|Title:||Association between postpartum nutritional status and postpartum depression symptoms||Authors:||Lin Y.-H.
|Keywords:||10.3390/nu11061204; confinement; N-3 fatty acid; Postpartum depression symptoms; Postpartum nutritional status; Riboflavin||Issue Date:||2019||Publisher:||MDPI AG||Journal Volume:||11||Journal Issue:||6||Start page/Pages:||1204||Source:||Nutrients||Abstract:||
Taiwanese women may practice traditional confinement after childbirth, and no study has investigated the nutritional status and the effects of postpartum depression on such women. The aim of this study was to investigate the association between nutritional status and postpartum depression at 6–8 weeks postpartum. A cross-sectional study was conducted on postpartum women who returned to the obstetrics and gynecology clinic for routine examination from January 2016 to September 2017. A total of 344 women received assessments based on the Edinburgh Postnatal Depression Scale (EPDS). An EPDS score of ?10 indicated the presence of postpartum depressive symptoms (PPDS). A total of 97 women without such symptoms and 23 with PPDS completed nutritional parameter analyses and questionnaires. The results showed that the prevalence of postpartum depression (PPD) was 8.4%. The proportion was 70% for those who practiced confinement at home, significantly higher than for those in the non-PPDS group (45%). The overall psychological stress score was significantly higher and the postpartum care satisfaction score was significantly lower in those with PPDS compared to those without. In terms of nutritional biomarkers, the plasma riboflavin levels in the PPDS group were significantly lower than those in their symptomless counterparts (13.9%). The vitamin D insufficiency and deficiency rates in the non-PPD and PPDS groups were 35%, 41%, 48%, 26%, respectively. However, compared with those in the non-PPDS group, those with PPDS had significantly higher ratios of Σn-6/Σn-3, C20:3n-6/C18:3n-6, and C20:4n-6/(C20:5n-3 + C22:6n-3) (by 8.2%, 79.7%, and 8.8%, respectively), whereas they had lower ratios of C22:6n-3/C22:5n-6 (by 15.5%). Higher plasma riboflavin and erythrocyte C16:1n-9, C24:1n-9, C18:3n-6, and C20:5n-3 levels and lower Σn-6 fatty acid and C22:5n-6 levels decreased the risk of PPD after type of confinement, overall mental stress scores, and postpartum care satisfaction scores were adjusted for the logistic regression analysis. In conclusion, the plasma riboflavin level and erythrocyte fatty acid composition are potentially major contributors to PPD development. ? 2019 by the authors. Licensee MDPI, Basel, Switzerland.
|ISSN:||2072-6643||DOI:||10.3390/nu11061204||SDG/Keyword:||25 hydroxyvitamin D; alpha tocopherol; ascorbic acid; biological marker; ferritin; hemoglobin; malonaldehyde; nutrition supplement; omega 3 fatty acid; polyunsaturated fatty acid; retinol; riboflavin; biological marker; fatty acid; riboflavin; adult; anthropometry; Article; birth weight; blood cell count; blood sampling; body mass; breast feeding; cross-sectional study; Edinburgh Postnatal Depression Scale; electrochemiluminescence; enzyme linked immunosorbent assay; fatty acid analysis; female; gestational weight gain; health status; human; major clinical study; mental stress; nutritional status; postnatal depression; prevalence; puerperium; questionnaire; reversed phase high performance liquid chromatography; visual analog scale; affect; blood; erythrocyte; maternal nutrition; metabolism; postnatal depression; pregnancy; psychology; puerperium; risk factor; Taiwan; Adult; Affect; Biomarkers; Cross-Sectional Studies; Depression, Postpartum; Erythrocytes; Fatty Acids; Female; Humans; Maternal Nutritional Physiological Phenomena; Nutritional Status; Postpartum Period; Pregnancy; Prevalence; Riboflavin; Risk Factors; Taiwan
|Appears in Collections:||生理學科所|
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.