EVALUATION OF DIETARY QUALITY AND ITS ASSOCIATION WITH POSTPATUM DEPRESSION IN LACTATING WOMEN IN BEIJING

ZHAO Jian; JIANG Yu

Acta Nutrimenta Sinica ›› 2024, Vol. 46 ›› Issue (2) : 126-131.

ORIGINAL ARTICLES

ZHAO Jian, JIANG Yu

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Abstract

Objective To evaluate dietary quality of lactating women 6 months after delivery and examine the association between dietary quality and postpartum depression (PPD). Methods An epidemiological investigation was conducted on 401 women who had registered after delivery at 6 community health service centers in Beijing from June to July 2019. Basic and childbirth information were obtained through records extraction from Maternal Health Manual and Community Maternal and Child Health Records. Follow-up was conducted 6 months after delivery to gather information on breastfeeding and maternity care. The Edinburgh Postnatal Depression Scale (EPDS) and a validated food frequency questionnaire (FFQ) were used to assess the status of PPD and dietary intakes, respectively. Dietary quality was evaluated using the Dietary Balance Index for Lactating women (DBI-L). Results Of the postpartum women, 26.40% were depressed based on the EPDS cut-off score (≥13). About 77.56% had overall imbalanced dietary intake, with a high proportion of excessive intake (65.84%) and inadequate intake (41.15%). Compared to the non-PPD women, PPD women had poorer overall dietary balance (P=0.001), and more severe excessive intake (P<0.000) and inadequate intake (P=0.04). PPD women also had significantly lower intake of vegetables and fruits (P<0.01) and higher intake of cereal (P<0.01) compared to the non-PPD women. Maternal excessive intake (moderate excessive intake OR=5.855, 95% CI: 2.647-12.950; high excessive intake OR=5.928, 95% CI: 2.510-14.00) and dietary overall imbalance (OR=7.924, 95% CI: 2.777-22.61) were associated with the occurrence of PPD. Conclusion Lactating women in Beijing had imbalanced dietary intake, which was associated with PPD. Strengthening dietary intervention focusing on relevant risk factors is crucial to preventing PPD

Key words

lactating women / postpartum depression / dietary quality / dietary balance index

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ZHAO Jian, JIANG Yu. EVALUATION OF DIETARY QUALITY AND ITS ASSOCIATION WITH POSTPATUM DEPRESSION IN LACTATING WOMEN IN BEIJING[J]. Acta Nutrimenta Sinica. 2024, 46(2): 126-131

References

[1] Fisher SD, Wisner KL, Clark CT, et al. Factors associated with onset timing, symptoms, and severity of depression identified in the postpartum period[J]. J Affect Disord, 2016,203:111-120.
[2] Wang Z, Liu J, Shuai H, et al. Mapping global prevalence of depression among postpartum women[J]. Transl Psychiatry, 2021, 20: 543.
[3] Liu X, Wang S, Wang G.Prevalence and risk factors of postpartum depression in women: a systematic review and meta-analysis[J]. J Clin Nurs, 2022,31: 2665-2677.
[4] 吕燕宇, 贾小芳, 黄绯绯, 等. 膳食营养和生活方式与抑郁症关系的研究进展[J]. 中华流行病学杂志, 2019, 40: 7.
[5] Pano O, Martínez-Lapiscina EH, Sayón-Orea C, et al. Healthy diet, depression and quality of life: a narrative review of biological mechanisms and primary prevention opportunities[J]. World J Psychiatry, 2021, 19: 997-1016.
[6] 何宇纳, 房玥晖, 夏娟. 中国膳食平衡指数的修订:DBI_16[J]. 营养学报, 2018, 40: 526-530.
[7] 戴江红, 王璐, 凌曦,等.膳食评价指数与慢性病关系的研究进展[J].中国慢性病预防与控制, 2022, 30: 864-868.
[8] Cox JL, Holden JM, Sagovsky R.Detection of postnatal depression: development of the 10-item edinburgh postnatal depression Scale[J]. Br J Psychiatry, 1987, 150:782-788.
[9] Lee DTS, Yip SK, Chiu HFK, et al. Detecting postnatal depression in Chinese women - validation of the Chinese version of the Edinburgh Postnatal Depression Scale[J]. Br J Psychiatry, 1998, 172: 433-437.
[10] 王俊玲, 赵文华. 用简化的食物频率询问法进行膳食评价[J]. 中国慢性病预防与控制, 2000, 28: 3.
[11] 中国营养学会膳食指南修订专家委员会妇幼人群膳食指南修订专家工作组. 哺乳期妇女膳食指南[J] . 中华围产医学杂志, 2016, 19: 721-726.
[12] 唐努,潘雯婷,陈亚军,等.中国哺乳期膳食平衡指数修订及产褥期膳食质量评价[J].营养学报, 2021, 43: 230-235.
[13] 段一凡, 姜珊, 王杰, 等. 2013年中国乳母产后1个月的膳食状况[J]. 中华预防医学杂志, 2016 ,50: 1043-1049.
[14] 夏浩业, 代旭, 王良, 等. 232例产褥期妇女膳食摄入情况评价[J]. 中国妇幼保健, 2016, 31: 5133.
[15] 孔晓慧,费俊,翟英辰,等. 上海哺乳期妇女产褥期膳食调查[J]. 中国医药导报, 2016, 13:49-52.
[16] Fok D, Aris IM, Ho J, et al. A comparison of practices during the confinement period among Chinese, Malay, and Indian mothers in Singapore[J]. Birth, 2016, 43: 247-254.
[17] Yang C, Zhao A, Lan H, et al. Association between dietary quality and postpartum depression in lactating women: a cross-sectional survey in urban China[J]. Front Nutr, 2021,8: 705353.
[18] Radavelli-Bagatini S, Anokye R, Bondonno NP, et al. Association of habitual intake of fruits and vegetables with depressive symptoms: the AusDiab study[J]. Eur J Nutr, 2021,60:3743-3755.
[19] Liu X, Yan Y, Li F, et al. Fruit and vegetable consumption and the risk of depression: a meta-analysis[J]. Nutrition, 2016,32:296-302.
[20] Sadeghi O, Hassanzadeh-Keshteli A, Afshar H, et al. The association of whole and refined grains consumption with psychological disorders among Iranian adults[J]. Eur J Nutr, 2019,58:211-225.
[21] Gangwisch J E, Hale L, Garcia L, et al. High glycemic index diet as a risk factor for depression: analyses from the Women's Health Initiative[J]. Am J Clin Nutr, 2015,102:454-463.
[22] Wu PY, Lin MY, Tsai PS.Alternate healthy eating index and risk of depression: a meta-analysis and systemematic review[J]. Nutr Neurosci, 2020, 23: 101-109.
[23] Deierlein AL, Ghassabian A, Kahn LG, et al. Dietary quality and sociodemographic and health behavior cha- racteristics among pregnant women participating in the New York University Children’s Health and Environment Study[J]. Front Nutr, 2021, 8: 639425.
[24] Gianfredi V, Koster A, Odone A, et al. Associations of dietary patterns with incident depression: the Maastricht study[J]. Nutrients, 2021, 13: 1034.
[25] 钟无限,毛帅,蓝航莲, 等.应用中国孕期膳食平衡指数评价10城市孕妇膳食质量[J].营养学报, 2022, 44:544-548.