Preventing mental health problems in offspring by targeting dietary intake of pregnant women

BMC Medicine

Felice N Jacka³  Briony Hill²  Skye McPhie²  Rachelle S Opie¹  Helen Skouteris²  Catherine Itsiopoulos¹  Adrienne O’Neil⁴ 

[1] Department of Dietetics and Human Nutrition, Faculty of Health Sciences, Latrobe University, Melbourne 3086, Victoria, Australia;School of Psychology, Deakin University, 221 Burwood Highway, Burwood 3125, Victoria, Australia;Black Dog Institute, Prince of Wales Hospital, Hospital Rd, Randwick 2013, NSW, Australia;School of Public Health and Preventive Medicine, 89 Commercial Road; Alfred Hospital, Prahran 3004, Victoria, Australia

关键词: Prevention;    Pregnancy;    Perinatal;    Offspring;    Maternal diet;    Early life programming;    Diet quality;    Depression;    Anxiety;    Antenatal;   

Others  :  1118202
DOI  :  10.1186/s12916-014-0208-0

 received in 2014-06-06, accepted in 2014-10-08,  发布年份 2014

【 摘 要 】

Background

The concept of ‘early life programming’ considers the importance of very early environmental exposures throughout the gestational period on the subsequent health outcomes of offspring. The role of maternal dietary intake, specifically, has been highlighted after recent studies have shown maternal diet quality to predict mental health problems in offspring. Even in the pre-conception period, maternal nutrition can have permanent and sustained phenotypic consequences for offspring.

Discussion

Here, we consider these findings in the context of the primary prevention of mental disorders and argue that interventions that target maternal diet could be of significant value.

Summary

It is clear that, in order to reduce the burden of mental health issues across the lifespan, urgent action is required, particularly in the field of prevention. We thus call for the application and evaluation of targeted, primary prevention strategies that focus on dietary intake with the view to improve mental health outcomes of mothers and offspring during the postnatal period and beyond.

