Vitamin D levels and perinatal depressive symptoms in women at risk: a secondary analysis of the mothers, omega-3, and mental health study
Vitamin D insufficiency may be associated with depressive symptoms in non-pregnant adults. We performed this study to evaluate whether low maternal vitamin D levels are associated with depressive symptoms in pregnancy. This study was a secondary analysis of a randomized trial designed to assess whet...
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Published in | BMC pregnancy and childbirth Vol. 16; no. 1; p. 203 |
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Main Authors | , , , , , , , , , , |
Format | Journal Article |
Language | English |
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03.08.2016
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Abstract | Vitamin D insufficiency may be associated with depressive symptoms in non-pregnant adults. We performed this study to evaluate whether low maternal vitamin D levels are associated with depressive symptoms in pregnancy.
This study was a secondary analysis of a randomized trial designed to assess whether prenatal omega-3 fatty acid supplementation would prevent depressive symptoms. Pregnant women from Michigan who were at risk for depression based on Edinburgh Postnatal Depression Scale Score or history of depression were enrolled. Participants completed the Beck Depression Inventory (BDI) and Mini International Neuropsychiatric Interview at 12-20 weeks, 26-28 weeks, 34-36 weeks, and 6-8 weeks postpartum. Vitamin D levels were measured at 12-20 weeks (N = 117) and 34-36 weeks (N = 112). Complete datasets were available on 105 subjects. Using regression analyses, we evaluated the relationship between vitamin D levels with BDI scores as well as with MINI diagnoses of major depressive disorder and generalized anxiety disorder. Our primary outcome measure was the association of maternal vitamin D levels with BDI scores during early and late pregnancy and postpartum.
We found that vitamin D levels at 12-20 weeks were inversely associated with BDI scores both at 12-20 and at 34-36 weeks' gestation (P < 0.05, both). For every one unit increase in vitamin D in early pregnancy, the average decrease in the mean BDI score was .14 units. Vitamin D levels were not associated with diagnoses of major depressive disorder or generalized anxiety disorder.
In women at risk for depression, early pregnancy low vitamin D levels are associated with higher depressive symptom scores in early and late pregnancy. Future investigations should study whether vitamin D supplementation in early pregnancy may prevent perinatal depressive symptoms.
https://clinicaltrials.gov/
NCT00711971. |
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AbstractList | Background Vitamin D insufficiency may be associated with depressive symptoms in non-pregnant adults. We performed this study to evaluate whether low maternal vitamin D levels are associated with depressive symptoms in pregnancy. Methods This study was a secondary analysis of a randomized trial designed to assess whether prenatal omega-3 fatty acid supplementation would prevent depressive symptoms. Pregnant women from Michigan who were at risk for depression based on Edinburgh Postnatal Depression Scale Score or history of depression were enrolled. Participants completed the Beck Depression Inventory (BDI) and Mini International Neuropsychiatric Interview at 12–20 weeks, 26–28 weeks, 34–36 weeks, and 6–8 weeks postpartum. Vitamin D levels were measured at 12–20 weeks (N = 117) and 34–36 weeks (N = 112). Complete datasets were available on 105 subjects. Using regression analyses, we evaluated the relationship between vitamin D levels with BDI scores as well as with MINI diagnoses of major depressive disorder and generalized anxiety disorder. Our primary outcome measure was the association of maternal vitamin D levels with BDI scores during early and late pregnancy and postpartum. Results We found that vitamin D levels at 12–20 weeks were inversely associated with BDI scores both at 12—20 and at 34–36 weeks’ gestation (P < 0.05, both). For every one unit increase in vitamin D in early pregnancy, the average decrease in the mean BDI score was .14 units. Vitamin D levels were not associated with diagnoses of major depressive disorder or generalized anxiety disorder. Conclusions In women at risk for depression, early pregnancy low vitamin D levels are associated with higher depressive symptom scores in early and late pregnancy. Future investigations should study whether vitamin D supplementation in early pregnancy may prevent perinatal depressive symptoms. Trial registration https://clinicaltrials.gov/ Registration Number: NCT00711971 Vitamin D insufficiency may be associated with depressive symptoms in non-pregnant adults. We performed this study to evaluate whether low maternal vitamin D levels are associated with depressive symptoms in pregnancy. This study was a secondary analysis of a randomized trial designed to assess whether prenatal omega-3 fatty acid supplementation would prevent depressive symptoms. Pregnant women from Michigan who were at risk for depression based on Edinburgh Postnatal Depression Scale Score or history of depression were enrolled. Participants completed the Beck Depression Inventory (BDI) and Mini International Neuropsychiatric Interview at 12-20 weeks, 26-28 weeks, 34-36 weeks, and 6-8 weeks postpartum. Vitamin D levels were measured at 12-20 weeks (N = 117) and 34-36 weeks (N = 112). Complete datasets were available on 105 subjects. Using regression analyses, we evaluated the relationship between vitamin D levels with BDI scores as well as with MINI diagnoses of major depressive disorder and generalized anxiety disorder. Our primary outcome measure was the association of maternal vitamin D levels with BDI scores during early and late pregnancy and postpartum. We found that vitamin D levels at 12-20 weeks were inversely associated with BDI scores both at 12-20 and at 34-36 weeks' gestation (P < 0.05, both). For every one unit increase in vitamin D in early pregnancy, the average decrease in