Associations between dietary intake, diet quality and depressive symptoms in first-time mothers

AbstractBackgroundPostpartum depression (PPD) is a common disorder after childbirth. The strongest known predictors are a history of depression and/or a history of PPD. However, for a significant proportion of women, PPD constitutes their first depressive episode. This study aimed to gain further insight into the risk factors for PPD in first time mothers without previous psychiatric contact.MethodsWomen delivering in Uppsala University Hospital, Sweden, from May 2006 to June 2007, were asked to participate and filled out questionnaires five days and six weeks postpartum, containing inter alia the Edinburgh Postnatal Depression Scale (EPDS). Univariate logistic regression models, as well as a path analysis, were performed to unveil the complex interplay between the study variables.ResultsOf the 653 participating primiparas, 10.3% and 6.4% reported depressive symptoms (EPDS ≥ 12 points) five days and six weeks postpartum, respectively. In the path analysis, a positive association between anxiety proneness and depressive symptoms at five days and six weeks postpartum was identified. For depressive symptoms six weeks after delivery, additional risk factors were detected, namely depressive symptoms five days postpartum and subjective experience of problems with the baby. Caesarean section and assisted vaginal delivery were associated with fewer depressive symptoms at 6 six weeks postpartum.ConclusionsIdentification of anxiety proneness, delivery mode and problems with the baby as risk factors for self-reported depressive symptoms postpartum in this group of primiparas can be important in helping health care professionals identify women at increased risk of affective disorders in the perinatal period, and provide a base for early intervention.

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Factors That Influence Depressive Symptoms in Mothers of Infants

Psychology of Women Quarterly ◽

10.1111/j.1471-6402.1998.tb00172.x ◽

1998 ◽

Vol 22 (3) ◽

pp. 499-503 ◽

Cited By ~ 3

Author(s):

Wilma J. Lutz ◽

Ellen Hock

Keyword(s):

Depressive Symptoms ◽

Depressive Symptomatology ◽

Peer Rejection ◽

Initial Symptom ◽

Interpersonal Style ◽

Final Model ◽

Interpersonal Factors ◽

First Time Mothers ◽

Nonclinical Sample ◽

First Time

This study explored the association between interpersonal factors and depressive symptoms in first-time mothers over the first two years of parenthood. An interpersonal style characterized by dependency, recollections of rejection in childhood, and current relationship characteristics was assessed in a nonclinical sample of 133 women. The final model explained 52% of the variance in depressive symptoms at 24 months. Controlling for initial symptom levels, interpersonal variables explained 24% of the outcome variance. The findings suggest that two interpersonal attributes, peer rejection in childhood and a dependent interpersonal style, are particularly important to our understanding of depressive symptomatology.

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Plasma folate's association with depressive symptoms among US adults: the role of dietary intake and diet quality

The FASEB Journal ◽

10.1096/fasebj.24.1_supplement.221.4 ◽

2010 ◽

Vol 24 (S1) ◽

Author(s):

May A Beydoun ◽

Marie T Fanelli‐Kuczmarski ◽

Hind A Beydoun ◽

Monal R Shroff ◽

Marc Mason ◽

...

Keyword(s):

Depressive Symptoms ◽

Dietary Intake ◽

Diet Quality

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The Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) Responsive Parenting Intervention for Firstborns Affects Dietary Intake of Secondborn Infants

Journal of Nutrition ◽

10.1093/jn/nxaa135 ◽

2020 ◽

Vol 150 (8) ◽

pp. 2139-2146

Author(s):

Emily E Hohman ◽

Jennifer S Savage ◽

Leann L Birch ◽

Ian M Paul

Keyword(s):

