Factors associated with symptoms of depression among pregnant women with gestational diabetes mellitus in Japan
Factors associated with symptoms of depression among pregnant women with gestational diabetes mellitus in Japan
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DOI：
10.5582/ddt.2020.03078
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发表时间：
2020-10-01
影响因子：
3.1
通讯作者：
Suganuma, Nobuhiko
中科院分区：
文献类型：
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作者：
Hayashi, Ayako;Oguchi, Hidenori;Suganuma, Nobuhiko
本研究的目的是探讨日本妊娠糖尿病（GDM）孕妇抑郁症状的相关因素。这项横断面研究于2015年1月至2016年6月在日本丰田的一家医院进行。在妊娠中期就诊并被诊断为GDM的孕妇入组。我们使用流行病学研究中心抑郁量表（CES-D）分析抑郁症状，并考虑抑郁症状的相关因素，如饮食摄入和每日步行。在过去一个月的饮食摄入量进行了评估，使用一个简短的自我管理的饮食史问卷，并使用加速度计每天步行进行了评估。妊娠期糖尿病患病率为8.8%，分析了25例妊娠期糖尿病孕妇。CES-D与孕前BMI、餐后血糖、血红蛋白A1 c和步行步数无显著相关性。相反，CES-D评分与带骨鱼、炖鱼、泡菜、绿色叶、蘑菇和绿色茶的摄入量之间呈显著负相关。此外，可乐（R）和CES-D评分之间存在显著的正相关。对于营养摄入，CES-D评分与维生素K、叶酸和β-胡萝卜素水平之间存在显著负相关。本研究提示妊娠期糖尿病孕妇的抑郁症状可能与饮食有关。
The objective of this study was to explore the factors associated symptoms of depression among pregnant women with gestational diabetes mellitus (GDM) in Japan. This cross-sectional study was conducted at a hospital in Toyota, Japan, from January 2015 to June 2016. Pregnant women who visited the hospital and were diagnosed with GDM in the second trimester were enrolled. We analyzed depression symptoms using the Centers for Epidemiological Studies Depression Scale (CES-D) and considered related factors of depression symptoms, such as dietary intake and daily walking. Dietary intake during the past month was assessed using a brief self-administered diet history questionnaire, and daily walking was assessed using an accelerometer. The prevalence rate for GDM was 8.8%, and 25 pregnant women with GDM were analyzed. The CES-D was not significantly correlated with pre-pregnancy BMI, postprandial plasma glucose, hemoglobin A1c, and the number of steps walked. In contrast, a significant negative correlation was observed between the CES-D score and intake of fish with bones, simmered fish, pickles, green leaves, mushrooms, and green tea. Furthermore, a significant positive correlation was found between Coke (R) and CES-D scores. For nutrient intake, a significant negative correlation was found between the CES-D score and vitamin K, folate, and beta-carotene levels. The present study suggests that depression symptoms among pregnant women with GDM in the second trimester may be associated with diet.