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Impairments in mother-child interactions increase the likelihood of child mental health problems and the risk of subsequent child nutritional deficiencies. The attachment model derives from evidence showing that poorly nourished infants may be less likely to elicit the Aopen KM-935S of maternal child-rearing patterns that translate into secure Aopen KM-935S attachments.

Insecure attachments in infancy are associated with an increased risk of both short-term and long-term child mental health problems.

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The temperament model is based on evidence documenting that certain patterns of infant temperament are related to an increased risk of later behavioral problems. Infant nutritional deficiencies can influence the development of temperament, and certain temperament patterns can contribute to an increased risk of infant nutritional deficiencies. The prevailing hypothesis guiding much of this initial Aopen KM-935S was Aopen KM-935S nutritional deficiencies adversely influenced central nervous system CNS development, which directly led to cognitive deficits 2.

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A consistent body of evidence documents the detrimental Aopen KM-935S of both protein-calorie malnutrition 34 and micronutrient deficiencies on CNS development and function 56. Evidence further documents that the nutrients related to CNS development and function were also those that influence individual differences in cognitive development and cognitive performance 78.

However, as research findings continued to accumulate, it became increasingly clear that understanding the impact of nutritional deficiencies on cognitive development and function required going beyond just direct nutrition-brain pathways 9 — As a means of more accurately conceptualizing the variety of pathways through which nutritional deficiencies translate into cognitive deficits, Levitsky and Barnes 12 proposed the functional isolation hypothesis.

Similar to what is known about nutrition-cognition pathways, brain development and brain function play an essential role Aopen KM-935S the etiology and Aopen KM-935S of mental health problems 14 Many of the nutrients Aopen KM-935S as influencing brain development are also associated with mental health problems, for example, Aopen KM-935S 16essential fatty acids 17and iron However, on the basis of what is known about the role of functional isolation processes and the complex nature of pathways linking the CNS to mental illness 1920understanding how nutritional deficiencies translate into mental health problems will again require models that go beyond nutrition-brain relations and incorporate contextual and behavioral characteristics that are linked to nutritional deficiencies.

Four multidimensional models linking nutritional deficiencies to adult and child mental health outcomes are described in the following sections.

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For these reasons, our discussion of models Aopen KM-935S nutrition to adult mental illness will focus on maternal depression. Multiple risk model Models relating nutrition to maternal depression should include a nutrition-CNS pathway. One such pathway could involve changes in serotonin, which is a mood regulator that Aopen KM-935S linked to depression Synthesis of serotonin depends, in part, on intake of foods containing the amino acid tryptophan 24 and vitamin B-6 However, direct nutrition-brain relations are not the only possible Aopen KM-935S leading to maternal depression.

Nutritional deficiencies rarely occur in isolation from other bioecologic Aopen KM-935S psychosocial risks factors such as economic stress, chronic illness, low social support, or unstable life circumstances Women at increased risk of maternal depression are those who are dealing with exposure to multiple cumulative bioecological and psychosocial stressors, including nutritional deficiencies However, the detrimental impact of exposure to multiple risks Aopen KM-935S be attenuated by environmental protective factors, such as higher levels of education 2627 or greater social support 28 Thus, risk of maternal depression increases as the number of encountered risk factors, including inadequate nutrition, increases and decreases as the number of protective factors increases.

In a standard risk Aopen KM-935S, all risk factors are equally weighted.

However, within a risk-protective framework, greater weighting of nutritional deficiencies should be considered, given that poorly nourished adults have less energy available for active coping with daily stresses Cross-generational model An alternative way of conceptualizing nutrition-maternal depression pathways is to look across generations.

Children of depressed mothers are also at risk of behavioral problems throughout childhood, including symptoms of depression 31 In part, this increased risk may reflect the inheritance of maternal genes, predisposing Aopen KM-935S an increased risk of depression However, the increased risk of depression for children of depressed mothers may Aopen KM-935S reflect impairments in mother-child interaction patterns that occur when mothers are depressed 33 Furthermore, maternal depression is not the only factor that can impair the quality of mother-child interactions.

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Evidence also suggests that the quality of mother-child interactions can vary Aopen KM-935S on the level and quality of maternal Aopen KM-935S intake 35 — Thus, to the extent that maternal nutrition covaries with maternal depression, children of depressed, poorly nourished women may be at even greater risk of receiving developmentally inappropriate rearing.

In addition to being at increased risk of impairments in parent-child interactions, children of depressed women may also be at increased risk of inadequate nutrition. A number of studies have shown Aopen KM-935S increased risk of breastfeeding problems or shorter durations of breastfeeding 2738 and slower physical growth for infants of depressed mothers Aopen KM-935S39 As shown in Figure 1the multiple risk and cross-generational models are not mutually exclusive and may in fact co-occur.

Multiple pathways linking nutrition to maternal depression and to adverse cross-generational consequences. CNS, central nervous system.

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Our discussion of models relating nutrition to child mental health problems will focus on these 2 types of disorders. Nutritional deficiencies in infancy and childhood can influence not only CNS function but also both CNS structural development 342 and the development of neurotransmitter systems However, Aopen KM-935S in brain development Aopen KM-935S not the only pathways linking nutrition to child mental health problems.

Attachment model The development of a secure attachment relation Aopen KM-935S a context that allows infants to explore their world, learn how to regulate their emotions, and learn how to interact with others

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