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预防医学  2021, Vol. 33 Issue (12): 1276-1281    DOI: 10.19485/j.cnki.issn2096-5087.2021.12.022
  妇幼保健 本期目录 | 过刊浏览 | 高级检索 |
维生素D水平与孕产妇抑郁关联性的Meta分析
陈轶铭, 全宁斌, 吴茵茵
杭州师范大学公共卫生学院流行病与卫生统计学系,浙江 杭州 311121
A meta analysis of the association between vitamin D and maternal depression
CHEN Yiming, QUAN Ningbin, WU Yinyin
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摘要 目的 分析维生素D水平与孕产妇抑郁的关联,为防治孕产妇抑郁提供依据。方法 系统检索中国知网、万方中国学术期刊数据库、维普中文科技期刊数据库、PubMed和Embase等中英文数据库,收集建库至2021年4月15日有关维生素D水平与孕产妇抑郁关联的文献,采用加权均数差(WMD)和OR值为效应指标,采用亚组分析探讨异质性来源,采用敏感性分析结局指标的稳定性,采用Begg's检验和Egger's检验评估发表偏倚。结果 初期共检索文献917篇,最终纳入16篇,其中队列研究8篇,病例对照研究8篇,均为高质量研究。Meta分析结果显示:产前抑郁组维生素D水平低于对照组(WMD=-6.45,95%CI:-11.01~-1.89,P=0.006);产后抑郁组维生素D水平低于对照组(WMD=-8.56,95%CI:-10.50~-6.63,P<0.001);产后抑郁组维生素D缺乏风险高于对照组(OR=1.50,95%CI:1.16~1.94,P=0.002);维生素D水平较低组与较高组抑郁评分差异无统计学意义(WMD=0.20,95%CI:-1.07~1.48,P=0.755)。根据维生素D缺乏截断值的不同进行亚组分析,以50 nmol/L为维生素D缺乏截断值的研究显示,产后抑郁组比对照组更容易发生维生素D缺乏(OR=1.37,95%CI:1.07~1.76,P=0.012)。敏感性分析显示研究结果较稳定。Begg's检验与Egger's检验均显示无明显发表偏倚。结论 维生素D水平与孕产妇抑郁具有统计学联系,维生素D水平较低容易增加产前和产后抑郁的发病风险。
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陈轶铭
全宁斌
吴茵茵
关键词 维生素D产前抑郁产后抑郁Meta分析    
收稿日期: 2021-05-26      修回日期: 2021-07-24      出版日期: 2021-12-10
中图分类号:  R173  
作者简介: 陈轶铭,硕士在读
通信作者: 吴茵茵,E-mail:20110106@hznu.edu.cn   
引用本文:   
陈轶铭, 全宁斌, 吴茵茵. 维生素D水平与孕产妇抑郁关联性的Meta分析[J]. 预防医学, 2021, 33(12): 1276-1281.
CHEN Yiming, QUAN Ningbin, WU Yinyin. A meta analysis of the association between vitamin D and maternal depression. Preventive Medicine, 2021, 33(12): 1276-1281.
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https://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2021.12.022      或      https://www.zjyfyxzz.com/CN/Y2021/V33/I12/1276
[1] TEBEKA S,STRAT Y L,DUBERTRET C.Developmental trajectories of pregnant and postpartum depression in an epidemiologic survey[J].J Affect Disord,2016,203:62-68.
[2] WANG J,LIU N,SUN W,et al.Association between vitamin D deficiency and antepartum and postpartum depression:a systematic review and meta-analysis of longitudinal studies[J].Arch Gynecol Obstet,2018,298(6):1045-1059.
[3] AGHAJAFARI F,LETOURNEAU N,MAHINPEY N,et al.Vitamin D deficiency and antenatal and postpartum depression: a systematic review[J/OL].Nutrients,2018,10(4)[2021-07-24].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253999.DOI:10.3390/nu10040478.
[4] 韩艳艳,李小琳,贾萌萌,等.维生素D水平与产后抑郁相关性的Meta分析[J].临床与病理杂志,2019,39(6):1289-1296.
[5] LICHTENSTEIN M J,MULROW C D,LWOOD P C.Guidelines for reading case-control studies[J].J Chronic Dis,1987,40(9):893-903.
