Stress and Depressive Symptoms Are Not Associated with Overall Diet Quality, But Are Associated with Aspects of Diet Quality in Pregnant Women in South Carolina.
Stress and Depressive Symptoms Are Not Associated with Overall Diet Quality, But Are Associated with Aspects of Diet Quality in Pregnant Women in South Carolina.
复制标题
压力和抑郁症状与总体饮食质量无关，但与南卡罗来纳州孕妇的饮食质量有关。
DOI：
10.1016/j.jand.2021.02.025
复制
发表时间：
2021-09
影响因子：
4.8
通讯作者：
Kaczynski AT
中科院分区：
文献类型：
--
作者：
Boutté AK;Turner-McGrievy GM;Wilcox S;Liu J;Eberth JM;Kaczynski AT
心理健康状况不佳可能会影响怀孕期间的饮食质量。这项研究1）检查压力和抑郁症状是否与饮食质量相关（通过健康饮食指数（HEI）-2015总分和与HEI-2015组成部分一致的食物组/营养素的饮食摄入量）和2）测试种族作为调节因素心理健康和饮食质量之间的关系。这是对2015年1月至2019年1月在南卡罗来纳州哥伦比亚进行的随机对照试验中收集的基线数据的横断面分析。经过培训的工作人员管理人口和心理社会问卷，并进行人体测量。参与者完成了两个24小时的饮食回忆，这是自我管理（一个在现场，一个在家里）。妊娠和产后健康研究是一项随机对照试验，目标是超重/肥胖孕妇（N=228）的妊娠期体重过度增加。计算HEI-2015总分和与HEI-2015一致的食物组/营养素。多元线性回归模型用于估计心理健康与HEI-2015总分和与HEI-2015组成部分一致的食物组/营养素的饮食摄入量之间的关系。压力或抑郁症状与种族的乘法相互作用项被用来确定适度。参与者的饮食质量不理想（M=52.0 ± 11.7，范围27-85）。压力与HEI-2015总分呈负相关（粗模型，但未调整模型）。压力得分与乳制品、精制谷物和添加糖的消费呈正相关，与总蛋白质食物呈负相关。抑郁症状与乳制品、精制谷物和饱和脂肪的摄入呈正相关。种族不是调节器。饮食质量总体较差，但在调整后的模型中，压力和抑郁症状与HEI-2015总分无关。不包括乳制品，压力和抑郁症状与食物组/营养素的消费相关，饮食质量较差。这些关系应纵向检查，以帮助建立因果关系，并为未来的干预措施提供信息。
Poor mental health may hinder diet quality in pregnancy. This study 1) examined whether stress and depressive symptoms are associated with diet quality (via Healthy Eating Index (HEI)-2015 total scores and dietary intake of food groups/nutrients that align with HEI-2015 components) and 2) tested race as a moderator in the relationship between mental health and diet quality. This was a cross-sectional analysis of baseline data from a randomized controlled trial collected January 2015—January 2019 in Columbia, South Carolina. Trained staff administered demographic and psychosocial questionnaires and conducted anthropometric measures. Participants completed two 24-hour dietary recalls which were self-administered (one on-site, one at home). The Health in Pregnancy and Postpartum study was a randomized controlled trial targeting excessive gestational weight gain among pregnant women with overweight/obesity (N=228). HEI-2015 total scores and food groups/nutrients that align with HEI-2015 were calculated. Multiple linear regression models were used to estimate the relationship between mental health and HEI-2015 total scores and dietary intake of food groups/nutrients that align with HEI-2015 components. Multiplicative interaction terms of stress or depressive symptoms with race were used to determine moderation. Participants’ diet quality was suboptimal (M=52.0 ± 11.7, range 27–85). Stress was negatively associated with HEI-2015 total scores (crude but not adjusted model). Stress scores were positively associated with consumption of dairy, refined grains, and added sugars and negatively associated with total protein foods. Depressive symptoms were positively associated with consumption of dairy, refined grains, and saturated fats. Race was not a moderator. Diet quality was poor overall, but stress and depressive symptoms were not associated with HEI-2015 total scores in adjusted models. Excluding dairy, stress and depressive symptoms were associated with the consumption of food groups/nutrients related to worse diet quality. These relationships should be examined longitudinally to help establish causality and inform future interventions.
登录
查看更多内容
影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
3.7
作者：
Omidvar, Shabnam;Faramarzi, Mahbobeh;Amiri, Fatemeh Nasiri
通讯作者：
Amiri, Fatemeh Nasiri
影响因子：
--
作者：
Hurley, KM;Caulfield, LE;Dipietro, JA
通讯作者：
Dipietro, JA
影响因子：
2.3
作者：
Chang, Mei-Wei;Brown, Roger;Nitzke, Susan
通讯作者：
Nitzke, Susan
影响因子：
9.8
作者：
Stuebe, Alison M.;Oken, Emily;Gillman, Matthew W.
通讯作者：
Gillman, Matthew W.