Fruit and vegetable intake, physical activity, and depressive symptoms in the African American Health (AAH) study.
Fruit and vegetable intake, physical activity, and depressive symptoms in the African American Health (AAH) study.
复制标题
非裔美国人健康 (AAH) 研究中的水果和蔬菜摄入量、体力活动和抑郁症状。
DOI：
10.1016/j.jad.2017.05.038
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发表时间：
2017
影响因子：
6.6
通讯作者：
Miller,DouglasK
中科院分区：
文献类型：
--
作者：
Ribeiro,SandraML;Malmstrom,TheodoreK;Morley,JohnE;Miller,DouglasK
背景健康的饮食和体力活动（PA）已与减少抑郁症状，但很少有研究同时检查他们在AfricanAmerican.AimsTo调查水果和蔬菜摄入量（FVI）和PA作为预测的临床相关水平的抑郁症状（CRLDS）在AfricanAmerican. MethodsAfricanAmericanHealth（AAH）是一项基于人口的纵向研究，非洲裔美国人在圣路易斯，密苏里州，出生于1936-1950年（含），2000-01年（第一波）入选。在第8波，参与者自我报告水果和蔬菜摄入量（FVI），并完成耶鲁体育活动量表。在第8波和第10波时，使用CES-D 11项量表识别符合CRLDS标准的患者。采用序贯逻辑回归模型，从横截面（n = 680，包括插补值）和纵向（n = 582，包括插补值）两个方面检查FVI/PA组分与CRLDS的相关性。建模雇用性别，年龄，收入充足，和教育作为潜在的confurerers.ResultsCross-sectionally，充满活力的PA，悠闲地走PA，独立与较低的CRLDS的几率，但在所有的第五个模型和绿色蔬菜模型。纵向上，绿色蔬菜和FVI总分，PA总分和其他因素之间的相互作用在第8波与CRLDS在第10波最一致。在这两个横截面和纵向模型，社会经济变量表现出最强的关联CRLDS.LimitationsBoth FVI和PA的风险因素是自我报告，而不是观察，我们的队列有有限的地理和年龄范围，和置信区间为一些results were broad.ConclusionsGreen蔬菜，总FVI，和PA的各个方面表现出保护作用CRLDS。因此，推广这种生活方式可能有助于预防该人群的CRLDS。
BackgroundHealthy diet and physical activity (PA) have been associated with reduced depressive symptoms, but few studies have examined them simultaneously in African Americans.AimsTo investigate fruit and vegetable intake (FVI) and PA as predictors of clinically-relevant levels of depressive symptoms (CRLDS) in African Americans.MethodsAfrican American Health (AAH) is a population-based longitudinal study of African Americans in St. Louis, MO, who were born in 1936–1950 (inclusive) and empaneled in 2000-01 (wave 1). At wave 8, participants self-reported fruit and vegetable intake (FVI) and completed the Yale Physical Activity Scale. At both waves 8 and 10, the CES-D 11-item scale was used to identify those who met criteria for CRLDS. Sequential logistic regression modeling was used to examine the associations of components of FVI/PA with CRLDS, both cross-sectionally (n = 680, including imputed values) and longitudinally (n = 582, including imputed values). Modeling employed gender, age, perceived income adequacy, and education as potential confounders.ResultsCross-sectionally, vigorous PA, and leisurely walking PA, were independently associated with lower odds of CRLDS in all but the fifth model and green vegetables in all models. Longitudinally, green vegetables and interactions between the FVI summary score, the PA summary score, and other factors at wave 8 were most consistently associated with CRLDS at wave 10. In both cross-sectional and longitudinal models, the socioeconomic variables showed the strongest association as risk factors for CRLDS.LimitationsBoth FVI and PA were self-reported rather than observed, our cohort had limited geographic- and age-ranges, and confidence intervals for some results were broad.ConclusionsGreen vegetables, total FVI, and various aspects of PA showed protective effects regarding CRLDS. Therefore, the promotion of such lifestyles is likely to help prevent CRLDS in this population.