@misc{10481/73504,
year = {2022},
month = {3},
url = {http://hdl.handle.net/10481/73504},
abstract = {Purpose The relation between diet and maternal mental health during pregnancy might be relevant to prevent adverse
materno-foetal outcomes. This study examined the association of Mediterranean diet (MD) adherence and MD components
with mental health during pregnancy.
Methods This secondary analysis of the GESTAFIT trial included longitudinal data from 152 pregnant women. Dietary
habits were assessed with a food frequency questionnaire, and MD adherence was derived from it using the Mediterranean
Food pattern. Psychological ill-being (i.e., negative affect, anxiety, and depression) and well-being (i.e., emotional intelligence,
resilience, positive affect) were assessed with the Spanish version of well-established self-reported questionnaires.
Cross-sectional (16th gestational week [g.w.]) and longitudinal associations (34th g.w.) between MD and mental health were
studied using linear regression models.
Results A greater MD adherence was inversely associated with negative affect and anxiety; and positively associated with
emotional regulation, resilience and positive affect at the 16th and 34th g.w. (|β| ranging from 0.179 to 0.325, all p < 0.05).
Additionally, a higher intake of whole grain cereals, fruits, vegetables, fish, olive oil and nuts, and a lower intake of red meat
and subproducts and sweets were associated with lower negative affect, anxiety, depression and higher emotional regulation,
resilience and positive affect throughout gestation (|β| ranging from 0.168 to 0.415, all p < 0.05).
Conclusion A higher intake of whole grain cereals, fruits, vegetables, fish, olive oil and nuts, together with a lower intake of
red meat and sweets, resulted in a higher MD adherence, which was associated with a better mental health during pregnancy.},
organization = {Universidad de Granada /CBUA
The Regional Ministry of Health of the Junta de Andalucía (PI-0395–2016)
The Research and Knowledge Transfer Fund (PPIT) 2016, Excellence Actions Programme: Scientific Units of Excellence (UCEES), and the Regional Ministry of Economy, Knowledge, Enterprises and University, European Regional Development Funds (SOMM17/6107/UGR) of the University of Granada.
Spanish Ministry of Education, Culture and Sports (Grant number FPU17/03715). 
The Swedish Council for Health, Working Life and Welfare (2021-00036).},
publisher = {Springer},
keywords = {Anxiety},
keywords = {Depression},
keywords = {Diet, Mediterranean},
keywords = {Mental Health},
keywords = {Pregnancy},
keywords = {Pregnant women},
title = {Associations of Mediterranean diet with psychological ill‑being and well‑being throughout the pregnancy course: The GESTAFIT project},
doi = {https://doi.org/10.1007/s11136-022-03121-2},
author = {De la Flor Alemany, Marta and Baena García, Laura and Hidalgo Migueles, Jairo and Henriksson, Pontus and Löf, Marie and Aparicio García-Molina, Virginia},
}