Dysmenorrhea increased the risk of postpartum depression in Chinese Han parturients

Abstract Several studies have shown that dysmenorrhea increased the risk of depression. However, the association between dysmenorrhea and postpartum depression (PPD) is unclear. The purpose of this study is to evaluate the effects of dysmenorrhea on the development of PPD among Chinese women. A case-control study was performed on parturients who delivered from January 1, 2016, to December 31, 2016, at Bao an Maternal and Child Health Hospital in Shenzhen, China. The Edinburgh Postnatal Depression Scale (EPDS) was used to screen for maternal postpartum depression. Logistic regression models were used to examine the association between dysmenorrhea and the risk of PPD. A total of 360 women including 120 cases and 240 controls were enrolled. Our study showed that parturients with PPD had a higher percentage of dysmenorrhea than women without PPD (64.2% vs 47.9%, P = 0.004). In univariate analysis, we observed that dysmenorrhea increased the risk for PPD (OR = 1.95; 95% CI: 1.24–3.06; P = 0.004). In the fully adjusted model, dysmenorrhea was still significantly associated with an increased risk of PPD (OR = 2.45; 95% CI: 1.36–4.54; P = 0.003). Our data confirmed that dysmenorrhea may be a risk factor for PPD. Therefore, screening for postpartum depression should be considered in parturients with a history of dysmenorrhea.

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The Prevalence of Postpartum Depression and Identification of Its Risk Factors in South Western of Iran in 2019-2020

Journal of Biostatistics and Epidemiology ◽

10.18502/jbe.v7i2.6724 ◽

2021 ◽

Author(s):

Reza Beiranvand ◽

Zaher Khazaei ◽

Maryam Parsanahad ◽

Zahra Hamule ◽

Susan Mohamadi Hossein Abadi5 ◽

...

Keyword(s):

Postpartum Depression ◽

Urban Areas ◽

Depression Scale ◽

Multiple Model ◽

Khuzestan Province ◽

Logistic Regression Models ◽

Elective Abortion ◽

History Of ◽

Control Study

Introduction: Postpartum depression (PPD) is a major cause of burden of diseases in women within the first 4 weeks of delivery. The aim of this study was to determine the prevalence and the role of various factors in PPD in the northern and northeastern regions of Khuzestan province. Methods: This descriptive-analytical study was undertaken as the first phase of a case-control study on 1424 mothers in the first 24 to 48 hours after childbirth between January 2019 and January 2020. The data collected covered three areas: baseline characteristics, medical history, and PPD. The latter was measured using the Edinburgh Postpartum Depression Scale with a cut-off point of equal to or greater than 12. The collected data were analyzed using Stata-16 software and simple and multiple Logistic Regression models. Results: The prevalence of PPD was estimated at 26.6% in the study sample. In the multiple model, the History of elective abortion (OR= 2.26, 95%CI=1.19, 4.27), delivery in the summer (OR= 2.11,95%CI=1.39, 3.20), birth defect (OR= 2.09, 95%CI=1.10, 3.94), the history of infertility treatment (OR= 0.33, 95CI=0.18, 0.61) and living in urban areas (OR= 0.52, 95%CI=0.39, 0.70), had relationship with the chance of developing PPD. Conclusion: The results of this study, which sought to identify factors reinforcing and preventing PPD, can be used to identify mothers at risk for PPD. Moreover, it can help make appropriate interventions, including psychological and emotional support of mother during and even before pregnancy to alleviate PPD.

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Inflammatory potential of diet and risk for hepatocellular cancer in a case–control study from Italy

British Journal Of Nutrition ◽

10.1017/s0007114515004419 ◽

2015 ◽

Vol 115 (2) ◽

pp. 324-331 ◽

Cited By ~ 35

Author(s):

Nitin Shivappa ◽

James R. Hébert ◽

Jerry Polesel ◽

Antonella Zucchetto ◽

Anna Crispo ◽

...

