TY - JOUR
T1 - Dietary patterns during pregnancy and the risk of postpartum depression
T2 - The mother-child 'Rhea' cohort in Crete, Greece
AU - Chatzi, Leda
AU - Melaki, Vasiliki
AU - Sarri, Katerina
AU - Apostolaki, Ioanna
AU - Roumeliotaki, Theano
AU - Georgiou, Vaggelis
AU - Vassilaki, Maria
AU - Koutis, Antonis
AU - Bitsios, Panos
AU - Kogevinas, Manolis
PY - 2011/9
Y1 - 2011/9
N2 - Objective: To identify and describe dietary patterns in a cohort of pregnant women, and investigate whether dietary patterns during pregnancy are related to postpartum depression (PPD). Design: The study uses data from the prospective mother-child cohort 'Rhea' study. Pregnant women completed an FFQ in mid-pregnancy and the Edinburg Postpartum Depression Scale (EPDS) at 8-10 weeks postpartum. Dietary patterns during pregnancy ('health conscious', 'Western') were identified using principal component analysis. Associations between dietary patterns categorized in tertiles and PPD symptoms were investigated by multivariable regression models after adjusting for confounders. Setting: Heraklion, Crete, Greece, 2007-2010. Subjects: A total of 529 women, participating in the 'Rhea' cohort. Results: High adherence to a 'health conscious' diet, characterized by vegetables, fruit, pulses, nuts, dairy products, fish and olive oil, was associated with lower EPDS scores (highest v. lowest tertile: β-coefficient = -1·75, P = 0·02). Women in the second (relative risk (RR) = 0·52, 95 % CI 0·30, 0·92) or third tertile (RR = 0·51, 95 % CI 0·25, 1·05) of the 'health conscious' dietary pattern were about 50 % less likely to have high levels of PPD symptoms (EPDS ≥ 13) compared with those in the lowest tertile. Conclusions: This is the first prospective study showing that a healthy diet during pregnancy is associated with reduced risk for PPD. Additional longitudinal studies and trials are needed to confirm these findings.
AB - Objective: To identify and describe dietary patterns in a cohort of pregnant women, and investigate whether dietary patterns during pregnancy are related to postpartum depression (PPD). Design: The study uses data from the prospective mother-child cohort 'Rhea' study. Pregnant women completed an FFQ in mid-pregnancy and the Edinburg Postpartum Depression Scale (EPDS) at 8-10 weeks postpartum. Dietary patterns during pregnancy ('health conscious', 'Western') were identified using principal component analysis. Associations between dietary patterns categorized in tertiles and PPD symptoms were investigated by multivariable regression models after adjusting for confounders. Setting: Heraklion, Crete, Greece, 2007-2010. Subjects: A total of 529 women, participating in the 'Rhea' cohort. Results: High adherence to a 'health conscious' diet, characterized by vegetables, fruit, pulses, nuts, dairy products, fish and olive oil, was associated with lower EPDS scores (highest v. lowest tertile: β-coefficient = -1·75, P = 0·02). Women in the second (relative risk (RR) = 0·52, 95 % CI 0·30, 0·92) or third tertile (RR = 0·51, 95 % CI 0·25, 1·05) of the 'health conscious' dietary pattern were about 50 % less likely to have high levels of PPD symptoms (EPDS ≥ 13) compared with those in the lowest tertile. Conclusions: This is the first prospective study showing that a healthy diet during pregnancy is associated with reduced risk for PPD. Additional longitudinal studies and trials are needed to confirm these findings.
KW - Antioxidants
KW - Dietary patterns
KW - Olive oil
KW - Postpartum depression
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U2 - 10.1017/S1368980010003629
DO - 10.1017/S1368980010003629
M3 - Article
C2 - 21477412
AN - SCOPUS:82555175830
SN - 1368-9800
VL - 14
SP - 1663
EP - 1670
JO - Public health nutrition
JF - Public health nutrition
IS - 9
ER -