[6] STANG A.Critical evaluation of the Newcastle-Ottawa Scale for the assessment of the quality of nonrandomized studies in meta-analyses[J].Eur J Epidemiol,2010,25(9):603-605.
[7] BRANDENBARG J,VRIJKOTTE T G,GOEDHART G,et al.Maternal early-pregnancy vitamin D status is associated with maternal depressive symptoms in the Amsterdam Born Children and Their Development Cohort[J].Psychosom Med,2012,74(7):751-757.
[8] CASSIDY-BUSHROW A E,PETERS R M,JOHNSON D A,et al.Vitamin D nutritional status and antenatal depressive symptoms in African American women[J].J Womens Health(Larchmt),2012,21(11):1189-1195.
[9] FIGUEIREDO A C C,TRUJILLO J,FREITAS-VILELA A A,et al.Association between plasma concentrations of vitamin D metabolites and depressive symptoms throughout pregnancy in a prospective cohort of Brazilian women[J].J Psychiatr Res,2017,95:1-8.
[10] 沈紫丹,程红,彭文,等.产前抑郁患者妊娠结局及其与维生素D缺乏的相关性[J].华南国防医学杂志,2016,30(2):96-98.
[11] ABEDI P,BOVAYRI M,FAKHRI A,et al.The relationship between vitamin D and postpartum depression in reproductive-aged Iranian women[J].J Med Life,2018,11(4):286-292.
[12] 杜趁香,孔凡静,闫珺,等.产后抑郁患者血清AA、EPA、DHA、维生素D及激素水平的变化及意义[J].实用预防医学,2019,26(1):81-83.
[13] 杜丹,潘东娜,程建峰.产后抑郁妇女血清维生素D水平的临床研究[J].中国热带医学,2014,14(6):753-754.
[14] 柳清梅. 血清不饱和脂肪酸、维生素D及雌激素水平与产后抑郁的关系[J].国际精神病学杂志,2020,47(6):1169-1170,1174.
[15] FU C W,LIU J T,TU W J,et al.Association between serum 25-hydroxyvitamin D levels measured 24 hours after delivery and postpartum depression[J].BJOG,2015,122(12):1688-1694.
[16] GOULD J F,ANDERSON A J,YELLAND L N,et al.Association of cord blood vitamin D at delivery with postpartum depression in Australian women[J].Aust N Z J Obstet Gynaecol,2015,55(5):446-452.
[17] GUR E B,GOKDUMAN A,TURAN G A,et al.Mid-pregnancy vitamin D levels and postpartum depression[J].Eur J Obstet Gynecol Reprod Biol,2014,179:110-116.
[18] NIELSEN N O,STROM M,BOYD H A,et al.Vitamin D status during pregnancy and the risk of subsequent postpartum depression:a case-control study[J].PLoS One,2013,8(11):80-86.
[19] PILLAI R R,PREMKUMAR N R,KATTIMANI S,et al.Reduced maternal serum total,free and bioavailable vitamin D levels and its association with the risk for postpartum depressive symptoms[J].Arch Med Res,2021,52(1):84-92.
[20] ROBINSON M,WHITEHOUSE A J,NEWNHAM J P,et al.Low maternal serum vitamin D during pregnancy and the risk for postpartum depression symptoms[J].Arch Womens Ment Health,2014,17(3):213-219.
[21] MURPHY P K,MUELLER M,HULSEY T C,et al.An exploratory study of postpartum depression and vitamin D[J].J Am Psychiatr Nurses Assoc,2010,16(3):170-177.
[22] 胡运娇,张荣英.孕妇产前维生素D、白细胞介素-6水平与产后抑郁的关系探讨[J].齐鲁护理杂志,2016,22(13):123-124.
[23] RADLOFF L S.The CES-D scale:a self-report depression scale for research in the general population[J].Appl Psychol Meas,1977,1(3):385-401.
[24] SANTOS I S,MATIJASEVICH A,TAVARES B F,et al.Validation of the Edinburgh Postnatal Depression Scale(EPDS)in a sample of mothers from the 2004 Pelotas Birth Cohort Study[J].Cad Saude Publica,2007,23(11):2577-2588.
