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Journal of Food and Nutrition Research. 2022, 10(2), 123-143
DOI: 10.12691/jfnr-10-2-6
Open AccessLiterature Review

Dietary Factors in the Prevention and Management of Postpartum Depression: A Literature Review

Dingming Jiang1,

1The Hong Kong Polytechnic University, Hong Kong, China

Pub. Date: January 23, 2022
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Cite this paper:
Dingming Jiang. Dietary Factors in the Prevention and Management of Postpartum Depression: A Literature Review. Journal of Food and Nutrition Research. 2022; 10(2):123-143. doi: 10.12691/jfnr-10-2-6

Abstract

Background: The prevalence of postpartum depression (PPD) in women has become a major global mental health concern, thus how to conduct effective and safe intervention based on the pathogenesis of PPD has become an important research topic. Discussion: In this literature review, the aim was to identify the role of prenatal and postpartum healthy dietary factors in the management of PPD. Several dietary patterns, food groups, and nutrients (from food sources or supplements) that can be beneficial for PPD (or depression) were all discussed. Besides, dietary recommendations that may be effective in reducing the incidence of PPD were further summarized based on a review of the relevant literature (from the conclusion, the level of evidence of study design, the sample size, and the risk of bias) and dietary guidelines. Conclusion: Several existing healthy eating patterns (including some specific foods) and nutrient supplements for pregnant women and postpartum mothers are potentially effective means of managing the occurrence and symptoms of PPD through their nutritional contents (i.e., the possible mechanisms of those nutrients, such as anti-inflammatory action). Although some of the studies reviewed in this paper have had inconsistent results regarding the effects of certain nutrients and foods on PPD, considering that diet management of PPD is a more acceptable and feasible intervention for women during pregnancy and postpartum, more longitudinal studies are needed to further demonstrate the effectiveness of these diet-based interventions and to develop optimal dietary content-matching strategies for preventing and relieving PPD.

Keywords:
postpartum depression pregnancy dietary pattern nutrient food group

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Kimmel, M., Hess, E., Roy, P.S., Palmer, J.T., Meltzer-Brody, S., Meuchel, J.M., Bost-Baxter, E. and Payne, J.L., “Family history, not lack of medication use, is associated with the development of postpartum depression in a high-risk sample”, Archives of Women's Mental Health. 18(1). 113-121. Feb 2015.
 
[2]  Segre, L. S., O’Hara, M. W., Arndt, S. and Stuart, S., “The prevalence of postpartum depression”, Social Psychiatry and Psychiatric Epidemiology. 42(4). 316-321. 2007.
 
[3]  Opie, R.S., Uldrich, A.C. and Ball, K., “Maternal Postpartum Diet and Postpartum Depression: A Systematic Review”, Maternal and Child Health Journal. 24(8). 966-978. Aug 2020.
 
[4]  World Health Organization, “Maternal mental health”, 2016. [Online]. Available: https://www.who.int/teams/mental-health-and-substance-use/maternal-mental-health. [Accessed Feb. 20, 2021].
 
[5]  LIU, D., MA, Y., YU, G. and KUANG, J., “The detection rate of maternal postpartum depression in China: A meta-analysis”, Chinese Journal of Evidence-Based Medicine. 19(12). 1409-1415. 2019.
 
[6]  Lee, D., Yip, A., Chiu, H., Leung, T. and Chung, T., “A psychiatric epidemiological study of postpartum Chinese women”, The American Journal of Psychiatry. 158(2). 220-226. Feb 2001.
 
[7]  Leung, S. S. K., “Postpartum depression: Perceived social support and stress among Hong Kong Chinese women”, ProQuest Dissertations Publishing. 2001.
 
[8]  Department of Health, “Postpartum depression: A public health issue”. 2014. [Online]. Available: https://www.chp.gov.hk/files/pdf/ncd_watch_sep2014_chin.pdf [Accessed Feb.15, 2021].
 
[9]  Tronick, E. and Reck, C., “Infants of Depressed Mothers”, Harvard review of psychiatry. 17(2). 147-156. 2009.
 
[10]  Dennis, C.L. and McQueen, K., “The relationship between infant-feeding outcomes and postpartum depression: a qualitative systematic review”, Pediatrics. 123(4). e736-751. Apr 2009.
 
[11]  Field, T., “Postpartum depression effects on early interactions, parenting, and safety practices: a review”, Infant Behavior & Development. 33(1). 1-6. Feb 2010.
 
[12]  Irmisch, G., Schlaefke, D. and Richter, J., “Zinc and fatty acids in depression”, Neurochemical Research. 35(9). 1376-1383. Sep 2010.
 
[13]  Lai, J.S., Hiles, S., Bisquera, A., Hure, A.J., McEvoy, M. and Attia, J., “A systematic review and meta-analysis of dietary patterns and depression in community-dwelling adults”, The American Journal of Clinical Nutrition. 99(1). 181-197. Jan 2014.
 
[14]  Rienks, J., Dobson, A.J. and Mishra, G.D., “Mediterranean dietary pattern and prevalence and incidence of depressive symptoms in mid-aged women: results from a large community-based prospective study”, European Journal of Clinical Nutrition. 67(1). 75-82. Jan 2013.
 
[15]  Cao, L., Liu, Y., Liang, X., Zheng, Y., Li, W., Yan, J. and Huang, G., “Association between dietary patterns during the third trimester and the risk of postpartum depression in China”, Journal of Affective Disorders. 264. 370-375. Mar 2020.
 
