期刊
ANNALS OF NUTRITION AND METABOLISM
卷 70, 期 3, 页码 191-200出版社
KARGER
DOI: 10.1159/000457136
关键词
Pregnancy; Nutrition; Dietary intakes; Psychosocial states; Perceived stress; Anxiety; Depression; Fetal programming
资金
- US PHS (NIH) [R01 HD-060628, R01 HD-065825, R01 MD-010738]
- Commission of the European Communities, the 7th Framework Programme [FP7-289346-EARLY NUTRITION]
Background: Several studies about humans and animals have separately examined the effects of prenatal nutrition and stress on fetal development, pregnancy, and birth outcomes, and subsequent child health and disease risk. Although substantial evidence from non-pregnant literature supports the presence of bidirectional interactions between nutrition and stress at various psychological, behavioral, and physiological levels, such interaction effects have not yet been systematically examined in the context of pregnancy. Summary: This paper discusses the multifaceted and multi-level relationship between nutrition and stress. It then reviews the currently available observational and experimental evidence in animals and humans regarding the interplay between maternal psychosocial stress, dietary intake, and nutritional state during pregnancy, and implications for maternal and child health-related outcomes. Key Messages: During pregnancy, maternal psychosocial stress, dietary behavior, and nutritional state likely regulate and counter-regulate one another. Emerging evidence suggests that omega-3 fatty acids may attenuate maternal psychosocial stress, and that high maternal pre-pregnancy body mass index exacerbates unhealthy dietary behaviors under high-stress conditions. Longitudinal studies are warranted in order to understand the interplay between prenatal psychosocial stress, diet, and stress- and nutrition-related biomarkers to obtain further insight and inform the development and design of future, more effective intervention trials for improved maternal and child health outcomes. (C) 2017 S. Karger AG, Basel
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