Nathanson Rivkah, Hill Briony, Skouteris Helen, Bailey Cate
Monash Centre for Health Research and Implementation Level 1, 43-51 Kanooka Grove, Clayton VIC 3168, Australia.
Monash Centre for Health Research and Implementation Level 1, 43-51 Kanooka Grove, Clayton VIC 3168, Australia.
Midwifery. 2018 Jul;62:69-76. doi: 10.1016/j.midw.2018.03.015. Epub 2018 Mar 22.
Postnatal depression is a critical public health concern, and gaining a better understanding of possible causes is paramount. Recently, diet quality during pregnancy has emerged as a possible preventative measure in ameliorating postnatal depression, however the evidence-base exploring this association is immature. The aim of this study was to examine the association between consumption of food groups characteristic of a quality diet during pregnancy (that is fruit, vegetable and fish intake) and postnatal depressive symptoms at 12 months postpartum. Pregnant women were recruited at 10-18 weeks gestation via advertising on online pregnancy forums, pregnancy and parenting magazines, and two Australian maternity clinics. Participants (n = 253) completed self-report questionnaires assessing fruit, vegetable and fish intake as well as depressive symptoms at early- to mid- pregnancy. Path analyses were conducted to examine whether fruit, vegetable and fish intake during pregnancy were associated with depressive symptom scores at 12 months postpartum. There were no associations between fruit, vegetable or fish intake in pregnancy and postnatal depressive symptoms. Antenatal diet quality as measured by intake of food groups associated with a healthy diet was not associated with postpartum depressive symptoms at 12 months postpartum. Future research should consider the exploration of dietary quality as a measure of overall adherence to evidence-based dietary guidelines.
产后抑郁症是一个关键的公共卫生问题，更好地了解其可能的病因至关重要。最近，孕期饮食质量已成为改善产后抑郁症的一种可能的预防措施，然而，探索这种关联的证据基础尚不成熟。本研究的目的是调查孕期优质饮食特征的食物组（即水果、蔬菜和鱼类摄入量）与产后12个月时的产后抑郁症状之间的关联。通过在在线怀孕论坛、怀孕和育儿杂志以及两家澳大利亚产科诊所做广告，在妊娠10 - 18周时招募孕妇。参与者（n = 253）完成了自我报告问卷，评估了孕早期至中期的水果、蔬菜和鱼类摄入量以及抑郁症状。进行路径分析以检查孕期水果、蔬菜和鱼类摄入量是否与产后12个月时的抑郁症状评分相关。孕期水果、蔬菜或鱼类摄入量与产后抑郁症状之间没有关联。以与健康饮食相关的食物组摄入量衡量的产前饮食质量与产后12个月时的产后抑郁症状无关。未来的研究应考虑探索饮食质量，以此作为衡量总体遵循循证饮食指南情况的指标。
