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Meller FO, Costa CDS, Quadra MR, Miranda VIA, Eugênio FD, da Silva TJ, Teixeira MVR, Schäfer AA. Consumption of ultra-processed foods and mental health of pregnant women from the South of Brazil. Br J Nutr 2024:1-8. [PMID: 38644622 DOI: 10.1017/s0007114524000783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/23/2024]
Abstract
The objective of this study is to evaluate the association between the consumption of ultra-processed foods (UPF) and the mental health of pregnant women from the South of Brazil. This is a cross-sectional study carried out in Criciúma, Brazil, through face-to-face interviews, from April to December 2022. Pregnant women aged 18 or older who underwent prenatal care in the forty-eight basic health care units of the municipality and who were in their third trimester of pregnancy were included. High consumption of UPF was considered as six or more items or subgroups of UPF consumed on the day before the interview, using the Nova-UPF screener. The mental health variables were depressive symptoms, stress, sadness and anxiety. Crude and adjusted analyses were conducted using the Fisher's exact test and the Poisson regression with robust variance. In total, 428 pregnant women were studied; most of them were aged between 20 and 25 years and were white. Pregnant women who presented high consumption of UPF were 1·42-fold (95 % CI 1·06, 1·92) more likely to experience anxiety and presented a prevalence 56 % (95 % CI 1·18, 2·07) higher of stress when compared with those who did not present high consumption of UPF. The prevalence of depressive symptoms and feelings of sadness was 1·31-fold (95 % CI 1·08, 1·60) and 3·41-fold (95 % CI 1·77, 6·58) higher among those with high consumption of UPF, respectively. The results suggest that diet quality is associated with the mental health of pregnant women. Promoting joint actions focused on food and nutritional education, and mental health, for pregnant women, is necessary.
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Affiliation(s)
- Fernanda Oliveira Meller
- Public Health Graduate Program, University of the Extreme South of Santa Catarina, Criciúma, Santa Catarina, Brazil
| | | | - Micaela Rabelo Quadra
- Health Sciences Graduate Program, University of the Extreme South of Santa Catarina, Criciúma, Santa Catarina, Brazil
| | | | | | - Tamara Justin da Silva
- Public Health Graduate Program, University of the Extreme South of Santa Catarina, Criciúma, Santa Catarina, Brazil
| | | | - Antônio Augusto Schäfer
- Public Health Graduate Program, University of the Extreme South of Santa Catarina, Criciúma, Santa Catarina, Brazil
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Costa Júnior GA, Rêgo AS, Brito AP, Furtado PDSR, Pereira TTJ, Beckman LF, Mendonça YAA, da Cruz CN, Nitz MK, Batista MRV, Nunes MAS, Barbosa JMA, Leite JMS, Falcai Â, Pacheco MAB, Loyola CMD, Silva MRC, Firmo WDCA, Silva FDMAM. Unplanned Pregnancy and Depressive Symptoms during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:652. [PMID: 36612973 PMCID: PMC9819821 DOI: 10.3390/ijerph20010652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 12/19/2022] [Accepted: 12/27/2022] [Indexed: 06/17/2023]
Abstract
This is a cross-sectional study conducted with pregnant women who underwent prenatal care at basic health units in São Luís City, Maranhão State, Brazil. The authors used a semistructured questionnaire to assess the socioeconomic, demographic, and clinical characteristics of pregnant women as well as the Edinburgh Scale to investigate depressive symptoms. In order to assess the association between the explanatory variable and the outcome variable, Poisson logistic regression was performed with statistical significance at p < 0.05. A total of 205 women were interviewed, most aged between 18 and 29 years (66.83%). Of this total, 74.63% had not planned their pregnancy and 26.67% had depressive symptoms. The variables unplanned pregnancy (PR = 1.41; CI = 0.99−2.00; p = 0.05) and not undergoing psychological counseling (PR = 1.42; CI = 0.51−0.83; p ≤ 0.01) correlated with depressive symptoms during pregnancy. It is thus possible to link the variables unplanned pregnancy (p > 0.05) and not undergoing psychological counseling (p = 0.001) to depression. Therefore, it is important to monitor the mental health of pregnant women, especially in situations of vulnerability.
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Affiliation(s)
- Gilberto Assunção Costa Júnior
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
| | - Adriana Sousa Rêgo
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
| | - Andressa Pestana Brito
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
| | - Poliana da Silva Rêgo Furtado
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
| | - Thayla Thais Jatahy Pereira
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
| | - Lucas Frota Beckman
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
| | - Yuri Alfredo Araujo Mendonça
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
| | - Cristina Nitz da Cruz
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
| | - Magali Kelli Nitz
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
| | - Márcia Rodrigues Veras Batista
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
| | - Márcio Anderson Sousa Nunes
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
| | - Janaina Maiana Abreu Barbosa
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
| | - José Márcio Soares Leite
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
| | - Ângela Falcai
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
| | - Marcos Antônio Barbosa Pacheco
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
| | - Cristina Maria Douat Loyola
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
| | - Maria Raimunda Chagas Silva
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
| | - Wellyson da Cunha Araújo Firmo
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
- Health Sciences Center, State University of the Tocantina Region of Maranhão, Campus Imperatriz, Imperatriz 65900-000, Maranhão, Brazil
| | - Flor de Maria Araujo Mendonça Silva
- Postgraduate Program in Management of Health Programs and Services, Ceuma University, Campus Renascença, São Luís 65075-120, Maranhão, Brazil
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