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Association Between Vitamin D Levels During Pregnancy and Postpartum Depression

机译:怀孕期间维生素D水平与产后抑郁之间的关联

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Objective: To evaluate evidence regarding 25-hydroxyvitamin D (25(OD)D) levels during pregnancy and its association with postpartum depression (PPD). Data Sources: Primary literature was accessed through MEDLINE, Google Scholar, and International Pharmaceutical ^w>s searches through January 2015. Data from published trials were retrieved for analysis using the following search terms: vitamin D, 25-hydroxyvitamin D, 25(OH)D, postpartum, pregnancy, and depression. Data Extraction: Inclusion criteria were human subjects, English language, vitamin D as the sole micronutrient under study, and measurement of vitamin D level during pregnancy. Studies measuring vitamin D levels after delivery were excluded. Also any antenatal or prepartum depression was excluded. Data Synthesis: Although a variety factors may contribute to the likelihood and severity of PPD, there are 3 published prospective cohort studies specifically evaluating the relationship between vitamin D and PPD. The results are conflicting: 2 of these studies found a significant correlation between patients with low vitamin D level and PPD, but the third found that high vitamin D levels are associated with a greater incidence of PPD. Conclusion: Available evidence suggests a possible correlation between vitamin D levels at midpregnancy and PPD. Women with risk factors for PPD should be educated on this potential association and ways to maintain normal vitamin D levels. Further study is needed to determine the benefit of vitamin D supplementation in preventing PPD.
机译:目的:评估有关妊娠期间25-羟基维生素D(25(OD)D)水平及其与产后抑郁症(PPD)相关的证据。数据来源:截至2015年1月,通过MEDLINE,Google Scholar和International Pharmaceuticals搜索获得了主要文献。使用以下搜索词检索了已发表试验的数据以进行分析:维生素D,25-羟基维生素D,25(OH) D,产后,妊娠和抑郁症。数据提取:纳入标准为人类受试者,英语,维生素D作为研究中的唯一微量营养素以及怀孕期间维生素D水平的测量。分娩后测量维生素D水平的研究被排除在外。此外,任何产前或产前抑郁症均不包括在内。数据综合:尽管多种因素可能会导致PPD的可能性和严重性,但有3项发表的前瞻性队列研究专门评估了维生素D与PPD之间的关系。结果是矛盾的:这些研究中有2项发现维生素D水平低的患者与PPD之间存在显着相关性,但第三项研究发现维生素D水平高的患者与PPD发生率更高相关。结论:现有证据表明,妊娠中期维生素D水平与PPD之间可能存在相关性。具有PPD危险因素的女性应接受有关这种潜在关联和维持正常维生素D水平的方法的教育。需要进一步研究以确定补充维生素D预防PPD的益处。

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