Keyword(s):

Hepatitis B ◽

Case Control Study ◽

Hepatocellular Cancer ◽

Serum Markers ◽

Case Control ◽

Logistic Regression Models ◽

Inflammatory Index ◽

Increased Risk ◽

History Of ◽

Control Study

AbstractInflammation and diet have been suggested to be important risk factors for hepatocellular cancer (HCC). This Italian multicentre hospital-based case–control study conducted between 1999 and 2002 and including 185 cases with incident, histologically confirmed HCC, and 404 controls hospitalised for acute non-neoplastic diseases provided an opportunity to investigate the association between HCC and the dietary inflammatory index (DII). The DII was computed on the basis of dietary intake assessed 2 years before the date of interview by a validated sixty-three-item FFQ. Logistic regression models were used to estimate OR adjusted for age, sex, study centre, education, BMI, smoking, physical activity, serum markers of hepatitis B and C infection and energy intake. Energy adjustment for DII was performed using the residual method. Participants in the highest tertile of DII scores (i.e. with a more pro-inflammatory diet) had a higher risk for HCC (ORtertile 3 v, 1 2·43; 95 % CI 1·27, 4·68; Ptrend=0·03). When stratified by the presence or absence of hepatitis B/C infection and sex, DII was strongly associated with HCC in hepatitis B- and C-negative participants (ORtertile 3 v. 1 4·18; 95 % CI 1·53, 11·39; Ptrend=0·02) and among males (ORtertile 3 v. 1 3·60; 95 % CI 1·65, 7·87; Ptrend=0·001). These results indicate that a pro-inflammatory diet is associated with increased risk for HCC, in those without a history of hepatitis B/C infection and among males.

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Prevalence and risk factors of postpartum depression at a tertiary care institute

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20193041 ◽

2019 ◽

Vol 8 (7) ◽

pp. 2773

Author(s):

Vanithamani Sivapragasam ◽

Anitha A. Manjappa ◽

Aruna B. Patil ◽

Monicka Kalaimani

Keyword(s):

Risk Factors ◽

Postpartum Depression ◽

Unplanned Pregnancy ◽

Tertiary Care ◽

Depression Scale ◽

Postnatal Period ◽

Care Institute ◽

Increased Risk ◽

Pregnancy And Postpartum ◽

History Of

Background: Up to 85% of the women experience some type of mood disturbance in the postnatal period. Postpartum depression affects bonding with infant which may lead to malnutrition and other complications in the infant. This article focuses on the prevalence of depression among postnatal women attending a tertiary care institute in Chennai and to identify the risk factors that affect postpartum depression.Methods: This study was a cross sectional study, performed over a period of three months from January 2019 to March 2019. 200 postnatal mothers were recruited for the study, who were in postpartum period from 1 to 6 weeks after delivery. Specially designed proforma was used to record various determinants to assess the risk factors which could contribute to postpartum depression. The Edinburgh Postnatal Depression Scale was used to detect the depressive symptoms in postnatal mother.Results: A total of 200 cases were studied. Prevalence of postpartum depression was found to be 25%. Primi gravida, history of miscarriage and unplanned pregnancy were associated with increased risk of developing depression in the postnatal period. Fear regarding gender of the child and failure of lactation were not contributing risk factors to postpartum depression. Spacious house and partner support were found to be protective factors to combat depression in postnatal women.Conclusions: Prevalence of postpartum depression was 25%. Significant association was found between primi gravida, history of miscarriage, unplanned pregnancy and postpartum depression. Early screening of the women will reduce the adverse outcomes among both mother and the child.

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Dietary Inflammatory Index and Risk of Multiple Sclerosis in a Case-Control Study from Iran

Neuroepidemiology ◽

10.1159/000445874 ◽

2016 ◽

Vol 47 (1) ◽

pp. 26-31 ◽

Cited By ~ 12

Author(s):

Nitin Shivappa ◽

James R. Hebert ◽

Maryam Behrooz ◽

Bahram Rashidkhani

Keyword(s):

