Malik Anna C, Comstock Sarah S
Department of Food Science & Human Nutrition, Michigan State University, East Lansing, MI 48824, USA.
Nutrients. 2025 Apr 6;17(7):1276. doi: 10.3390/nu17071276.
: The purpose of this review is to determine if high adherence to the Mediterranean Diet or Mediterranean-like Diet is associated with a decreased incidence of depression or depressive symptoms during pregnancy compared to low or no adherence. : PubMed was used to search for articles. Inclusion criteria consisted of primary research articles from the past 5 years, participants that were pregnant and ages 18-50 years old, the intervention a Mediterranean or Mediterranean-like Diet, and the outcome prenatal depression or prenatal depressive symptoms. : Nine primary research studies including five cross-sectional, two longitudinal, one cohort study, and one randomized controlled trial were included in this review. Six of the nine studies reported significant associations between higher Mediterranean or Mediterranean-like Diet adherence and lower incidence of depression or depressive symptoms. Studies with larger sample sizes were more likely to have significant results. : Other recent evidence suggests that high adherence to the Mediterranean or Mediterranean-like Diet may decrease the incidence of depression or depressive symptoms in pregnant women. However, there were mixed results reported in the studies included in this review. Thus, conducting further studies of adequate sample sizes, with a unified definition of the Mediterranean Diet in more diverse populations is imperative to further investigate this association.
本综述的目的是确定与低依从性或无依从性相比，高度依从地中海饮食或类似地中海饮食是否与孕期抑郁症或抑郁症状的发病率降低相关。使用PubMed搜索文章。纳入标准包括过去5年的原发性研究文章、年龄在18至50岁之间的孕妇参与者、干预措施为地中海饮食或类似地中海饮食，以及结果为产前抑郁症或产前抑郁症状。本综述纳入了9项原发性研究，包括5项横断面研究、2项纵向研究、1项队列研究和1项随机对照试验。9项研究中的6项报告称，较高的地中海或类似地中海饮食依从性与较低的抑郁症或抑郁症状发病率之间存在显著关联。样本量较大的研究更有可能得出显著结果。其他近期证据表明，高度依从地中海或类似地中海饮食可能会降低孕妇抑郁症或抑郁症状的发病率。然而，本综述纳入的研究报告结果不一。因此，进行样本量足够、对地中海饮食有统一界定且涵盖更多样化人群的进一步研究，对于进一步探究这种关联至关重要。
