were assessed based on the Edinburgh Postnatal Depression Scale. The two outcomes were different; in fact, the prevalence of depressive symptoms during pregnancy was 19.3%, while the prevalence of postpartum… Click to show full abstract
were assessed based on the Edinburgh Postnatal Depression Scale. The two outcomes were different; in fact, the prevalence of depressive symptoms during pregnancy was 19.3%, while the prevalence of postpartum depressive symptoms at 3–4 months postpartum was 8.2%. We would prefer not to perform a simultaneous assessment of the two different outcomes. Using baseline data from the Kyushu Okinawa Maternal and Child Health Study, milk intake was not associated with the prevalence of depressive symptoms during pregnancy, while yogurt intake was significantly inversely related to depressive symptoms during pregnancy [6]. Thus, intake of yogurt, but not of milk, was included in the multivariate model in our recent paper [1]. Nevertheless, intake of milk, but not of yogurt, was significantly inversely associated with the risk of postpartum depressive symptoms [5]. These inconsistent results may be ascribed to the two different outcomes. Again, we express our appreciation for Professor Kawada’s comment.
               
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