Higher Healthy Eating Index-2005 Scores Associated with Reduced Symptoms of Depression in an Urban Population: Findings from the Healthy Aging in Neighborhoods of Diversity Across the Life Span (HANDLS) Study
Higher Healthy Eating Index-2005 Scores Associated with Reduced Symptoms of Depression in an Urban Population: Findings from the Healthy Aging in Neighborhoods of Diversity Across the Life Span (HANDLS) Study
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DOI：
10.1016/j.jada.2009.11.025
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发表时间：
2010-03-01
影响因子：
--
通讯作者：
Zonderman, Alan B.
中科院分区：
文献类型：
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作者：
Kuczmarski, Marie Fanelli;Sees, Alexandra Cremer;Zonderman, Alan B.
每年有超过1500万美国人受到抑郁症的影响。与身体健康相比，人们对饮食质量对抑郁症症状的影响知之甚少。目的探讨城市低收入人群饮食质量与抑郁症状的关系。受试者/设置受试者包括1118名非裔美国人和白人成年人，年龄在30至64岁之间，居住在马里兰州巴尔的摩，代表了跨生命周期多样性社区健康老龄化研究的初始检查和招募阶段的子样本。方法营养数据基于两次24小时膳食召回，由训练有素的采访者使用美国农业部自动多次通过方法收集。饮食质量采用美国农业部健康饮食指数(HEI)-2005进行计算。抑郁症状由训练有素的采访者使用流行病学研究中心抑郁量表进行评估。统计分析采用线性和逻辑回归分析来检验饮食质量是否与抑郁症状相关。因变量为抑郁症状，自变量包括HEI-2005、种族、性别、年龄、教育程度、收入和食品援助计划参与情况。结果平均HEI-2005评分为52.17 +/- 0.40（满分100分）。流行病学研究中心抑郁量表平均得分为11.64 +/- 0.25（满分40分）。饮食质量与报告的抑郁症状显著相关。然而，与饮食质量、教育程度和性别相比，收入是抑郁症的显著预测因素。结论注册营养师应了解心理状态与营养健康之间的关系，帮助客户更好地管理他们的食物选择，以改善他们的整体健康和生活质量。[J]中华医学会杂志，2010;11:383-389。
Background Depression affects more than 15 million Americans in a given year. Compared to physical health, less is known about the affect of diet quality on symptoms of depression.Objective This study investigated the relationship between diet quality and reported symptoms of depression in a low-income urban population.Subjects/setting Subjects included 1,118 African-American and white adults, aged 30 to 64 years, living in Baltimore, MD, and represented a subsample of the initial examination and recruitment phase of the Healthy Aging in Neighborhoods of Diversity across the Life Span study.Methods Nutrition data were based on two 24-hour dietary recalls collected by trained interviewers using the US Department of Agriculture Automated Multiple Pass Method. Diet quality was calculated using the US Department of Agriculture Healthy Eating Index (HEI)-2005. Depressive symptoms were assessed by a trained interviewer using the Center for Epidemiologic Studies Depression scale.Statistical analysis Both linear and logistic regression analyses were used to examine whether or not diet quality was associated with depressive symptoms. The dependent variable was depressive symptoms and independent variables included HEI-2005, race, sex, age, education, income, and food-assistance program participation.Results Mean HEI-2005 score was 52.17 +/- 0.40 (out of 100). Mean Center for Epidemiologic Studies Depression scale score was 11.64 +/- 0.25 (out of 40). Diet quality was significantly associated with reported symptoms of depression. However, income was a significantly stronger predictor of depression compared to diet quality, education, and sex.Conclusions Registered dietitians should be aware of relationships between psychological status and nutritional health when assisting clients to better manage their food choices to improve their overall health and quality of life. J Am Diet Assoc. 2010;110:383-389.