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Causal effects of important dietary habits on the risk of postpartum depression: A two-sample and multivariable Mendelian randomization study
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  • Jiangli Lan,
  • Yanqiong Zhou,
  • Lingyan Deng,
  • Huan Liu,
  • Wei Hong,
  • Ren Jing,
  • Jianqiu Zheng
Jiangli Lan
Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region
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Yanqiong Zhou
Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region
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Lingyan Deng
Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region
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Huan Liu
Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region
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Wei Hong
Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region
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Ren Jing
Shenzhen University
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Jianqiu Zheng
Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region

Corresponding Author:zjq-1008@163.com

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Abstract

Objective: Observational studies have described that dietary habits are associated with postpartum depression (PPD), but these results are liable to influence by residual confounding. We aimed to identify the causal effects of dietary habits on PPD by applying the Mendelian randomization (MR) method. Design: A two-sample MR study. Setting: Summary statistics from published genome wide association studies (GWAS) in European ancestry populations. Population or Sample: Instrumental variants for 23 dietary habits were obtained from 11 studies on 3,831,176 participants. Methods: Two-sample MR framework and sensitiviry analyses were performed to examine the causal association between all exposures and PPD. Main Outcome Measures: Genetic association estimate for PPD was extracted from the FINNGEN consortium. Result: Higher genetically predicted selenium (odds ratio [OR] per standard deviation 1.32e+05, 95% confidence interval [CI] 19.827 to 8.75e+08, P = 0.009) and vitamin B12 (OR 4.24e+14, 95% CI 63.742 to 2.82e+27, P = 0.025) increased the risk of PPD. However, fish oil (OR 4.03e-03, 95% CI 3.81e-03 to 0.427, P = 0.026) reduced the risk of PPD. Conclusions: This MR study provides robust evidence that selenium and vitamin B12 increases the risk of PPD, meanwhile fish oil decreases the risk of PPD. It suggested that adjustments targeting selenium, vitamin B12, and fish oil may contribute to the primary prevention of PPD.
08 Sep 2024Submitted to BJOG: An International Journal of Obstetrics and Gynaecology
10 Sep 2024Submission Checks Completed
10 Sep 2024Assigned to Editor
10 Sep 2024Review(s) Completed, Editorial Evaluation Pending
22 Sep 2024Reviewer(s) Assigned