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

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 associatio...

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Main Authors: Colega, Marjorelee T., Pang, Wei Wei, Godfrey, Keith M., Tan, Kok Hian, Shek, Lynette Pei-Chi, Chong, Mary Foong-Fong, Teo, Cherlyen, Chia, Ai-Ru, Chen, Ling-Wei, Fok, Doris, Yap, Fabian, Chong, Yap-Seng, Meaney, Michael, Chen, Helen
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Article
Language:English
Published: 2018
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Online Access:https://hdl.handle.net/10356/86551
http://hdl.handle.net/10220/45326
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Institution: Nanyang Technological University
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spelling sg-ntu-dr.10356-865512020-11-01T05:25:25Z 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 Colega, Marjorelee T. Pang, Wei Wei Godfrey, Keith M. Tan, Kok Hian Shek, Lynette Pei-Chi Chong, Mary Foong-Fong Teo, Cherlyen Chia, Ai-Ru Chen, Ling-Wei Fok, Doris Yap, Fabian Chong, Yap-Seng Meaney, Michael Chen, Helen Lee Kong Chian School of Medicine (LKCMedicine) Postpartum Depression Postpartum Anxiety 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 [β (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 [β (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. NRF (Natl Research Foundation, S’pore) ASTAR (Agency for Sci., Tech. and Research, S’pore) NMRC (Natl Medical Research Council, S’pore) MOH (Min. of Health, S’pore) Published version 2018-07-27T07:48:56Z 2019-12-06T16:24:33Z 2018-07-27T07:48:56Z 2019-12-06T16:24:33Z 2018 Journal Article Teo, C., Chia, A.-R., Colega, M. T., Chen, L.-W., Fok, D., Pang, W. W., et al. (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-. 2072-6643 https://hdl.handle.net/10356/86551 http://hdl.handle.net/10220/45326 10.3390/nu10030299 en Nutrients © 2018 The Author(s). Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). 15 p. application/pdf
institution Nanyang Technological University
building NTU Library
continent Asia
country Singapore
Singapore
content_provider NTU Library
collection DR-NTU
language English
topic Postpartum Depression
Postpartum Anxiety
spellingShingle Postpartum Depression
Postpartum Anxiety
Colega, Marjorelee T.
Pang, Wei Wei
Godfrey, Keith M.
Tan, Kok Hian
Shek, Lynette Pei-Chi
Chong, Mary Foong-Fong
Teo, Cherlyen
Chia, Ai-Ru
Chen, Ling-Wei
Fok, Doris
Yap, Fabian
Chong, Yap-Seng
Meaney, Michael
Chen, Helen
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
description 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 [β (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 [β (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.
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Colega, Marjorelee T.
Pang, Wei Wei
Godfrey, Keith M.
Tan, Kok Hian
Shek, Lynette Pei-Chi
Chong, Mary Foong-Fong
Teo, Cherlyen
Chia, Ai-Ru
Chen, Ling-Wei
Fok, Doris
Yap, Fabian
Chong, Yap-Seng
Meaney, Michael
Chen, Helen
format Article
author Colega, Marjorelee T.
Pang, Wei Wei
Godfrey, Keith M.
Tan, Kok Hian
Shek, Lynette Pei-Chi
Chong, Mary Foong-Fong
Teo, Cherlyen
Chia, Ai-Ru
Chen, Ling-Wei
Fok, Doris
Yap, Fabian
Chong, Yap-Seng
Meaney, Michael
Chen, Helen
author_sort Colega, Marjorelee T.
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
title_short 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_sort 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
publishDate 2018
url https://hdl.handle.net/10356/86551
http://hdl.handle.net/10220/45326
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