the mean BDI score was .14 units. Vitamin D levels were not associated with diagnoses of major depressive disorder or generalized anxiety disorder. In women at risk for depression, early pregnancy low vitamin D levels are associated with higher depressive symptom scores in early and late pregnancy. Future investigations should study whether vitamin D supplementation in early pregnancy may prevent perinatal depressive symptoms. https://clinicaltrials.gov/ NCT00711971. BACKGROUNDVitamin D insufficiency may be associated with depressive symptoms in non-pregnant adults. We performed this study to evaluate whether low maternal vitamin D levels are associated with depressive symptoms in pregnancy.METHODSThis study was a secondary analysis of a randomized trial designed to assess whether prenatal omega-3 fatty acid supplementation would prevent depressive symptoms. Pregnant women from Michigan who were at risk for depression based on Edinburgh Postnatal Depression Scale Score or history of depression were enrolled. Participants completed the Beck Depression Inventory (BDI) and Mini International Neuropsychiatric Interview at 12-20 weeks, 26-28 weeks, 34-36 weeks, and 6-8 weeks postpartum. Vitamin D levels were measured at 12-20 weeks (N = 117) and 34-36 weeks (N = 112). Complete datasets were available on 105 subjects. Using regression analyses, we evaluated the relationship between vitamin D levels with BDI scores as well as with MINI diagnoses of major depressive disorder and generalized anxiety disorder. Our primary outcome measure was the association of maternal vitamin D levels with BDI scores during early and late pregnancy and postpartum.RESULTSWe found that vitamin D levels at 12-20 weeks were inversely associated with BDI scores both at 12-20 and at 34-36 weeks' gestation (P < 0.05, both). For every one unit increase in vitamin D in early pregnancy, the average decrease in the mean BDI score was .14 units. Vitamin D levels were not associated with diagnoses of major depressive disorder or generalized anxiety disorder.CONCLUSIONSIn women at risk for depression, early pregnancy low vitamin D levels are associated with higher depressive symptom scores in early and late pregnancy. Future investigations should study whether vitamin D supplementation in early pregnancy may prevent perinatal depressive symptoms.TRIAL REGISTRATIONhttps://clinicaltrials.gov/REGISTRATION NUMBERNCT00711971. |
ArticleNumber | 203 |
Author | Mozurkewich, Ellen L Williams, Jennifer Anne Vahratian, Anjel M Vazquez, Delia M Hamilton, Susan E Chilimigras, Julie L Schrader, Ronald M Clinton, Chelsea M Marcus, Sheila M Allbaugh, Lucy J Romero, Vivian C |
Author_xml | – sequence: 1 givenname: Jennifer Anne surname: Williams fullname: Williams, Jennifer Anne organization: Department of Obstetrics and Gynecology, St. Joseph Mercy Health System, Ypsilanti, MI, USA – sequence: 2 givenname: Vivian C surname: Romero fullname: Romero, Vivian C organization: Department of Obstetrics and Gynecology, Michigan State University College of Human Medicine, East Lansing, MI, USA – sequence: 3 givenname: Chelsea M surname: Clinton fullname: Clinton, Chelsea M organization: Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA – sequence: 4 givenname: Delia M surname: Vazquez fullname: Vazquez, Delia M organization: Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA – sequence: 5 givenname: Sheila M surname: Marcus fullname: Marcus, Sheila M organization: Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA – sequence: 6 givenname: Julie L surname: Chilimigras fullname: Chilimigras, Julie L organization: Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA – sequence: 7 givenname: Susan E surname: Hamilton fullname: Hamilton, Susan E organization: Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA – sequence: 8 givenname: Lucy J surname: Allbaugh fullname: Allbaugh, Lucy J organization: Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA – sequence: 9 givenname: Anjel M surname: Vahratian fullname: Vahratian, Anjel M organization: Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA – sequence: 10 givenname: Ronald M surname: Schrader fullname: Schrader, Ronald M organization: Clinical and Translational Science Center, University of New Mexico Health Sciences Center, Albuquerque, NM, USA – sequence: 11 givenname: Ellen L surname: Mozurkewich fullname: Mozurkewich, Ellen L email: emozurkewich@salud.unm.edu, emozurkewich@salud.unm.edu organization: Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center, University of New Mexico, Albuquerque, NM, 87131, USA. emozurkewich@salud.unm.edu |
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Snippet | Vitamin D insufficiency may be associated with depressive symptoms in non-pregnant adults. We performed this study to evaluate whether low maternal vitamin D... Background Vitamin D insufficiency may be associated with depressive symptoms in non-pregnant adults. We performed this study to evaluate whether low maternal... BACKGROUNDVitamin D insufficiency may be associated with depressive symptoms in non-pregnant adults. We performed this study to evaluate whether low maternal... |
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SubjectTerms | Adult Anxiety Depression - blood Depression - prevention & control Depression, Postpartum - blood Depression, Postpartum - prevention & control Dietary Supplements Double-Blind Method Fatty Acids, Omega-3 - administration & dosage Female Humans Maternal Serum Screening Tests - methods Mental depression Mental health Postpartum Period - blood Pregnancy Pregnancy Complications - blood Pregnancy Complications - prevention & control Pregnancy Complications - psychology Pregnancy Trimesters - blood Psychiatric Status Rating Scales Regression Analysis Risk Factors Systematic review Vitamin D Vitamin D - analogs & derivatives Vitamin D - blood Womens health |
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Title | Vitamin D levels and perinatal depressive symptoms in women at risk: a secondary analysis of the mothers, omega-3, and mental health study |
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