Caffeinated non-alcoholic beverages on the postpartum mental health related to the COVID-19 pandemic by a cross-sectional study in Argentina

IF 1.9 Q3 ENDOCRINOLOGY & METABOLISM Human Nutrition and Metabolism Pub Date : 2023-09-01 DOI:10.1016/j.hnm.2023.200198
Agustín Ramiro Miranda , Mariela Valentina Cortez , Ana Veronica Scotta , Elio Andrés Soria
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Abstract

Purpose

This work aimed to study postpartum mental outcomes and determinants of the intake of caffeinated beverages during the pandemic in women from Argentina.

Methods

This cross-sectional study recruited 619 women who responded to online self-report questionnaires during the first and second waves of COVID-19, including validated instruments (Insomnia Severity Index, Perceived Stress Scale, Postpartum Depression Screening Scale, Memory Complaint Scale, and Breastfeeding Self-Efficacy Scale), and general data. Intake frequency and amount of caffeinated beverages were estimated. Multivariate regression and structural equation models identified associations and effects (p < 0.05).

Results

Women were under social restrictions for 60.39 days, with home and essential activities increasing caffeinated intake. They ingested (mL/d): yerba mate (1457.71), coffee (66.85), tea (67.61), and soft drinks (50.95), which provided 646.20 mg/d of caffeine. Intakes of coffee and yerba mate were higher than pre-pandemic ones. Coffee was positively associated with stress and insomnia, and indirectly linked to higher levels of depression and memory complaints, and lower breastfeeding self-efficacy. Tea showed a similar but weaker association. Yerba mate correlated inversely with depression (through direct pathways), insomnia, and memory complaints (through indirect pathways), promoting breastfeeding self-efficacy. Soft drinks and caffeine did not present significant associations.

Conclusion

Although findings do not imply causation, results suggest that beverages would exhibit caffeine-independent affective and cognitive roles, which might be anxiogenic in the case of coffee and tea (to a lesser extent). Yerba mate showed antidepressant potential. Given that breastfeeding might be compromised during the pandemic, yerba mate intake is promissory to protect postpartum mental health.

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阿根廷一项横断面研究显示含咖啡因非酒精饮料对新冠肺炎大流行相关产后心理健康的影响
目的本研究旨在研究阿根廷妇女在大流行期间摄入含咖啡因饮料的产后心理结果和决定因素。方法本横断面研究招募了619名妇女,她们在COVID-19第一波和第二波期间参与了在线自我报告问卷,包括经过验证的工具(失眠严重程度指数、感知压力量表、产后抑郁筛查量表、记忆抱怨量表和母乳喂养自我效能量表)和一般数据。对含咖啡因饮料的摄入频率和量进行了估计。多元回归和结构方程模型确定了关联和影响(p <0.05)。结果女性受到社交限制的时间为60.39天,家庭和基本活动增加了咖啡因的摄入量。他们摄入(mL/d):马黛茶(1457.71),咖啡(66.85),茶(67.61)和软饮料(50.95),其中提供646.20毫克/天的咖啡因。咖啡和马黛茶的摄入量高于疫情前的水平。咖啡与压力和失眠呈正相关,并间接与更高水平的抑郁和记忆力抱怨以及更低的母乳喂养自我效能感有关。茶也显示出类似但较弱的关联。马黛茶与抑郁(通过直接途径)、失眠和记忆抱怨(通过间接途径)呈负相关,促进母乳喂养的自我效能。软饮料和咖啡因没有明显的关联。结论:虽然研究结果并不意味着因果关系,但结果表明,饮料会表现出与咖啡因无关的情感和认知作用,这可能会在咖啡和茶的情况下(在较小程度上)引起焦虑。马黛茶显示出抗抑郁的潜力。鉴于大流行期间母乳喂养可能受到影响,马黛茶摄入有望保护产后心理健康。
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来源期刊
Human Nutrition and Metabolism
Human Nutrition and Metabolism Agricultural and Biological Sciences-Food Science
CiteScore
1.50
自引率
0.00%
发文量
30
审稿时长
188 days
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