[25] 中华医学会精神病学分会.中国精神障碍分类与诊断标准第三版(精神障碍分类)[J].中华精神科杂志,2001,34(3):184-188.
[26] BECK A T,STEER R A,BROWN G K.Manual for the Beck Depression Inventory-Ⅱ San Antonio[J].TX Psychol Corp,1996:1-82.
[27] 中华医学会精神科分会.中国精神疾病分类方案与诊断标准(CCMD-3)[M].3版.济南:山东科学技术出版社,2001:103.
[28] 张妍,张文颖,周玲,等.产后抑郁症的相关危险因素的探讨[J].中国实验诊断学,2013,17(1):85-87.
[29] 符夏瑜,陈雄,张云志.爱丁堡产后抑郁量表在孕晚期妇女产前抑郁筛查中的临界值分析[J].中国妇产科临床杂志,2018,19(5):453-454.
[30] LACOURSIERE D Y,BARRETT-CONNOR E,O'HARA M W,et al.The association between prepregnancy obesity and screening positive for postpartum depression[J].BJOG,2010,117(8):1011-1018.
[31] HISCOCK H,WAKE M.Infant sleep problems and postnatal depression:a community-based study[J].Pediatrics,2001,107(6):1317-1322.
[32] BERLE J,AARRE T F,MYKLETUN A,et al.Screening for postnatal depression:validation of the Norwegian version of the Edinburgh Postnatal Depression Scale,and assessment of risk factors for postnatal depression[J].J Affect Disord,2003,76(1/2/3):151-156.
[33] BENJAMIN D,CHANDRAMOHAN A,ANNIE I K,et al.Validation of the Tamil version of Edinburgh Post-partum Depression Scale[J].J Obstet Gynaecol India,2005,55:241-243.
[34] COX J L,HOLDEN J M,SAGOVSKY R.Detection of postnatal depression.Development of the 10-Item Edinburgh Postnatal Depression Scale[J].Br J Psychiatry,1987,150:782-786.
[35] LAWRIE T A,HOFMEYR G J,DE JAGER M,et al.Validation of the Edinburgh Postnatal Depression Scale on a cohort of South African women[J].S Afr Med J,1998,88(10):1340-1344.
[36] SZPUNAR M J.Association of antepartum vitamin D deficiency with postpartum depression:a clinical perspective[J].Public Health Nutr,2020,23(7):1173-1178.
[37] ACCORTT E E,SCHETTER C D,PETERS R M,et al.Lower prenatal vitamin D status and postpartum depressive symptomatology in African American women:preliminary evidence for moderation by inflammatory cytokines[J].Arch Womens Ment Health,2016,19(2):373-383.
[38] ALGHAMDI S,ALSULAMI N,KHOJA S,et al.Vitamin D supplementation ameliorates severity of major depressive disorder[J].J Mol Neurosci,2020,70(2):230-235.
[39] BERRIDGE M J.Vitamin D and depression: cellular and regulatory mechanisms[J].Pharmacol Rev,2017,69(2):80-92.
[40] VAZIRI F,NASIRI S,TAVANA Z,et al.A randomized controlled trial of vitamin D supplementation on perinatal depression: in Iranian pregnant mothers[J/OL].BMC Pregnancy Childbirth,2016,16[2021-07-24].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4992225.DOI:10.1186/s12884-016-1024-7.
[41] AMINI S,AMANI R,JAFARIRAD S,et al.The effect of vitamin D and calcium supplementation on inflammatory biomarkers,estradiol levels and severity of symptoms in women with postpartum depression:a randomized double-blind clinical trial[J].Nutr Neurosci,2020,3:1-11.
[42] HAJHASHEMI M,KHORSANDI A,HAGHOLLAHI F.Comparison of sun exposure versus vitamin D supplementation for pregnant women with vitamin D deficiency[J].J Matern Fetal Neonatal Med,2019,32(8):1347-1352.
[43] WATCHARANON W,KAEWRUDEE S,SOONTRAPA S,et al.Effects of sunlight exposure and vitamin D supplementation on vitamin D levels in postmenopausal women in rural Thailand: a randomized controlled trial[J].Complement Ther Med,2018,40:243-247.
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