Associations of depressive symptoms and history with three a priori diet quality indices in middle-aged and older adults

JOURNAL OF AFFECTIVE DISORDERS

卷:249

Article

Elstgeest, Liset E. M.¹  Winkens, Laura H. H.¹  Penninx, Brenda W. J. H.²  Brouwer, Ingeborg A.¹  Visser, Marjolein¹ 

[1] Vrije Univ Amsterdam, Fac Sci, Amsterdam Publ Hlth Res Inst, Dept Hlth Sci, Boelelaan 1085, NL-1081 HV Amsterdam, Netherlands

[2] Vrije Univ Amsterdam, Dept Psychiat, Amsterdam Publ Hlth Res Inst, Amsterdam UMC, Oldenaller 1, NL-1081 HJ Amsterdam, Netherlands

关键词: Depression;    Mediterranean diet;    MDS;    AHEI;    DASH;    Reverse causality;   

DOI  :  10.1016/j.jad.2019.02.004

来源: Elsevier

【 摘 要 】

Background: Evidence for the diet-depression link is growing but longitudinal studies on the reverse association are scarce. We investigated associations of (1) current depressive symptoms, (2) short-term changes in and (3) long-term history of depressive symptoms with three a priori diet quality indices. Methods: Data were from participant (>= 55 years) of the Longitudinal Aging Study Amsterdam (LASA). The Mediterranean Diet Score (MDS), Alternative Healthy Eating Index (AHEI-2010) and Dietary Approaches to Stop Hypertension diet (DASH) were derived in 2014/2015. Depressive symptoms (Center for Epidemiologic Studies Depression scale; CES-D) were assessed in 2014/2015 and at five regular 3-yearly cycles from 2001-2003 to 2015/2016. Associations between three depression determinants and the diet indices were analysed by multivariable linear regression models. Results: Cross-sectionally (n = 1312), current depressive symptoms (CES-D >= 16) were associated with lower MDS (adjusted B = -1.21, 95%CI = - 2.41, - 0.023) and AHEI (B = -2.72, 95%CI = - 5.24, - 0.20) scores in men only. Chronic/recurrent depressive symptoms (CES-D >= 16 in both 2011-2013 and 2015/2016) were associated with lower MDS scores (n = 1233; B = -2.22, 95%CI = - 3.40, -1.04) and a trend for lower AHEI scores (B = - 2.37, 95%CI = - 4.92, 0.18), compared to no depressive symptoms (twice CES-D < 16). History of depressive symptoms (ever CES-D >= 16 from 2001-2003 to 2011-2013; n = 687) was associated with lower MDS (B = -1.87, 95%CI = -3.47, -0.27) and AHEI (B = -4.33, 95%CI = -7.54, -1.13) scores in men only. No associations were found with the DASH score. Limitations: Single dietary data collection impeded investigation of prospective depression-diet associations. Conclusions: Our study in middle-aged and older adults suggests that current and past depressive symptoms are associated with poorer diet quality, particularly in men.

【 授权许可】

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