Miranda Agustín Ramiro, Cortez Mariela Valentina, Scotta Ana Veronica, Soria Elio Andrés
Montpellier Interdisciplinary Center on Sustainable Agri-food Systems (MoISA), University of Montpellier, CIRAD, CIHEAM-IAMM, INRAE, Institut Agro, IRD, 911 Avenue d'Agropolis, Cedex 5, 34394, Montpellier, France.
Universidad Nacional de Córdoba, Facultad de Ciencias Médicas, Bv. de la Reforma, Ciudad Universitaria, 5014, Córdoba, Argentina.
Hum Nutr Metab. 2023 Sep;33:200198. doi: 10.1016/j.hnm.2023.200198. Epub 2023 Jun 9.
This work aimed to study postpartum mental outcomes and determinants of the intake of caffeinated beverages during the pandemic in women from Argentina.
This cross-sectional study recruited 619 women who responded to online self-report questionnaires during the first and second waves of COVID-19, including validated instruments (Insomnia Severity Index, Perceived Stress Scale, Postpartum Depression Screening Scale, Memory Complaint Scale, and Breastfeeding Self-Efficacy Scale), and general data. Intake frequency and amount of caffeinated beverages were estimated. Multivariate regression and structural equation models identified associations and effects (p < 0.05).
Women were under social restrictions for 60.39 days, with home and essential activities increasing caffeinated intake. They ingested (mL/d): (1457.71), coffee (66.85), tea (67.61), and soft drinks (50.95), which provided 646.20 mg/d of caffeine. Intakes of coffee and were higher than pre-pandemic ones. Coffee was positively associated with stress and insomnia, and indirectly linked to higher levels of depression and memory complaints, and lower breastfeeding self-efficacy. Tea showed a similar but weaker association. correlated inversely with depression (through direct pathways), insomnia, and memory complaints (through indirect pathways), promoting breastfeeding self-efficacy. Soft drinks and caffeine did not present significant associations.
Although findings do not imply causation, results suggest that beverages would exhibit caffeine-independent affective and cognitive roles, which might be anxiogenic in the case of coffee and tea (to a lesser extent). showed antidepressant potential. Given that breastfeeding might be compromised during the pandemic, intake is promissory to protect postpartum mental health.
本研究旨在探讨阿根廷女性在疫情期间产后的心理状况以及饮用含咖啡因饮料的决定因素。
这项横断面研究招募了619名女性，她们在新冠疫情第一波和第二波期间通过在线自我报告问卷进行了回复，问卷包括经过验证的工具（失眠严重程度指数、感知压力量表、产后抑郁筛查量表、记忆问题量表和母乳喂养自我效能量表）以及一般数据。评估了含咖啡因饮料的摄入频率和摄入量。多变量回归和结构方程模型确定了关联和影响（p<0.05）。
女性受社会限制60.39天，居家及必要活动增加了咖啡因摄入量。她们每天摄入（毫升）：[未提及的饮料]（1457.71）、咖啡（66.85）、茶（67.61）和软饮料（50.95），提供了646.20毫克/天的咖啡因。咖啡和[未提及的饮料]的摄入量高于疫情前。咖啡与压力和失眠呈正相关，间接与更高水平的抑郁和记忆问题相关，以及更低的母乳喂养自我效能相关。茶显示出类似但较弱的关联。[未提及的饮料]与抑郁（通过直接途径）、失眠和记忆问题（通过间接途径）呈负相关，促进母乳喂养自我效能。软饮料和咖啡因没有显著关联。
虽然研究结果并不意味着因果关系，但结果表明这些饮料可能具有与咖啡因无关的情感和认知作用，咖啡和茶（程度较轻）可能具有焦虑作用。[未提及的饮料]显示出抗抑郁潜力。鉴于疫情期间母乳喂养可能受到影响，[未提及的饮料]的摄入有望保护产后心理健康。
