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Perinatal depression: prevalence, risks, and the nutrition link--a review of the literature.
J Am Diet Assoc 2009; 109(9):1566-75JA

Abstract

The purpose of this review is to examine the role of nutrition in perinatal depression. Perinatal (maternal) depression refers to major and minor episodes during pregnancy (termed antenatal) and/or within the first 12 months after delivery (termed postpartum or postnatal). Prevalence of antenatal depression can be as high as 20%, while approximately 12% to 16% of women experience postpartum depression. These are probably conservative estimates, as cases of maternal depression are underreported or underdiagnosed. Risk factors for depression include genetic predisposition and environmental factors, as well as a number of social, psychological, and biological factors. One biological factor given increasing consideration is inadequate nutrition. Credible links between nutrient deficiency and mood have been reported for folate, vitamin B-12, calcium, iron, selenium, zinc, and n-3 fatty acids. For maternal depression, the nutrient that has received the most attention from nutrition researchers has been the n-3 essential fatty acids. Numerous studies, such as randomized controlled trials, cohort studies, and ecological studies, have found a positive association between low n-3 levels and a higher incidence of maternal depression. In addition, nutrient inadequacies in pregnant women who consume a typical western diet might be much more common than researchers and clinicians realize. A number of studies have reported inadequate intakes of n-3, folate, B vitamins, iron, and calcium in pregnant women. Depletion of nutrient reserves throughout pregnancy can increase a woman's risk for maternal depression.

Authors+Show Affiliations

Community Health Sciences, Faculty of Medicine, University of Calgary, Calgary, Alberta, Canada. bleun@ucalgary.caNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

19699836

Citation

Leung, Brenda M Y., and Bonnie J. Kaplan. "Perinatal Depression: Prevalence, Risks, and the Nutrition Link--a Review of the Literature." Journal of the American Dietetic Association, vol. 109, no. 9, 2009, pp. 1566-75.
Leung BM, Kaplan BJ. Perinatal depression: prevalence, risks, and the nutrition link--a review of the literature. J Am Diet Assoc. 2009;109(9):1566-75.
Leung, B. M., & Kaplan, B. J. (2009). Perinatal depression: prevalence, risks, and the nutrition link--a review of the literature. Journal of the American Dietetic Association, 109(9), pp. 1566-75. doi:10.1016/j.jada.2009.06.368.
Leung BM, Kaplan BJ. Perinatal Depression: Prevalence, Risks, and the Nutrition Link--a Review of the Literature. J Am Diet Assoc. 2009;109(9):1566-75. PubMed PMID: 19699836.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perinatal depression: prevalence, risks, and the nutrition link--a review of the literature. AU - Leung,Brenda M Y, AU - Kaplan,Bonnie J, PY - 2008/11/18/received PY - 2009/03/24/accepted PY - 2009/8/25/entrez PY - 2009/8/25/pubmed PY - 2009/9/23/medline SP - 1566 EP - 75 JF - Journal of the American Dietetic Association JO - J Am Diet Assoc VL - 109 IS - 9 N2 - The purpose of this review is to examine the role of nutrition in perinatal depression. Perinatal (maternal) depression refers to major and minor episodes during pregnancy (termed antenatal) and/or within the first 12 months after delivery (termed postpartum or postnatal). Prevalence of antenatal depression can be as high as 20%, while approximately 12% to 16% of women experience postpartum depression. These are probably conservative estimates, as cases of maternal depression are underreported or underdiagnosed. Risk factors for depression include genetic predisposition and environmental factors, as well as a number of social, psychological, and biological factors. One biological factor given increasing consideration is inadequate nutrition. Credible links between nutrient deficiency and mood have been reported for folate, vitamin B-12, calcium, iron, selenium, zinc, and n-3 fatty acids. For maternal depression, the nutrient that has received the most attention from nutrition researchers has been the n-3 essential fatty acids. Numerous studies, such as randomized controlled trials, cohort studies, and ecological studies, have found a positive association between low n-3 levels and a higher incidence of maternal depression. In addition, nutrient inadequacies in pregnant women who consume a typical western diet might be much more common than researchers and clinicians realize. A number of studies have reported inadequate intakes of n-3, folate, B vitamins, iron, and calcium in pregnant women. Depletion of nutrient reserves throughout pregnancy can increase a woman's risk for maternal depression. SN - 1878-3570 UR - https://www.unboundmedicine.com/medline/citation/19699836/Perinatal_depression:_prevalence_risks_and_the_nutrition_link__a_review_of_the_literature_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-8223(09)00768-8 DB - PRIME DP - Unbound Medicine ER -