title: Association between dietary patterns and mental disorders in pregnant women in Southern Brazil.
abstract: To evaluate the association between dietary patterns and mental disorders among pregnant women in southern Brazil.
  Cross-sectional study with 712 pregnant women recruited from the Study of Food Intake and Eating Behaviors in Pregnancy (ECCAGe). Food intake assessment was performed using the Food Frequency Questionnaire. Dietary patterns were identified by cluster analysis. The Primary Care Evaluation of Mental Disorders (PRIME-MD) was used to evaluate participants' mental health. Poisson regression models with robust variance were fitted to estimate prevalence ratios (PR).
  In the adjusted models, there was a high prevalence of major depressive disorder among women with low fruit intake (43%, PR 1.43, 95%CI 1.04-1.95) and high sweets and sugars intake (91%, PR 1.91, 95%CI 1.19-3.07). Women with a common-Brazilian dietary pattern had higher prevalence of major depressive disorder compared to those with a varied consumption pattern (PR 1.43, 95%CI 1.01-2.02). Low intake of beans was significantly associated with generalized anxiety disorder (PR 1.40, 95%CI 1.01-1.93).
  Low consumption of fruits and beans and intake of the common-Brazilian dietary pattern during pregnancy were associated with higher prevalence of mental disorders. These results reinforce the importance of an adequate dietary intake to ensure better mental health in pregnancy.
authors.affiliation: Programa de Pós-Graduação em Epidemiologia, Departamento de Medicina Social, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
authors.forename: Jéssica T A
authors.initials: JTA
authors.lastname: Paskulin
authors.affiliation: Programa de Pós-Graduação em Epidemiologia, Departamento de Medicina Social, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.|Departamento de Nutrição, Faculdade de Medicina, UFRGS, Porto Alegre, RS, Brazil.
authors.forename: Michele
authors.initials: M
authors.lastname: Drehmer
authors.affiliation: Programa de Pós-Graduação em Saúde Coletiva, Universidade do Vale do Rio dos Sinos (UNISINOS), São Leopoldo, RS, Brazil.|Departamento de Nutrição, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.
authors.forename: Maria T
authors.initials: MT
authors.lastname: Olinto
authors.affiliation: Programa de Pós-Graduação em Epidemiologia, Departamento de Medicina Social, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
authors.forename: Juliana F
authors.initials: JF
authors.lastname: Hoffmann
authors.affiliation: Programa de Pós-Graduação em Epidemiologia, Departamento de Medicina Social, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
authors.forename: Andréa P
authors.initials: AP
authors.lastname: Pinheiro
authors.affiliation: Programa de Pós-Graduação em Epidemiologia, Departamento de Medicina Social, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
authors.forename: Maria I
authors.initials: MI
authors.lastname: Schmidt
authors.affiliation: Programa de Pós-Graduação em Epidemiologia, Departamento de Medicina Social, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
authors.forename: Maria A
authors.initials: MA
authors.lastname: Nunes
mesh_terms: D000293:Adolescent; D000328:Adult; D001008:Anxiety Disorders / Q000453:epidemiology; D001938:Brazil / Q000453:epidemiology; D002182:Candy / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D003865:Major Depressive Disorder / Q000453:epidemiology; D004034:Diet Surveys / Q000706:statistics & numerical data*; D005247:Feeding Behavior; D005260:Female; D005518:Food Preferences; D005638:Fruit; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology*; D027805:Phaseolus; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D015995:Prevalence; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D055815:Young Adult