Exercise, Mediterranean Diet Adherence or Both during Pregnancy to Prevent Postpartum Depression-GESTAFIT Trial Secondary Analyses
Targeting lifestyle behaviors during pregnancy is crucial to prevent the highly prevalent postpartum depression and its consequences. In these secondary analyses of an intervention trial to investigate the effects of concurrent exercise training on postpartum depression, we aimed to investigate the...
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Veröffentlicht in: | International journal of environmental research and public health 2022-11, Vol.19 (21), p.14450 |
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creator | Flor-Alemany, Marta Migueles, Jairo H Alemany-Arrebola, Inmaculada Aparicio, Virginia A Baena-García, Laura |
description | Targeting lifestyle behaviors during pregnancy is crucial to prevent the highly prevalent postpartum depression and its consequences. In these secondary analyses of an intervention trial to investigate the effects of concurrent exercise training on postpartum depression, we aimed to investigate the potential role of Mediterranean diet (MD) adherence on the exercise effects. A total of 85 pregnant women met the per-protocol criteria (exercise n = 46, control n = 39). The exercise program was delivered in 60 min sessions, 3 days/week, from the 17th gestational week until birth. Women's dietary habits were assessed with a food frequency questionnaire. The Mediterranean Food Pattern (an MD index) was derived from it to assess MD adherence. We used the Edinburgh Postnatal Depression Scale to assess postpartum depression. The postpartum depression score was not statistically different between control and exercise groups (
> 0.05). A higher consumption of fruits (β = -0.242,
= 0.022), lower intake of red meat and subproducts (β = 0.244,
= 0.020), and a greater MD adherence (β = -0.236,
= 0.027) were associated with lower levels of postpartum depression. Greater adherence to the MD during pregnancy was associated with fewer depressive symptoms and a lower risk of postpartum depression. Postnatal depression was not reduced by prenatal exercise. Promoting fruit consumption while controlling the intake of red meat during pregnancy might prevent postnatal depression. |
doi_str_mv | 10.3390/ijerph192114450 |
format | Article |
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> 0.05). A higher consumption of fruits (β = -0.242,
= 0.022), lower intake of red meat and subproducts (β = 0.244,
= 0.020), and a greater MD adherence (β = -0.236,
= 0.027) were associated with lower levels of postpartum depression. Greater adherence to the MD during pregnancy was associated with fewer depressive symptoms and a lower risk of postpartum depression. Postnatal depression was not reduced by prenatal exercise. Promoting fruit consumption while controlling the intake of red meat during pregnancy might prevent postnatal depression.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph192114450</identifier><identifier>PMID: 36361335</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Anxiety ; Back pain ; Depression, Postpartum - diagnosis ; Depression, Postpartum - prevention & control ; Diet ; Diet, Mediterranean ; Exercise ; Female ; Food ; Fruits ; Habits ; Health care ; Humans ; Life Style ; Meat ; Mental depression ; Physical fitness ; Physical training ; Postpartum ; Postpartum depression ; Postpartum Period ; Pregnancy ; Pregnant Women ; Questionnaires ; Sociodemographics ; Statistical power ; Womens health</subject><ispartof>International journal of environmental research and public health, 2022-11, Vol.19 (21), p.14450</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c421t-754a6e354989ffd1f2f682642ea50b66a53f627818d6d2a3caa1aa922f4906f63</citedby><cites>FETCH-LOGICAL-c421t-754a6e354989ffd1f2f682642ea50b66a53f627818d6d2a3caa1aa922f4906f63</cites><orcidid>0000-0002-4895-567X ; 0000-0001-8256-5053 ; 0000-0002-2867-378X ; 0000-0002-4127-3502</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9657805/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9657805/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36361335$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Flor-Alemany, Marta</creatorcontrib><creatorcontrib>Migueles, Jairo H</creatorcontrib><creatorcontrib>Alemany-Arrebola, Inmaculada</creatorcontrib><creatorcontrib>Aparicio, Virginia A</creatorcontrib><creatorcontrib>Baena-García, Laura</creatorcontrib><title>Exercise, Mediterranean Diet Adherence or Both during Pregnancy to Prevent Postpartum Depression-GESTAFIT Trial Secondary Analyses</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Targeting lifestyle behaviors during pregnancy is crucial to prevent the highly prevalent postpartum depression and its consequences. In these secondary analyses of an intervention trial to investigate the effects of concurrent exercise training on postpartum depression, we aimed to investigate the potential role of Mediterranean diet (MD) adherence on the exercise effects. A total of 85 pregnant women met the per-protocol criteria (exercise n = 46, control n = 39). The exercise program was delivered in 60 min sessions, 3 days/week, from the 17th gestational week until birth. Women's dietary habits were assessed with a food frequency questionnaire. The Mediterranean Food Pattern (an MD index) was derived from it to assess MD adherence. We used the Edinburgh Postnatal Depression Scale to assess postpartum depression. The postpartum depression score was not statistically different between control and exercise groups (