[16]  Vermeulen, E., Stronks, K., Snijder, M.B., Schene, A.H., Lok, A., de Vries, J.H., Visser, M., Brouwer, I.A. and Nicolaou, M., “A combined high-sugar and high-saturated-fat dietary pattern is associated with more depressive symptoms in a multi-ethnic population: the HELIUS (Healthy Life in an Urban Setting) study”, Public Health Nutrition. 20(13). 2374-2382. Sep 2017.
 
[17]  Northstone, K., Joinson, C. and Emmett, P., “Dietary patterns and depressive symptoms in a UK cohort of men and women: a longitudinal study”, Public Health Nutrition. 21(5). 831-837. Apr 2018.
 
[18]  Malhi, G. S. andMann J. J., “Depression”, The Lancet (British edition). 392(10161), 2299. Nov 2018.
 
[19]  Pearlstein, T., Howard, M., Salisbury, A. and Zlotnick, C., “Postpartum depression”, Am J Obstet Gynecol. 200(4). 357-64. Apr 2009.
 
[20]  Hu, D., Cheng, L. and Jiang, W., “Sugar-sweetened beverages consumption and the risk of depression: A meta-analysis of observational studies”, Journal of Affective Disorders. 245. 348-355. Feb 2019.
 
[21]  Okubo, H., Miyake, Y., Sasaki, S., Tanaka, K., Murakami, K., Hirota, Y. and Osaka Maternal and Child Health Study Group, “Dietary patterns during pregnancy and the risk of postpartum depression in Japan: the Osaka Maternal and Child Health Study”, British Journal of Nutrition. 105(8). 1251-1257. Apr 2011.
 
[22]  Baskin, R., Hill, B., Jacka, F. N., O'Neil, A. and Skouteris H., “The association between diet quality and mental health during the perinatal period. A systematic review”, Appetite. 91. 41-47. Aug 2015.
 
[23]  Baskin, R., Hill, B., Jacka, F. N., O'Neil, A. and Skouteris, H., “Antenatal dietary patterns and depressive symptoms during pregnancy and early post‐partum”, Maternal and child nutrition. 13(1). e12218. Jan 2017.
 
[24]  Paskulin, J.T.A., Drehmer, M., Olinto, M.T., Hoffmann, J.F., Pinheiro, A.P., Schmidt, M.I. and Nunes, M.A., “Association between dietary patterns and mental disorders in pregnant women in Southern Brazil”, Braz J Psychiatry. 39(3). 208-215. Jul-Sep 2017.
 
[25]  Steinig, J., Nagl, M., Linde, K., Zietlow, G. and Kersting, A., “Antenatal and postnatal depression in women with obesity: a systematic review”, Archives of women's mental health. 20(4). 569-585. Jun 2017.
 
[26]  Teo, C., Chia, A.R., Colega, M.T., Chen, L.W., Fok, D., Pang, W.W., Godfrey, K.M., Tan, K.H., Yap, F., Shek, L.P., Chong, Y.S., Meaney, M., Chen, H. and Chong, M.F., “Prospective Associations of Maternal Dietary Patterns and Postpartum Mental Health in a Multi-Ethnic Asian Cohort: The Growing up in Singapore towards Healthy Outcomes (GUSTO) Study”, Nutrients. 10(3). 299. Mar 2018.
 
[27]  Sánchez-Villegas, A., Henríquez, P., Bes-Rastrollo, M. and Doreste, J., “Mediterranean diet and depression”, Public health nutrition. 9(8A). 1104-1109. Dec 2006.
 
[28]  Crichton, G.E., Bryan, J., Hodgson, J.M. and Murphy, K.J., “Mediterranean diet adherence and self-reported psychological functioning in an Australian sample”, Appetite. 70. 53-59. Nov 2013.
 
[29]  BBC, “Mediterranean diet 'may help prevent depression”. 2018. [Online]. Available: https://www.bbc.com/news/health-45641628. [Accessed Feb.10, 2021]
 
[30]  Lay, K., “Mediterranean diet can help to beat depression”, The Sunday times, Sep 2018. [Online]. Available: https://www.thetimes.co.uk/article/mediterranean-diet-can-help-to-beat-depression-3ddf55xpv [Accessed Feb. 20, 2021].
 
[31]  Féart, C., Samieri, C., Rondeau, V., Amieva, H., Portet, F., Dartigues, J.F., Scarmeas, N. and Barberger-Gateau, P., “Adherence to a Mediterranean diet, cognitive decline, and risk of dementia”, JAMA: the Journal of the American Medical Association. 302(6). 638-648. Aug 2009.
 
[32]  Pagliai, G., Sofi, F., Vannetti, F., Caiani, S., Pasquini, G., Molino Lova, R., Cecchi, F., Sorbi, S. and Macchi, C., “Mediterranean Diet, Food Consumption and Risk of Late-Life Depression: The Mugello Study”, The Journal of Nutrition, Health & Aging. 22(5). 569-574. 2018.
 
[33]  Parletta, N., Zarnowiecki, D., Cho, J., Wilson, A., Bogomolova, S., Villani, A., Itsiopoulos, C., Niyonsenga, T., Blunden, S., Meyer, B., Segal, L., Baune, B.T. and O'Dea, K., “A Mediterranean-style dietary intervention supplemented with fish oil improves diet quality and mental health in people with depression: A randomized controlled trial (HELFIMED)”, Nutritional Neuroscience. 22(7). 474-487. Jul 2019.
 
[34]  Masana, M.F., Haro, J.M., Mariolis, A., Piscopo, S., Valacchi, G., Bountziouka, V., Anastasiou, F., Zeimbekis, A., Tyrovola, D., Gotsis, E., Metallinos, G., Polystipioti, A., Tur, J.A., Matalas, A.L., Lionis, C., Polychronopoulos, E., Sidossis, L.S., Tyrovolas, S. and Panagiotakos, D.B., “Mediterranean diet and depression among older individuals: The multinational MEDIS study”, Experimental Gerontology. 110, 67-72. Sep 2018.
 
