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Nutritional Markers and Perinatal Maternal Mental Health: A Network Analysis

Published online by Cambridge University Press:  19 July 2023

J. van der Waerden*
Affiliation:
1INSERM U1136-IPLESP/ERES 2Sorbonne Université, Paris
B. Knox
Affiliation:
1INSERM U1136-IPLESP/ERES 2Sorbonne Université, Paris
C. Galéra
Affiliation:
3University of Bordeaux 4INSERM, Bordeaux Population Health Center, UMR1219 5Centre Hospitalier Perrens, Bordeaux
A.-L. Sutter-Dallay
Affiliation:
3University of Bordeaux 4INSERM, Bordeaux Population Health Center, UMR1219 5Centre Hospitalier Perrens, Bordeaux
B. Heude
Affiliation:
6Université de Paris, CRESS, INSERM, INRAE, Paris, France
B. de Lauzon-Guillain
Affiliation:
6Université de Paris, CRESS, INSERM, INRAE, Paris, France
*
*Corresponding author.

Abstract

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Introduction

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 influence perinatal mood disorders.

Objectives

This study aims to explore relationships between nutrition during pregnancy and perinatal maternal depression and anxiety symptoms using network analyses.

Methods

Using data from the French EDEN mother-child cohort, the sample consisted of 1438 women with available perinatal 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

The Healthy dietary pattern was associated with the presence of vital micronutrients, while the Western dietary pattern was consistently associated with poorer intake of vital 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

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.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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