【 授权许可】

   
2014 O'Neil et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Global Burden of Mental Disorders and the Need for a Comprehensive, Coordinated Response from Health and Social Sectors at the Country Level. World Health Organization, Geneva; 2011.
• [2]Pawlby SJ, Sharp DJ, Hay DF, O’Keane V: Antenatal depression predicts depression in adolescent offspring: prospective longitudinal community-based study. J Affect Disord 2009, 113:236-243.
• [3]Kessler R, Bergland P, Demler O, Jin R, Walters E: Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 2005, 62:593-602.
• [4]Kim-Cohen J, Caspi A, Moffitt T, Harrington H, Milne B, Poulton R: Prior juvenile diagnoses in adults with mental disorder: developmental follow-back of a prospective-longitudinal cohort. Arch Gen Psychiatry 2003, 60:709-717.
• [5]Merikangas KR, He J, Burstein M, Swanson SA, Avenevoli S, Cui L, Benjet C, Georgiades K, Swendsen J: Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Study – Adolescent Supplement (NCS–A). J Am Acad Child Adolesc Psychiatry 2010, 49:980-989.
• [6]Brent DA, Perper JA, Moritz G, Allman C, Friend AMY, Roth C, Schweers JOY, Balach L, Baugher M: Psychiatric risk factors for adolescent suicide: a case-control study. J Am Acad Child Adolesc Psychiatry 1993, 32:521-529.
• [7]Goodman A, Joyce R, Smith JP: The long shadow cast by childhood physical and mental problems on adult life. Proc Natl Acad Sci 2011, 108:6032-6037.
• [8]Christensen H, Pallister E, Smale S, Hickie IB, Calear AL: Community-based prevention programs for anxiety and depression in youth: a systematic review. J Prim Prev 2010, 31:139-170.
• [9]Salehi-Abargouei A, Maghsoudi Z, Shirani F, Azadbakht L: Effects of Dietary Approaches to Stop Hypertension (DASH)-style diet on fatal or nonfatal cardiovascular diseases–Incidence: A systematic review and meta-analysis on observational prospective studies. Nutrition 2013, 29:611-618.
• [10]Ma RW, Chapman K: A systematic review of the effect of diet in prostate cancer prevention and treatment. J Hum Nutr Diet 2009, 22:187-199.
• [11]Estruch R, Ros E, Salas-Salvadó J, Covas MI, Corella D, Arós F, Gómez-Gracia E, Ruiz-Gutiérrez V, Fiol M, Lapetra J, Lamuela-Raventos RM, Serra-Majem L, Pintó X, Basora J, Muñoz MA, Sorlí JV, Martínez JA, Martínez-González MA: Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med 2013, 368:1279-1290.
• [12]Akbaraly TN, Brunner EJ, Ferrie JE, Marmot MG, Kivimaki M, Singh-Manoux A: Dietary pattern and depressive symptoms in middle age. Br J Psychiatry 2009, 195:408-413.
• [13]Sanchez-Villegas A, Verberne L, De Irala J, Ruz-Canela M, Toledo E, Serra-Majem L, Martínez-González MA: Dietary fat intake and the risk of depression: the SUN Project. PLoS One 2011, 6:e16268-e.
• [14]Lucas A: Role of nutritional programming in determining adult morbidity. Arch Dis Child 1994, 71:288-290.
• [15]Jacka FN, Ystrom E, Brantsaeter AL, Karevold E, Roth C, Haugen M, Meltzer HM, Schjolberg S, Berk M: Maternal and early postnatal nutrition and mental health of offspring by age 5 years: a prospective cohort study. J Am Acad Child Adolesc Psychiatry 2013, 52:1038-1047.
• [16]Steenweg-de Graaff J, Tiemeier R, Steegers-Theunissen P, Hofman A, Jaddoe V, Verhulst F, Roza S: Maternal dietary patterns during pregnancy and child internalising and externalising problems: The Generation R Study. Clin Nutr 2014, 33:115-121.
• [17]Dominguez-Salas P, Moore SE, Baker MS, Bergen AW, Cox SE, Dyer RA, Fulford AJ, Guan Y, Laritsky E, Silver MJ, Swan GE, Zeisel SH, Innis SM, Waterland RA, Prentice AM, Hennig BJ: Maternal nutrition at conception modulates DNA methylation of human metastable epialleles. Nat Commun 2014, 5:3746.
• [18]Lambrot R, Xu C, Saint-Phar S, Chountalos G, Cohen T, Paquet M, Suderman M, Hallett M, Kimmins S: Low paternal dietary folate alters the mouse sperm epigenome and is associated with negative pregnancy outcomes. Nat Commun 2013, 4:2889.
• [19]Goldberg D, Goodyer I: The Origins and Course of Common Mental Disorders. Routledge, New York; 2005.
