Skip to main content
×
Home
    • Aa
    • Aa

Dietary patterns during pregnancy and the risk of postpartum depression: the mother–child ‘Rhea’ cohort in Crete, Greece

  • Leda Chatzi (a1), Vasiliki Melaki (a1), Katerina Sarri (a1), Ioanna Apostolaki (a1), Theano Roumeliotaki (a1), Vaggelis Georgiou (a1), Maria Vassilaki (a1), Antonis Koutis (a1), Panos Bitsios (a2) and Manolis Kogevinas (a3) (a4) (a5)...
Abstract
AbstractObjective

To identify and describe dietary patterns in a cohort of pregnant women, and investigate whether dietary patterns during pregnancy are related to postpartum depression (PPD).

Design

The study uses data from the prospective mother–child cohort ‘Rhea’ study. Pregnant women completed an FFQ in mid-pregnancy and the Edinburg Postpartum Depression Scale (EPDS) at 8–10 weeks postpartum. Dietary patterns during pregnancy (‘health conscious’, ‘Western’) were identified using principal component analysis. Associations between dietary patterns categorized in tertiles and PPD symptoms were investigated by multivariable regression models after adjusting for confounders.

Setting

Heraklion, Crete, Greece, 2007–2010.

Subjects

A total of 529 women, participating in the ‘Rhea’ cohort.

Results

High adherence to a ‘health conscious’ diet, characterized by vegetables, fruit, pulses, nuts, dairy products, fish and olive oil, was associated with lower EPDS scores (highest v. lowest tertile: β-coefficient = −1·75, P = 0·02). Women in the second (relative risk (RR) = 0·52, 95 % CI 0·30, 0·92) or third tertile (RR = 0·51, 95 % CI 0·25, 1·05) of the ‘health conscious’ dietary pattern were about 50 % less likely to have high levels of PPD symptoms (EPDS ≥ 13) compared with those in the lowest tertile.

Conclusions

This is the first prospective study showing that a healthy diet during pregnancy is associated with reduced risk for PPD. Additional longitudinal studies and trials are needed to confirm these findings.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Dietary patterns during pregnancy and the risk of postpartum depression: the mother–child ‘Rhea’ cohort in Crete, Greece
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about sending content to Dropbox.

      Dietary patterns during pregnancy and the risk of postpartum depression: the mother–child ‘Rhea’ cohort in Crete, Greece
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about sending content to Google Drive.

      Dietary patterns during pregnancy and the risk of postpartum depression: the mother–child ‘Rhea’ cohort in Crete, Greece
      Available formats
      ×
Copyright
Corresponding author
*Corresponding author: Email lchatzi@med.uoc.gr
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1.T Pearlstein , M Howard , A Salisbury (2009) Postpartum depression. Am J Obstet Gynecol 200, 357364.

2.NI Gavin , BN Gaynes , KN Lohr (2005) Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol 106, 10711083.

3.KL Wisner , EL Moses-Kolko & DK Sit (2010) Postpartum depression: a disorder in search of a definition. Arch Womens Ment Health 13, 3740.

4.PM Dietz , SB Williams , WM Callaghan (2007) Clinically identified maternal depression before, during, and after pregnancies ending in live births. Am J Psychiatry 164, 15151520.

5.O Giakoumaki , K Vasilaki , L Lili (2009) The role of maternal anxiety in the early postpartum period: screening for anxiety and depressive symptomatology in Greece. J Psychosom Obstet Gynaecol 30, 2128.

6.F Gonidakis , AD Rabavilas , E Varsou (2008) A 6-month study of postpartum depression and related factors in Athens Greece. Compr Psychiatry 49, 275282.

7.VG Vivilaki , V Dafermos , M Kogevinas (2009) The Edinburgh Postnatal Depression Scale: translation and validation for a Greek sample. BMC Public Health 9, 329.

8.ML Gunlicks & MM Weissman (2008) Change in child psychopathology with improvement in parental depression: a systematic review. J Am Acad Child Adolesc Psychiatry 47, 379389.

9.MM Weissman , DJ Pilowsky , PJ Wickramaratne (2006) Remissions in maternal depression and child psychopathology: a STAR*D-child report. JAMA 295, 13891398.

10.BM Leung & BJ Kaplan (2009) Perinatal depression: prevalence, risks, and the nutrition link – a review of the literature. J Am Diet Assoc 109, 15661575.

