Mediterranean dietary pattern and prevalence and incidence of depressive symptoms in mid-aged women: results from a large community-based prospective study
Mediterranean dietary pattern and prevalence and incidence of depressive symptoms in mid-aged women: results from a large community-based prospective study
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DOI：
10.1038/ejcn.2012.193
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发表时间：
2013-01-01
影响因子：
4.7
通讯作者：
Mishra, G. D.
中科院分区：
文献类型：
--
作者：
Rienks, J.;Dobson, A. J.;Mishra, G. D.
背景/目的：利用澳大利亚妇女健康纵向研究的中年队列数据，研究饮食模式与3年后抑郁症状的患病率和发生率之间的关系。2001年和2004年使用经过验证的10项流行病学研究中心抑郁量表对抑郁症状进行了测量。对8369名女性进行了横断面分析(8369名)和纵向分析(7588名)，在调整了社会人口学和生活方式因素的同时，对饮食结构与抑郁症状发生率的关系进行了纵向分析(6060名)。结果：因素分析确定了6种饮食模式：熟蔬菜、水果、地中海风味、肉类和加工肉类、乳制品以及高脂肪和高糖。在2001年，地中海式饮食的摄入量越多，抑郁症状的患病率越低，调整后的优势比为0.82(95%可信区间为0.77-0.88)；从纵向来看，2004年抑郁症状的发生率较低，调整后的优势比为0.83(0.75-0.91)。在对混杂因素进行调整后，没有发现与其他饮食模式有统计学意义的相关性。当女性按地中海式饮食的五分位数分组时，发现了横截面的剂量-反应关系(趋势的P值
BACKGROUND/OBJECTIVES:To investigate the association between dietary patterns and prevalence and incidence 3 years later of depressive symptoms using data from the mid-aged cohort in the Australian Longitudinal Study on Women's Health.SUBJECTS/METHODS: Participants (aged 50-55 years) completed a food frequency questionnaire in 2001. Depressive symptoms were measured in 2001 and 2004 using the validated 10-item Centre for Epidemiologic Studies Depression scale. Multiple logistic regression was used for cross-sectional analysis (8369 women) and longitudinal analysis (7588) to assess the associations between dietary patterns and prevalence of depressive symptoms, and then for longitudinal analysis (6060) on their associations with the incidence of depressive symptoms in 2004, while adjusting for sociodemographic and lifestyle factors.RESULTS: Six dietary patterns were identified from factor analysis: cooked vegetables, fruit, Mediterranean style, meat and processed meat, dairy, and high fat and sugar. A higher consumption of the Mediterranean-style diet had a cross-sectional association with lower prevalence of depressive symptoms in 2001, adjusted odds ratio 0.82 (95% confidence interval 0.77-0.88); and longitudinally with lower incidence of depressive symptoms in 2004, adjusted odds ratio 0.83 (0.75-0.91). None of the associations found for other dietary patterns remained statistically significant after adjustment for confounders. A dose-response relationship was found cross-sectionally when women were grouped according to quintiles of Mediterranean-style diet (P-value for trend