Longitudinal adherence to a dietary pattern and risk of depressive symptoms: the Furukawa Nutrition and Health Study
Longitudinal adherence to a dietary pattern and risk of depressive symptoms: the Furukawa Nutrition and Health Study
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DOI：
10.1016/j.nut.2017.10.023
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发表时间：
2018-04-01
期刊：
影响因子：
4.4
通讯作者：
Mizoue, Tetsuya
中科院分区：
文献类型：
--
作者：
Miki, Takako;Eguchi, Masafumi;Mizoue, Tetsuya
目的：我们探讨了日本员工 3 年坚持基于可能与情绪相关的营养素的饮食模式与抑郁症状发展之间的关系。方法：参与者为 903 名基线时没有抑郁症状并参加 3 年随访的员工。有抑郁症状的参与者被定义为流行病学研究中心抑郁量表得分≥16的参与者。饮食模式是在基线和 3 年随访调查中使用降阶回归得出的，该调查使用经过验证的自我管理饮食史问卷。根据基线和后续调查之间饮食模式得分的变化，参与者被分为四组：保持高分、得分提高、得分下降和保持低分。根据饮食模式评分的变化，使用逻辑回归来估计抑郁症状的比值比。结果：3年以上保持或改善富含蔬菜、蘑菇、海藻、豆制品、绿茶、土豆、水果和鱼、低米饭的饮食与抑郁症状风险降低相关。维持高分与维持低分相比，出现抑郁症状的多变量调整比值比（95%置信区间）为0.57（0.35-0.93），改善分数与维持低分相比为0.54（0.29-1.01）。与严重抑郁状态的关联更为明显。结论：日本员工中，保持或提高对降阶回归得出的饮食模式的坚持与较低的抑郁风险相关。 (C) 2017 Elsevier Inc. 保留所有权利。
Objective: We explored the association of 3-year adherence to a dietary pattern based on nutrients that may be related to mood with the development of depressive symptoms in Japanese employees.Methods: Participants were 903 employees free from depressive symptoms at baseline and who attended the 3-year follow-up. Participants with depressive symptoms were defined as those with a score >= 16 on the Center for Epidemiologic Studies Depression Scale. Dietary patterns were derived using reduced rank regression at baseline and at the 3-year follow-up survey using a validated, self-administered diet history questionnaire. Based on changes in dietary pattern scores between baseline and follow-up surveys, participants were categorized into four groups: Maintained high scores, improved scores, decreased scores, and maintained low scores. Logistic regression was used to estimate odds ratios of depressive symptoms according to changes in dietary pattern scores.Results: Maintaining high or improving adherence to a diet rich in vegetables, mushrooms, seaweeds, soybean products, green tea, potatoes, fruits, and fish and low in rice over 3 y was associated with a decreased risk of depressive symptoms. The multivariable-adjusted odds ratio (95% confidence intervals) of developing depressive symptoms for maintained high scores versus maintained low scores was 0.57 (0.35-0.93) and for improved scores versus maintained low scores was 0.54 (0.29-1.01). The association with the severe depressive status was more pronounced.Conclusion: Maintaining high or improving adherence to a dietary pattern derived by reduced-rank regression is associated with a lower risk of depression among Japanese employees. (C) 2017 Elsevier Inc. All rights reserved.