Cited by 40Maternal Mental Health During Pregnancy and PostpartumNutritional Studies and DietMaternal and Neonatal Healthcare

Dietary glycemic index and load and the risk of postpartum depression in Japan: the Osaka Maternal and Child Health Study

Murakami, Kentaro, Miyake, Yoshihiro, Sasaki, Satoshi, Tanaka, Keiko, Yokoyama, Tetsuji, Ohya, Yukihiro, Fukushima, Wakaba, Kiyohara, Chikako +1 more·2008·Journal of Affective Disorders

Abstract

Background Given suggestions that postpartum depression may be due to the sudden fall in insulin levels occurring after delivery via a decrease in serotonergic function, this condition might be alleviated by a high-glycemic index (GI) diet, which would stimulate the secretion of insulin and thereby facilitate the transport of tryptophan, the precursor of serotonin, in the brain. We examined the association between dietary GI and glycemic load (GL) and postpartum depression.Methods Subjects were 865 Japanese women. Dietary GI and GL were assessed during pregnancy using a validated, self-administered, comprehensive diet history questionnaire. Postpartum depression was defined as present when the subject had an Edinburgh Postnatal Depression Scale score of > or =9 at 2-9 months postpartum.Results A total of 121 women (14.0%) were classified as having postpartum depression. After adjustment for potential confounding factors, no evident dose-response association between dietary GI and postpartum depression was observed (P for trend=0.18). However, compared with dietary GI in the first quartile, dietary GI in the third quartile, but not the fourth quartile, was significantly associated with a decreased risk of postpartum depression (multivariate odds ratio: 0.56, 95% confidence interval: 0.32-0.995). There was no evident independent association for dietary GL (P for trend=0.13).Limitations Dietary data collected during pregnancy rather than postpartum were used.Conclusions This preliminary study failed to substantiate a clear inverse relationship between dietary GI and GL and postpartum depression. Considering the plausibility of the proposed mechanism, however, further investigation using postpartum dietary data is warranted.

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Crossref · 10.1016/j.jad.2007.12.230

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  • A previous longitudinal epidemiologic study in 865 Japanese pregnant women found no relation between dietary GI or glycemic load during pregnancy and postpartum depression 2-9 months after giving birth.

    “That study in 865 Japanese pregnant women found no relation between dietary GI or dietary glycemic load during pregnancy and postpartum depression 2-9 mo after giving birth (15).”

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Authors
Murakami, K., Miyake, Y., Sasaki, S., Tanaka, K., Yokoyama, T., Ohya, Y., Fukushima, W., Kiyohara, C., & Hirota, Y.
Affiliations
  • The University of Tokyo (JP)
  • Fukuoka University (JP)
  • National Institute of Public Health (JP)
  • National Center For Child Health and Development (JP)
  • Osaka City University (JP)
  • Kyushu University (JP)
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2008-09
Volume
110
Issue
1-2
Pages
174-179
ISSN
0165-0327 (ISSN-L)
OpenAlex
W2145735405
Cited by
40
References
24
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 6 · 2016: 2 · 2015: 3 · 2014: 1 · 2013: 1 · 2012: 2
FWCI
2.31
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Ministry of Education, Culture, Sports, Science and Technology
  • Ministry of Health, Labour and Welfare
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Keywords
postpartum depression, dietary glycemic index, glycemic load, insulin, serotonin, tryptophan, pregnancy diet, maternal mental health
MeSH terms
Blood Glucose, Diet Surveys, Dietary Carbohydrates, Eating, Feeding Behavior, Female, Humans, Japan, Pregnancy, Psychiatric Status Rating Scales, Surveys and Questionnaires, Risk Factors, Body Mass Index, Multivariate Analysis, Depression, Postpartum, Glycemic Index

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