Relationship between dietary pattern and depressive symptoms: an international multicohort study

International Journal of Behavioral Nutrition and Physical Activity

Research

Tao Huang¹  Qiyu Jia²  Kun Song²  Ming Zhou²  Shaomei Sun²  Qing Zhang²  Xing Wang²  Li Liu²  Yeqing Gu³  Hong Chang⁴  Ge Meng⁵  Juanjuan Zhang⁶  Hongmei Wu⁶  Xuena Wang⁶  Shunming Zhang⁶  Tingjing Zhang⁶  Hanzhang Wu⁷  Kaijun Niu⁸ 

[1] Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, China;Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China;Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, China;Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China;Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China;Department of Toxicology and Health Inspection and Quarantine, School of Public Health, Tianjin Medical University General Hospital, Tianjin, China;School of Public Health, Tianjin University of Traditional Chinese Medicine, 10 Poyanghu Road, West Area, Tuanbo New Town, 301617, Tianjin, Jinghai District, China;Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China;School of Public Health, Tianjin University of Traditional Chinese Medicine, 10 Poyanghu Road, West Area, Tuanbo New Town, 301617, Tianjin, Jinghai District, China;School of Integrative Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, China;Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China;School of Public Health, Tianjin University of Traditional Chinese Medicine, 10 Poyanghu Road, West Area, Tuanbo New Town, 301617, Tianjin, Jinghai District, China;School of Integrative Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, China;Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China;Institute of Radiation Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, China;Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China;Tianjin Key Laboratory of Environment, Nutrition and Public Health, Tianjin, China;Center for International Collaborative Research on Environment, Nutrition and Public Health, Tianjin, China;

关键词: Dietary pattern;    Depressive symptoms;    Cohort studies;    Adults;   

DOI  :  10.1186/s12966-023-01461-x

 received in 2022-07-07, accepted in 2023-04-30,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundSeveral previous studies have shown that dietary patterns are associated with the incidence of depressive symptoms. However, the results have been inconsistent. This study aimed to prospectively investigate the association between dietary patterns and the risk of depressive symptoms in two large cohort studies.MethodsThe Tianjin Chronic Low-grade Systemic Inflammation and Health (TCLSIH) cohort study included a total of 7,094 participants living in Tianjin, China from 2013 to 2019, and the UK Biobank cohort study includes 96,810 participants who were recruited from 22 assessment centers across the UK taken between 2006 and 2010. All participants were free of a history of cardiovascular disease (CVD), cancer, and depressive symptoms at baseline. Dietary patterns at baseline were identified with factor analysis based on responses to a validated food frequency questionnaire in TCLSIH or Oxford WebQ in UK Biobank. Depressive symptoms were evaluated using the Chinese version of the Zung Self-Rating Depression Scale (SDS) in TCLSIH or hospital inpatient records in UK Biobank. Cox proportional hazards regression models were used to estimate the association between dietary patterns and depressive symptoms.ResultsA total of 989, and 1,303 participants developed depressive symptoms during 17,410 and 709,931 person-years of follow-up. After adjusting for several potential confounders, the multivariable HRs (95% CIs) of the depressive symptoms were 0.71 (0.57, 0.88) for traditional Chinese dietary pattern, 1.29 (1.07, 1.55) for processed animal offal included animal food dietary pattern, and 1.22 (1.02, 1.46) for sugar rich dietary pattern in TCLSIH (all Q4 vs Q1). In the UK Biobank, the HRs (95% CIs) of depressive symptoms were 1.39 (1.16, 1.68) for processed food dietary pattern (Q4 vs Q1), 0.90 (0.77, 1.00) for healthy dietary pattern (Q3 vs Q1), and 0.89 (0.75, 1.05) for meat dietary pattern (Q4 vs Q1) in the final adjusted model.ConclusionDietary patterns rich in processed foods were associated with a higher risk of depressive symptoms, and following a traditional Chinese dietary pattern or healthy dietary pattern was associated with a lower risk of depressive symptoms, whereas meat dietary pattern was not associated.

【 授权许可】

CC BY   
© The Author(s) 2023

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