Multiple Sclerosis ◽

Case Control Study ◽

Continuous Variable ◽

Case Control ◽

Dietary Inflammatory Index ◽

Logistic Regression Models ◽

Inflammatory Index ◽

Increased Risk ◽

History Of ◽

Control Study

Background: Diet and inflammation have been suggested to be important risk factors for multiple sclerosis (MS). Objectives: In this study, we examined the ability of the dietary inflammatory index (DII) to predict MS in a case-control study conducted in Iran. Methods: This study included 68 MS cases and 140 controls hospitalized for acute non-neoplastic diseases. The DII was computed based on dietary intake assessed by a previously validated food frequency questionnaire. Logistic regression models were used to estimate ORs adjusted for age, energy, sex, body mass index, season of birth, rubella history, history of routine exercise before MS, smoking and history of consumption of cow's milk in the first 2 years of life. Results: Subjects with higher DII scores (i.e., with a more pro-inflammatory diet) had a higher risk of MS, with the DII being used both as a continuous variable (ORcontinuous 1.66; 95% CI 1.19-2.31; 1 unit increase corresponding to ≈15% of its range in the current study) and a categorical variable (ORDII (>1.43 vs.≤1.43) 2.68; 95% CI 1.15-6.26). Conclusions: These results indicate that a pro-inflammatory diet is associated with increased risk of MS.

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PREVALENCE AND RELATED FACTORS OF POSTNATAL DEPRESSION IN HIV INFECTED WOMEN

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2014.4_5.20 ◽

2014 ◽

pp. 140-152

Author(s):

Manh Hoan Nguyen ◽

Ngoc Thanh Cao

Keyword(s):

Regression Analysis ◽

Postpartum Depression ◽

Hiv Infection ◽

Postnatal Depression ◽

Past History ◽

Depression Scale ◽

Multivariate Regression Analysis ◽

Related Factors ◽

History Of ◽

History Of Depression

Background and Objective: HIV infection is also a cause of postpartum depression, however, in Vietnam, there has not yet the prevalence of postpartum depression in HIV infected women. The objective is to determine prevalence and related factors of postpartum depression in HIV infected women. Materials and Methods: From November 30th, 2012 to March 30th, 2014, a prospective cohort study is done at Dong Nai and Binh Duong province. The sample includes135 HIV infected women and 405 non infected women (ratio 1/3) who accepted to participate to the research. We used “Edinburgh Postnatal Depression Scale (EPDS) as a screening test when women hospitalized for delivery and 1 week, 6weeks postpartum. Mother who score EPDS ≥ 13 are likely to be suffering from depression. We exclude women who have EPDS ≥ 13 since just hospitalize. Data are collected by a structural questionaire. Results: At 6 weeks postpartum, prevalence of depression in HIV infected women is 61%, in the HIV non infected women is 8.7% (p < 0.001). There are statistical significant differences (p<0.05) between two groups for some factors: education, profession, income, past history of depression, child’s health, breast feeding. Logistical regression analysis determine these factors are related with depression: late diagnosis of HIV infection, child infected of HIV, feeling guilty of HIV infected and feeling guilty with their family. Multivariate regression analysis showed 4 factors are related with depression: HIV infection, living in the province, child’s health, past history of depression. Conclusion: Prevalence of postpartum depression in HIV infected women is 61.2%; risk of depression of postnatal HIV infected women is 6.4 times the risk of postnatal HIV non infected women, RR=6.4 (95% CI:4.3 – 9.4). Domestic women have lower risk than immigrant women from other province, RR=0.72 (95% CI:0.5 – 0.9). Past history of depression is a risk factor with RR=1.7 (95% CI:1.02 – 0.9. Women whose child is weak or die, RR=1.7(95% CI:0.9 – 3.1). Keywords: Postpartum depression, HIV-positive postpartum women

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Dietary and lifestyle inflammatory scores are associated with increased risk of metabolic syndrome in Iranian adults

Diabetology & Metabolic Syndrome ◽

10.1186/s13098-021-00648-1 ◽

2021 ◽

Vol 13 (1) ◽

Author(s):

Hossein Farhadnejad ◽

Karim Parastouei ◽

Hosein Rostami ◽

Parvin Mirmiran ◽

Fereidoun Azizi

Keyword(s):

