Eating behavior during pregnancy mediates the association between depression and diet quality--a new strategy for intervention in pregnancy
Bibliographic Data
| ID | 22075490 |
|---|---|
| Authors | Xingyi Jin (0000-0002-9881-0567, Southeast University), Jian Zhu (0000-0003-0532-4269, Liuyang City Maternal and Child Health Hospital), Niannian Wang (0000-0003-4879-6936, Southeast University), Lingzhen Sun (Liuyang City Maternal and Child Health Hospital), Junhui Yu (0000-0002-5375-0388, Southeast University), Shaokang Wang (0000-0002-7503-7655, Xizang Minzu University, corresponding author), Guiju Sun (0000-0001-5969-2185, Southeast University) |
| Year | 2024 |
| Volume | 12 |
| Pages | 1339149-1339149 |
| Publication date | 2024-02-08 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2024.1339149 |
| PMID | 38389935 |
| OpenAlex | W4391648490 |
| Language | EN |
| References cited | 51 |
Background: Depression can result in changes in eating behavior and decrease the quality of eating. It has been shown that maternal depression during pregnancy can result in malnutrition, which can have adverse effects on the pregnancy and the offspring. There is currently no clear association between depression and diet. Methods: Five hundred and forty-nine pregnant women recruited from Danyang Maternal and Child Health Hospital in Jiangsu Province participated in this study and were administered the Intuitive Eating Scale-2 (IES-2), Edinburgh Post-natal Depression Scale (EPDS), Pregnancy Stress Scale (PPS), Self-rating Anxiety Scale (SAS), and Dietary Guidelines Adherence Index for Pregnant Women during Pregnancy (CDGCI-PW). The nutritional software collected dietary records for three consecutive days in mid-pregnancy to calculate dietary intake and nutrients that support energy production. The mediation analyses were conducted using SPSS 24.0 macro PROCESS. Results: The relationship between depressive symptoms during pregnancy and diet quality was moderated primarily by two aspects of eating behavior, "Reliance on Hunger and Satiety Cues" (RHS) and "Body-Food Choice Congruence" (BFC). Depressive symptoms (EPDS scores) showed a negative correlation with RHS, BFC, and RHS, and BFC showed a positive correlation with diet quality, yielding a significant specific indirect effect. The multiple mediation model explained 14.7% of the variance in the diet quality. Conclusion: This study highlights the important role of eating behaviors during pregnancy in the relationship between depressive symptoms (EPDS scores) and diet quality, and provides preliminary evidence for feasible ways pregnant women with depressive symptoms can improve diet quality, promote maternal and child health, and reduce depression
Anxiety · Depressive symptoms · Edinburgh Postnatal Depression Scale · Mediation · Offspring · Pregnancy · Psychiatry · Clinical Psychology · Gestational Diabetes Research and Management · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Menstrual Health and Disorders
Perinatal Depression
Meditation Programs for Psychological Stress and Well-being
The Intuitive Eating Scale–2
Detection of Postnatal Depression
Required Sample Size to Detect the Mediated Effect
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Psychometric evaluation of the German version of the Intuitive Eating Scale-2 in a community sample
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Adaptive depends on context
Validation of the Edinburgh Postnatal Depression Scale (EPDS) in a sample of mothers from the 2004 Pelotas Birth Cohort Study
| Citation velocity | historical |
|---|---|
| Highly cited | No |