A network analysis of nutritional markers and maternal perinatal mental health in the French EDEN cohort.
Maternal health
Network analysis
Perinatal diet pattern
Perinatal mental health
Perinatal nutrition
Journal
BMC pregnancy and childbirth
ISSN: 1471-2393
Titre abrégé: BMC Pregnancy Childbirth
Pays: England
ID NLM: 100967799
Informations de publication
Date de publication:
23 Aug 2023
23 Aug 2023
Historique:
received:
05
12
2022
accepted:
10
08
2023
medline:
25
8
2023
pubmed:
24
8
2023
entrez:
23
8
2023
Statut:
epublish
Résumé
Perinatal maternal depression and anxiety are associated with adverse maternal outcomes, and nutrition may play an important role in their emergence. Previous research shows that certain micro and macronutrients found in different dietary patterns may associate with perinatal mood disorders. This study aims to explore relationships between nutrition during pregnancy and perinatal maternal depression and anxiety symptoms using network analyses. Using data from the French EDEN mother-child cohort, the sample consisted of 1438 women with available mental health outcomes (CES-D, STAI and EPDS) and nutritional markers collected from food frequency questionnaires. Four networks were constructed to explore the relationships between prenatal nutrient status, dietary patterns, and perinatal mental health, while accounting for important confounders. The Healthy dietary pattern was associated with the presence of vital micronutrients, while the Western dietary pattern was consistently associated with poorer intake of specific micronutrients and contained an excess of certain macronutrients. Western dietary pattern and symptoms of postnatal depression were connected by a positive edge in both the macronutrient and micronutrient networks. Lower education levels were associated with higher Western dietary pattern scores, from which a positive edge linked to postnatal depression symptoms in both models. A Western dietary pattern was associated with increased symptoms of postnatal depression in our adjusted network models; The Healthy dietary pattern was associated with essential micronutrients but not with symptoms of depression or anxiety. Perinatal mental health might be impacted by specific dietary patterns in the context of psychosocial and physical stress associated with pregnancy.
Sections du résumé
BACKGROUND
BACKGROUND
Perinatal maternal depression and anxiety are associated with adverse maternal outcomes, and nutrition may play an important role in their emergence. Previous research shows that certain micro and macronutrients found in different dietary patterns may associate with perinatal mood disorders. This study aims to explore relationships between nutrition during pregnancy and perinatal maternal depression and anxiety symptoms using network analyses.
METHODS
METHODS
Using data from the French EDEN mother-child cohort, the sample consisted of 1438 women with available mental health outcomes (CES-D, STAI and EPDS) and nutritional markers collected from food frequency questionnaires. Four networks were constructed to explore the relationships between prenatal nutrient status, dietary patterns, and perinatal mental health, while accounting for important confounders.
RESULTS
RESULTS
The Healthy dietary pattern was associated with the presence of vital micronutrients, while the Western dietary pattern was consistently associated with poorer intake of specific micronutrients and contained an excess of certain macronutrients. Western dietary pattern and symptoms of postnatal depression were connected by a positive edge in both the macronutrient and micronutrient networks. Lower education levels were associated with higher Western dietary pattern scores, from which a positive edge linked to postnatal depression symptoms in both models.
CONCLUSIONS
CONCLUSIONS
A Western dietary pattern was associated with increased symptoms of postnatal depression in our adjusted network models; The Healthy dietary pattern was associated with essential micronutrients but not with symptoms of depression or anxiety. Perinatal mental health might be impacted by specific dietary patterns in the context of psychosocial and physical stress associated with pregnancy.
Identifiants
pubmed: 37612677
doi: 10.1186/s12884-023-05914-w
pii: 10.1186/s12884-023-05914-w
pmc: PMC10463670
doi:
Substances chimiques
Micronutrients
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
603Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
Références
Biol Psychiatry. 2017 Oct 15;82(8):560-569
pubmed: 28410627
Online J Public Health Inform. 2014 Dec 15;6(3):e198
pubmed: 25598870
J Acad Nutr Diet. 2020 Jun;120(6):972-984
pubmed: 32063456
Caspian J Intern Med. 2019 Spring;10(2):115-124
pubmed: 31363389
Nutrients. 2019 Aug 06;11(8):
pubmed: 31390778
J Affect Disord. 2018 Oct 1;238:47-61
pubmed: 29860183
Asian J Psychiatr. 2020 Aug;52:102098
pubmed: 32403029
Nutr Res Rev. 2012 Jun;25(1):180-92
pubmed: 22853878
Front Psychiatry. 2023 Jun 15;14:1193490
pubmed: 37398595
Healthc Policy. 2007 Aug;3(1):96-106
pubmed: 19305758
Matern Child Health J. 2020 Dec;24(12):1482-1493
pubmed: 32356130
Am J Perinatol. 2023 Jan;40(2):222-226
pubmed: 33946112
Psychol Assess. 2005 Sep;17(3):267-77
pubmed: 16262453
Psychol Med. 2020 Dec;50(16):2682-2690
pubmed: 31615595
Am J Epidemiol. 2020 Dec 1;189(12):1583-1589
pubmed: 32601706
Br J Psychiatry. 2013 Dec;203(6):417-21
pubmed: 24115347
Appetite. 2015 Aug;91:41-7
pubmed: 25814192
Br J Psychiatry. 2017 May;210(5):315-323
pubmed: 28302701
Yale J Biol Med. 2013 Jun 13;86(2):127-37
pubmed: 23766734
J Midwifery Womens Health. 2020 Jan;65(1):96-108
pubmed: 31970924
Nutrients. 2015 Nov 05;7(11):9139-53
pubmed: 26556369
Front Cell Neurosci. 2021 Jan 15;14:612705
pubmed: 33536875
J Prev Med Public Health. 2021 Jul;54(4):259-564
pubmed: 34370939
Rev Neurosci. 2015;26(6):699-719
pubmed: 26146123
Behav Res Methods. 2018 Feb;50(1):195-212
pubmed: 28342071
Eur Psychiatry. 1998;13(2):83-9
pubmed: 19698604
Clin Obstet Gynecol. 2018 Sep;61(3):591-603
pubmed: 29596076
J Nutr Sci. 2017 Dec 20;6:e61
pubmed: 29296279
Eur J Clin Nutr. 2017 Feb;71(2):219-226
pubmed: 27901039
Ann Pharm Fr. 2006 Nov;64(6):397-401
pubmed: 17119469
Behav Res Methods. 2018 Apr;50(2):853-861
pubmed: 28718088
Psychiatry Res. 2019 Jan;271:428-437
pubmed: 30537665
Sci Rep. 2021 Jul 28;11(1):15324
pubmed: 34321556
Br J Psychiatry. 1987 Jun;150:782-6
pubmed: 3651732
J Affect Disord. 2017 Sep;219:86-92
pubmed: 28531848
Eur J Clin Nutr. 2009 Feb;63(2):282-91
pubmed: 17882132
Annu Rev Public Health. 2007;28:69-93
pubmed: 17222078
Nutrients. 2020 Jul 03;12(7):
pubmed: 32635332
Nutrients. 2023 Jun 20;15(12):
pubmed: 37375713
Front Psychiatry. 2019 Jun 27;10:391
pubmed: 31316398
PLoS One. 2020 May 7;15(5):e0232447
pubmed: 32379781
J Affect Disord. 2016 Jan 1;189:314-20
pubmed: 26458184
Int J Epidemiol. 2016 Apr;45(2):353-63
pubmed: 26283636