• [20]O’Neil A, Quirk S, Housden S, Brennan S, Pasco J, Williams L, Berk M, Jacka F: The relationship between diet and mental health in children and adolescents: a systematic review. Am J Public Health 2014, 104:e31-e42.
• [21]McMartin S, Kuhle S, Kirk S, Veugelers P, Colman I: The association between diet quality and internalizing disorders in children. Am J Epidemiol 2012, 173:S289-S289.
• [22]Jacka F, Kremer P, Berk M, De Silva-Sanigorski A, Moodie M, Leslie E, Pasco JA, Swinburn BA: A prospective study of diet quality and mental health in adolescents. PLoS One 2011, 21:9.
• [23]Capra L, Tezza G, Mazzei F, Boner A: The origins of health and disease: the influence of maternal diseases and lifestyle during gestation. Ital J Pediatr 2013, 39:7. BioMed Central Full Text
• [24]Bhatia HS, Agrawal R, Sharma S, Huo Y-X, Ying Z, Gomez-Pinilla F: Omega-3 fatty acid deficiency during brain maturation reduces neuronal and behavioral plasticity in adulthood. PLoS One 2011, 6:e28451.
• [25]Fernandes C, Grayton H, Poston L, Samuelsson AM, Taylor PD, Collier DA, Rodriguez A: Prenatal exposure to maternal obesity leads to hyperactivity in offspring. Mol Psychiatry 2012, 17:1159-1160.
• [26]Moore VM, Davies MJ, Willson KJ, Worsley A, Robinson JS: Dietary composition of pregnant women is related to size of the baby at birth. J Nutr 2004, 134:1820-1826.
• [27]Phelan S: Pregnancy: a “teachable moment” for weight control and obesity prevention. Am J Obstet Gynecol 2010, 202:135.e1–8.
• [28]Lewis AJ, Galbally M, Gannon T, Symeonides C: Early life programming as a target for prevention of child and adolescent mental disorders. BMC Med 2014, 12:33. BioMed Central Full Text
• [29]Flykt M, Kanninen K, Sinkkonen J, Punamäki R-L: Maternal depression and dyadic interaction: the role of maternal attachment style. Infant Child Dev 2010, 19:530-550.
• [30]Dennis C-L, McQueen K: The relationship between infant-feeding outcomes and postpartum depression: a qualitative systematic review. Pediatrics 2009, 123:e736-e751.
• [31][http://www.who.int/nutrition/topics/infantfeeding_recommendation/en/] webcite ᅟ: The World Health Organization’s Infant Feeding Recommendation. Geneva: World Health Organization; ᅟ []
• [32]Arrieta M-C, Stiemsma LT, Amenyogbe N, Brown EM, Finlay B: The intestinal microbiome in early life: health and disease. Front Immun 2014, 5:427.
• [33]Bupa Health Foundation Maternal Mental Health Survey, 2013. Bupa Health Foundation, Brisbane; 2013.
• [34]Marcus S, Flynn H, Blow F, Barry K: Depressive symptoms among pregnant women screened in obstetrics settings. J Womens Health 2003, 12:373-380.
• [35]Yelland J, Sutherland G, Brown S: Postpartum anxiety, depression and social health: findings from a population-based survey of Australian women. BMC Public Health 2010, 10:771. BioMed Central Full Text
• [36]Fisher J, Chatham E, Haseler S, McGaw B, Thompson J: Uneven implementation of the National Perinatal Depression Initiative: findings from a survey of Australian women's hospitals. Aust N Z J Obstet Gynaecol 2012, 52:559-564.
• [37]Casacalenda N, Perry CJ, Looper K: Remission in major depressive disorder: a comparison of pharmacotherapy, psychotherapy, and control conditions. Am J Psychiatry 2002, 159:1354-1360.
• [38]Tuccori M, Testi A, Antonioli L, Fornai M, Montagnani S, Ghisu N, Colucci R, Corona T, Blandizzi C, Tacca MD: Safety concerns associated with the use of serotonin reuptake inhibitors and other serotonergic/noradrenergic antidepressants during pregnancy: a review. Clin Ther 2009, 31:1426-1453.
• [39]Rechenberg K, Humphries D: Nutritional interventions in depression and perinatal depression. Yale J Biol Med 2013, 86:127-137.
• [40]Barker ED, Kirkham N, Ng J, Jensen SKG: Prenatal maternal depression symptoms and nutrition, and child cognitive function. British J Psychiatry: J Ment Sci 2013, 203:417-421.
• [41]Fowles ER, Bryant M, Kim S, Walker LO, Ruiz RJ, Timmerman GM, Brown A: Predictors of dietary quality in low-income pregnant women. Nursing Res 2011, 60:286-294.
• [42]Fowles ER, Timmerman GM, Bryant M, Kim S: Eating at fast-food restaurants and dietary quality in low-income pregnant women. Western J Nursing Res 2011, 33:630-651.
