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Consumption of ultra-processed foods and mental health of pregnant women from the South of Brazil

Published online by Cambridge University Press:  22 April 2024

Fernanda Oliveira Meller*
Affiliation:
Public Health Graduate Program, University of the Extreme South of Santa Catarina, Criciúma, Santa Catarina, Brazil
Caroline dos Santos Costa
Affiliation:
Epidemiology Graduate Program, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil
Micaela Rabelo Quadra
Affiliation:
Health Sciences Graduate Program, University of the Extreme South of Santa Catarina, Criciúma, Santa Catarina, Brazil
Vanessa Iribarrem Avena Miranda
Affiliation:
Public Health Graduate Program, University of the Extreme South of Santa Catarina, Criciúma, Santa Catarina, Brazil
Fernanda Daminelli Eugênio
Affiliation:
Medical School, University of the Extreme South of Santa Catarina, Criciúma, Santa Catarina, Brazil
Tamara Justin da Silva
Affiliation:
Public Health Graduate Program, University of the Extreme South of Santa Catarina, Criciúma, Santa Catarina, Brazil
Maria Vitória Rodrigues Teixeira
Affiliation:
Medical School, University of the Extreme South of Santa Catarina, Criciúma, Santa Catarina, Brazil
Antônio Augusto Schäfer
Affiliation:
Public Health Graduate Program, University of the Extreme South of Santa Catarina, Criciúma, Santa Catarina, Brazil
*
*Corresponding author: Fernanda Oliveira Meller, email fernandameller@unesc.net

Abstract

The objective of this study is to evaluate the association between the consumption of ultra-processed foods (UPF) and the mental health of pregnant women from the South of Brazil. This is a cross-sectional study carried out in Criciúma, Brazil, through face-to-face interviews, from April to December 2022. Pregnant women aged 18 or older who underwent prenatal care in the forty-eight basic health care units of the municipality and who were in their third trimester of pregnancy were included. High consumption of UPF was considered as six or more items or subgroups of UPF consumed on the day before the interview, using the Nova-UPF screener. The mental health variables were depressive symptoms, stress, sadness and anxiety. Crude and adjusted analyses were conducted using the Fisher’s exact test and the Poisson regression with robust variance. In total, 428 pregnant women were studied; most of them were aged between 20 and 25 years and were white. Pregnant women who presented high consumption of UPF were 1·42-fold (95 % CI 1·06, 1·92) more likely to experience anxiety and presented a prevalence 56 % (95 % CI 1·18, 2·07) higher of stress when compared with those who did not present high consumption of UPF. The prevalence of depressive symptoms and feelings of sadness was 1·31-fold (95 % CI 1·08, 1·60) and 3·41-fold (95 % CI 1·77, 6·58) higher among those with high consumption of UPF, respectively. The results suggest that diet quality is associated with the mental health of pregnant women. Promoting joint actions focused on food and nutritional education, and mental health, for pregnant women, is necessary.

Type
Research Article
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of The Nutrition Society

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