section: Discussionmentioning

confidence: 99%

Micronutrient Intakes of British Adults Across Mid-Life: A Secondary Analysis of the UK National Diet and Nutrition Survey

Derbyshire

2018

Front. Nutr.

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Background: There is a tendency to report micronutrients intakes collectively for adults, with broad age ranges being used. This means that certain sub-population groups such as young adults are often overlooked. The objective of the present article was to derive and evaluate micronutrient intakes across UK adults in their twenties, thirties, forties and fifties.Methods: A secondary analysis of the UK National Diet and Nutrition Survey (years 1–6) was undertaken. Data from n = 3,238 adults was analyzed and micronutrient intakes from food sources (excluding supplements) derived as a percentage of the Reference Nutrient Intake (RNI) and percentage below the Lower Reference Nutrient Intake (LRNI) for males and females aged 20–29, 30–39, 40–49, and 50–59 years. Mean intakes were used in instances where this data was unavailable (for vitamins D and E).Results: Sizeable gaps were found for magnesium with 19% of young people in their twenties having intakes below the LRNI. Amongst UK females intakes of 9 micronutrients (riboflavin, vitamin B6, B12, folic acid, calcium, iron, magnesium, potassium, and iodine) were significantly lower than males aged 20–59 years (p < 0.001) expressed as a percentage of the RNI. Young adults in their twenties had significantly lower (p < 0.05) intakes of 8 micronutrients (vitamin A, riboflavin, folic acid, calcium, magnesium, potassium, iodine, and copper) expressed as a percentage of the RNI compared with adults in their thirties, forties and fifties. There were also considerable gaps in dietary selenium intakes with 50.3% females and 25.8% males having total intakes beneath the LRNI. A quarter of women had iron (25.3%) and potassium (24.3%) intakes below the LRNI.Conclusions: UK females and younger adults appear to be particularly vulnerable to micronutrient shortfalls from food sources alone. Clearly, improvements in dietary quality are needed across mid-life. Alongside this, fortification and supplementation strategies may be considered to help adults achieve dietary targets at this life-stage when they should be at their nutritional prime.

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Iron Deficiency and Risk of Maternal Depression in Pregnancy: An Observational Study

Cited by 28 publications

References 38 publications

Prevalence and risk factors of anemia among pregnant women attending a public-sector hospital in Bangalore, South India

Prevalence and risk factors of anemia among pregnant women attending a public-sector hospital in Bangalore, South India

Do the Dietary Intakes of Pregnant Women Attending Public Hospital Antenatal Clinics Align with Australian Guide to Healthy Eating Recommendations?

Micronutrient Intakes of British Adults Across Mid-Life: A Secondary Analysis of the UK National Diet and Nutrition Survey

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