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Postpartum Depresyon ve Maternal D Vitamini Düzeyleri Arasındaki İlişki Hakkında Bir Sistematik Derleme

Year 2017, Volume: 6 Issue: 3, 164 - 170, 30.09.2017

Hülya Kamarlı Altun , Nilgün Seremet Kürklü

Abstract

Postpartum Depresyon (PPD) kadınların %10-15’ini etkileyen ve hem anne hem de yeni doğanın sağlığında olumsuzluklara neden olan, doğumdan sonraki ilk dört hafta içinde ortaya çıkan yaygın bir duygu durum bozukluğudur. Son yıllarda yapılan çalışmalarda gebelikte sıklıkla görülen D vitamini yetersizliğinin postpartum depresyon ile olan ilişkisi üzerinde durulmaya başlanmıştır. Bu sistematik derleme çalışmasında, maternal D vitamini düzeylerinin postpartum depresyon üzerine olan etkilerinin araştırıldığı çalışmalar gözden geçirilerek, konuya dikkat çekmek amaçlanmıştır.

Araştırmaya dâhil edilen 6 makalede; gebeliğin çeşitli aylarında alınan kan örneklerindeki serum D vitamini düzeyleri ile gebelik sonrasında uygulanan Edinburgh Doğum Sonrası Depresyon Ölçeği skorları arasındaki ilişki incelenmiştir. Yürütülen çalışmaların %66,66’sında prenatal 25(OH)D3 seviyeleri ile yüksek EDPS skorları arasında anlamlı bir ilişki saptanırken, serum D vitamini düzeyi çok düşük olanlarda PPD riskinde daha fazla artış olduğu bulunmuştur. Çalışmaların %33,34’ünde ise gebelikteki 25(OH)D3 konsantrasyonları ile PPD arasında hiçbir ilişki olmadığı; bu çalışmalardan birinde de en yüksek D vitamini konsantrasyonuna sahip kadınlar arasında PPD ‘nin riskinin artmış olduğu saptanmıştır.

Gebelikte D vitamini yetersizliği ve postpartum depresyon sıklıkla rastlanan bir durum olduğu için gebelikte ve sonrasında mutlaka D vitamini takviyesi yapılması gerekmektedir.