[35]  Steenson, S., “The Mediterranean diet and depression - can a healthier dietary pattern reduce the risk of depression?”, Nutrition Bulletin. 44(1). 65-73. Mar 2019.
 
[36]  Dayan, F., Javadifar, N., Tadayon, M., Malehi, A.S. and Komeili Sani, H., “The Relationship between Gestational Weight Gain and Postpartum Depression in Normal and Overweight Pregnant Women”, Journal of Pregnancy. 2018. 9315320-9315326. Oct 2018.
 
[37]  Fraga, A.C.S.A. and Theme-Filha, M.M., “Pregestational overweight and obesity and symptoms of postpartum depression: Data from the Birth in Brazil Study”, Journal of Affective Disorders. 277. 463-469. Dec 2020.
 
[38]  Zanardo, V., Giliberti, L., Giliberti, E., Grassi, A., Perin, V., Parotto, M., Soldera, G. and Straface, G., “The role of gestational weight gain disorders in symptoms of maternal postpartum depression”, International journal of gynecology and obstetrics. 153(2). 234-238. May 2021.
 
[39]  D'Innocenzo, S., Biagi, C. and Lanari, M., “Obesity and the Mediterranean Diet: A Review of Evidence of the Role and Sustainability of the Mediterranean Diet”, Nutrients. 11(6). 1306. Jun 2019.
 
[40]  Stendell-Hollis, N.R., Thompson, P.A., West, J.L., Wertheim, B.C. and Thomson, C.A., “A comparison of Mediterranean-style and MyPyramid diets on weight loss and inflammatory biomarkers in postpartum breastfeeding women”, Journal of Women's Health (Larchmont, N.Y. 2002). 22(1). 48-57. Jan 2013.
 
[41]  Nicklas, J.M., Miller, L.J., Zera, C.A., Davis, R.B., Levkoff, S.E. and Seely, E.W., “Factors associated with depressive symptoms in the early postpartum period among women with recent gestational diabetes mellitus”, Maternal and Child Health Journal. 17(9). 1665-1672. Nov 2013.
 
[42]  Olmedo-Requena, R., Gómez-Fernández, J., Amezcua-Prieto, C., Mozas-Moreno, J., Khan, K.S. and Jiménez-Moleón, J.J., “Pre-Pregnancy Adherence to the Mediterranean Diet and Gestational Diabetes Mellitus: A Case-Control Study”, Nutrients. 11(5). 1003. May 2019.
 
[43]  Wilson, C.A., Newham, J., Rankin, J., Ismail, K., Simonoff, E., Reynolds, R.M., Stoll, N. and Howard, L.M., “Is there an increased risk of perinatal mental disorder in women with gestational diabetes? A systematic review and meta-analysis”, Diabetic Medicine. 37(4). 602-622. Apr 2020.
 
[44]  Azami, M., Badfar, G., Soleymani, A. and Rahmati, S., “The association between gestational diabetes and postpartum depression: A systematic review and meta-analysis”, Diabetes Research and Clinical Practice. 149. 147-155. Mar 2019.
 
[45]  Assaf-Balut, C., García de la Torre, N., Durán, A., Fuentes, M., Bordiú, E., Del Valle, L., Familiar, C., Ortolá, A., Jiménez, I., Herraiz, M.A., Izquierdo, N., Perez, N., Torrejon, M.J,, Ortega, M.I., Illana, F.J,, Runkle, I., de Miguel, M.P., Montañez, C., Barabash, A., Cuesta, M., Rubio, M.A. and Calle-Pascual, A.L., “A Mediterranean diet with additional extra virgin olive oil and pistachios reduces the incidence of gestational diabetes mellitus (GDM): A randomized controlled trial: The St. Carlos GDM prevention study”, PLoS One. 12(10). e0185873. Oct 2017.
 
[46]  de la Torre, N.G., Assaf-Balut, C., Jiménez Varas, I., Del Valle, L., Durán, A., Fuentes, M., Del Prado, N., Bordiú, E., Valerio, J.J., Herraiz, M.A., Izquierdo, N., Torrejón, M.J., Cuadrado, M.A., de Miguel, P., Familiar, C., Runkle, I., Barabash, A., Rubio, M.A. and Calle-Pascual, A.L., “Effectiveness of Following Mediterranean Diet Recommendations in the Real World in the Incidence of Gestational Diabetes Mellitus (GDM) and Adverse Maternal-Foetal Outcomes: A Prospective, Universal, Interventional Study with a Single Group. The St Carlos Study”, Nutrients. 11(6). 1210. May 2019.
 
[47]  Melero, V., García de la Torre, N., Assaf-Balut, C., Jiménez, I., Del Valle, L., Durán, A., Bordiú, E., Valerio, J.J., Herraiz, M.A., Izquierdo, N., Torrejón, M.J., Runkle, I., Barabash, A., Rubio, M.A. and Calle-Pascual, A.L., “Effect of a Mediterranean Diet-Based Nutritional Intervention on the Risk of Developing Gestational Diabetes Mellitus and Other Maternal-Fetal Adverse Events in Hispanic Women Residents in Spain”, Nutrients. 12(11). 3505. Nov 2020.
 
[48]  Rosato, V., Temple, N.J., La Vecchia, C., Castellan, G., Tavani, A. and Guercio, V., “Mediterranean diet and cardiovascular disease: a systematic review and meta-analysis of observational studies”, European Journal of Nutrition. 58(1). 173-191. Feb 2019.
 
