Anoop S, Saravanan B, Joseph A, Cherian A, Jacob K S
Department of Psychiatry, Christian Medical College, Vellore 632002, India.
Arch Dis Child. 2004 Apr;89(4):325-9. doi: 10.1136/adc.2002.009738.
To determine whether current and postpartum maternal depression and low maternal intelligence are risk factors for malnutrition in children.
In rural South India 72 children with malnutrition were identified from a central register; 72 controls were matched for age, gender, and residence.
Major depression in the postpartum period (OR 5.0, 95% CI 1.0 to 24.0), current major depression (OR 3.2, 95% CI 1.1 to 9.5), and low maternal intelligence (OR 3.8, 95% CI 1.3 to 11.1) were associated with malnutrition in the child. Low birth weight (OR 2.9, 95% CI 1.2 to 6.8) was also significantly associated with infant malnutrition. Conditional logistic regression adjusting for all other determinants yielded the following results: major depression during the postpartum period (OR 7.8; 95% CI 1.6 to 38.51), current major depression (OR 3.1; 95% CI 0.9 to 9.7), low maternal intelligence (OR 4.6; 95% CI 1.5 to 14.1), and low birth weight (OR 2.7; 95% CI 2.5 to 6.8). The interactions between current maternal depression and low birth weight and between postpartum depression and low maternal intelligence were statistically significant. The level of maternal intelligence was associated with nutritional status. The severity of malnutrition was also significantly associated with major depression during the postpartum period and low maternal intelligence.
There is evidence for an association between postpartum maternal depression, low maternal intelligence, and low birth weight with malnutrition in children aged 6-12 months.
确定当前及产后母亲抑郁和母亲低智力是否为儿童营养不良的风险因素。
在印度南部农村地区，从一份中央登记册中识别出72名营养不良儿童；选取72名年龄、性别和居住地相匹配的对照儿童。
产后重度抑郁（比值比5.0，95%可信区间1.0至24.0）、当前重度抑郁（比值比3.2，95%可信区间1.1至9.5）以及母亲低智力（比值比3.8，95%可信区间1.3至11.1）与儿童营养不良相关。低出生体重（比值比2.9，95%可信区间1.2至6.8）也与婴儿营养不良显著相关。对所有其他决定因素进行校正后的条件逻辑回归得出以下结果：产后重度抑郁（比值比7.8；95%可信区间1.6至38.51）、当前重度抑郁（比值比3.1；95%可信区间0.9至9.7）、母亲低智力（比值比4.6；95%可信区间1.5至14.1）以及低出生体重（比值比2.7；95%可信区间2.5至6.8）。当前母亲抑郁与低出生体重之间以及产后抑郁与母亲低智力之间的相互作用具有统计学意义。母亲智力水平与营养状况相关。营养不良的严重程度也与产后重度抑郁和母亲低智力显著相关。
有证据表明产后母亲抑郁、母亲低智力和低出生体重与6至12个月大儿童的营养不良之间存在关联。