11.MP Freeman (2006) Omega-3 fatty acids and perinatal depression: a review of the literature and recommendations for future research. Prostaglandins Leukot Essent Fatty Acids 75, 291297.

13.FN Jacka , JA Pasco , A Mykletun (2010) Association of Western and traditional diets with depression and anxiety in women. Am J Psychiatry 167, 305311.

14.L Chatzi , E Plana , V Daraki (2009) Metabolic syndrome in early pregnancy and risk of preterm birth. Am J Epidemiol 170, 829836.

16.JL Cox , JM Holden & R Sagovsky (1987) Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150, 782786.

17.B Harris , P Huckle , R Thomas (1989) The use of rating scales to identify post-natal depression. Br J Psychiatry 154, 813817.

18.J Gibson , K McKenzie-McHarg , J Shakespeare (2009) A systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women. Acta Psychiatr Scand 119, 350364.

19.S Matthey , C Henshaw , S Elliott (2006) Variability in use of cut-off scores and formats on the Edinburgh Postnatal Depression Scale: implications for clinical and research practice. Arch Womens Ment Health 9, 309315.

21.FB Hu (2002) Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 13, 39.

22.F Ng , M Berk , O Dean (2008) Oxidative stress in psychiatric disorders: evidence base and therapeutic implications. Int J Neuropsychopharmacol 11, 851876.

23.A Sanchez-Villegas , M Delgado-Rodriguez , A Alonso (2009) Association of the Mediterranean dietary pattern with the incidence of depression: the Seguimiento Universidad de Navarra/University of Navarra follow-up (SUN) cohort. Arch Gen Psychiatry 66, 10901098.

25.AM Rees , MP Austin & G Parker (2005) Role of omega-3 fatty acids as a treatment for depression in the perinatal period. Aust N Z J Psychiatry 39, 274280.

26.JR Hibbeln (2002) Seafood consumption, the DHA content of mothers’ milk and prevalence rates of postpartum depression: a cross-national, ecological analysis. J Affect Disord 69, 1529.

28.Y Miyake , S Sasaki , K Tanaka (2006) Dietary folate and vitamins B12, B6, and B2 intake and the risk of postpartum depression in Japan: the Osaka Maternal and Child Health Study. J Affect Disord 96, 133138.

31.JA Luchsinger & R Mayeux (2004) Dietary factors and Alzheimer's disease. Lancet Neurol 3, 579587.

32.N Scarmeas , JA Luchsinger , N Schupf (2009) Physical activity, diet, and risk of Alzheimer disease. JAMA 302, 627637.

33.AM Bao , G Meynen & DF Swaab (2008) The stress system in depression and neurodegeneration: focus on the human hypothalamus. Brain Res Rev 57, 531553.

34.M Simard , C Hudon & R van Reekum (2009) Psychological distress and risk for dementia. Curr Psychiatry Rep 11, 4147.

35.SA Robling , ES Paykel , VJ Dunn (2000) Long-term outcome of severe puerperal psychiatric illness: a 23 year follow-up study. Psychol Med 30, 12631271.

36.RP Mensink & MB Katan (1989) Effect of a diet enriched with monounsaturated or polyunsaturated fatty acids on levels of low-density and high-density lipoprotein cholesterol in healthy women and men. N Engl J Med 321, 436441.

37.A Kasdallah-Grissa , A Nakbi , N Koubaa (2008) Dietary virgin olive oil protects against lipid peroxidation and improves antioxidant status in the liver of rats chronically exposed to ethanol. Nutr Res 28, 472479.

39.F Paiva-Martins , J Fernandes , S Rocha (2009) Effects of olive oil polyphenols on erythrocyte oxidative damage. Mol Nutr Food Res 53, 609616.

40.WM Thompson , B Harris , J Lazarus (1998) A comparison of the performance of rating scales used in the diagnosis of postnatal depression. Acta Psychiatr Scand 98, 224227.

41.HM Meltzer , AL Brantsaeter , TA Ydersbond (2008) Methodological challenges when monitoring the diet of pregnant women in a large study: experiences from the Norwegian Mother and Child Cohort Study (MoBa). Matern Child Nutr 4, 1427.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Public Health Nutrition
  • ISSN: 1368-9800
  • EISSN: 1475-2727
  • URL: /core/journals/public-health-nutrition
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords: