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. 2020 Jul 27:9:32.
doi: 10.4103/abr.abr_188_19. eCollection 2020.

Is Vitamin D Status Associated with Depression, Anxiety and Sleep Quality in Pregnancy: A Systematic Review

Melika Fallah  1 , Gholamreza Askari  1 , Zatollah Asemi  2
Affiliations

Is Vitamin D Status Associated with Depression, Anxiety and Sleep Quality in Pregnancy: A Systematic Review

Melika Fallah et al. Adv Biomed Res. .

Abstract

Background: Women's mental health is a significant health issue for pregnant women during and after pregnancy. Postpartum depression (PPD) is defined as the presence of depression in the 1st year after delivery. This study reviews the relationship between Vitamin D levels, anxiety and poor sleep quality related to pregnancy.

Materials and methods: A systematic search was conducted on documents presented in PubMed, Scopus, ProQuest, Science Direct, Google Scholar and Web of Science databases until March 2020. Three separate search paths were considered for three different disorders with particular keywords. All observational studies that investigate the relationship between Vitamin D levels and PPD, sleep disorders, and anxiety were selected for inclusion in the study.

Results: Search yielded 14 eligible studies. Quality of most included studies was medium to high. Nine studies reported that Vitamin D deficiency was directly associated to the incidence of PPD and sleep disorders. One study reported an indirect association, and three researches did not observe any association between Vitamin D status, sleep disorders and PPD. One study reported a direct association to anxiety but did not have any relation to PPD.

Conclusions: PPD and sleep quality during pregnancy associated to Vitamin D deficiency directly. Although studies have several limitations, the importance of sufficient Vitamin D status in pregnant women has been addressed in all studies, especially regarding the prevention of PPD, anxiety, and poor sleep quality during the pregnancy.

Keywords: Anxiety; Vitamin D; circadian clock; postpartum depression; sleep disorders.

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Conflict of interest statement

There are no conflicts of interest

Figures

Figure 1
Figure 1
PRISMA flowchart of study selection process in each stage
See this image and copyright information in PMC

References

    1. O'Hara MW, McCabe JE. Postpartum depression: Current status and future directions. Annu Rev Clin Psychol. 2013;9:379–407. - PubMed
    1. Figueiredo B, Pacheco A, Costa R. Depression during pregnancy and the postpartum period in adolescent and adult Portuguese mothers. Arch Womens Ment Health. 2007;10:103–9. - PubMed
    1. Veisani Y, Delpisheh A, Sayehmiri K, Rezaeian S. Trends of postpartum depression in Iran: A systematic review and meta-analysis. Depress Res Treat. 2013;2013:291029. - PMC - PubMed
    1. Beck CT. Postpartum depression: A metasynthesis. Qual Health Res. 2002;12:453–72. - PubMed
    1. Andrews-Fike C. A review of postpartum depression. Prim Care Companion J Clin Psychiatry. 1999;1:9–14. - PMC - PubMed