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Boutté AK, Turner-McGrievy GM, Wilcox S, et al. Associations of maternal stress and/or depressive symptoms with diet quality during pregnancy: a narrative review. Nutr Rev. 2021;79(5):495-517doi: 10.1093/nutrit/nuaa019.
Boutté, A. K., Turner-McGrievy, G. M., Wilcox, S., Liu, J., Eberth, J. M., & Kaczynski, A. T. (2021). Associations of maternal stress and/or depressive symptoms with diet quality during pregnancy: a narrative review. Nutrition reviews, 79(5), 495-517. https://doi.org/10.1093/nutrit/nuaa019
Boutté, Alycia K, et al. "Associations of maternal stress and/or depressive symptoms with diet quality during pregnancy: a narrative review." Nutrition reviews vol. 79,5 (2021): 495-517. doi: https://doi.org/10.1093/nutrit/nuaa019
Boutté AK, Turner-McGrievy GM, Wilcox S, Liu J, Eberth JM, Kaczynski AT. Associations of maternal stress and/or depressive symptoms with diet quality during pregnancy: a narrative review. Nutr Rev. 2021 Apr 07;79(5):495-517. doi: 10.1093/nutrit/nuaa019. PMID: 32529223; PMCID: PMC8025349.
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Nutr Rev. 2021 Apr 07;79(5):495-517. doi: 10.1093/nutrit/nuaa019.

Associations of maternal stress and/or depressive symptoms with diet quality during pregnancy: a narrative review.

Nutrition reviews

Alycia K Boutté, Gabrielle M Turner-McGrievy, Sara Wilcox, Jihong Liu, Jan M Eberth, Andrew T Kaczynski

Affiliations

  1. Department of Health Promotion, Education, and Behavior, Graduate Trainee, Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
  2. Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
  3. Department of Exercise Science, Director, Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
  4. Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
  5. Department of Epidemiology and Biostatistics, Deputy Director, SC Rural Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
  6. Department of Health Promotion, Education, and Behavior, Co-Investigator, Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.

PMID: 32529223 PMCID: PMC8025349 DOI: 10.1093/nutrit/nuaa019

Abstract

BACKGROUND: Pregnancy can be a stressful time for many women; however, it is unclear if higher stress and depressive symptoms are associated with poorer diet quality during pregnancy.

OBJECTIVE: The aims for this narrative review were to (1) synthesize findings of original, peer-reviewed studies that examined associations of stress and/or depressive symptoms with diet quality during pregnancy; (2) review the measurement tools used to assess stress, depressive symptoms, and diet quality; (3) identify current gaps in the extant literature; and (4) offer recommendations for future research.

METHODS: A search strategy was used to identify peer-reviewed manuscripts published between January 1997 and October 2018, using the following databases: PubMed, CINAHL Complete, PsycINFO, Academic Search Complete, and Psychology & Behavioral Sciences Collection. The search was updated December 2019. Two reviewers independently assessed title, abstract, and full-text of the studies that met the inclusion criteria. Data were extracted and a quality assessment was conducted.

RESULTS: Twenty-seven observational studies were identified in this review (21 cross-sectional and 6 longitudinal). In 22 studies, higher stress and/or depressive symptoms were associated with poorer diet quality or unhealthy dietary patterns; 5 studies found no association. Findings are mixed and inconclusive regarding the relationship among stress, depressive symptoms, and food groups related to diet quality and frequency of fast-food consumption.

CONCLUSIONS: The current data suggest stress and depressive symptoms may be a barrier to proper diet quality during pregnancy; however, variability in the assessment tools, timing of assessments, and use of covariates likely contribute to the inconsistency in study findings. Gaps in the literature include limited use of longitudinal study designs, limited use of comprehensive diet-quality indices, underrepresentation of minority women, and lack of multilevel theoretical frameworks. Studies should address these factors to better assess associations of stress and/or depressive symptoms with diet quality during pregnancy.

© The Author(s) 2020. Published by Oxford University Press on behalf of the International Life Sciences Institute. All rights reserved. For permissions, please e-mail: [email protected].

Keywords: diet quality; pregnancy; review; stress, depression

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