Metabolic Syndrome ◽

Positive Association ◽

Population Based ◽

Population Based Study ◽

Logistic Regression Models ◽

Increased Risk ◽

Confounding Variables ◽

Adjusted Model ◽

Diet And Lifestyle

Abstract Background In the current study, we aimed to investigate the association of dietary inflammation scores (DIS) and lifestyle inflammation scores (LIS) with the risk of metabolic syndrome (MetS) in a prospective population-based study. Methods A total of 1625 participants without MetS were recruited from among participants of the Tehran Lipid and Glucose Study(2006–2008) and followed a mean of 6.1 years. Dietary data of subjects were collected using a food frequency questionnaire at baseline to determine LIS and DIS. Multivariable logistic regression models, were used to calculate the odds ratio (ORs) and 95 % confidence interval (CI) of MetS across tertiles of DIS and LIS. Results Mean ± SD age of individuals (45.8 % men) was 37.5 ± 13.4 years. Median (25–75 interquartile range) DIS and LIS for all participants was 0.80 (− 2.94, 3.64) and 0.48 (− 0.18, − 0.89), respectively. During the study follow-up, 291 (17.9 %) new cases of MetS were identified. Based on the age and sex-adjusted model, a positive association was found between LIS (OR = 7.56; 95% CI 5.10–11.22, P for trend < 0.001) and risk of MetS, however, the association of DIS and risk of MetS development was not statistically significant (OR = 1.30;95% CI 0.93–1.80, P for trend = 0.127). In the multivariable model, after adjustment for confounding variables, including age, sex, body mass index, physical activity, smoking, and energy intake, the risk of MetS is increased across tertiles of DIS (OR = 1.59; 95% CI 1.09–2.33, P for trend = 0.015) and LIS(OR = 8.38; 95% CI 5.51–12.7, P for trend < 0.001). Conclusions The findings of the current study showed that greater adherence to LIS and DIS, determined to indicate the inflammatory potential of diet and lifestyle, are associated with increased the risk of MetS.

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Eculizumab discontinuation in atypical hemolytic uremic syndrome: TMA recurrence risk and renal outcomes

Clinical Kidney Journal ◽

10.1093/ckj/sfab005 ◽

2021 ◽

Author(s):

Gema Ariceta ◽

Fadi Fakhouri ◽

Lisa Sartz ◽

Benjamin Miller ◽

Vasilis Nikolaou ◽

...

Keyword(s):

Family History ◽

Hemolytic Uremic Syndrome ◽

Univariate Analysis ◽

Atypical Hemolytic Uremic Syndrome ◽

Renal Response ◽

Pathogenic Variants ◽

Increased Risk ◽

History Of ◽

Uremic Syndrome

ABSTRACT Background Eculizumab modifies the course of disease in patients with atypical hemolytic uremic syndrome (aHUS), but data evaluating whether eculizumab discontinuation is safe are limited. Methods Patients enrolled in the Global aHUS Registry who received ≥1 month of eculizumab before discontinuing, demonstrated hematologic or renal response prior to discontinuation and had ≥6 months of follow-up were analyzed. The primary endpoint was the proportion of patients suffering thrombotic microangiopathy (TMA) recurrence after eculizumab discontinuation. Additional endpoints included: eGFR changes following eculizumab discontinuation to last available follow-up; number of TMA recurrences; time to TMA recurrence; proportion of patients restarting eculizumab; and changes in renal function. Results We analyzed 151 patients with clinically diagnosed aHUS who had evidence of hematologic or renal response to eculizumab, before discontinuing. Thirty-three (22%) experienced a TMA recurrence. Univariate analysis revealed that patients with an increased risk of TMA recurrence after discontinuing eculizumab were those with a history of extrarenal manifestations prior to initiating eculizumab, pathogenic variants, or a family history of aHUS. Multivariate analysis showed an increased risk of TMA recurrence in patients with pathogenic variants and a family history of aHUS. Twelve (8%) patients progressed to end-stage renal disease after eculizumab discontinuation; 7 (5%) patients eventually received a kidney transplant. Forty (27%) patients experienced an extrarenal manifestation of aHUS after eculizumab discontinuation. Conclusions Eculizumab discontinuation in patients with aHUS is not without risk, potentially leading to TMA recurrence and renal failure. A thorough assessment of risk factors prior to the decision to discontinue eculizumab is essential.