[49]  Widmer, R.J., Flammer, A.J., Lerman, L.O. and Lerman, A., “The Mediterranean diet, its components, and cardiovascular disease”, The American Journal of Medicine. 128(3). 229-238. Mar 2015.
 
[50]  Xu, L., Zheng, Y., Shi, L., and Xu, F., “Literature Study on Syndrome, Formula and Medicine Choice of Postpartum Depression”, WORLDCHINESEMEDICINE. 12(7). 1583-1586. 2017.
 
[51]  Chuang, C.H., Chang, P.J., Hsieh, W.S., Tsai, Y.J., Lin, S.J. and Chen, P.C., “Chinese herbal medicine use in Taiwan during pregnancy and the postpartum period: a population-based cohort study”, International Journal of Nursing Studies. 46(6). 787-795. Jun 2009.
 
[52]  Ali-Shtayeh, M. S., Jamous, R. M. and Jamous R. M., “Plants used during pregnancy, childbirth, postpartum and infant healthcare in Palestine”, Complementary therapies in clinical practice, 21(2). 84-93. May 2015.
 
[53]  Gardiner, P., Jarrett, K., Filippelli, A., Pecci, C., Mauch, M. and Jack, B., “Herb use, vitamin use, and diet in low-income, postpartum women”, Journal of Midwifery & Women's Health. 58(2). 150-157. Mar-Apr 2013.
 
[54]  Lyons, Z., van der Watt, G., Shen, Z. and Janca, A., “Acupuncture and Chinese herbs as treatments for depression: an Australian pilot study”, Complementary Therapies in Clinical Practice. 18(4). 216-220. Nov 2012.
 
[55]  Man, C., Li, C., Gong, D., Xu, J. and Fan, Y., “Meta-analysis of Chinese herbal Xiaoyao formula as an adjuvant treatment in relieving depression in Chinese patients”, Complementary Therapies in Medicine. 22(2). 362-370. Apr 2014.
 
[56]  Yeung, W.F., Chung, K.F., Ng, K.Y., Yu, Y.M., Zhang, S.P., Ng, B.F. and Ziea, E.T., “Prescription of Chinese Herbal Medicine in Pattern-Based Traditional Chinese Medicine Treatment for Depression: A Systematic Review”, Evid Based Complement Alternat Med. 2015. 160189. 2015.
 
[57]  Liu, L., Liu, C., Wang, Y., Wang, P., Li, Y. and Li, B., “Herbal Medicine for Anxiety, Depression and Insomnia”, Current neuropharmacology. 13(4). 481-493. Aug 2015.
 
[58]  Feng, D.D., Tang, T., Lin, X.P., Yang, Z.Y., Yang, S., Xia, Z.A., Wang, Y., Zheng, P., Wang, Y. and Zhang, C.H., “Nine traditional Chinese herbal formulas for the treatment of depression: an ethnopharmacology, phytochemistry, and pharmacology review”, Neuropsychiatric Disease and Treatment. 12. 2387-2402. Sep 2016.
 
[59]  Li, C., Huang, B. and Zhang, Y.W., “Chinese Herbal Medicine for the Treatment of Depression: Effects on the Neuroendocrine-Immune Network”, Pharmaceuticals (Basel, Switzerland). 14(1). 65. Jan 2021.
 
[60]  Li, Y., Chen, Z., Yu, N., Yao, K., Che, Y., Xi, Y. and Zhai, S., “Chinese Herbal Medicine for Postpartum Depression: A Systematic Review of Randomized Controlled Trials”, Evidence-based Complementary and Alternative Medicine. 2016. 5284234. Sep 2016.
 
[61]  Department of Health, “Healthy Eating During Pregnancy and Breastfeeding”. 2019. [Online]. Available: https://www.fhs.gov.hk/english/health_info/woman/20036.html [Accessed Feb.15, 2021]
 
[62]  World Health Organization, “Healthy eating during pregnancy and breastfeeding”, 2001. [Online]. Available: https://www.euro.who.int/data/assets/pdf_file/0020/120296/E73182.pdf [Accessed Feb. 20, 2021].
 
[63]  Slavin, J.L. and Lloyd, B., “Health benefits of fruits and vegetables”, Advances in Nutrition (Bethesda, Md.). 3(4). 506-516. Jul 2012.
 
[64]  Ju, S.Y. and Park, Y.K., “Low fruit and vegetable intake is associated with depression among Korean adults in data from the 2014 Korea National Health and Nutrition Examination Survey”, Journal of Health, Population and Nutrition. 38(1). 39-39. Dec 2019.
 
[65]  Sandoz, E., Kanafani, N., Guild, C. and Halloran, D., “Does the Degree of Postpartum Depression Correlate with Fruit and Vegetable Intake in New Moms?”, Journal of the American Dietetic Association. 111(9). A108. 2011.
 
[66]  Bishwajit, G., O'Leary, D.P., Ghosh, S., Sanni, Y., Shangfeng, T. and Zhanchun F,. “Association between depression and fruit and vegetable consumption among adults in South Asia”, BMC Psychiatry. 17(1).15. Jan 2017.
 
[67]  Saghafian, F., Malmir, H., Saneei, P., Milajerdi, A., Larijani, B. and Esmaillzadeh A., “Fruit and vegetable consumption and risk of depression: accumulative evidence from an updated systematic review and meta-analysis of epidemiological studies”, British journal of nutrition. 119(10). 1087-1101. May 2018.
 
[68]  Azupogo, F., Seidu, J.A. and Issaka, Y.B., “Higher vegetable intake and vegetable variety is associated with a better self-reported health-related quality of life (HR-QoL) in a cross-sectional survey of rural northern Ghanaian women in fertile age”, BMC Public Health. 18(1). 920. Jul 2018.
 
