Dietary glycemic index and load and the risk of postpartum depression in Japan: the Osaka Maternal and Child Health Study
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.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
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).”
From High glycemic index diet as a risk factor for depression: analyses from the Women’s Health Initiative (2015) · cites this paper as [15]
Cites
Detection of Postnatal Depression: Development of the 10-item Edinburgh Postnatal Depression Scale
Cox, J. L., Holden, J. M., & Sagovsky, R. (1987) · British Journal of Psychiatry · doi:10.1192/bjp.150.6.782 · Cited by 14,183 · see citing works
Glycemic index of foods: a physiological basis for carbohydrate exchange
Jenkins, D. J., Wolever, T. M., Taylor, R. H., Barker, H., Fielden, H., Baldwin, J. M., Bowling, A. C., Newman, H. C., Jenkins, A. L., & Goff, D. V. (1981) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/34.3.362 · Cited by 3,857 · see citing works
Dietary Fiber, Glycemic Load, and Risk of NIDDM in Men
Salmerón, J., Ascherio, A., Rimm, E. B., Colditz, G. A., Spiegelman, D., Jenkins, D. J., Stampfer, M. J., Wing, A. L., & Willett, W. C. (1997) · Diabetes Care · doi:10.2337/diacare.20.4.545 · Cited by 1,426 · see citing works
The glycemic index: methodology and clinical implications
Wolever, T., Jenkins, D., Jenkins, A., & Josse, R. (1991) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/54.5.846 · Cited by 1,168 · see citing works
Fish consumption and major depression
Hibbeln, J. R. (1998) · The Lancet · doi:10.1016/s0140-6736(05)79168-6 · Cited by 897 · see citing works
The use of the glycemie Index in predicting the blood glucose response to mixed meals
Wolever, T., & Jenkins, D. (1986) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/43.1.167 · Cited by 645 · see citing works
Sasaki, S., Yanagibori, R., & Amano, K. (1998) · Journal of Epidemiology · doi:10.2188/jea.8.203 · Cited by 509 · see citing works
Self-citationHibbeln, J. R. (2002) · Journal of Affective Disorders · doi:10.1016/s0165-0327(01)00374-3 · Cited by 508 · see citing works
Perinatal Psychiatry: Use and Misuse of the Edinburgh Postnatal Depression Scale
Worley, L. L. M. (2001) · Psychosomatics · doi:10.1176/appi.psy.42.5.446 · Cited by 346 · see citing works
Murakami, K., Sasaki, S., Takahashi, Y., Okubo, H., Hosoi, Y., Horiguchi, H., Oguma, E., & Kayama, F. (2006) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/83.5.1161 · Cited by 250 · see citing works
Self-citationEffects of normal meals rich in carbohydrates or proteins on plasma tryptophan and tyrosine ratios
Wurtman, R. J., Wurtman, J. J., Regan, M. M., McDermott, J. M., Tsay, R. H., & Breu, J. J. (2003) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/77.1.128 · Cited by 247 · see citing works
Serotonergic Dysfunction in Depression
Meltzer, H. Y. (1989) · The British Journal of Psychiatry · doi:10.1192/s0007125000291733 · Cited by 227 · see citing works
Application of glycemic index to mixed meals
Chew, I., Brand-Miller, J. C., Thorburn, A. W., & Truswell, A. S. (1988) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/47.1.53 · Cited by 146 · see citing works
Murakami, K., Sasaki, S., Okubo, H., Takahashi, Y., Hosoi, Y., ITABASHI, M., & and the Freshmen in Dietetic Courses Study II Group (2007) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602610 · Cited by 118 · see citing works
Self-citationCoulston, A. M., Hollenbeck, C. B., Swislocki, A., & Reaven, G. M. (1987) · Diabetes Care · doi:10.2337/diacare.10.4.395 · Cited by 113 · see citing works
Miyake, Y., Sasaki, S., Yokoyama, T., Tanaka, K., Ohya, Y., Fukushima, W., Saito, K., Ohfuji, S., Kiyohara, C., Hirota, Y., et al. (2006) · Psychological Medicine · doi:10.1017/s0033291706008701 · Cited by 109 · see citing works
Self-citationMiyake, Y., Sasaki, S., Tanaka, K., Yokoyama, T., Ohya, Y., Fukushima, W., Saito, K., Ohfuji, S., Kiyohara, C., & Hirota, Y. (2006) · Journal of Affective Disorders · doi:10.1016/j.jad.2006.05.024 · Cited by 103 · see citing works
Self-citationMurakami, K., Sasaki, S., Takahashi, Y., Okubo, H., Hirota, N., Notsu, A., Fukui, M., & Date, C. (2007) · British Journal Of Nutrition · doi:10.1017/s0007114507812086 · Cited by 102 · see citing works
Self-citationAppleton, K. M., Woodside, J. V., YARNELL, J. W. G., Arveiler, D., Haas, B., Amouyel, P., Montaye, M., Ferrières, J., Ruidavets, J., Ducimetière, P., et al. (2007) · Journal of Affective Disorders · doi:10.1016/j.jad.2007.03.012 · Cited by 94 · see citing works
Screening tests for gestational diabetes in Japan in the 1st and 2nd trimester of pregnancy
Maegawa, Y., Sugiyama, T., Kusaka, H., Mitao, M., & Toyoda, N. (2003) · Diabetes Research and Clinical Practice · doi:10.1016/s0168-8227(03)00146-3 · Cited by 76 · see citing works
The clinical utility of the glycemic index and its application to mixed meals
Hollenbeck, C. B., & Coulston, A. M. (1991) · Canadian Journal of Physiology and Pharmacology · doi:10.1139/y91-014 · Cited by 53 · see citing works
Endocrine factors and postpartum depression. A selected review.
McCoy, S. J. B., Beal, J. M., & Watson, G. H. (2003) · PubMed · Cited by 48 · see citing works
Miyakoshi, K., Tanaka, M., Ueno, K., Uehara, K., Ishimoto, H., & Yoshimura, Y. (2003) · Diabetes Research and Clinical Practice · doi:10.1016/s0168-8227(02)00274-7 · Cited by 29 · see citing works
Postpartum mood disorders may be related to a decreased insulin level after delivery
Chen, T.-H., Lan, T., Yang, C.-Y., & Juang, K. (2005) · Medical Hypotheses · doi:10.1016/j.mehy.2005.09.032 · Cited by 25 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Magnitude and risk factors for postpartum symptoms: A literature review
Norhayati, M. N., Nik Hazlina, N. H., Asrenee, A. R., & Wan Emilin, W. M. A. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.12.041 · Cited by 816 · see citing works
Gangwisch, J. E., Hale, L., Garcia, L., Malaspina, D., Opler, M. G., Payne, M. E., Rossom, R. C., & Lane, D. (2015) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.114.103846 · Cited by 278 · see citing works
Dietary Intake and Depressive Symptoms: A Systematic Review of Observational Studies
Murakami, K., & Sasaki, S. (2010) · Molecular Nutrition & Food Research · doi:10.1002/mnfr.200900157 · Cited by 148 · see citing works
Self-citationGlycemic index, glycemic load, and depression: a systematic review and meta-analysis
Salari-Moghaddam, A., Saneei, P., Larijani, B., & Esmaillzadeh, A. (2019) · European Journal of Clinical Nutrition · doi:10.1038/s41430-018-0258-z · Cited by 73 · see citing works
- 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)
- ORCID
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review