The Association Between Habitual Diet Quality and the Common Mental Disorders in Community-Dwelling Adults: The Hordaland Health Study
The Association Between Habitual Diet Quality and the Common Mental Disorders in Community-Dwelling Adults: The Hordaland Health Study
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DOI：
10.1097/psy.0b013e318222831a
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发表时间：
2011-07-01
影响因子：
3.3
通讯作者：
Tell, Grethe S.
中科院分区：
文献类型：
--
作者：
Jacka, Felice N.;Mykletun, Arnstein;Tell, Grethe S.
目的：最近的证据表明饮食质量在常见精神障碍抑郁和焦虑中的作用。我们的目的是调查挪威成年人饮食质量、饮食模式和常见精神障碍之间的关系。方法：这项横断面研究包括5731名年龄在46 - 49岁和70 - 74岁之间的男性和女性。使用有效的食物频率问卷评估习惯性饮食，使用医院焦虑和抑郁量表测量心理健康。结果：在调整了年龄、教育程度、收入、体力活动、吸烟和饮酒等变量后，健康饮食质量评分与女性抑郁（比值比[OR] = 0.71, 95%可信区间[CI] = 0.59-0.84）和焦虑（OR = 0.77, 95% CI = 0.68-0.87）呈负相关，与男性抑郁（OR = 0.83, 95% CI = 0.70-0.99）呈负相关。在健康饮食模式上得分较高的女性更不容易抑郁（OR = 0.68, 95% CI = 0.57-0.82）或焦虑（OR = 0.87, 95% CI = 0.77-0.98），而男性更容易焦虑（OR = 1.19, 95% CI = 1.03-1.38）。传统的挪威饮食模式也与女性抑郁（OR = 0.77, 95% CI = 0.64-0.92）和男性焦虑（OR = 0.77, 95% CI = 0.61-0.96）的减少有关。在最终调整能量摄入之前，西式饮食与男性（OR = 1.27, 95% CI = 1.14-1.42）和女性（OR = 1.29, 95% CI = 1.17-1.43）的焦虑增加有关。结论：在这项研究中，饮食质量较好的人患抑郁症的可能性较小，而加工食品和不健康食品的摄入量较高则与焦虑增加有关。
Objective: Recent evidence suggests a role for diet quality in the common mental disorders depression and anxiety. We aimed to investigate the association between diet quality, dietary patterns, and the common mental disorders in Norwegian adults. Methods: This cross-sectional study included 5731 population-based men and women aged 46 to 49 and 70 to 74 years. Habitual diet was assessed using a validated food frequency questionnaire, and mental health was measured using the Hospital Anxiety and Depression Scale. Results: After adjustments for variables including age, education, income, physical activity, smoking, and alcohol consumption, an a priori healthy diet quality score was inversely related to depression (odds ratio [ OR] = 0.71, 95% confidence interval [ CI] = 0.59-0.84) and anxiety (OR = 0.77, 95% CI = 0.68-0.87) in women and to depression (OR = 0.83, 95% CI = 0.70-0.99) in men. Women scoring higher on a healthy dietary pattern were less likely to be depressed (OR = 0.68, 95% CI = 0.57-0.82) or anxious (OR = 0.87, 95% CI = 0.77-0.98), whereas men were more likely to be anxious (OR = 1.19, 95% CI = 1.03-1.38). A traditional Norwegian dietary pattern was also associated with reduced depression in women (OR = 0.77, 95% CI = 0.64-0.92) and anxiety in men (OR = 0.77, 95% CI = 0.61-0.96). A western-type diet was associated with increased anxiety in men (OR = 1.27, 95% CI = 1.14-1.42) and women (OR = 1.29, 95% CI = 1.17-1.43) before final adjustment for energy intake. Conclusions: In this study, those with better quality diets were less likely to be depressed, whereas a higher intake of processed and unhealthy foods was associated with increased anxiety.