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Pàgina inicial > Articles > Articles publicats > Effects of a Mediterranean Diet Intervention on Maternal Stress, Well-Being, and Sleep Quality throughout Gestation-The IMPACT-BCN Trial |
Data: | 2023 |
Resum: | Stress and anxiety are frequent occurrences among pregnant women. We aimed to evaluate the effects of a Mediterranean diet intervention during pregnancy on maternal stress, well-being, and sleep quality throughout gestation. In a randomized clinical trial, 1221 high-risk pregnant women were randomly allocated into three groups at 19-23 weeks' gestation: a Mediterranean diet intervention, a Mindfulness-Based Stress Reduction program, or usual care. All women who provided self-reported life-style questionnaires to measure their anxiety (State Trait Anxiety Inventory (STAI), Perceived Stress Scale (PSS)), well-being (WHO Five Well Being Index (WHO-5)), and sleep quality (Pittsburgh sleep quality index (PSQI)) at enrollment and at the end of the intervention (34-36 weeks) were included. In a random subgroup of 106 women, the levels of cortisol and related metabolites were also measured. At the end of the intervention (34-36 weeks), participants in the Mediterranean diet group had significantly lower perceived stress and anxiety scores (PSS mean (SE) 15. 9 (0. 4) vs. 17. 0 (0. 4), p = 0. 035; STAI-anxiety mean (SE) 13. 6 (0. 4) vs. 15. 8 (0. 5), p = 0. 004) and better sleep quality (PSQI mean 7. 0 ± 0. 2 SE vs. 7. 9 ± 0. 2 SE, p = 0. 001) compared to usual care. As compared to usual care, women in the Mediterranean diet group also had a more significant increase in their 24 h urinary cortisone/cortisol ratio during gestation (mean 1. 7 ± SE 0. 1 vs. 1. 3 ± SE 0. 1, p < 0. 001). A Mediterranean diet intervention during pregnancy is associated with a significant reduction in maternal anxiety and stress, and improvements in sleep quality throughout gestation. |
Ajuts: | Agència de Gestió d'Ajuts Universitaris i de Recerca 2017SGR1531 Instituto de Salud Carlos III PI22/00684 "la Caixa" Foundation LCF/BQ/DR19/11740018 |
Drets: | Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. |
Llengua: | Anglès |
Document: | Article ; recerca ; Versió publicada |
Matèria: | Mediterranean diet ; Pregnancy ; Anxiety ; Well-being ; Sleep quality |
Publicat a: | Nutrients, Vol. 15 Núm. 10 (may 2023) , p. 2362, ISSN 2072-6643 |
13 p, 1.3 MB |