> 0.05). A higher consumption of fruits (β = -0.242,
= 0.022), lower intake of red meat and subproducts (β = 0.244,
= 0.020), and a greater MD adherence (β = -0.236,
= 0.027) were associated with lower levels of postpartum depression. Greater adherence to the MD during pregnancy was associated with fewer depressive symptoms and a lower risk of postpartum depression. Postnatal depression was not reduced by prenatal exercise. Promoting fruit consumption while controlling the intake of red meat during pregnancy might prevent postnatal depression.</description><subject>Anxiety</subject><subject>Back pain</subject><subject>Depression, Postpartum - diagnosis</subject><subject>Depression, Postpartum - prevention & control</subject><subject>Diet</subject><subject>Diet, Mediterranean</subject><subject>Exercise</subject><subject>Female</subject><subject>Food</subject><subject>Fruits</subject><subject>Habits</subject><subject>Health care</subject><subject>Humans</subject><subject>Life Style</subject><subject>Meat</subject><subject>Mental depression</subject><subject>Physical fitness</subject><subject>Physical training</subject><subject>Postpartum</subject><subject>Postpartum depression</subject><subject>Postpartum Period</subject><subject>Pregnancy</subject><subject>Pregnant Women</subject><subject>Questionnaires</subject><subject>Sociodemographics</subject><subject>Statistical power</subject><subject>Womens health</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkc1P3DAQxa2qVaG0594qS71waIo_J8ml0hYWigQCie05Ms5k16usndoJYq_85ZhCEeU0Hvnnp_f8CPnM2Xcpa3bg1hiHFa8F50pp9obscgBWKGD87YvzDvmQ0poxWSmo35MdCRK4lHqX3M1vMVqX8Bs9x9aNGKPxaDw9cjjSWbvCiN4iDZH-DOOKtlN0fkkvIy698XZLx_Cw3KAf6WVI42DiOG3oEQ4RU3LBFyfzq8Xs-HRBF9GZnl6hDb41cUtn3vTbhOkjedeZPuGnp7lHfh_PF4e_irOLk9PD2VlhleBjUWplAKVWdVV3Xcs70UElQAk0ml0DGC07EGXFqxZaYaQ1hhtTC9GpmkEHco_8eNQdpusNtjZbjqZvhug22U4TjGv-v_Fu1SzDTVODLiums8D-k0AMfyZMY7NxyWLf5x8LU2pEKXUFUNYso19foeswxRz4L6VA5vZkpg4eKRtDShG7ZzOcNQ_9Nq_6zS--vMzwzP8rVN4DStmjjw</recordid><startdate>20221104</startdate><enddate>20221104</enddate><creator>Flor-Alemany, Marta</creator><creator>Migueles, Jairo H</creator><creator>Alemany-Arrebola, Inmaculada</creator><creator>Aparicio, Virginia A</creator><creator>Baena-García, Laura</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4895-567X</orcidid><orcidid>https://orcid.org/0000-0001-8256-5053</orcidid><orcidid>https://orcid.org/0000-0002-2867-378X</orcidid><orcidid>https://orcid.org/0000-0002-4127-3502</orcidid></search><sort><creationdate>20221104</creationdate><title>Exercise, Mediterranean Diet Adherence or Both during Pregnancy to Prevent Postpartum Depression-GESTAFIT Trial Secondary Analyses</title><author>Flor-Alemany, Marta ; 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In these secondary analyses of an intervention trial to investigate the effects of concurrent exercise training on postpartum depression, we aimed to investigate the potential role of Mediterranean diet (MD) adherence on the exercise effects. A total of 85 pregnant women met the per-protocol criteria (exercise n = 46, control n = 39). The exercise program was delivered in 60 min sessions, 3 days/week, from the 17th gestational week until birth. Women's dietary habits were assessed with a food frequency questionnaire. The Mediterranean Food Pattern (an MD index) was derived from it to assess MD adherence. We used the Edinburgh Postnatal Depression Scale to assess postpartum depression. The postpartum depression score was not statistically different between control and exercise groups (
> 0.05). A higher consumption of fruits (β = -0.242,
= 0.022), lower intake of red meat and subproducts (β = 0.244,
= 0.020), and a greater MD adherence (β = -0.236,
= 0.027) were associated with lower levels of postpartum depression. Greater adherence to the MD during pregnancy was associated with fewer depressive symptoms and a lower risk of postpartum depression. Postnatal depression was not reduced by prenatal exercise. Promoting fruit consumption while controlling the intake of red meat during pregnancy might prevent postnatal depression.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36361335</pmid><doi>10.3390/ijerph192114450</doi><orcidid>https://orcid.org/0000-0002-4895-567X</orcidid><orcidid>https://orcid.org/0000-0001-8256-5053</orcidid><orcidid>https://orcid.org/0000-0002-2867-378X</orcidid><orcidid>https://orcid.org/0000-0002-4127-3502</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Anxiety Back pain Depression, Postpartum - diagnosis Depression, Postpartum - prevention & control Diet Diet, Mediterranean Exercise Female Food Fruits Habits Health care Humans Life Style Meat Mental depression Physical fitness Physical training Postpartum Postpartum depression Postpartum Period Pregnancy Pregnant Women Questionnaires Sociodemographics Statistical power Womens health |
title | Exercise, Mediterranean Diet Adherence or Both during Pregnancy to Prevent Postpartum Depression-GESTAFIT Trial Secondary Analyses |
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