[69]  Tsai, A.C., Chang, T.L. and Chi, S.H., “Frequent consumption of vegetables predicts lower risk of depression in older Taiwanese - results of a prospective population-based study”, Public health nutrition. 15(6). 1087-1092. Jun 2012.
 
[70]  Saghafian, F., Malmir, H., Saneei, P., Keshteli, A.H., Hosseinzadeh-Attar, M.J., Afshar, H., Siassi, F., Esmaillzadeh, A. and Adibi, P., “Consumption of fruit and vegetables in relation with psychological disorders in Iranian adults”, European Journal of Nutrition. 57(6). 2295-2306. Sep 2018.
 
[71]  Głąbska, D., Guzek, D., Groele, B. and Gutkowska, K., “Fruit and Vegetable Intake and Mental Health in Adults: A Systematic Review”, Nutrients. 12(1).115. Jan 2020.
 
[72]  Baharzadeh, E., Siassi, F., Qorbani, M., Koohdani, F., Pak N. and Sotoudeh G., “Fruits and vegetables intake and its subgroups are related to depression: a cross-sectional study from a developing country”, Annals of general psychiatry. 17(1). 46-46. Nov 2018.
 
[73]  Dharmayani, P.N.A., Juergens, M., Allman-Farinelli, M. and Mihrshahi, S., “Association between Fruit and Vegetable Consumption and Depression Symptoms in Young People and Adults Aged 15-45: A Systematic Review of Cohort Studies”, International Journal of Environmental Research and Public Health. 18(2), 780. Jan 2021.
 
[74]  Zhao, J., “Low Consumption of Vegetables Is Associated with Postpartum Depression: A Cross Section Study”, Current developments in nutrition. 4(Supplement_2). 1112-1112. Jun 2020.
 
[75]  Mihrshahi, S., Dobson, A. J. and Mishra, G. D., “Fruit and vegetable consumption and prevalence and incidence of depressive symptoms in mid-age women: results from the Australian longitudinal study on women's health”, European journal of clinical nutrition. 69(5). 585-591. May 2015.
 
[76]  Miyake, Y., Tanaka, K., Okubo, H., Sasaki, S. and Arakawa, M., “Soy isoflavone intake and prevalence of depressive symptoms during pregnancy in Japan: baseline data from the Kyushu Okinawa Maternal and Child Health Study”, European Journal of Nutrition. 57(2). 441-450. Mar 2018.
 
[77]  Swann, O.G., Kilpatrick, M., Breslin, M. and Oddy, W.H., “Dietary fiber and its associations with depression and inflammation”, Nutrition Reviews. 78(5). 394-411. May 2020.
 
[78]  Miki, T., Eguchi, M., Kurotani, K., Kochi, T., Kuwahara, K., Ito, R., Kimura, Y., Tsuruoka, H., Akter, S., Kashino, I., Kabe, I., Kawakami, N. and Mizoue, T., “Dietary fiber intake and depressive symptoms in Japanese employees: The Furukawa Nutrition and Health Study”, Nutrition. 32(5). 584-589. May 2016.
 
[79]  Xu, H., Li, S., Song, X., Li, Z. and Zhang, D., “Exploration of the association between dietary fiber intake and depressive symptoms in adults”, Nutrition. 54. 48-53. Oct 2018.
 
[80]  Fatahi, S., Matin, S.S., Sohouli, M.H., Găman, M.A., Raee, P., Olang, B., Kathirgamathamby, V., Santos, H.O., Guimarães, N.S. and Shidfar, F., “Association of dietary fiber and depression symptom: A systematic review and meta-analysis of observational studies”, Complementary Therapies in Medicine. 56, 102621-102621. Jan 2021.
 
[81]  Liu, Z., Li, L., Ma, S., Ye, J., Zhang, H., Li, Y., Sair, A.T., Pan, J., Liu, X., Li, X., Yan, S. and Liu, X., “High-Dietary Fiber Intake Alleviates Antenatal Obesity-Induced Postpartum Depression: Roles of Gut Microbiota and Microbial Metabolite Short-chain Fatty Acid Involved”, Journal of Agricultural and Food Chemistry. 68(47). 13697-13710. Nov 2020.
 
[82]  Miyake, Y., Sasaki, S., Yokoyama, T., Tanaka, K., Ohya, Y., Fukushima, W., Saito, K., Ohfuji, S., Kiyohara, C., Hirota, Y. and Osaka Maternal and Child Health Study Group, “Risk of postpartum depression in relation to dietary fish and fat intake in Japan: the Osaka Maternal and Child Health Study”, Psychological Medicine. 36(12). 1727-1735. Dec 2006.
 
[83]  Sontrop, J., Avison, W.R., Evers, S.E., Speechley, K.N. and Campbell, M.K., “Depressive symptoms during pregnancy in relation to fish consumption and intake of n-3 polyunsaturated fatty acids”, Paediatric and Perinatal Epidemiology. 22(4). 389-399. Jul 2008.
 
[84]  Strøm, M., Mortensen, E.L., Halldorsson, T.I., Thorsdottir, I. and Olsen, S.F., “Fish and long-chain n-3 polyunsaturated fatty acid intakes during pregnancy and risk of postpartum depression: a prospective study based on a large national birth cohort”, The American Journal of Clinical Nutrition. 90(1). 149-155. Jul 2009.
 
[85]  Li, F., Liu, X. and Zhang, D., “Fish consumption and risk of depression: a meta-analysis”, Journal of epidemiology and community health (1979). 70(3). 299-304. Mar 2016.
 
