Association between Duration of Folic Acid Supplementation during Pregnancy and Risk of Postpartum Depression

Postpartum depression (PPD), as a common complication of childbearing, could have adverse consequences on mothers, children, and families. This cohort study aimed to assess the association between duration of folic acid (FA) supplementation during pregnancy and the onset of PPD in Chinese women. A t...

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Main Authors: Jing Yan, Yuyan Liu, Lujia Cao, Yuzhi Zheng, Wen Li, Guowei Huang
Format: Article
Language:English
Published: MDPI AG 2017-11-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/9/11/1206
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author Jing Yan
Yuyan Liu
Lujia Cao
Yuzhi Zheng
Wen Li
Guowei Huang
author_facet Jing Yan
Yuyan Liu
Lujia Cao
Yuzhi Zheng
Wen Li
Guowei Huang
author_sort Jing Yan
collection DOAJ
description Postpartum depression (PPD), as a common complication of childbearing, could have adverse consequences on mothers, children, and families. This cohort study aimed to assess the association between duration of folic acid (FA) supplementation during pregnancy and the onset of PPD in Chinese women. A total of 1592 participants were recruited, and data collected between July 2015 and March 2017 in Tianjin, China. Participants’ baseline data were collected regarding socio-demographic and lifestyle characteristics, obstetric history, and FA supplementation during pregnancy. The Chinese version of the self-rating depression scale was used to assess depressive symptoms at 6–12 weeks postpartum, and the prevalence of PPD in participants was 29.4%. Pregnant women who took FA supplements for >6 months had a lower prevalence of PPD, compared to those who took FA for ≤6 months. After using the 1:1 ratio propensity score matching, 601 FA-users ≤ 6 months and 601 FA-users > 6 months were included in the further analyses; this also yielded similar results (P < 0.05). Logistic regression analysis showed that FA intake for >6 months was an independent determinant of PPD (odds ratio = 0.76; 95% confidence interval: 0.59–0.98; P < 0.05). Thus, prolonged FA supplementation during pregnancy was associated with a decreased risk of PPD in Chinese women.
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spelling doaj.art-9feeb93129624a30a1fdb4f83f0000552022-12-22T02:32:59ZengMDPI AGNutrients2072-66432017-11-01911120610.3390/nu9111206nu9111206Association between Duration of Folic Acid Supplementation during Pregnancy and Risk of Postpartum DepressionJing Yan0Yuyan Liu1Lujia Cao2Yuzhi Zheng3Wen Li4Guowei Huang5Department of Nutrition and Food Science, School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, ChinaDepartment of Nutrition and Food Science, School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, ChinaDepartment of Nutrition and Food Science, School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, ChinaDepartment of Nutrition and Food Science, School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, ChinaDepartment of Nutrition and Food Science, School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, ChinaDepartment of Nutrition and Food Science, School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, ChinaPostpartum depression (PPD), as a common complication of childbearing, could have adverse consequences on mothers, children, and families. This cohort study aimed to assess the association between duration of folic acid (FA) supplementation during pregnancy and the onset of PPD in Chinese women. A total of 1592 participants were recruited, and data collected between July 2015 and March 2017 in Tianjin, China. Participants’ baseline data were collected regarding socio-demographic and lifestyle characteristics, obstetric history, and FA supplementation during pregnancy. The Chinese version of the self-rating depression scale was used to assess depressive symptoms at 6–12 weeks postpartum, and the prevalence of PPD in participants was 29.4%. Pregnant women who took FA supplements for >6 months had a lower prevalence of PPD, compared to those who took FA for ≤6 months. After using the 1:1 ratio propensity score matching, 601 FA-users ≤ 6 months and 601 FA-users > 6 months were included in the further analyses; this also yielded similar results (P < 0.05). Logistic regression analysis showed that FA intake for >6 months was an independent determinant of PPD (odds ratio = 0.76; 95% confidence interval: 0.59–0.98; P < 0.05). Thus, prolonged FA supplementation during pregnancy was associated with a decreased risk of PPD in Chinese women.https://www.mdpi.com/2072-6643/9/11/1206folic acidsupplementation durationpostpartum depressionpropensity score matching
spellingShingle Jing Yan
Yuyan Liu
Lujia Cao
Yuzhi Zheng
Wen Li
Guowei Huang
Association between Duration of Folic Acid Supplementation during Pregnancy and Risk of Postpartum Depression
Nutrients
folic acid
supplementation duration
postpartum depression
propensity score matching
title Association between Duration of Folic Acid Supplementation during Pregnancy and Risk of Postpartum Depression
title_full Association between Duration of Folic Acid Supplementation during Pregnancy and Risk of Postpartum Depression
title_fullStr Association between Duration of Folic Acid Supplementation during Pregnancy and Risk of Postpartum Depression
title_full_unstemmed Association between Duration of Folic Acid Supplementation during Pregnancy and Risk of Postpartum Depression
title_short Association between Duration of Folic Acid Supplementation during Pregnancy and Risk of Postpartum Depression
title_sort association between duration of folic acid supplementation during pregnancy and risk of postpartum depression
topic folic acid
supplementation duration
postpartum depression
propensity score matching
url https://www.mdpi.com/2072-6643/9/11/1206
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