High dietary ratio of omega-6 to omega-3 polyunsaturated acids during pregnancy and prevalence of post-partum depression

High dietary ratio of omega-6 to omega-3 polyunsaturated acids during pregnancy and prevalence of post-partum depression
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DOI:
10.1111/j.1740-8709.2010.00256.x
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发表时间:
2012-01-01
影响因子:
3.4
通讯作者:
Kac, Gilberto
Kac, Gilberto
中科院分区:
医学3区
文献类型:
--
作者:
da Rocha, Camilla M. M.;Kac, Gilberto

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观察性研究表明,低浓度的omega-3家族脂肪酸与产后抑郁症(PPD)的高风险之间存在关联。目的是研究不平衡饮食摄入omega-6/omega-3比例>9:1对PPD患病率的影响。该研究包括一个前瞻性队列,在怀孕期间进行四波随访,分娩后进行一波随访。根据爱丁堡产后抑郁量表(PPD = 11)对2005年至2007年间巴西里约热内卢106例产妇进行PPD评估。独立变量包括社会人口统计学、产科、孕前体重指数(BMI)和饮食摄入数据,这些数据是通过怀孕前三个月的食物频率问卷获得的。统计分析包括PPD患病率计算和多元泊松回归稳健方差。PPD患病率为26.4% [n = 28;可信区间(CI) 95%: 18.034.8],并且在omega-6/omega-3比值为bb0 9:1(60.0%)的妇女和孕前BMI较高的妇女中观察到PPD的患病率
Observational studies suggest association between low concentrations of omega-3 family fatty acids and greater risk for post-partum depression (PPD). The objective was to investigate the effect of unbalanced dietary intake of omega-6/omega-3 ratio >9:1 in the prevalence for PPD. The study comprises a prospective cohort with four waves of follow-up during pregnancy and one following delivery. PPD was evaluated according to the Edinburgh Post-partum Depression Scale (PPD = 11) in 106 puerperae between 2005 and 2007, in Rio de Janeiro, Brazil. Independent variables included socio-demographic, obstetric, pre-pregnancy body mass index (BMI) and dietary intake data, which were obtained by means of a food frequency questionnaire in the first trimester of pregnancy. Statistical analysis involved calculation of PPD prevalence and multivariate Poisson regression with robust variance. PPD prevalence amounted to 26.4% [n = 28; confidence interval (CI) 95%: 18.034.8], and higher prevalences of PPD were observed in women who consumed an omega-6/omega-3 ratio >9:1 (60.0%) and in those with pre-pregnancy BMI