• [43]Vaz JS, Kac G, Emmett P, Davis JM, Golding J, Hibbeln JR: Dietary patterns, n-3 fatty acids intake from seafood and high levels of anxiety symptoms during pregnancy: findings from the Avon Longitudinal Study of Parents and Children. Plos One 2013, 8:e67671-e67671.
• [44]Makrides M, Gibson RA, McPhee AJ, Yelland L, Quinlivan J, Ryan P: Effect of DHA supplementation during pregnancy on maternal depression and neurodevelopment of young children: a randomized controlled trial. JAMA 2010, 304:1675-1683.
• [45]Hibbeln JR, Davis JM, Steer C, Emmett P, Rogers I, Williams C, Golding J: Maternal seafood consumption in pregnancy and neurodevelopmental outcomes in childhood (ALSPAC study): an observational cohort study. Lancet 2007, 369:578-585.
• [46]Markhus MW, Skotheim S, Graff IE, Frøyland L, Braarud HC, Stormark KM, Malde MK: Low omega-3 index in pregnancy is a possible biological risk factor for postpartum depression. PLoS One 2013, 8:e67617.
• [47]Kieffer E, Caldwell C, Welmerink D, Welch K, Sinco B, Guzmán JR: Effect of the healthy moms lifestyle intervention on reducing depressive symptoms among pregnant Latinas. Am J Community Psychol 2013, 51:76-89.
• [48]Psaltopoulou T, Sergentanis TN, Panagiotakos DB, Sergentanis IN, Kosti R, Scarmeas N: Mediterranean diet, stroke, cognitive impairment, and depression: a meta-analysis. Ann Neurol 2013, 74:580-591.
• [49]Sanchez-Villegas A, Martinez-Gonzalez M, Estruch R, Salas-Salvado J, Corella D, Covas M, Aros F, Romaguera D, Gomez-Gracia E, Lapetra J, Pintó X, Martínez JA, Lamuela-Raventós RM, Ros E, Gea A, Wärnberg J, Serra-Majem L: Mediterranean dietary pattern and depression: the PREDIMED randomized trial. BMC Med 2013, 11:208. BioMed Central Full Text
• [50]Opie R, O’Neil A, Itsiopoulos C, Jacka FN: The impact of whole of diet interventions on depression and anxiety: a systematic review of randomised controlled trials.Public Health Nutr 2014, ᅟ:ᅟ Accepted Oct 15th.
• [51]Poston L, Briley AL, Barr S, Bell R, Croker H, Coxon K, Essex HN, Hunt C, Hayes L, Howard LM, Khazaezadeh N, Kinnunen T, Nelson SM, Oteng-Ntim E, Robson SC, Sattar N, Seed PT, Wardle J, Sanders TA, Sandall J: Developing a complex intervention for diet and activity behaviour change in obese pregnant women (the UPBEAT trial); assessment of behavioural change and process evaluation in a pilot randomised controlled trial. BMC Pregnancy Childbirth 2013, 13:148. BioMed Central Full Text
• [52]Thangaratinam S, Rogozinska E, Jolly K, Glinkowski S, Duda W, Borowiack E, Roseboom T, Tomlinson J, Walczak J, Kunz R, Mol BW, Coomarasamy A, Khan KS: Interventions to reduce or prevent obesity in pregnant women: a systematic review. Health Technol Assess 2012, 16:31.
• [53]Khoury J, Henriksen T, Christophersen B, Tonstad S: Effect of a cholesterol-lowering diet on maternal, cord, and neonatal lipids, and pregnancy outcome: a randomized clinical trial. Am J Obstet Gynecol 2005, 193:1292-1301.
• [54]Thornton YS, Smarkola C, Kopacz SM, Ishoof SB: Perinatal outcomes in nutritionally monitored obese pregnant women: a randomized clinical trial. J Natl Med Assoc 2009, 101:569-577.
• [55]Crozier SR, Robinson SM, Godfrey KM, Cooper C, Inskip HM: Women’s dietary patterns change little from before to during pregnancy. J Nutr 2009, 139:1956-1963.
• [56]Moran LJ, Sui Z, Cramp CS, Dodd JM: A decrease in diet quality occurs during pregnancy in overweight and obese women which is maintained post-partum. Int J Obes 2013, 37:704-711.
• [57]de Jersey S, Nicholson J, Callaway L, Daniels L: An observational study of nutrition and physical activity behaviours, knowledge, and advice in pregnancy. BMC Pregnancy Childbirth 2013, 13:115. BioMed Central Full Text
• [58]Sullivan EL, Grayson B, Takahashi D, Robertson N, Maier A, Bethea CL, Smith MS, Coleman K, Grove KL: Chronic consumption of a high-fat diet during pregnancy causes perturbations in the serotonergic system and increased anxiety-like behavior in nonhuman primate offspring. J Neurosci 2010, 30:3826-3830.
• [59]Jacka F, Berk M: Prevention of schizophrenia–will a broader prevention agenda support this aim? Schizophr Bull 2014, 40:237-239.