Dietary patterns in relation to gestational depression and sleep disturbance in Chinese pregnant women

Abstract

Aim: To investigate the association of dietary patterns with gestational depression and sleep disturbance. Methods: Women in early pregnancy were recruited from the Chinese Pregnant Women Cohort Study (CPWCS) through July 25th, 2017 to November 26th, 2018, and eventually 7615 participants were included in this study. The qualitative food frequency questionnaire (Q-FFQ), Edinburgh Postnatal Depression Scale (EPDS), and the Pittsburgh Sleep Quality Index (PSQI) were used to assess dietary, depression and sleep quality during pregnancy, respectively. Dietary patterns were derived by factor analysis. Logistic regression was used to estimate the odds ratio (OR) and 95% confidence interval (95% CI) of each outcome according to quartiles of each dietary pattern. Results: Five dietary patterns were identified. Participants with the highest quartile in plant-based pattern had a significantly lower likelihood of mental problems (OR: 95% CI for depression: 0.66, 0.55-0.79; sleep disturbance: 0.80, 0.68-0.93); Similar results were observed in vitamin-rich pattern (OR: 95% CI for depression: 0.46, 0.38-0.55; sleep disturbance: 0.76, 0.65-0.89); However, contrary results were found in high-fat pattern (OR: 95% CI for depression: 2.15, 1.25-1.85; sleep disturbance: 1.43, 1.22-1.67); In animal protein-rich pattern, participants with the highest quartile had a decreased likelihood of depression (OR: 0.80, 95% CI: 0.67-0.96). As for bean products pattern, participants with the highest quartile had an increased risk of depression (OR: 1.28, 95% CI:1.06-1.53). Interactions of dietary patterns and lifestyles on mental disorders were observed. Conclusion: Dietary patterns were associated with gestational depression and sleep disturbance. Relevant departments and maternal and child health personnel should conduct health education for pregnant women and guide them to eat properly.

Associated factors of depression in pregnant women in Korea based on the 2019 Korean Community Health Survey: a cross-sectional study

“…A plant-based diet rich in vitamins lowers the risk of prenatal depression [34], while exercise has been shown to also have a positive effect on women's mental health during pregnancy [35]. In order to promote healthy behaviors including better nutrition, more exercise, improved sleep, and less drinking, the commitment and support of healthcare professionals, along with the preparation and education of social and institutional health be- The reference groups were as follows: monthly household income (≥4 million Korean won), education (up to high school), skipping breakfast (no), sleep duration (≥8 hours per day), binge drinking (no), and unmet healthcare needs experiences (no).…”

Stacking Ensemble Method for Gestational Diabetes Mellitus Prediction in Chinese Pregnant Women: A Prospective Cohort Study

“…Of them, 2,345 pregnant women without GDM data were excluded, leaving 6,848 eligible participants for final analyses ( Figure 1 ). Additional information about the CPWCS has been reported in previous studies [ 36 , 37 ].…”

“…The participants' dietary habits were assessed using the qualitative food frequency questionnaire (Q-FFQ) [ 38 ]. The Q-FFQ covered 17 major food groups: roughage, tubers, vegetables, fruit, meat, poultry, seafood, fish, eggs, dairy products, soybean milk, other soybean products, nuts, fried food, western fast food, dessert, and puffed food [ 36 ]. In this study, each food group had eight frequency levels of habitual consumption (never, 1, 2, 3, 4, 5, or 6 days per week, or daily) during the previous week.…”

Examination of sleep in relation to dietary and lifestyle behaviors during Ramadan: A multi-national study using structural equation modeling among 24,500 adults amid COVID-19

“…Consumption of traditional homemade foods is expected to replace frequent ordering of delivered foods, which may be associated with improved sleep quality and decreased sleep disturbance ( 83 ). In many Western diets, animal protein foods are mostly consumed in the form of high-fat foods, such as fried or processed meats (e.g., fried chicken, luncheon meat, and burgers) ( 84 ), which are associated with an elevated inflammatory state ( 85 ).…”