Dietary patterns and depressive symptoms during pregnancy in Japan: Baseline data from the Kyushu Okinawa Maternal and Child Health Study

• Published in: Journal of affective disorders Vol. 225; pp. 552 - 558
• Main Authors: Miyake, Yoshihiro, Tanaka, Keiko, Okubo, Hitomi, Sasaki, Satoshi, Furukawa, Shinya, Arakawa, Masashi
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier B.V 01.01.2018
• Subjects: Adult; Animals; Body Mass Index; Child; Child Health; Cross-Sectional Studies; Cross-sectional study; Depressive Disorder - epidemiology; Depressive symptoms during pregnancy; Dietary patterns; Feeding Behavior; Female; Humans; Intake; Japan; Japan - epidemiology; Pregnancy; Pregnancy Complications - epidemiology; Prevalence; Psychiatric Status Rating Scales; Psychiatric/Mental Health; Risk Factors; Surveys and Questionnaires; Dietary patterns; Intake; Cross-sectional study; Depressive symptoms during pregnancy; Japan
• ISSN: 0165-0327; 1573-2517; 1573-2517
• DOI: 10.1016/j.jad.2017.08.073

Only one Brazilian study has examined the association between dietary patterns and depressive symptoms during pregnancy. The current cross-sectional study examined this issue in Japan. Study subjects were 1744 pregnant women. Between April 2007 and March 2008, information under study was obtained. Dietary patterns were derived from a factor analysis of 33 predefined food groups based on a self-administered diet history questionnaire. Depressive symptoms were defined as a Center for Epidemiological Studies Depression Scale score ≥ 16. Adjustment was made for age, gestation, region of residence, number of children, family structure, history of depression, family history of depression, smoking, secondhand smoke exposure, employment, household income, education, and body mass index. Three dietary patterns were identified: ‘healthy’, characterized by high intake of green and yellow vegetables, other vegetables, mushrooms, pulses, seaweed, potatoes, fish, sea products, miso soup, sugar, and shellfish; ‘Japanese’, characterized by high intake of rice and miso soup; and ‘Western’, characterized by high intake of beef and pork, processed meat, vegetable oil, chicken, eggs, shellfish, and salt-containing seasonings. The healthy and Japanese patterns were independently inversely associated with depressive symptoms during pregnancy: the adjusted prevalence ratios (95% confidence intervals, P for trend) between extreme quartiles were 0.56 (0.43–0.73, < 0.0001) and 0.72 (0.55–0.94, 0.008), respectively. No association was observed between the Western pattern and depressive symptoms during pregnancy. Information was obtained between the 5th and 39th week of pregnancy. The healthy and Japanese dietary patterns may be inversely associated with depressive symptoms during pregnancy. •The prevalence of depressive symptoms during pregnancy was 19.2% in Japan. Three dietary patterns were identified: ‘healthy’, ‘Japanese’, and ‘Western’.•The healthy pattern was inversely related to depressive symptoms during pregnancy.•The Japanese pattern was inversely related to depressive symptoms during pregnancy.•There was no association with the Western pattern.