Key Laboratory of Environmental Medicine and Engineering of Ministry of Education, Department of Nutrition and Food Hygiene, School of Public Health, Southeast University, Nanjing, China.
Danyang Maternal and Child Health Hospital, Danyang, Zhenjiang, China.
Front Public Health. 2024 Feb 8;12:1339149. doi: 10.3389/fpubh.2024.1339149. eCollection 2024.
Depression can result in changes in eating behavior and decrease the quality of eating. It has been shown that maternal depression during pregnancy can result in malnutrition, which can have adverse effects on the pregnancy and the offspring. There is currently no clear association between depression and diet.
Five hundred and forty-nine pregnant women recruited from Danyang Maternal and Child Health Hospital in Jiangsu Province participated in this study and were administered the Intuitive Eating Scale-2 (IES-2), Edinburgh Post-natal Depression Scale (EPDS), Pregnancy Stress Scale (PPS), Self-rating Anxiety Scale (SAS), and Dietary Guidelines Adherence Index for Pregnant Women during Pregnancy (CDGCI-PW). The nutritional software collected dietary records for three consecutive days in mid-pregnancy to calculate dietary intake and nutrients that support energy production. The mediation analyses were conducted using SPSS 24.0 macro PROCESS.
The relationship between depressive symptoms during pregnancy and diet quality was moderated primarily by two aspects of eating behavior, "Reliance on Hunger and Satiety Cues" (RHS) and "Body-Food Choice Congruence" (BFC). Depressive symptoms (EPDS scores) showed a negative correlation with RHS, BFC, and RHS, and BFC showed a positive correlation with diet quality, yielding a significant specific indirect effect. The multiple mediation model explained 14.7% of the variance in the diet quality.
This study highlights the important role of eating behaviors during pregnancy in the relationship between depressive symptoms (EPDS scores) and diet quality, and provides preliminary evidence for feasible ways pregnant women with depressive symptoms can improve diet quality, promote maternal and child health, and reduce depression.
抑郁可导致进食行为改变，降低进食质量。已有研究表明，孕期母亲抑郁可导致营养不良，对妊娠和后代产生不良影响。目前，抑郁与饮食之间的关系尚不清楚。
本研究选取江苏省丹阳市妇幼保健院 549 例孕妇，采用直觉饮食量表-2（IES-2）、爱丁堡产后抑郁量表（EPDS）、妊娠压力量表（PPS）、状态-特质焦虑量表（SAS）和孕妇孕期膳食指南依从性指数（CDGCI-PW）对其进行评估。营养软件收集了孕中期连续 3 天的饮食记录，以计算膳食摄入量和支持能量产生的营养素。采用 SPSS 24.0 宏 PROCESS 进行中介分析。
孕期抑郁症状与饮食质量的关系主要受“依赖饥饿和饱腹感线索”（RHS）和“身体-食物选择一致性”（BFC）两个方面的进食行为调节。抑郁症状（EPDS 评分）与 RHS、BFC 和 RHS、BFC 呈负相关，BFC 与饮食质量呈正相关，存在显著的特定间接效应。多元中介模型解释了饮食质量变异的 14.7%。
本研究强调了孕期进食行为在抑郁症状（EPDS 评分）与饮食质量关系中的重要作用，为改善抑郁症状孕妇饮食质量、促进母婴健康、降低抑郁提供了可行的方法。
