Santos Helena Garcia Dos, Longoni Aline, Trettim Jéssica Puchalski, Lemes Isabela Thurow, Menchaca Júlia de Castro, do Amaral Cainá Correa, de Matos Mariana Bonati, Quevedo Luciana de Avila, Nedel Fernanda, Ghisleni Gabriele, Souza Diogo Onofre, Pinheiro Ricardo Tavares, de Assis Adriano Martimbianco
Graduate Program in Health and Behavior, Center of Health Science, Universidade Católica de Pelotas (UCPel), Pelotas, RS, Brazil.
Department of Morphology, Universidade Federal de Pelotas (UFPEL), Pelotas, RS, Brazil.
Trends Psychiatry Psychother. 2024 Oct 22. doi: 10.47626/2237-6089-2024-0908.
Approximately 6 to 13% of women suffer from antenatal depression (AD) around the world. AD can lead to several health problems for mother-baby. Vitamin D is a molecule that appears to have great preventive/therapeutic potential against neuropsychiatric disorders. The present study aimed to analyze the association between deficiency of vitamin D and AD in pregnant women in a city in the south of Brazil (Pelotas, RS). We hypothesize that pregnant women with a positive AD diagnosis have deficient levels of 25-hydroxyvitamin D (25(OH)D).
This cross-sectional study was conducted in a cohort study (CEP/UCPEL 47807915.4.0000.5339). From this cohort, 180 pregnant women at up to 24 weeks gestation were selected (130 non-depressed and 50 depressed), and the diagnosis of depression was made using the MINI-Plus. Blood was collected and stored for the later analysis of vitamin D (25(OH)D) by chemiluminescence method. The SPSS program was used for data analysis, and p<0.05 was considered statistically significant.
In our study, we showed a significant association between Major Depressive Episode current in the antenatal period and vitamin D deficiency (OR: 0.9; CI 95%: 0.9;1.0, p=0.003).
Our results demonstrate that vitamin D deficiency may be involved in major depressive disorder in the antenatal period, in this way it advised a follow-up of vitamin D levels in the pregnancy-puerperal cycle to minimize mental health problems in women and prevent developmental deficits in children.
全球约6%至13%的女性患有产前抑郁症(AD)。AD会给母婴带来多种健康问题。维生素D是一种似乎对神经精神疾病具有巨大预防/治疗潜力的分子。本研究旨在分析巴西南部某城市(南里奥格兰德州佩洛塔斯)孕妇维生素D缺乏与AD之间的关联。我们假设AD诊断呈阳性的孕妇25-羟基维生素D(25(OH)D)水平不足。
本横断面研究在一项队列研究(CEP/UCPEL 47807915.4.0000.5339)中进行。从该队列中选取了180名妊娠24周及以内的孕妇(130名非抑郁孕妇和50名抑郁孕妇),使用MINI-Plus进行抑郁症诊断。采集血液并储存,以便日后通过化学发光法分析维生素D(25(OH)D)。使用SPSS程序进行数据分析,p<0.05被认为具有统计学意义。
在我们的研究中,我们发现产前当前的重度抑郁发作与维生素D缺乏之间存在显著关联(OR:0.9;95%CI:0.9;1.0,p = 0.003)。
我们的结果表明,维生素D缺乏可能与产前重度抑郁症有关,因此建议在妊娠-产褥期监测维生素D水平,以尽量减少女性的心理健康问题并预防儿童发育缺陷。