Dietary Intake ◽

Birth Order ◽

Vegetable Intake ◽

Order Effects ◽

Food Groups ◽

Second Child ◽

Sibling Pairs ◽

Responsive Parenting ◽

First Time Mothers ◽

First Time

ABSTRACT Background Although previous work has shown that children with older siblings tend to have poorer diet quality, no study has directly compared diets of infant siblings. Objective The goals of this analysis were to examine birth-order differences in dietary intake between firstborn (FB) and secondborn (SB) siblings, and to determine whether a responsive parenting (RP) intervention modified birth-order effects on diet. Methods The Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) study randomly assigned first-time mothers to an RP intervention, which included guidance on feeding, sleep, soothing, and interactive play, or control. INSIGHT mothers who delivered a second child enrolled in an observation-only study of their SB infant (SIBSIGHT). Mothers completed FFQs for both children at ages 6 (n = 97 sibling pairs) and 12 (n = 100) mo. FB compared with SB intake of food groups of interest were compared, and the moderating effect of the RP intervention on birth-order differences was tested using generalized linear mixed models. Results Though FBs and SBs had similar diets, more FBs than SBs consumed 100% fruit juice at both 6 (13.8 compared with 3.2%, P = 0.006) and 12 mo (46.0 compared with 32.0%, P = 0.01). SBs consumed fruit more frequently (FB 2.8 compared with SB 3.2 times/d, P = 0.01), and were more likely to consume fried potatoes (FB 38.4 compared with SB 57.6%, P = 0.0009) and processed meats (FB 43.0 compared with SB 58.0%, P = 0.02) than FBs at 12 mo. There were no differences by birth order in intake of sweets, snacks, or sugar-sweetened beverages at 12 mo. At 12 mo, RP-group SBs ate vegetables more times per day (3.2) than control SBs (2.2, P = 0.01). RP-SBs also consumed a greater variety of vegetables (10.2) than control-SBs (7.9, P = 0.01). Conclusions Birth order is not consistently associated with healthy or unhealthy infant dietary intake. However, an RP intervention delivered to first-time mothers may benefit subsequent infants’ vegetable intake. This trial was registered at clinicaltrials.gov as NCT01167270.

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Maternal dietary intake and physical activity habits during the postpartum period: associations with clinician advice in a sample of Australian first time mothers

BMC Pregnancy and Childbirth ◽

10.1186/s12884-016-0812-4 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 22

Author(s):

Paige van der Pligt ◽

Ellinor K Olander ◽

Kylie Ball ◽

David Crawford ◽

Kylie D Hesketh ◽

...

Keyword(s):

Physical Activity ◽

Dietary Intake ◽

Postpartum Period ◽

First Time Mothers ◽

First Time ◽

Maternal Dietary Intake

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Dietary Intake, Behaviors and Psychosocial Factors among Women from Food-Secure and Food-Insecure Households

Ethnicity & Disease ◽

10.18865/ed.26.2.139 ◽

2016 ◽

Vol 26 (2) ◽

pp. 139 ◽

Cited By ~ 13

Author(s):

Patricia A Sharpe ◽

Kara Whitaker ◽

Kassandra A. Alia ◽

Sara Wilcox ◽

Brent Hutto

Keyword(s):

Social Support ◽

Food Security ◽

Depressive Symptoms ◽

Dietary Intake ◽

Energy Intake ◽

Diet Quality ◽

Nutrient Intake ◽

Emotional Eating ◽

Behavioral Factors ◽

Food Security Status

Objective: Determine whether macro- and micro-nutrient intake, energy intake, diet quality, adherence to recommended dietary intake, and psychosocial and behavioral factors are associated with household food security. Design: Baseline data from in-person interviews and telephone-based, 24-hour dietary recall from women recruited to a diet and physical activity controlled trial. Setting: Neighborhoods encompassing 18 urban census tracts in South Carolina. Participants: Participants (n=202) were predominantly African American (87%), overweight or obese women aged 25 to 51 years with mean body mass index of 40.6±8.7. Main Outcomes Measures: Macro- and micro-nutrient intake, energy intake, diet quality, adherence to recommended dietary intake (via multi-pass, 24-h recall); diet-related self-efficacy and social support, healthy/lowfat and emotional eating behaviors, and depressive symptoms. Results: Women in food-secure (FS) and food insecure (FI) households were not different on health and sociodemographic characteristics. Women in FI households had lower self-efficacy and healthy/low-fat eating behaviors, and higher emotional eating and depressive symptoms compared with women in FS households. The groups did not differ on social support. Significant dietary differences were few (FS>FI on protein and lean meat; FS<FI on carbohydrate intake). For 29 of 35 (74%) dietary intake recommendations, less than 75% of women in both groups met each recommendation.Conclusions: While food security status was associated with diet-related psychosocial and behavioral factors, it was associated with few aspects of dietary intake. Dietary intake overall was poor. Participants were not meeting guidelines for a diet supportive of general health or weight loss and management, regardless of food security status Ethn Dis. 2016;26(2):139-146; doi:10.18865/ed.26.2.139

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