Evidence map›Paper›PMID 31141947›Full record

ArticleNutrients2019

Association between Postpartum Nutritional Status and Postpartum Depression Symptoms.

Yu-Hung Lin, Chiao-Ming Chen, Hui-Min Su, Shu-Ci Mu, Mei-Ling Chang, Pei-Yin Chu, Sing-Chung Li

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  5. Article
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  7. Article
  8. Bad times make mothers depressed.International journal of health economics and management · 2025
    Article
  9. Article
  10. Review
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  13. Review
  14. Social Support Postpartum: Bengali Women from India on Their Coping Experiences following Childbirth.International journal of environmental research and public health · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Phthalate Exposure Pattern in Breast Milk within a Six-Month Postpartum Time in Southern Taiwan.International journal of environmental research and public health · 2021
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Yu-Hung LinDepartment of Obstetrics and Gynecology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei 11101, Taiwan. yuhung453@gmail.com.
Chiao-Ming ChenDepartment of food Science, Nutrition, and Nutraceutical Biotechnology, Shih Chien University, Taipei 10462, Taiwan. charming@g2.usc.edu.tw.
Hui-Min SuPhysiology, College of Medicine, National Taiwan University, Taipei 10051, Taiwan. hmsu1203@ntu.edu.tw.
Shu-Ci MuSchool of Medicine, Fu-Jen Catholic University, New Taipei City 24205, Taiwan. musc1006@yahoo.com.tw.
Mei-Ling ChangDepartment of food Science, Nutrition, and Nutraceutical Biotechnology, Shih Chien University, Taipei 10462, Taiwan. mlchang@g2.usc.edu.tw.
Pei-Yin ChuDepartment of food Science, Nutrition, and Nutraceutical Biotechnology, Shih Chien University, Taipei 10462, Taiwan. michelle021883@gmail.com.
Sing-Chung LiSchool of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, 250 Wu-Hsing Street, Taipei 11031, Taiwan. sinchung@tmu.edu.tw.
Shih Chien University · TWFu Jen Catholic University · TWHsing Wu University · TWNational Taiwan University · TW

Funding

Shin Kong Wu Ho-Su Memorial Hospital SKH-8302-105-DR-14
6 · The paper itself

Abstract

Taiwanese women may practice traditional confinement after childbirth, and no study has investigated the nutritional status and the effects of postpartum depression on such women. The aim of this study was to investigate the association between nutritional status and postpartum depression at 6-8 weeks postpartum. A cross-sectional study was conducted on postpartum women who returned to the obstetrics and gynecology clinic for routine examination from January 2016 to September 2017. A total of 344 women received assessments based on the Edinburgh Postnatal Depression Scale (EPDS). An EPDS score of ≥10 indicated the presence of postpartum depressive symptoms (PPDS). A total of 97 women without such symptoms and 23 with PPDS completed nutritional parameter analyses and questionnaires. The results showed that the prevalence of postpartum depression (PPD) was 8.4%. The proportion was 70% for those who practiced confinement at home, significantly higher than for those in the non-PPDS group (45%). The overall psychological stress score was significantly higher and the postpartum care satisfaction score was significantly lower in those with PPDS compared to those without. In terms of nutritional biomarkers, the plasma riboflavin levels in the PPDS group were significantly lower than those in their symptomless counterparts (13.9%). The vitamin D insufficiency and deficiency rates in the non-PPD and PPDS groups were 35%, 41%, 48%, 26%, respectively. However, compared with those in the non-PPDS group, those with PPDS had significantly higher ratios of Σn-6/Σn-3, C20:3n-6/C18:3n-6, and C20:4n-6/(C20:5n-3 + C22:6n-3) (by 8.2%, 79.7%, and 8.8%, respectively), whereas they had lower ratios of C22:6n-3/C22:5n-6 (by 15.5%). Higher plasma riboflavin and erythrocyte C16:1n-9, C24:1n-9, C18:3n-6, and C20:5n-3 levels and lower Σn-6 fatty acid and C22:5n-6 levels decreased the risk of PPD after type of confinement, overall mental stress scores, and postpartum care satisfaction scores were adjusted for the logistic regression analysis. In conclusion, the plasma riboflavin level and erythrocyte fatty acid composition are potentially major contributors to PPD development.

Indexed as

AffectMaternal Nutritional Physiological PhenomenaNutritional StatusPostpartum PeriodAdultBiomarkersCross-Sectional StudiesDepression, PostpartumErythrocytesFatty AcidsFemaleHumansPregnancyPrevalenceRiboflavinRisk FactorsBiomarkersFatty AcidsRiboflavinconfinementn-3 fatty acidpostpartum depression symptomspostpartum nutritional statusriboflavin

Identifiers

PMID31141947
PMCPMC6628029
OpenAlexW2946880956

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.