[86]  Yang, Y. and Je, Y., “Fish consumption and depression in Korean adults: the Korea National Health and Nutrition Examination Survey, 2013-2015”, European Journal of Clinical Nutrition. 72(8). 1142-1149. Aug 2018.
 
[87]  Yang, Y., Kim, Y. and Je, Y., “Fish consumption and risk of depression: Epidemiological evidence from prospective studies”, Asia Pac Psychiatry. 10(4). e12335. Dec 2018.
 
[88]  Gur, E.B., Gokduman, A., Turan, G.A., Tatar, S., Hepyilmaz, I., Zengin, E.B., Eskicioglu, F. and Guclu, S., “Mid-pregnancy vitamin D levels and postpartum depression”, European Journal of Obstetrics & Gynecology and Reproductive Biology. 179, 110-116. Aug 2014.
 
[89]  Miyake, Y., Tanaka, K., Okubo, H., Sasaki, S. and Arakawa, M., “Intake of dairy products and calcium and prevalence of depressive symptoms during pregnancy in Japan: a cross-sectional study”, BJOG: An International Journal of Obstetrics and Gynaecology. 122(3). 336-343. Feb 2015.
 
[90]  Miyake, Y., Tanaka, K., Okubo, H., Sasaki, S., Furukawa, S. and Arakawa, M., “Milk intake during pregnancy is inversely associated with the risk of postpartum depressive symptoms in Japan: the Kyushu Okinawa Maternal and Child Health Study”, Nutrition Research (New York, N.Y.). 36(9). 907-913. Sep 2016.
 
[91]  Nucci, D., Fatigoni, C., Amerio, A., Odone, A. and Gianfredi, V., “Red and Processed Meat Consumption and Risk of Depression: A Systematic Review and Meta-Analysis”, International Journal of Environmental Research and Public Health. 17(18). 6686. Sep 2020.
 
[92]  Dutheil, S., Ota, K.T., Wohleb, E.S., Rasmussen, K. and Duman, R.S., “High-Fat Diet Induced Anxiety and Anhedonia: Impact on Brain Homeostasis and Inflammation”, Neuropsychopharmacology. 41(7). 1874-1887. Jun 2016.
 
[93]  Darooghegi Mofrad, M., Mozaffari, H., Sheikhi, A., Zamani, B. and Azadbakht, L., “The association of red meat consumption and mental health in women: A cross-sectional study”, Complementary Therapies in Medicine. 56. 102588-102588. Jan 2021.
 
[94]  Knüppel, A., Shipley, M.J., Llewellyn, C.H. and Brunner, E.J., “Sugar intake from sweet food and beverages, common mental disorder and depression: prospective findings from the Whitehall II study”, Scientific Reports. 7(1). 6287. Jul 2017.
 
[95]  Hibbeln, J. R., “Seafood consumption, the DHA content of mothers’ milk and prevalence rates of postpartum depression: a cross-national, ecological analysis”, Journal of affective disorders. 69(1-3). 15-29. May 2002.
 
[96]  McLoughlin, I. J. and Hodge, J. S., “Zinc in depressive disorder”, Acta Psychiatrica Scandinavica. 82(6). 451-453. Jul 1990.
 
[97]  Nichols, J., Morgan, J. and Taylor, A., “Postnatal Depression and Zinc Status-a Preliminary Study”, Journal of nutritional medicine. 3(1), 35-42. Jan 1992.
 
[98]  Amani, R., Saeidi, S., Nazari, Z. and Nematpour, S., “Correlation Between Dietary Zinc Intakes and Its Serum Levels with Depression Scales in Young Female Students”, Biological trace element research, 137(2).150-158. Nov 2010.
 
[99]  Roy, A., Evers, S. E., Avison, W. R. and Campbell, M. K., “Higher zinc intake buffers the impact of stress on depressive symptoms in pregnancy”, Nutrition research (New York, N.Y.). 30(10). 695-704. Oct 2010.
 
[100]  Swardfager, W., Herrmann, N., Mazereeuw, G., Goldberger, K., Harimoto, T. and Lanctôt, K.L., “Zinc in depression: a meta-analysis”, Biological Psychiatry (1969). 74(12). 872-878. Dec 2013.
 
[101]  Edalati-Fard, F., Mirghafourvand, M., Mohammad-Alizadeh-Charandabi, S. and Farshbaf-Khalili, A., “Relationship of Zinc and Magnesium Serum Levels with Postpartum Depression in Tabriz-Iran”, Global journal of health science. 8(11). 120. Mar 2016.
 
[102]  Fard, F.E., Mirghafourvand, M., Mohammad-Alizadeh Charandabi, S., Farshbaf-Khalili, A., Javadzadeh, Y. and Asgharian, H., “Effects of zinc and magnesium supplements on postpartum depression and anxiety: A randomized controlled clinical trial”, Women Health. 57(9). 1115-1128. Oct 2017.
 
[103]  Etebary, S., Nikseresht, S., Sadeghipour, H.R. and Zarrindast, M.R., “Postpartum depression and role of serum trace elements”, Iranian Journal of Psychiatry. 5(2), 40-46. Spring 2010.
 
[104]  Tarleton, E.K., Kennedy, A.G., Rose, G.L., Crocker, A. and Littenberg, B., “The Association between Serum Magnesium Levels and Depression in an Adult Primary Care Population”, Nutrients. 11(7). 1475. Jun 2019.
 
[105]  Wang, J., Um, P., Dickerman, B.A., Liu, J., “Zinc, Magnesium, Selenium and Depression: A Review of the Evidence, Potential Mechanisms and Implications”, Nutrients. 10(5). 584. May 2018.
 
