Effects of a Mediterranean Diet Intervention on Maternal Stress, Well-Being, and Sleep Quality throughout Gestation—The IMPACT-BCN Trial

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...
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Autor*in:	Irene Casas [verfasserIn] Ayako Nakaki [verfasserIn] Rosalia Pascal [verfasserIn] Sara Castro-Barquero [verfasserIn] Lina Youssef [verfasserIn] Mariona Genero [verfasserIn] Leticia Benitez [verfasserIn] Marta Larroya [verfasserIn] Maria Laura Boutet [verfasserIn] Giulia Casu [verfasserIn] Alex Gomez-Gomez [verfasserIn] Oscar J. Pozo [verfasserIn] Ivette Morilla [verfasserIn] Anabel Martínez-Àran [verfasserIn] Eduard Vieta [verfasserIn] María Dolores Gómez-Roig [verfasserIn] Rosa Casas [verfasserIn] Ramon Estruch [verfasserIn] Eduard Gratacos [verfasserIn] Fàtima Crispi [verfasserIn] Francesca Crovetto [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	Mediterranean diet pregnancy anxiety well-being sleep quality

Übergeordnetes Werk:	In: Nutrients - MDPI AG, 2009, 15(2023), 10, p 2362
Übergeordnetes Werk:	volume:15 ; year:2023 ; number:10, p 2362

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/nu15102362

Katalog-ID:	DOAJ094327637

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520			\|a 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), <i<p</i< = 0.035; STAI-anxiety mean (SE) 13.6 (0.4) vs. 15.8 (0.5), <i<p</i< = 0.004) and better sleep quality (PSQI mean 7.0 ± 0.2 SE vs. 7.9 ± 0.2 SE, <i<p</i< = 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, <i<p</i< < 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.
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spelling	10.3390/nu15102362 doi (DE-627)DOAJ094327637 (DE-599)DOAJ80f746d096e042fb984dd5e056c23f42 DE-627 ger DE-627 rakwb eng TX341-641 Irene Casas verfasserin aut Effects of a Mediterranean Diet Intervention on Maternal Stress, Well-Being, and Sleep Quality throughout Gestation—The IMPACT-BCN Trial 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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), <i<p</i< = 0.035; STAI-anxiety mean (SE) 13.6 (0.4) vs. 15.8 (0.5), <i<p</i< = 0.004) and better sleep quality (PSQI mean 7.0 ± 0.2 SE vs. 7.9 ± 0.2 SE, <i<p</i< = 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, <i<p</i< < 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. Mediterranean diet pregnancy anxiety well-being sleep quality Nutrition. Foods and food supply Ayako Nakaki verfasserin aut Rosalia Pascal verfasserin aut Sara Castro-Barquero verfasserin aut Lina Youssef verfasserin aut Mariona Genero verfasserin aut Leticia Benitez verfasserin aut Marta Larroya verfasserin aut Maria Laura Boutet verfasserin aut Giulia Casu verfasserin aut Alex Gomez-Gomez verfasserin aut Oscar J. Pozo verfasserin aut Ivette Morilla verfasserin aut Anabel Martínez-Àran verfasserin aut Eduard Vieta verfasserin aut María Dolores Gómez-Roig verfasserin aut Rosa Casas verfasserin aut Ramon Estruch verfasserin aut Eduard Gratacos verfasserin aut Fàtima Crispi verfasserin aut Francesca Crovetto verfasserin aut In Nutrients MDPI AG, 2009 15(2023), 10, p 2362 (DE-627)610604155 (DE-600)2518386-2 20726643 nnns volume:15 year:2023 number:10, p 2362 https://doi.org/10.3390/nu15102362 kostenfrei https://doaj.org/article/80f746d096e042fb984dd5e056c23f42 kostenfrei https://www.mdpi.com/2072-6643/15/10/2362 kostenfrei https://doaj.org/toc/2072-6643 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 10, p 2362
allfields_unstemmed	10.3390/nu15102362 doi (DE-627)DOAJ094327637 (DE-599)DOAJ80f746d096e042fb984dd5e056c23f42 DE-627 ger DE-627 rakwb eng TX341-641 Irene Casas verfasserin aut Effects of a Mediterranean Diet Intervention on Maternal Stress, Well-Being, and Sleep Quality throughout Gestation—The IMPACT-BCN Trial 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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), <i<p</i< = 0.035; STAI-anxiety mean (SE) 13.6 (0.4) vs. 15.8 (0.5), <i<p</i< = 0.004) and better sleep quality (PSQI mean 7.0 ± 0.2 SE vs. 7.9 ± 0.2 SE, <i<p</i< = 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, <i<p</i< < 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. Mediterranean diet pregnancy anxiety well-being sleep quality Nutrition. Foods and food supply Ayako Nakaki verfasserin aut Rosalia Pascal verfasserin aut Sara Castro-Barquero verfasserin aut Lina Youssef verfasserin aut Mariona Genero verfasserin aut Leticia Benitez verfasserin aut Marta Larroya verfasserin aut Maria Laura Boutet verfasserin aut Giulia Casu verfasserin aut Alex Gomez-Gomez verfasserin aut Oscar J. Pozo verfasserin aut Ivette Morilla verfasserin aut Anabel Martínez-Àran verfasserin aut Eduard Vieta verfasserin aut María Dolores Gómez-Roig verfasserin aut Rosa Casas verfasserin aut Ramon Estruch verfasserin aut Eduard Gratacos verfasserin aut Fàtima Crispi verfasserin aut Francesca Crovetto verfasserin aut In Nutrients MDPI AG, 2009 15(2023), 10, p 2362 (DE-627)610604155 (DE-600)2518386-2 20726643 nnns volume:15 year:2023 number:10, p 2362 https://doi.org/10.3390/nu15102362 kostenfrei https://doaj.org/article/80f746d096e042fb984dd5e056c23f42 kostenfrei https://www.mdpi.com/2072-6643/15/10/2362 kostenfrei https://doaj.org/toc/2072-6643 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 10, p 2362
allfieldsGer	10.3390/nu15102362 doi (DE-627)DOAJ094327637 (DE-599)DOAJ80f746d096e042fb984dd5e056c23f42 DE-627 ger DE-627 rakwb eng TX341-641 Irene Casas verfasserin aut Effects of a Mediterranean Diet Intervention on Maternal Stress, Well-Being, and Sleep Quality throughout Gestation—The IMPACT-BCN Trial 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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), <i<p</i< = 0.035; STAI-anxiety mean (SE) 13.6 (0.4) vs. 15.8 (0.5), <i<p</i< = 0.004) and better sleep quality (PSQI mean 7.0 ± 0.2 SE vs. 7.9 ± 0.2 SE, <i<p</i< = 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, <i<p</i< < 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. Mediterranean diet pregnancy anxiety well-being sleep quality Nutrition. Foods and food supply Ayako Nakaki verfasserin aut Rosalia Pascal verfasserin aut Sara Castro-Barquero verfasserin aut Lina Youssef verfasserin aut Mariona Genero verfasserin aut Leticia Benitez verfasserin aut Marta Larroya verfasserin aut Maria Laura Boutet verfasserin aut Giulia Casu verfasserin aut Alex Gomez-Gomez verfasserin aut Oscar J. Pozo verfasserin aut Ivette Morilla verfasserin aut Anabel Martínez-Àran verfasserin aut Eduard Vieta verfasserin aut María Dolores Gómez-Roig verfasserin aut Rosa Casas verfasserin aut Ramon Estruch verfasserin aut Eduard Gratacos verfasserin aut Fàtima Crispi verfasserin aut Francesca Crovetto verfasserin aut In Nutrients MDPI AG, 2009 15(2023), 10, p 2362 (DE-627)610604155 (DE-600)2518386-2 20726643 nnns volume:15 year:2023 number:10, p 2362 https://doi.org/10.3390/nu15102362 kostenfrei https://doaj.org/article/80f746d096e042fb984dd5e056c23f42 kostenfrei https://www.mdpi.com/2072-6643/15/10/2362 kostenfrei https://doaj.org/toc/2072-6643 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 10, p 2362
allfieldsSound	10.3390/nu15102362 doi (DE-627)DOAJ094327637 (DE-599)DOAJ80f746d096e042fb984dd5e056c23f42 DE-627 ger DE-627 rakwb eng TX341-641 Irene Casas verfasserin aut Effects of a Mediterranean Diet Intervention on Maternal Stress, Well-Being, and Sleep Quality throughout Gestation—The IMPACT-BCN Trial 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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), <i<p</i< = 0.035; STAI-anxiety mean (SE) 13.6 (0.4) vs. 15.8 (0.5), <i<p</i< = 0.004) and better sleep quality (PSQI mean 7.0 ± 0.2 SE vs. 7.9 ± 0.2 SE, <i<p</i< = 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, <i<p</i< < 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. Mediterranean diet pregnancy anxiety well-being sleep quality Nutrition. Foods and food supply Ayako Nakaki verfasserin aut Rosalia Pascal verfasserin aut Sara Castro-Barquero verfasserin aut Lina Youssef verfasserin aut Mariona Genero verfasserin aut Leticia Benitez verfasserin aut Marta Larroya verfasserin aut Maria Laura Boutet verfasserin aut Giulia Casu verfasserin aut Alex Gomez-Gomez verfasserin aut Oscar J. Pozo verfasserin aut Ivette Morilla verfasserin aut Anabel Martínez-Àran verfasserin aut Eduard Vieta verfasserin aut María Dolores Gómez-Roig verfasserin aut Rosa Casas verfasserin aut Ramon Estruch verfasserin aut Eduard Gratacos verfasserin aut Fàtima Crispi verfasserin aut Francesca Crovetto verfasserin aut In Nutrients MDPI AG, 2009 15(2023), 10, p 2362 (DE-627)610604155 (DE-600)2518386-2 20726643 nnns volume:15 year:2023 number:10, p 2362 https://doi.org/10.3390/nu15102362 kostenfrei https://doaj.org/article/80f746d096e042fb984dd5e056c23f42 kostenfrei https://www.mdpi.com/2072-6643/15/10/2362 kostenfrei https://doaj.org/toc/2072-6643 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 10, p 2362
language	English
source	In Nutrients 15(2023), 10, p 2362 volume:15 year:2023 number:10, p 2362
sourceStr	In Nutrients 15(2023), 10, p 2362 volume:15 year:2023 number:10, p 2362
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Mediterranean diet pregnancy anxiety well-being sleep quality Nutrition. Foods and food supply
isfreeaccess_bool	true
container_title	Nutrients
authorswithroles_txt_mv	Irene Casas @@aut@@ Ayako Nakaki @@aut@@ Rosalia Pascal @@aut@@ Sara Castro-Barquero @@aut@@ Lina Youssef @@aut@@ Mariona Genero @@aut@@ Leticia Benitez @@aut@@ Marta Larroya @@aut@@ Maria Laura Boutet @@aut@@ Giulia Casu @@aut@@ Alex Gomez-Gomez @@aut@@ Oscar J. Pozo @@aut@@ Ivette Morilla @@aut@@ Anabel Martínez-Àran @@aut@@ Eduard Vieta @@aut@@ María Dolores Gómez-Roig @@aut@@ Rosa Casas @@aut@@ Ramon Estruch @@aut@@ Eduard Gratacos @@aut@@ Fàtima Crispi @@aut@@ Francesca Crovetto @@aut@@
publishDateDaySort_date	2023-01-01T00:00:00Z
hierarchy_top_id	610604155
id	DOAJ094327637
language_de	englisch
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callnumber-first	T - Technology
author	Irene Casas
spellingShingle	Irene Casas misc TX341-641 misc Mediterranean diet misc pregnancy misc anxiety misc well-being misc sleep quality misc Nutrition. Foods and food supply Effects of a Mediterranean Diet Intervention on Maternal Stress, Well-Being, and Sleep Quality throughout Gestation—The IMPACT-BCN Trial
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topic_title	TX341-641 Effects of a Mediterranean Diet Intervention on Maternal Stress, Well-Being, and Sleep Quality throughout Gestation—The IMPACT-BCN Trial Mediterranean diet pregnancy anxiety well-being sleep quality
topic	misc TX341-641 misc Mediterranean diet misc pregnancy misc anxiety misc well-being misc sleep quality misc Nutrition. Foods and food supply
topic_unstemmed	misc TX341-641 misc Mediterranean diet misc pregnancy misc anxiety misc well-being misc sleep quality misc Nutrition. Foods and food supply
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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
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title_full	Effects of a Mediterranean Diet Intervention on Maternal Stress, Well-Being, and Sleep Quality throughout Gestation—The IMPACT-BCN Trial
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author_browse	Irene Casas Ayako Nakaki Rosalia Pascal Sara Castro-Barquero Lina Youssef Mariona Genero Leticia Benitez Marta Larroya Maria Laura Boutet Giulia Casu Alex Gomez-Gomez Oscar J. Pozo Ivette Morilla Anabel Martínez-Àran Eduard Vieta María Dolores Gómez-Roig Rosa Casas Ramon Estruch Eduard Gratacos Fàtima Crispi Francesca Crovetto
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title_sort	effects of a mediterranean diet intervention on maternal stress, well-being, and sleep quality throughout gestation—the impact-bcn trial
callnumber	TX341-641
title_auth	Effects of a Mediterranean Diet Intervention on Maternal Stress, Well-Being, and Sleep Quality throughout Gestation—The IMPACT-BCN Trial
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), <i<p</i< = 0.035; STAI-anxiety mean (SE) 13.6 (0.4) vs. 15.8 (0.5), <i<p</i< = 0.004) and better sleep quality (PSQI mean 7.0 ± 0.2 SE vs. 7.9 ± 0.2 SE, <i<p</i< = 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, <i<p</i< < 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.
abstractGer	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), <i<p</i< = 0.035; STAI-anxiety mean (SE) 13.6 (0.4) vs. 15.8 (0.5), <i<p</i< = 0.004) and better sleep quality (PSQI mean 7.0 ± 0.2 SE vs. 7.9 ± 0.2 SE, <i<p</i< = 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, <i<p</i< < 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.
abstract_unstemmed	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), <i<p</i< = 0.035; STAI-anxiety mean (SE) 13.6 (0.4) vs. 15.8 (0.5), <i<p</i< = 0.004) and better sleep quality (PSQI mean 7.0 ± 0.2 SE vs. 7.9 ± 0.2 SE, <i<p</i< = 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, <i<p</i< < 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.
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title_short	Effects of a Mediterranean Diet Intervention on Maternal Stress, Well-Being, and Sleep Quality throughout Gestation—The IMPACT-BCN Trial
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author2	Ayako Nakaki Rosalia Pascal Sara Castro-Barquero Lina Youssef Mariona Genero Leticia Benitez Marta Larroya Maria Laura Boutet Giulia Casu Alex Gomez-Gomez Oscar J. Pozo Ivette Morilla Anabel Martínez-Àran Eduard Vieta María Dolores Gómez-Roig Rosa Casas Ramon Estruch Eduard Gratacos Fàtima Crispi Francesca Crovetto
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