Keywords

Postpartum depresyon Postpartum depresif semptomlar 25 hidroksi vitamin D

References

  • Poçan, A.G., Erden Akı, Ö., Parlakgümüş, A.H., Gereklioğlu, Ç., Dolgun, A.B. (2013). “The incidence of and risk factors for postpartum depression at an urban maternity clinic in Turkey”. The International Journal of Psychiatry in Medicine, 46(2):179-94.
  • American Psychiatric Association. (2000). Postpartum onset specifiers. In: Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: American Psychiatric Association.
  • Patel, V., Rodrigues, M., DeSouza, N. (2002). “Gender, poverty, and postnatal depression: A study of mothers in Goa, India.” American Journal of Psychiatry, 159(1):43-47.
  • Limlomwongse, N., Liabsuetrakul T. (2006). “Cohort study of depressive moods in Thai women during late pregnancy and 6-8 weeks of postpartum using the Edinburgh Postnatal Depression Scale (EPDS)”. Archives of Women’s Mental Health, 9(3):131-38.
  • Ballard, C.G., Davis, R., Cullen, P.C., Mohan, R.N., Dean, C. (1994). “Prevalence of postnatal psychiatric morbidity in mothers and fathers”. British Journal of Psychiatry, 164(6):782-88.
  • Stamp, G.E., Crowther C.A. (1994). “ Postnatal depression: A South Australian prospective survey”. Australia and New Zealand Journal of Obstetraics and Gynaecology, 34(2):164-167.
  • Affonso, D.D., De, A.K. (2000). “An international study exploring levels of postpartum depressive semptomatology”. Journal of Psychosomatic Research, 49:207-216.
  • Josefsson, A., Berg, G., Nordin, C., Sydsjö, G. (2001). “Prevalence of depressive symptoms in late pregnancy and postpartum”. Acta Obstetrics and Gynecology Scandinavica, 80(3):251-255.
  • İnandı, T., Elçi, O.C., Öztürk, A., Eğri, M., Polat, A., Şahin, T,K. (2002). “Risk factors for depression in postnatal first year, in Eastern Turkey”. International Journal of Epidemiology, 31:1201-1207.
  • Özdemir, S., Marakoğlu, K., Çivi, S. (2008). “Konya il merkezinde doğum sonrası depresyon riski ve etkileyen faktörler”. TAF Preventive Medicine Bulletin, 7:391-98.
  • Turkcapar, A.F., Kadıoğlu, N., Aslan, E., Tunc, S., Zayıfoğlu, M., Mollamahmutoğlu, L. (2015). “Sociodemographic and clinical features of postpartum depression among Turkish women: a prospective study”. BMC Pregnancy and Childbirth, 15:108.
  • Bertone-Johnson, ER. (2009). “Vitamin D and the occurrence of depression: causal association or circumstantial evidence”. Nutrition Reviews, 67:481–92.
  • Ellsworth-Bowers, E.R., Corwin, E.J. (2012). “Nutrition and the psychoneuroimmunology of postpartum depression”. Nutrition Research Review, 25:180–92.
  • Bodnar, L.M., Wisner, K.L. (2005). “Nutrition and Depression: Implications for Improving Mental Health Among Childbearing-Aged Women”. Bıological Psychıatry, 58:679–685.
  • Buell, J.S., Dawson-Hughes, B. (2008). “Vitamin D and neurocognitive dysfunction: preventing Decline?”. Molecular Aspects of Medicine, 29:415-22.
  • Deluca, G.C., Kimball, S.M., Kolasinski, J., Ramagopalan, S.V., Ebers, G.C. (2013). “The role of vitamin D in nervous system health and disease”. Neuropathology and Applied Neurobiology, 39:458–84.
  • Högberg, G., Gustafsson , S.A., Hällström, T., Gustafsson, T., Klawitter, B., Petersson, M. (2012). “Depressed adolescents in a case-series were low in vitamin D and depressionwas ameliorated by vitamin D supplementation”. Acta Paediatrica, 101:779–83.
  • Tolppanen, A.M., Sayers, A., Fraser, W.D., Lewis, G., Zammit, S., Lawlor, D.A. (2012). “The association of serum 25-hydroxyvitamin D3 and D2 with depressive symptoms in childhood – a prospective cohort study”. Journal of Child Psychology and Psychiatry, 53:757–66.
  • Ren, W., Gu, Y., Zhu, L., Wang, L., Chang, Y., Yan, M. et al. (2016). “The effect of cigarette smoking on vitamin D level and depression in male patients with acute ischemic stroke”. Comprehensive Psychiatry, 65:9–14.
  • Johansson, P., Alehagen, U., Wal, M.H.L., Svensson, E., Jaarsm, T. (2016). “ Vitamin D levels and depressive symptoms in patients with chronic heart failure”. International Journal of Cardiology, 207:185–9.
  • Gould, J.F., Anderson, A.J., Yelland, L.N., Smithers, L.G., Skeaff, C.M., Gibson, R.A., Makrides, M. (2015). “Association of cord blood vitamin D at delivery with postpartum depression in Australian women”. Australian and New Zealand Journal of Obstetrics and Gynaecology, 55: 446–452.
  • Accortt, E.E., Schetter, C.D., Peters, R.M., Cassidy-Bushrow, A.E. (2015). “Lower prenatal vitamin D status and postpartum depressive symptomatology in African American women: Preliminary evidence for moderation by inflammatory cytokines”. Archieves Womens Mental Health, DOI 10.1007/s00737 -015-0585-1.
  • Fu, C.W., Liu, J.T., Tu, W.J., Yang, J.Q., Cao, Y. (2015). “Association between serum 25 hydroxyvitamin D Levels measured 24 hours after delivery and postpartum depression”. An International Journal of Obstetrics and Gynaecology, 122:1688–1694.
  • Gur, E.B., Gokduman, A., Turan, G.A., Tatar, S., Hepyilmaz, I., Zengin, E.B., ve ark. (2014). “ Mid-pregnancy vitamin D levels and postpartum depression”. European Journal of Obstetrics & Gynecology and Reproductive Biology, 179: 110–116.
  • Robinson, M., Whitehouse, AJO., Newnham, J.P., Gorman, S., Jacoby, P., Holt, B.J., et al. (2014).” Low maternal serum vitamin D during pregnancy and the risk for postpartum depression symptoms”. Archieves Womens Mental Health, 17:213–219.
  • Nielsen, N.O., Strom, M., Boyd, H.A., Andersen, E.W., Wohlfahrt, J., Lundqvist, M., et al. (2013). Vitamin D Status during Pregnancy and the Risk of Subsequent Postpartum Depression: A Case Control Study Plos One, 8(11): e80686.
  • Perica, M.M., Delas, I.D. (2001).” Essential fatty acids and psychiatric disorders”. Nutrition in Clinical Practice, Vol:26 (4); 409-425.
  • Lattka, E., Illig, T., Heinrich, J., Koletzko, B. (2010). “Do FADS genotypes enhance our knowledge about fatty acid related phenotypes?”. Clinical Nutrition, 29:277-287.
  • Trivedi, B. (2006). “The good, the fad, and unhealthy”. New Scientist., 191(2570):42-49.
  • Lakhan, S.E., Vieira, K.F. (2008). Nutritional Therapies for Mental Disorders. Nutrition Journal, 7:2.

