Longitudinal Analyses of Diet Quality and Maternal Depressive Symptoms During Pregnancy: The Kuopio Birth Cohort Study

Airaksinen, Ville; Ruohomäki, Aleksi; Hantunen, Sari; Keski‐Nisula, Leea; Luojus, Maria K.; Pekkanen, Juha; Tuomainen, Tomi‐Pekka; Heinonen, Seppo; Pasanen, Markku; Lehto, Soili M.

doi:10.1016/j.jand.2022.05.018

Cited by 6 publications

(3 citation statements)

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“…Moreover, MD adherence exerted substantial potential for improving depression symptomatology in individuals suffering from major or mild depression [87]. Importantly, women beginning gestation and presenting a lower quality of diet additionally displayed elevated depression symptomatology levels compared to women presenting an enhanced quality of diet when the gestation begins, and this relationship persisted unchanged during gestation [88]. On the other hand, there is no conclusive evidence so far concerning the association of Western nutritional patterns and pregnant women's perinatal anxiety and depressive symptomatology.…”

Section: Discussionmentioning

confidence: 99%

Association of Pregnant Women’s Perinatal Depression with Sociodemographic, Anthropometric and Lifestyle Factors and Perinatal and Postnatal Outcomes: A Cross-Sectional Study

Jacovides,

Papadopoulou,

Pavlidou

et al. 2024

JCM

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Background: In recent decades, the incidence of depression has gradually increased in the general population globally. Depression is also common during gestation and could result in detrimental gestational complications for both the mother and the fetus. The survey presented aimed to evaluate whether pregnant women’s perinatal depression could be associated with socio-demographic, anthropometry and lifestyle factors, and perinatal and postnatal outcomes. Methods: This is a cross-sectional survey conducted on 5314 pregnant women. Socio-demographic and lifestyle factors were recorded by relevant questionnaires via face-to-face interviews. Anthropometric parameters were measured by qualified personnel. Perinatal depressive symptomatology status was evaluated by Beck’s Depression Inventory (BDI-II) questionnaire. Results: Depressive symptoms throughout gestation were found in 35.1% of the enrolled women. Perinatal depression was significantly associated with lower educational and economic level, pre-pregnancy regular smoking and reduced levels of Mediterranean diet adherence levels, a higher prevalence of gestational diabetes and preterm birth, as well as a higher incidence of delivering by caesarean section and abnormal childbirth weight. Perinatal depression was also significantly associated with a higher prevalence of maternal postpartum depression and lower prevalence of exclusive breastfeeding practices, as well as with a higher incidence of childhood asthma. Conclusions: Pregnant women’s perinatal depression appears to be associated with various socio-demographic, anthropometry, and lifestyle characteristics and with a higher frequency of several adverse pregnancy complications. The present findings emphasize the importance of pregnant women’s perinatal mental health, highlighting the need to develop and apply public strategies and policies for psychological counseling and support of future mothers to minimize probable risk factors that may trigger perinatal depression. Novel well-organized, follow-up surveys of enhanced validity are highly recommended to establish more definitive conclusions.

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Section: Discussionmentioning

confidence: 99%

Association of Pregnant Women’s Perinatal Depression with Sociodemographic, Anthropometric and Lifestyle Factors and Perinatal and Postnatal Outcomes: A Cross-Sectional Study

Jacovides,

Papadopoulou,

Pavlidou

et al. 2024

JCM

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show abstract

“…In addition, weeks of gestation at the time of enrollment, age, racial identity, household income (dichotomized as ≤$30,000 or > $30,000 per year), and educational attainment were included as covariates in all models. These covariates were chosen on the basis of evidence that health behavior engagement changes over the course of pregnancy 61 , 62 , 63 , 64 and that demographic characteristics and social determinants of health are associated with differences in CVD risk. 19 , 65 Baseline scores on the CES‐D and PSS were also included as covariates in the relevant models.…”

Section: Discussionmentioning

confidence: 99%

Improvements in Maternal Cardiovascular Health Over the Perinatal Period Longitudinally Predict Lower Postpartum Psychological Distress Among Individuals Who Began Their Pregnancies With Overweight or Obesity

