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Effect of antenatal depression on maternal dietary intake and neonatal outcome: a prospective cohort
BACKGROUND: In Pakistan, incidence of antenatal depression ranges from 18 to 80 %, which goes undiagnosed, resulting in maternal and neonatal implications. The current study aimed to examine the association of antenatal depression with maternal dietary intake and neonatal outcome. METHODS: A hospita...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4939634/ https://www.ncbi.nlm.nih.gov/pubmed/27401187 http://dx.doi.org/10.1186/s12937-016-0184-7 |
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author | Saeed, Ayesha Raana, Tahira Saeed, Amina Muhammad Humayun, Ayesha |
author_facet | Saeed, Ayesha Raana, Tahira Saeed, Amina Muhammad Humayun, Ayesha |
author_sort | Saeed, Ayesha |
collection | PubMed |
description | BACKGROUND: In Pakistan, incidence of antenatal depression ranges from 18 to 80 %, which goes undiagnosed, resulting in maternal and neonatal implications. The current study aimed to examine the association of antenatal depression with maternal dietary intake and neonatal outcome. METHODS: A hospital-based, prospective cohort study was conducted on 94 middle class antenatal attendees coming to a tertiary care hospital in Lahore, Pakistan at the beginning of second trimester. Participants fulfilling eligibility were enrolled consecutively after taking written informed consent. Exposure group was identified by Edinburgh Postnatal Depression Scale (EPDS) and cohort members were followed till after delivery. Maternal dietary intake was assessed by 24-h Recall and Food Frequency Checklist, while neonatal outcome was identified through patient files before discharge. Data on potential confounders was collected. Loss to follow up was 13 % (82/94). Data was collected from April-September 2013. Results for 82 participants were analyzed using SPSS version 21. RESULTS: EPDS screened 35/82 (43 %) eligible antenatal attendees as depressed, out of which 16/35 (20 %) were severely depressed and 19/35 (23 %) were moderately depressed. Incidence of poor maternal dietary intake was more in females with antenatal depression. Antenatal depression increased the risk of poor Healthy Eating Index (RR = 2.58, C.I 1.60–5.23, AR = 62 %), carbohydrate <175 gm (RR = 1.188, CI 0.836–1.688, AR = 15 %), protein <71 gm (RR = 1.343, CI 1.059–1.703, AR = 26 %) and fat <55 gm (RR = 2.954, CI 1.612–5.416, AR = 67 %) Incidence of neonatal outcomes included, Fetal Growth Retardation (RR = 2.70, C.I 0.69–3.70, AR = 60 %), preterm birth (RR = 1.60, C.I 0.72–2.45, AR = 54 %), low Apgar score (RR = 2.70, C.I 0.69–3.70, AR = 60 %) and Low Birth Weight (RR = 0.56, C.I 0.93–1.39, AR = −44 %). CONCLUSION: Antenatal women with depression developed poor dietary intake and had increased incidence of Fetal Growth Retardation, preterm birth and low Apgar score, but not of Low Birth Weight. |
format | Online Article Text |
id | pubmed-4939634 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-49396342016-07-12 Effect of antenatal depression on maternal dietary intake and neonatal outcome: a prospective cohort Saeed, Ayesha Raana, Tahira Saeed, Amina Muhammad Humayun, Ayesha Nutr J Research BACKGROUND: In Pakistan, incidence of antenatal depression ranges from 18 to 80 %, which goes undiagnosed, resulting in maternal and neonatal implications. The current study aimed to examine the association of antenatal depression with maternal dietary intake and neonatal outcome. METHODS: A hospital-based, prospective cohort study was conducted on 94 middle class antenatal attendees coming to a tertiary care hospital in Lahore, Pakistan at the beginning of second trimester. Participants fulfilling eligibility were enrolled consecutively after taking written informed consent. Exposure group was identified by Edinburgh Postnatal Depression Scale (EPDS) and cohort members were followed till after delivery. Maternal dietary intake was assessed by 24-h Recall and Food Frequency Checklist, while neonatal outcome was identified through patient files before discharge. Data on potential confounders was collected. Loss to follow up was 13 % (82/94). Data was collected from April-September 2013. Results for 82 participants were analyzed using SPSS version 21. RESULTS: EPDS screened 35/82 (43 %) eligible antenatal attendees as depressed, out of which 16/35 (20 %) were severely depressed and 19/35 (23 %) were moderately depressed. Incidence of poor maternal dietary intake was more in females with antenatal depression. Antenatal depression increased the risk of poor Healthy Eating Index (RR = 2.58, C.I 1.60–5.23, AR = 62 %), carbohydrate <175 gm (RR = 1.188, CI 0.836–1.688, AR = 15 %), protein <71 gm (RR = 1.343, CI 1.059–1.703, AR = 26 %) and fat <55 gm (RR = 2.954, CI 1.612–5.416, AR = 67 %) Incidence of neonatal outcomes included, Fetal Growth Retardation (RR = 2.70, C.I 0.69–3.70, AR = 60 %), preterm birth (RR = 1.60, C.I 0.72–2.45, AR = 54 %), low Apgar score (RR = 2.70, C.I 0.69–3.70, AR = 60 %) and Low Birth Weight (RR = 0.56, C.I 0.93–1.39, AR = −44 %). CONCLUSION: Antenatal women with depression developed poor dietary intake and had increased incidence of Fetal Growth Retardation, preterm birth and low Apgar score, but not of Low Birth Weight. BioMed Central 2016-07-11 /pmc/articles/PMC4939634/ /pubmed/27401187 http://dx.doi.org/10.1186/s12937-016-0184-7 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Saeed, Ayesha Raana, Tahira Saeed, Amina Muhammad Humayun, Ayesha Effect of antenatal depression on maternal dietary intake and neonatal outcome: a prospective cohort |
title | Effect of antenatal depression on maternal dietary intake and neonatal outcome: a prospective cohort |
title_full | Effect of antenatal depression on maternal dietary intake and neonatal outcome: a prospective cohort |
title_fullStr | Effect of antenatal depression on maternal dietary intake and neonatal outcome: a prospective cohort |
title_full_unstemmed | Effect of antenatal depression on maternal dietary intake and neonatal outcome: a prospective cohort |
title_short | Effect of antenatal depression on maternal dietary intake and neonatal outcome: a prospective cohort |
title_sort | effect of antenatal depression on maternal dietary intake and neonatal outcome: a prospective cohort |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4939634/ https://www.ncbi.nlm.nih.gov/pubmed/27401187 http://dx.doi.org/10.1186/s12937-016-0184-7 |
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