Year 2017, Volume: 6 Issue: 3, 164 - 170, 30.09.2017

Hülya Kamarlı Altun , Nilgün Seremet Kürklü

Abstract

References

  • Poçan, A.G., Erden Akı, Ö., Parlakgümüş, A.H., Gereklioğlu, Ç., Dolgun, A.B. (2013). “The incidence of and risk factors for postpartum depression at an urban maternity clinic in Turkey”. The International Journal of Psychiatry in Medicine, 46(2):179-94.
  • American Psychiatric Association. (2000). Postpartum onset specifiers. In: Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: American Psychiatric Association.
  • Patel, V., Rodrigues, M., DeSouza, N. (2002). “Gender, poverty, and postnatal depression: A study of mothers in Goa, India.” American Journal of Psychiatry, 159(1):43-47.
  • Limlomwongse, N., Liabsuetrakul T. (2006). “Cohort study of depressive moods in Thai women during late pregnancy and 6-8 weeks of postpartum using the Edinburgh Postnatal Depression Scale (EPDS)”. Archives of Women’s Mental Health, 9(3):131-38.
  • Ballard, C.G., Davis, R., Cullen, P.C., Mohan, R.N., Dean, C. (1994). “Prevalence of postnatal psychiatric morbidity in mothers and fathers”. British Journal of Psychiatry, 164(6):782-88.
  • Stamp, G.E., Crowther C.A. (1994). “ Postnatal depression: A South Australian prospective survey”. Australia and New Zealand Journal of Obstetraics and Gynaecology, 34(2):164-167.
  • Affonso, D.D., De, A.K. (2000). “An international study exploring levels of postpartum depressive semptomatology”. Journal of Psychosomatic Research, 49:207-216.
  • Josefsson, A., Berg, G., Nordin, C., Sydsjö, G. (2001). “Prevalence of depressive symptoms in late pregnancy and postpartum”. Acta Obstetrics and Gynecology Scandinavica, 80(3):251-255.
  • İnandı, T., Elçi, O.C., Öztürk, A., Eğri, M., Polat, A., Şahin, T,K. (2002). “Risk factors for depression in postnatal first year, in Eastern Turkey”. International Journal of Epidemiology, 31:1201-1207.
  • Özdemir, S., Marakoğlu, K., Çivi, S. (2008). “Konya il merkezinde doğum sonrası depresyon riski ve etkileyen faktörler”. TAF Preventive Medicine Bulletin, 7:391-98.
  • Turkcapar, A.F., Kadıoğlu, N., Aslan, E., Tunc, S., Zayıfoğlu, M., Mollamahmutoğlu, L. (2015). “Sociodemographic and clinical features of postpartum depression among Turkish women: a prospective study”. BMC Pregnancy and Childbirth, 15:108.
  • Bertone-Johnson, ER. (2009). “Vitamin D and the occurrence of depression: causal association or circumstantial evidence”. Nutrition Reviews, 67:481–92.
  • Ellsworth-Bowers, E.R., Corwin, E.J. (2012). “Nutrition and the psychoneuroimmunology of postpartum depression”. Nutrition Research Review, 25:180–92.
  • Bodnar, L.M., Wisner, K.L. (2005). “Nutrition and Depression: Implications for Improving Mental Health Among Childbearing-Aged Women”. Bıological Psychıatry, 58:679–685.
  • Buell, J.S., Dawson-Hughes, B. (2008). “Vitamin D and neurocognitive dysfunction: preventing Decline?”. Molecular Aspects of Medicine, 29:415-22.
  • Deluca, G.C., Kimball, S.M., Kolasinski, J., Ramagopalan, S.V., Ebers, G.C. (2013). “The role of vitamin D in nervous system health and disease”. Neuropathology and Applied Neurobiology, 39:458–84.