Donofry,

Jouppi,

Call

et al. 2024

JAHA

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Background Adverse cardiovascular events during pregnancy (eg, preeclampsia) occur at higher rates among individuals with overweight or obesity (body mass index ≥25 kg/m 2 ) and have been associated with postpartum depression. The present study examined whether changes in cardiovascular health (CVH) during the perinatal period, as defined by the American Heart Association's Life's Essential 8 framework, predicted postpartum psychological functioning among individuals with prepregnancy body mass index ≥25 kg/m 2 . Methods and Results Pregnant individuals (N = 226; mean ± SD age = 28.43 ± 5.4 years; mean body mass index = 34.17 ± 7.15 kg/m 2 ) were recruited at 12 to 20 weeks of gestation (mean, 15.64 ± 2.45 weeks) for a longitudinal study of health and well‐being. Participants completed ratings of depression and perceived stress and reported on CVH behaviors (dietary intake, physical activity, nicotine exposure, and sleep) at baseline and at 6 months postpartum. Body mass index and CVH behaviors were used to calculate a composite CVH score at both time points. Linear regression analyses were performed to examine whether change in CVH related to postpartum symptom scores. Because sleep was measured in only a subset of participants (n = 114), analyses were conducted with and without sleep. Improved CVH was associated with lower postpartum depression (β = −0.18, P <0.01) and perceived stress (β = −0.13, P =0.02) scores. However, when including sleep, these relationships were no longer significant (all P >0.4). Conclusions Improvements in CVH from early pregnancy to 6 months postpartum were associated with lower postpartum depressive symptoms and perceived stress but not when including sleep in the CVH metric, potentially due to the large reduction in sample size. These data suggest that intervening during pregnancy to promote CVH may improve postpartum psychological functioning among high‐risk individuals.

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“…All models were adjusted for baseline LE8 scores to account for the influence of individual variation on CVH during the second trimester of pregnancy on change in CVH through six months postpartum. In addition, given evidence that health behavior engagement changes over the course of Cardiovascular Health and Postpartum Psychological Distress 13 pregnancy [56][57][58][59] and that demographic characteristics and social determinants of health are associated with differences in CVD risk 19,60 , weeks gestation of pregnancy at the time of enrollment, age, racial identity, household income (dichotomized as ≤$30,000 or >$30,000 per year), and educational attainment were included as covariates in all models. Baseline scores on the CES-D and PSS were also included as covariates in the relevant models.…”

Section: Measures Of Cardiovascular Healthmentioning

confidence: 99%

Improvements in cardiovascular health over the perinatal period predicts lower postpartum psychological distress

Donofry,

Jouppi,

Call

et al. 2023

Preprint

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BackgroundAdverse cardiovascular events during pregnancy (e.g., pre-eclampsia) occur at higher rates among individuals with pre-pregnancy overweight or obesity (body mass index [BMI]≥25kg/m2) and have been associated with postpartum depression. However, it is unclear whether cardiovascular health (CVH), defined more holistically than the absence of cardiovascular conditions in pregnancy, relates to postpartum psychological functioning. The present study examined whether changes in CVH during the perinatal period predicted postpartum psychological functioning among individuals with pre-pregnancy BMI≥25kg/m2.MethodsIndividuals (N=226; Mage=28.43±5.4 years; MBMI=34.17±7.15kg/m2) were recruited when their pregnancies were 12-20 weeks gestation (M=15.64±2.45 weeks) for a longitudinal study of health and well-being. Participants completed the Center for Epidemiological Studies Depression Scale (CES-D) and Perceived Stress Scale (PSS) and reported on CVH behaviors (dietary intake, physical activity, nicotine exposure, and sleep) at baseline and at 6-months postpartum. BMI and CVH behaviors were coded according to the American Heart Association’s Life’s Essential 8 to create a CVH score at both timepoints. Linear regression analyses were performed to examine whether change in CVH related to postpartum CES-D and PSS scores. Because sleep was only measured in a subset of participants (n=114), analyses were conducted with and without sleep included. Baseline CVH, CES-D and PSS scores, and demographic factors were included as covariates in all models.ResultsImproved CVH was associated with lower postpartum CES-D (β=-0.18,p<0.01) and PSS (β=-0.13,p=0.02) scores when excluding sleep. Compared to those whose CVH improved by >1SD from pregnancy to 6-months postpartum, individuals whose CVH worsened by >1SD scored 6.42 points higher on the CESD (MCESD=15.25±10.92 vs. 8.52±6.90) and 6.12 points higher on the PSS (MPSS=24.45±8.29 vs. 17.83±8.70). However, when including sleep, these relationships were no longer significant (ps>0.4).ConclusionsImprovements in CVH from early pregnancy to 6-months postpartum were associated with lower postpartum depressive symptoms and perceived stress. However, these relationships were no longer significant when including sleep in the CVH metric, potentially due to the large reduction in sample size. These data suggest that intervening during pregnancy to promote CVH may improve postpartum psychological functioning among high-risk individuals.

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Longitudinal Analyses of Diet Quality and Maternal Depressive Symptoms During Pregnancy: The Kuopio Birth Cohort Study

Cited by 6 publications

References 54 publications

Association of Pregnant Women’s Perinatal Depression with Sociodemographic, Anthropometric and Lifestyle Factors and Perinatal and Postnatal Outcomes: A Cross-Sectional Study

Association of Pregnant Women’s Perinatal Depression with Sociodemographic, Anthropometric and Lifestyle Factors and Perinatal and Postnatal Outcomes: A Cross-Sectional Study

Improvements in Maternal Cardiovascular Health Over the Perinatal Period Longitudinally Predict Lower Postpartum Psychological Distress Among Individuals Who Began Their Pregnancies With Overweight or Obesity

Improvements in cardiovascular health over the perinatal period predicts lower postpartum psychological distress

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