EVALUATION OF DIETARY QUALITY AND ITS ASSOCIATION WITH POSTPATUM DEPRESSION IN LACTATING WOMEN IN BEIJING
Objective To evaluate dietary quality of lactating women 6 months after delivery and examine the association between dietary quality and postpartum depression(PPD).Methods An epidemiological investigation was conducted on 401 women who had registered after delivery at 6 community health service centers in Beijing from June to July 2019.Basic and childbirth information were obtained through records extraction from Maternal Health Manual and Community Maternal and Child Health Records.Follow-up was conducted 6 months after delivery to gather information on breastfeeding and maternity care.The Edinburgh Postnatal Depression Scale(EPDS)and a validated food frequency questionnaire(FFQ)were used to assess the status of PPD and dietary intakes,respectively.Dietary quality was evaluated using the Dietary Balance Index for Lactating women(DBI-L).Results Of the postpartum women,26.40%were depressed based on the EPDS cut-off score(≥13).About 77.56%had overall imbalanced dietary intake,with a high proportion of excessive intake(65.84%)and inadequate intake(41.15%).Compared to the non-PPD women,PPD women had poorer overall dietary balance(P=0.001),and more severe excessive intake(P<0.000)and inadequate intake(P=0.04).PPD women also had significantly lower intake of vegetables and fruits(P<0.01)and higher intake of cereal(P<0.01)compared to the non-PPD women.Maternal excessive intake(moderate excessive intake OR=5.855,95%CI:2.647-12.950;high excessive intake OR=5.928,95%CI:2.510-14.00)and dietary overall imbalance(OR=7.924,95%CI:2.777-22.61)were associated with the occurrence of PPD.Conclusion Lactating women in Beijing had imbalanced dietary intake,which was associated with PPD.Strengthening dietary intervention focusing on relevant risk factors is crucial to preventing PPD.[ACTA NUTRIMENTA SINICA,2024,46(2):126-131]
lactating womenpostpartum depressiondietary qualitydietary balance index
NETL
NSTL
万方数据