  • Högberg, G., Gustafsson , S.A., Hällström, T., Gustafsson, T., Klawitter, B., Petersson, M. (2012). “Depressed adolescents in a case-series were low in vitamin D and depressionwas ameliorated by vitamin D supplementation”. Acta Paediatrica, 101:779–83.
  • Tolppanen, A.M., Sayers, A., Fraser, W.D., Lewis, G., Zammit, S., Lawlor, D.A. (2012). “The association of serum 25-hydroxyvitamin D3 and D2 with depressive symptoms in childhood – a prospective cohort study”. Journal of Child Psychology and Psychiatry, 53:757–66.
  • Ren, W., Gu, Y., Zhu, L., Wang, L., Chang, Y., Yan, M. et al. (2016). “The effect of cigarette smoking on vitamin D level and depression in male patients with acute ischemic stroke”. Comprehensive Psychiatry, 65:9–14.
  • Johansson, P., Alehagen, U., Wal, M.H.L., Svensson, E., Jaarsm, T. (2016). “ Vitamin D levels and depressive symptoms in patients with chronic heart failure”. International Journal of Cardiology, 207:185–9.
  • Gould, J.F., Anderson, A.J., Yelland, L.N., Smithers, L.G., Skeaff, C.M., Gibson, R.A., Makrides, M. (2015). “Association of cord blood vitamin D at delivery with postpartum depression in Australian women”. Australian and New Zealand Journal of Obstetrics and Gynaecology, 55: 446–452.
  • Accortt, E.E., Schetter, C.D., Peters, R.M., Cassidy-Bushrow, A.E. (2015). “Lower prenatal vitamin D status and postpartum depressive symptomatology in African American women: Preliminary evidence for moderation by inflammatory cytokines”. Archieves Womens Mental Health, DOI 10.1007/s00737 -015-0585-1.
  • Fu, C.W., Liu, J.T., Tu, W.J., Yang, J.Q., Cao, Y. (2015). “Association between serum 25 hydroxyvitamin D Levels measured 24 hours after delivery and postpartum depression”. An International Journal of Obstetrics and Gynaecology, 122:1688–1694.
  • Gur, E.B., Gokduman, A., Turan, G.A., Tatar, S., Hepyilmaz, I., Zengin, E.B., ve ark. (2014). “ Mid-pregnancy vitamin D levels and postpartum depression”. European Journal of Obstetrics & Gynecology and Reproductive Biology, 179: 110–116.
  • Robinson, M., Whitehouse, AJO., Newnham, J.P., Gorman, S., Jacoby, P., Holt, B.J., et al. (2014).” Low maternal serum vitamin D during pregnancy and the risk for postpartum depression symptoms”. Archieves Womens Mental Health, 17:213–219.
  • Nielsen, N.O., Strom, M., Boyd, H.A., Andersen, E.W., Wohlfahrt, J., Lundqvist, M., et al. (2013). Vitamin D Status during Pregnancy and the Risk of Subsequent Postpartum Depression: A Case Control Study Plos One, 8(11): e80686.
  • Perica, M.M., Delas, I.D. (2001).” Essential fatty acids and psychiatric disorders”. Nutrition in Clinical Practice, Vol:26 (4); 409-425.
  • Lattka, E., Illig, T., Heinrich, J., Koletzko, B. (2010). “Do FADS genotypes enhance our knowledge about fatty acid related phenotypes?”. Clinical Nutrition, 29:277-287.
  • Trivedi, B. (2006). “The good, the fad, and unhealthy”. New Scientist., 191(2570):42-49.
  • Lakhan, S.E., Vieira, K.F. (2008). Nutritional Therapies for Mental Disorders. Nutrition Journal, 7:2.
There are 30 citations in total.

