Abedi Parvin, Bovayri Maryam, Fakhri Ahmad, Jahanfar Shayesteh
Midwifery Department, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Midwifery Department, Menopause Andropause Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
J Med Life. 2018 Oct-Dec;11(4):286-292. doi: 10.25122/jml-2018-0038.
The aim of this study was to evaluate the relationship between vitamin D and postpartum depression in reproductive-aged Iranian women. This study was conducted on 120 women (60 with postpartum depression and 60 without) in Izeh, Iran. A socio-demographic questionnaire and Beck Depression Scale were used for data collection. The ELISA method was used for measuring 25-OH vitamin D (ng). The participants were classified according to their vitamin D level as follows: 25-OH-D < 10ng/ml considered as severe deficiency, 10-20n g/ml as moderate insufficiency, 20-30 ng/ml as mild insufficiency and >30ng/ml as normal. Data were analyzed using the independent t-test or Mann-Whitney test, chi-square and logistic regression test. The mean level of vitamin D of women with postpartum depression was lower than that in normal women (16.89±7.05 vs. 21.28±7.13, p=0.001). More than 53% of women with postpartum depression had vitamin D <20 ng/ml compared to 31.7% of women with no depression (p=0.005). Moreover, 16.7% of women with postpartum depression had vitamin D < 10ng/ml compared to only 6.7% in the normal group (p = 0.005). Women with vitamin D less than 20ng/ml compared to vitamin D > 20ng/ml were 3.30 times more likely to have postpartum depression (OR: 3.3, CI: 1.32-8.24, p= 0.01). There is a significant relationship between a low level of vitamin D and postpartum depression among reproductive-aged Iranian women. Health policy makers should pay attention to the measuring vitamin D level as one of the primary tests of pregnant women.
本研究的目的是评估伊朗育龄妇女中维生素D与产后抑郁之间的关系。本研究在伊朗伊泽赫对120名女性进行(60名患有产后抑郁,60名未患)。使用社会人口学问卷和贝克抑郁量表收集数据。采用酶联免疫吸附测定法(ELISA法)测量25-羟基维生素D(ng)。参与者根据其维生素D水平分类如下:25-OH-D<10ng/ml被视为严重缺乏,10 - 20ng/ml为中度不足,20 - 30ng/ml为轻度不足,>30ng/ml为正常。数据采用独立t检验或曼-惠特尼检验、卡方检验和逻辑回归检验进行分析。产后抑郁女性的维生素D平均水平低于正常女性(16.89±7.05 vs. 21.28±7.13,p = 0.001)。超过53%的产后抑郁女性维生素D<20 ng/ml,而无抑郁女性为31.7%(p = 0.005)。此外,16.7%的产后抑郁女性维生素D<10ng/ml,而正常组仅为6.7%(p = 0.005)。维生素D低于20ng/ml的女性与维生素D>20ng/ml的女性相比,患产后抑郁的可能性高3.30倍(比值比:3.3,可信区间:1.32 - 8.24,p = 0.01)。伊朗育龄妇女中维生素D水平低与产后抑郁之间存在显著关系。卫生政策制定者应将测量维生素D水平作为孕妇的主要检查项目之一予以关注。