[106]  Beard, J.L., Hendricks, M.K., Perez, E.M., Murray-Kolb, L.E., Berg, A., Vernon-Feagans, L., Irlam, J., Isaacs, W., Sive, A. and Tomlinson, M., “Maternal iron deficiency anemia affects postpartum emotions and cognition”, The Journal of Nutrition. 135(2). 267-272. Feb 2005.
 
[107]  Mermer, M. and Şanlıer, N., “Correlation between postpartum depression and omega-3, micronutrients”, International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 6(11), 4737. Oct 2017.
 
[108]  Sheikh, M., Hantoushzadeh, S., Shariat, M., Farahani, Z. and Ebrahiminasab, O., “The efficacy of early iron supplementation on postpartum depression, a randomized double-blind placebo-controlled trial”, European Journal of Nutrition. 56(2). 901-908. Mar 2017.
 
[109]  Wassef, A., Nguyen, Q.D. and St-André, M., “Anaemia and depletion of iron stores as risk factors for postpartum depression: a literature review”, Journal of Psychosomatic Obstetrics and Gynaecology. 40(1). 19-28. Mar 2019.
 
[110]  Tian, Y., Zheng, Z. and Ma, C., “The effectiveness of iron supplementation for postpartum depression: A protocol for systematic review and meta-analysis”, Medicine (Baltimore). 99(50). e23603. Dec 2020.
 
[111]  Aparicio, E., Jardí, C., Bedmar, C., Pallejà, M., Basora, J., Arija, V. and The Eclipses Study Group, “Nutrient Intake during Pregnancy and Post-Partum: ECLIPSES Study”, Nutrients, 12(5).1325. May 2020.
 
[112]  Asbaghi, O., Sadeghian, M., Mozaffari-Khosravi, H., Maleki, V., Shokri, A., Hajizadeh-Sharafabad, F., Alizadeh, M. and Sadeghi, O., “The effect of vitamin d-calcium co-supplementation on inflammatory biomarkers: A systematic review and meta-analysis of randomized controlled trials”, Cytokine. 129. 155050. May 2020.
 
[113]  Ellsworth-Bowers, E.R. and Corwin, E.J., “Nutrition and the psychoneuroimmunology of postpartum depression”, Nutrition Research Reviews. 25(1). 180-192. Jun 2012.
 
[114]  Leung, B.M., Kaplan, B.J., Field, C.J., Tough, S., Eliasziw, M., Gomez, M.F., McCargar, L.J., Gagnon, L. and APrON Study Team, “Prenatal micronutrient supplementation and postpartum depressive symptoms in a pregnancy cohort”, BMC Pregnancy Childbirth. 13(1). 2. Jan 2013.
 
[115]  Jin, Y., Coad, J., Pond, R., Kim, N. and Brough, L., “Selenium intake and status of postpartum women and postnatal depression during the first year after childbirth in New Zealand - Mother and Infant Nutrition Investigation (MINI) study”, Journal of Trace Elements in Medicine and Biology. 61. 126503-126503. May 2020.
 
[116]  Robinson, M., Whitehouse, A.J., Newnham, J.P., Gorman, S., Jacoby, P., Holt, B.J., Serralha, M., Tearne, J.E., Holt, P.G., Hart, P.H. and Kusel, M.M., “Low maternal serum vitamin D during pregnancy and the risk for postpartum depression symptoms”, Archives of Women's Mental Health. 17(3). 213-219. Jun 2014.
 
[117]  Gould, J.F., Best, K. and Makrides, M., “Perinatal nutrition interventions and post-partum depressive symptoms”, Journal of Affective Disorders. 224. 2-9. Dec 2017.
 
[118]  Accortt, E.E., Lamb, A., Mirocha, J. and Hobel, C.J., “Vitamin D deficiency and depressive symptoms in pregnancy are associated with adverse perinatal outcomes”, Journal of Behavioral Medicine, 41(5). 680-689. Oct 2018.
 
[119]  Amini, S., Jafarirad, S. and R. Amani, “Postpartum depression and vitamin D: A systematic review”, Critical reviews in food science and nutrition, 59(9).1514-1520. 2019.
 
[120]  Lamb, A.R., Lutenbacher, M., Wallston, K.A., Pepkowitz, S.H., Holmquist, B. and Hobel, C.J., “Vitamin D deficiency and depressive symptoms in the perinatal period”, Archives of Women's Mental Health. 21(6). 745-755. Dec 2018.
 
[121]  Tiderencel, K. A., Zelig, R. and Parker, A., “The Relationship Between Vitamin D and Postpartum Depression”, Topics in clinical nutrition. 34(4). 301-314. Oct 2019.
 
[122]  Vaziri, F., Nasiri, S., Tavana, Z., Dabbaghmanesh, M.H., Sharif, F. and Jafari, P., “A randomized controlled trial of vitamin D supplementation on perinatal depression: in Iranian pregnant mothers”, BMC Pregnancy Childbirth. 16(1). 239. Aug 2016.
 
[123]  Golding, J., Steer, C., Emmett, P., Davis, J.M. and Hibbeln, J.R., “High levels of depressive symptoms in pregnancy with low omega-3 fatty acid intake from fish”, Epidemiology. 20(4). 598-603. Jul 2009.
 
[124]  Miyake, Y., Sasaki, S., Tanaka, K., Yokoyama, T., Ohya, Y., Fukushima, W., Saito, K., Ohfuji, S., Kiyohara, C., Hirota, Y. and Osaka Maternal and Child Health Study Group, “Dietary folate and vitamins B12, B6, and B2 intake and the risk of postpartum depression in Japan: the Osaka Maternal and Child Health Study”, Journal of Affective Disorders. 96(1-2). 133-138. Nov 2006.
 
