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Relationships between mental health and diet during pregnancy and birth outcomes in a lower‐middle income country

“Healthy mothers, healthy communities” study in Vanuatu

Datos Bibliográficos

ID19459554
AutoresAnn‐sophie Therrien (0000-0001-8732-5665, Department of Physical Activity Sciences University of Quebec in Montréal Montreal Quebec Canada), Giovanna Buffa (Department of Anthropology Binghamton University Binghamton New York USA), Amanda Roome (0000-0002-0975-8788, Bassett Medical Center), Amanda B Roome (Bassett Research Institute Mary Imogene Bassett Hospital Cooperstown New York USA), Elizabeth Standard (Department of Anthropology Binghamton University Binghamton New York USA), Alysa Pomer (0000-0003-1267-1189, Department of Chronic Disease Epidemiology Yale School of Public Health New Haven Connecticut USA), Jimmy Obed (Ministry of Health Port Vila Republic of Vanuatu), George Taleo (Ministry of Health Port Vila Republic of Vanuatu), Len Tarivonda (Ministry of Health Port Vila Republic of Vanuatu), Chim W Chan (0000-0002-4039-2649, Department of Parasitology Graduate School of Medicine, Osaka City University Osaka Japan), Akira Kaneko (0000-0003-2411-3352, Department of Parasitology Graduate School of Medicine, Osaka City University Osaka Japan), Kathryn M Olszowy (0000-0003-0843-4519, Department of Anthropology New Mexico State University Las Cruces New Mexico USA), Kelsey Needham Dancause (0000-0002-8677-9953, Department of Physical Activity Sciences University of Quebec in Montréal Montreal Quebec Canada, autor de correspondencia)
Año2021
Volumen33
Número3
Páginase23500-e23500
Fecha de publicación2021-05-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaAmerican Journal of Human Biology (JOURNAL)
Identificadores de la revistaISSN: 1042-0533 • E-ISSN: 1520-6300
EditorialWiley (PUBLISHER • GB)
DOI10.1002/ajhb.23500
PMID32918311
OpenAlexW3086659999
IdiomaEN
Citas recibidas3
Referencias citadas58

Poor maternal mental health during pregnancy is associated with adverse birth outcomes, including lower birthweight and gestational age. However, few studies assess both mental health and diet, which might have interactive effects. Furthermore, most studies are in high-income countries, though patterns might differ in low- and middle-income countries (LMICs). OBJECTIVES: To analyze relationships between mental health and diet during pregnancy with birth outcomes in Vanuatu, a lower-middle income country. METHODS: We assessed negative emotional symptoms of depression, anxiety, and stress (referred to as "distress") and dietary diversity during pregnancy, and infant weight and gestational age at birth, among 187 women. We used multivariate linear regression to analyze independent and interactive relationships between distress, dietary diversity, and birth outcomes, controlling for sociodemographic and maternal health covariates. RESULTS: There were no direct linear relationships between dietary diversity or distress with infant birthweight or gestational age, and no curvilinear relationships between distress and infant outcomes. We observed interactive relationships between distress and dietary diversity on birthweight, explaining 2.1% of unique variance (P = .024). High levels of distress predicted lower birthweights among women with low dietary diversity. These relationships were not evident among women with moderate or high dietary diversity. CONCLUSIONS: Relationships between mental health and diet might underlie inconsistencies in past studies of prenatal mental health and birthweight. Results highlight the importance of maternal mental health on birthweight in LMICs. Interactive relationships between mental health and diet might ultimately point to new intervention pathways to address the persistent problem of low birthweight in LMICs

Biology · Developing country · Economic growth · Economics · Environmental health · Low and middle income countries · Mental health · Pregnancy · Psychiatry · Sociology · Breastfeeding Practices and Influences · Demography · Gestational Diabetes Research and Management · Maternal Mental Health During Pregnancy and Postpartum · Medicine

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Obras citantes distintas3
Citas por año0,5
Intervalo de citas2020 - 2023 (4)
Velocidad de citaciónhistorical
Altamente citadoNo
Tipos de citaNeutras: 3
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