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Development of Postpartum Depression in Pregnant Women with Preeclampsia: A Retrospective Study

BioMed Research International ◽

10.1155/2019/9601476 ◽

2019 ◽

Vol 2019 ◽

pp. 1-7 ◽

Cited By ~ 6

Author(s):

Li Chen ◽

Xiaodan Wang ◽

Qian Ding ◽

Nan Shan ◽

Hongbo Qi

Keyword(s):

Postpartum Depression ◽

Infant Development ◽

Survey Methodology ◽

Depression Scale ◽

Bivariate Analysis ◽

Increased Risk ◽

Normal Women ◽

Medical University ◽

Support Methods ◽

The Relationship

Background. Postpartum depression (PPD) and preeclampsia (PE) are both common diseases in obstetrics that affect maternal health and infant development. However, the relationship between the two diseases still requires clarification. Objective. The purpose of this study was to (1) determine the incidence rate of PPD in patients with PE and (2) identify the association between the prevalence of PPD and the severity of PE. Methods. We conducted a retrospective analysis of women with and without PE who delivered between January 1, 2017, and August 30, 2018, in the First Affiliated Hospital of Chongqing Medical University. We used a questionnaire survey methodology that included the Edinburgh Postnatal Depression Scale (EPDS) to test the influence of PE on the development of new-onset PPD in the 6 weeks after delivery. We determined PPD based on a score ≥10 on the EPDS. Bivariate analysis was used to compare data between the two groups. Results. A total of 180 women participated in this study. Thirty-five people screened positive for PPD, while the remaining 145 screened negative. The prevalence of PPD was 26.67% (24/90) in patients with PE, which was two times the prevalence in normal women (12.22%). Multiple logistic regression showed that women who had PE had nearly 3-fold increased odds of PPD compared to normal women and the risk of PPD increased with the aggravation of PE. Patients with severe PE had a more than 4-fold increased risk of screening positive for PPD. Conclusion. PE was independently associated with PPD. Furthermore, the risk of PPD seemed to increase with the aggravation of PE. Thus, additional prevention efforts and support methods should be provided for women with PE to reduce the incidence of PPD.

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TIMP2 genetic variation rs4789932 may associate with an increased risk of developing acne scarring based on a case‐control study of Chinese Han population

Journal of Cosmetic Dermatology ◽

10.1111/jocd.14749 ◽

2022 ◽

Author(s):

Xiulin Wen ◽

Huicong Du ◽

Xiaoyan Hao ◽

Hongke Zhang ◽

Yuan Guo

Keyword(s):

Genetic Variation ◽

Case Control Study ◽

Case Control ◽

Chinese Han Population ◽

Chinese Han ◽

Han Population ◽

Increased Risk ◽

Acne Scarring ◽

Control Study

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The Association Between Postpartum Depression and Pica During Pregnancy

Global Journal of Health Science ◽

10.5539/gjhs.v8n4p120 ◽

2015 ◽

Vol 8 (4) ◽

pp. 120 ◽

Cited By ~ 2

Author(s):

Neda Ezzeddin ◽

Roza Zavoshy ◽

Mostafa Noroozi ◽

Mohammad Ebrahim Sarichloo ◽

Hassan Jahanihashemi

Keyword(s):

Postpartum Depression ◽

Iron Supplementation ◽

Depression Scale ◽

Health Centers ◽

Control Group ◽

Case Group ◽

Chi Squared ◽

Health Care Centers ◽

Similar Risk ◽

Control Study

INTRODUCTION & OBJECTIVES: Postpartum depression (PPD) is a common disorder and social debilitating that has adverse effects on the mother, child and family. Pica is an eating disorder characterized by persistent ingestion of substances that the consumer does not define as food. The aim of this study was to investigate the association of postpartum depression with pica during pregnancy. METHOD: This is case-control study was carried out in health centers in west Tehran. 152 depressed women (case group) and 148 non-depressed women (control group) were selected randomly from these health care centers. In addition to collecting demographic and pica data, the Edinburgh Depression Scale was used. The data was analyzed by both descriptive and analytic analyses such as chi-squared and logistic regression in SPSS version 16. RESULT: In this study, there wasn’t a significant association between PPD and pica during pregnancy (P=0.153, OR=2.043, CI=0.767, 5.438), but, postpartum depression has a significant association with type (clay) (P= 0.024) and duration (more than 2 months) (P= 0.023) of pica practice. CONCLUSIONS: In the present study, pregnancy pica was not important risk factor for PPD but there were similar risk factors such as iron supplementation during and postpartum pregnancy with pica and PPD.

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