Dietary patterns during pregnancy and the risk of postpartum depression in Japan: the Osaka Maternal and Child Health Study

Although several nutrients and foods are suggested to be preventive against postpartum depression, all previous studies have primarily focused on single nutrients or foods. In contrast, studies on dietary patterns, namely the measurement of overall diet by considering the cumulative effects of nutri...

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Veröffentlicht in:British journal of nutrition 2011-04, Vol.105 (8), p.1251-1257
Hauptverfasser: Okubo, Hitomi, Miyake, Yoshihiro, Sasaki, Satoshi, Tanaka, Keiko, Murakami, Kentaro, Hirota, Yoshio
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container_title British journal of nutrition
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creator Okubo, Hitomi
Miyake, Yoshihiro
Sasaki, Satoshi
Tanaka, Keiko
Murakami, Kentaro
Hirota, Yoshio
description Although several nutrients and foods are suggested to be preventive against postpartum depression, all previous studies have primarily focused on single nutrients or foods. In contrast, studies on dietary patterns, namely the measurement of overall diet by considering the cumulative effects of nutrient, may provide new insights into the influence of diet on postpartum depression. We prospectively examined the association between dietary patterns during pregnancy and the risk of postpartum depression among 865 Japanese women. Diet was assessed with a validated, self-administered diet history questionnaire. Dietary patterns from thirty-three predefined food groups (energy-adjusted food (g/d)) were extracted by factor analysis. Postpartum depression was defined as present when the subjects had an Edinburgh Postnatal Depression Scale score of ≥ 9 at 2–9 months postpartum. A total of 121 women (14·0 %) were classified as having postpartum depression. Three dietary patterns were identified: ‘Healthy’, ‘Western’ and ‘Japanese’ patterns. After adjustment for potential confounders, neither the ‘Healthy’ nor the ‘Japanese’ pattern was related to the risk of postpartum depression. Compared with the first quartile of the ‘Western’ pattern, only the second quartile was independently related to a decreased risk of postpartum depression (multivariate OR 0·52, 95 % CI 0·30, 0·93), although no evident exposure–response associations were observed (P for trend = 0·36). The present study failed to substantiate clear associations between dietary patterns and the risk of postpartum depression. Further studies with more accurate measurements are warranted to confirm the relationship between dietary patterns and the risk of postpartum depression.
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In contrast, studies on dietary patterns, namely the measurement of overall diet by considering the cumulative effects of nutrient, may provide new insights into the influence of diet on postpartum depression. We prospectively examined the association between dietary patterns during pregnancy and the risk of postpartum depression among 865 Japanese women. Diet was assessed with a validated, self-administered diet history questionnaire. Dietary patterns from thirty-three predefined food groups (energy-adjusted food (g/d)) were extracted by factor analysis. Postpartum depression was defined as present when the subjects had an Edinburgh Postnatal Depression Scale score of ≥ 9 at 2–9 months postpartum. A total of 121 women (14·0 %) were classified as having postpartum depression. Three dietary patterns were identified: ‘Healthy’, ‘Western’ and ‘Japanese’ patterns. 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subjects Adult
Biological and medical sciences
children
Cohort Studies
Depression, Postpartum - epidemiology
Depression, Postpartum - prevention & control
Diet
Diet - adverse effects
Diet - ethnology
Dietary Surveys and Nutritional Epidemiology
eating habits
Factor analysis
Feeding Behavior - ethnology
Feeding. Feeding behavior
Female
Food
food frequency questionnaires
Food groups
Fundamental and applied biological sciences. Psychology
Health Surveys
Humans
Japan - epidemiology
Japanese people
Mental depression
Nutrients
Postpartum depression
Pregnancy
Prenatal Nutritional Physiological Phenomena
Psychiatric Status Rating Scales
risk
Risk Factors
Risk reduction
Vertebrates: anatomy and physiology, studies on body, several organs or systems
women
title Dietary patterns during pregnancy and the risk of postpartum depression in Japan: the Osaka Maternal and Child Health Study
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