Details

Journal Section Articles
Authors

Hülya Kamarlı Altun

Nilgün Seremet Kürklü This is me

Publication Date September 30, 2017
Published in Issue Year 2017 Volume: 6 Issue: 3

Cite

APA Kamarlı Altun, H., & Seremet Kürklü, N. (2017). Postpartum Depresyon ve Maternal D Vitamini Düzeyleri Arasındaki İlişki Hakkında Bir Sistematik Derleme. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 6(3), 164-170.
AMA Kamarlı Altun H, Seremet Kürklü N. Postpartum Depresyon ve Maternal D Vitamini Düzeyleri Arasındaki İlişki Hakkında Bir Sistematik Derleme. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. September 2017;6(3):164-170.
Chicago Kamarlı Altun, Hülya, and Nilgün Seremet Kürklü. “Postpartum Depresyon Ve Maternal D Vitamini Düzeyleri Arasındaki İlişki Hakkında Bir Sistematik Derleme”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 6, no. 3 (September 2017): 164-70.
EndNote Kamarlı Altun H, Seremet Kürklü N (September 1, 2017) Postpartum Depresyon ve Maternal D Vitamini Düzeyleri Arasındaki İlişki Hakkında Bir Sistematik Derleme. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 6 3 164–170.
IEEE H. Kamarlı Altun and N. Seremet Kürklü, “Postpartum Depresyon ve Maternal D Vitamini Düzeyleri Arasındaki İlişki Hakkında Bir Sistematik Derleme”, Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, vol. 6, no. 3, pp. 164–170, 2017.
ISNAD Kamarlı Altun, Hülya - Seremet Kürklü, Nilgün. “Postpartum Depresyon Ve Maternal D Vitamini Düzeyleri Arasındaki İlişki Hakkında Bir Sistematik Derleme”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 6/3 (September 2017), 164-170.
JAMA Kamarlı Altun H, Seremet Kürklü N. Postpartum Depresyon ve Maternal D Vitamini Düzeyleri Arasındaki İlişki Hakkında Bir Sistematik Derleme. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2017;6:164–170.
MLA Kamarlı Altun, Hülya and Nilgün Seremet Kürklü. “Postpartum Depresyon Ve Maternal D Vitamini Düzeyleri Arasındaki İlişki Hakkında Bir Sistematik Derleme”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, vol. 6, no. 3, 2017, pp. 164-70.
Vancouver Kamarlı Altun H, Seremet Kürklü N. Postpartum Depresyon ve Maternal D Vitamini Düzeyleri Arasındaki İlişki Hakkında Bir Sistematik Derleme. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2017;6(3):164-70.
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