[125]  Blunden, C.H., Inskip, H.M., Robinson, S.M., Cooper, C., Godfrey, K.M. and Kendrick, T.R., “Postpartum depressive symptoms: the B-vitamin link”, Mental Health in Family Medicine. 9(1). 5-13. Jan 2012.
 
[126]  Derbyshire, E. and Costarelli, V., “Dietary factors in the aetiology of postnatal depression”, Nutrition bulletin. 33(3). 162-168. Sep 2008.
 
[127]  Yan, J., Liu, Y., Cao, L., Zheng, Y., Li, W. and Huang, G., “Association between Duration of Folic Acid Supplementation during Pregnancy and Risk of Postpartum Depression”, Nutrients. 9(11).1206. Nov 2017.
 
[128]  Jacka, F.N., Pasco, J.A., Mykletun, A., Williams, L.J., Hodge, A.M., O'Reilly, S.L., Nicholson, G.C., Kotowicz, M.A. and Berk, M., “Association of Western and traditional diets with depression and anxiety in women”, The American Journal of Psychiatry. 167(3). 305-311. Mar 2010.
 
[129]  da Rocha, C.M. and Kac, G., “High dietary ratio of omega-6 to omega-3 polyunsaturated acids during pregnancy and prevalence of post-partum depression”, Maternal and Child Nutrition. 8(1). 36-48. Jan 2012.
 
[130]  Lin, Y.H., Chen, C.M., Su, H.M., Mu, S.C., Chang, M.L., Chu, P.Y. and Li, S.C., “Association between Postpartum Nutritional Status and Postpartum Depression Symptoms”, Nutrients. 11(6). 1204. May 2019.
 
[131]  Bitarafan, S., Saboor-Yaraghi, A., Sahraian, M.A., Soltani, D., Nafissi, S., Togha, M., Beladi Moghadam, N., Roostaei, T., Mohammadzadeh Honarvar, N. and Harirchian, M.H., “Effect of Vitamin A Supplementation on fatigue and depression in Multiple Sclerosis patients: A Double-Blind Placebo-Controlled Clinical Trial”, Iranian journal of allergy, asthma, and immunology. 15(1).13-19. Feb 2016.
 
[132]  Wang, Z., Li, C., Teng, Y., Guan, Y., Zhang, L., Jia, X., Cui, D., Li, J. and Guan, H., “The Effect of Iodine-Containing Vitamin Supplementation During Pregnancy on Thyroid Function in Late Pregnancy and Postpartum Depression in an Iodine-Sufficient Area”, Biological Trace Element Research. 198(1). 1-7. Nov 2020.
 
[133]  Burns, P. B., Rohrich, R. J. and Chung, K. C., “The Levels of Evidence and Their Role in Evidence-Based Medicine”, Plastic and reconstructive surgery. 128(1). 305-310. Jul 2011.
 
[134]  Chatzi, L., Melaki, V., Sarri, K., Apostolaki, I., Roumeliotaki, T., Georgiou, V., Vassilaki, M., Koutis, A., Bitsios, P. and Kogevinas, M., “Dietary patterns during pregnancy and the risk of postpartum depression: the mother-child 'Rhea' cohort in Crete, Greece”, Public Health Nutrition. 14(9). 1663-1670. Sep 2011.
 
[135]  Barker, E. D., Kirkham, N., Ng, J. and Jensen, S. K. G., “Prenatal maternal depression symptoms and nutrition, and child cognitive function”, British journal of psychiatry. 203(6). 417-421. Dec 2013.
 
[136]  Shi, D., Wang, G.H. and Feng, W., “Nutritional assessments in pregnancy and the risk of postpartum depression in Chinese women: A case-control study”, Medicine (Baltimore). 99(33). e21647. Aug 2020.
 
[137]  Hamazaki, K., Takamori, A., Tsuchida, A., Kigawa, M., Tanaka, T., Ito, M., Adachi, Y., Saito, S., Origasa, H., Inadera, H. and Japan Environment and Children's Study (JECS) Group., “Dietary intake of fish and n-3 polyunsaturated fatty acids and risks of perinatal depression: The Japan Environment and Children's Study (JECS)”, Journal of Psychiatric Research. 98. 9-16. Mar 2018.
 
[138]  Harrison-Hohner, J., Coste, S., Dorato, V., Curet, L. B., McCarron, D. and Hatton, D., “Prenatal calcium supplementation and postpartum depression: an ancillary study to a randomized trial of calcium for prevention of preeclampsia”, Archives of women's mental health. 3(4). 141-146. Mar 2001.
 
[139]  Paoletti, A.M., Orrù, M.M., Marotto, M.F., Pilloni, M., Zedda, P., Fais, M.F., Piras, B., Piano, C., Pala, S., Lello, S., Coghe, F., Sorge, R. and Melis, G.B., “Observational study on the efficacy of the supplementation with a preparation with several minerals and vitamins in improving mood and behaviour of healthy puerperal women”, Gynecological Endocrinology. 29(8). 779-783. Aug 2013.
 
[140]  Judge, M. P., Beck, C. T., Durham, H., McKelvey, M. M. and Lammi-Keefe, C. J., “Pilot trial evaluating maternal docosahexaenoic acid consumption during pregnancy: Decreased postpartum depressive symptomatology”, International journal of nursing sciences. 1(4). 339-345. Dec 2014.
 
[141]  Hurley, K.M., Caulfield, L.E., Sacco, L.M., Costigan, K.A. and Dipietro, J.A., “Psychosocial influences in dietary patterns during pregnancy”, Journal of the American Dietetic Association. 105(6). 963-966. Jun 2005.
 
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