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Title: | Effects of a Mediterranean Diet Intervention on Maternal Stress, Well-Being, and Sleep Quality throughout Gestation-The IMPACT-BCN Trial |
Author: | Casas, Irene Nakaki, Ayako Pascal Capdevila, Rosalía Castro Barquero, Sara Youssef, Lina Genero, Mariona Benitez, Leticia Larroya, Marta Boutet, María Laura Casu, Giulia Gomez Gomez, Alex Pozo, Oscar J. Morilla, Ivette Martinez Aran, Anabel Vieta i Pascual, Eduard, 1963- Gómez Roig, Ma. Dolores Casas Rodríguez, Rosa M. Estruch Riba, Ramon Gratacós Freixas, Eduardo Crispi Brillas, Fàtima Crovetto, Francesca |
Keywords: | Cuina mediterrània Estrès (Psicologia) Embaràs Mediterranean cooking Stress (Psychology) Pregnancy |
Issue Date: | 18-May-2023 |
Publisher: | MDPI |
Abstract: | 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. Keywords: Mediterranean diet; pregnancy; anxiety; well-being; sleep quality |
Note: | Reproducció del document publicat a: https://doi.org/10.3390/nu15102362 |
It is part of: | Nutrients, 2023, vol. 15, num.10 |
URI: | http://hdl.handle.net/2445/205853 |
Related resource: | https://doi.org/10.3390/nu15102362 |
ISSN: | 2072-6643 |
Appears in Collections: | Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques) Articles publicats en revistes (Medicina) Articles publicats en revistes (Psicologia Clínica i Psicobiologia) |
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