Vitamin D Level, Thyroid Function, and Maternal Depression in Late Pregnancy

M. Dabbaghmanesh, F. Vaziri, F. Najib, S. Nasiri
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引用次数: 1

Abstract

Background: Based on a possible association between thyroid function or serum 25-hydroxyvitamin D concentration and perinatal psychological symptoms, this study examined the potential link between antenatal depression and thyroid function or vitamin D level in the population of Shiraz city. Methods: This cross-sectional study was conducted on mothers, who were under prenatal care at a teaching hospital in Shiraz, during year 2015. Evaluation of depression was performed by the Edinburgh postnatal depression scale (EPDS). Eligible pregnant females aged ≥ 18 and at 26 to 28 weeks of gestation were passed to the laboratory to offer a blood sample to determine serum 25-hydroxyvitamin D, TSH, FT4, and TPOAb. Finally, data from 184 pregnant females was analyzed. Results: The mean depression score was 9.19 ± 4.44, with a median value of 9.50, and mode value of 13. Overall, 52 mothers (28.3%) had depression (depression score > 12). The mothers with and without depression were not different in relation to 25hydroxyvitamin D, TSH, FT4, and TPOAb levels. No association was established between thyroid function and antenatal depression with a binary logistic regression analysis. Also, vitamin D deficient mothers did not have more chance of being depressed. No correlation was detected between thyroid function and vitamin D levels. Conclusions: Based on the current findings, no association was observed between antenatal depression and thyroid function or vitamin D deficiency.
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妊娠后期维生素D水平、甲状腺功能和产妇抑郁
背景:基于甲状腺功能或血清25-羟基维生素D浓度与围产期心理症状之间的可能关联,本研究调查了设拉子市人口中产前抑郁与甲状腺功能或维生素D水平之间的潜在联系。方法:对2015年在设拉子某教学医院接受产前护理的母亲进行横断面研究。采用爱丁堡产后抑郁量表(EPDS)进行抑郁评估。年龄≥18岁、妊娠26 ~ 28周的符合条件的孕妇被送到实验室提供血液样本,以测定血清25-羟基维生素D、TSH、FT4和TPOAb。最后,对184名孕妇的数据进行了分析。结果:抑郁评分平均值为9.19±4.44,中位数为9.50,模式值为13。总体而言,52名母亲(28.3%)患有抑郁症(抑郁评分> 12)。有抑郁症和没有抑郁症的母亲在25羟基维生素D、TSH、FT4和TPOAb水平方面没有差异。二元logistic回归分析未发现甲状腺功能与产前抑郁之间存在关联。此外,缺乏维生素D的母亲患抑郁症的几率并不高。甲状腺功能与维生素D水平之间没有相关性。结论:根据目前的研究结果,产前抑郁与甲状腺功能或维生素D缺乏之间没有关联。
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