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Title: Prospective associations of maternal dietary patterns and postpartum mental health in a multi-ethnic asian cohort: The growing up in singapore towards healthy outcomes (gusto) study
Authors: Teo C.
Chia A.-R. 
Colega M.T.
Chen L.-W. 
Fok D.
Pang W.W. 
Godfrey K.M.
Tan K.H. 
Yap F. 
Shek L.P.-C. 
Chong Y.-S. 
Meaney M.
Chen H. 
Chong M.F.-F. 
Keywords: Confinement diet; Dietary patterns; Maternal diet; Postpartum anxiety; Postpartum depression
Issue Date: 2018
Publisher: MDPI AG
Citation: Teo C., Chia A.-R., Colega M.T., Chen L.-W., Fok D., Pang W.W., Godfrey K.M., Tan K.H., Yap F., Shek L.P.-C., Chong Y.-S., Meaney M., Chen H., Chong M.F.-F. (2018). Prospective associations of maternal dietary patterns and postpartum mental health in a multi-ethnic asian cohort: The growing up in singapore towards healthy outcomes (gusto) study. Nutrients 10 (3) : 299. ScholarBank@NUS Repository.
Abstract: Diet in the first month postpartum, otherwise known as �the confinement diet� in Asia, has unique characteristics that are influenced by traditions, cultures, and beliefs. We aimed to characterize dietary patterns during confinement period in a multi-ethnic Asian cohort and examined their associations with postpartum depression (PPD) and anxiety (PPA). Dietary intakes of 490 women were ascertained in the first month postpartum using 3-day food diaries and dietary patterns were derived by factor analysis. Participants completed the Edinburgh Postnatal Depression Scale (EPDS) and State-Trait Anxiety Inventory (STAI) at three months� postpartum; higher scores are indicative of more depressive and anxiety symptoms, respectively. Four dietary patterns were identified: Traditional-Chinese-Confinement diet, Traditional-Indian-Confinement diet, Eat-Out diet and Soup-Vegetables-Fruits diet. The Traditional-Indian-Confinement diet was associated with less PPD symptoms [? (95% CI) ?0.62 (?1.16, ?0.09) EPDS score per SD increase in diet score] and a non-significant trend with reduced probable PPD (EPDS scores ? 13) [OR (95% CI) 0.56 (0.31, 1.01)]. The Soup-Vegetables-Fruits diet was associated with less PPA symptoms [? (95% CI) ?1.49 (?2.56, ?0.42) STAI-state score]. No associations were observed for other dietary patterns. Independent of ethnicity, adherence to the Traditional-Indian-Confinement diet that is characterized by intake of herbs and legumes, and Soup-Vegetables-Fruits diet high in fruits, vegetables and fish during the postpartum period were associated with less PPD and PPA symptoms, respectively. � 2018 by the authors. Licensee MDPI, Basel, Switzerland.
Source Title: Nutrients
ISSN: 20726643
DOI: 10.3390/nu10030299
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