Dietary diversity and depression: cross-sectional and longitudinal analyses in Spanish adult population with metabolic syndrome. Findings from PREDIMED-Plus trial

Objective: To examine the cross-sectional and longitudinal (2-year follow-up) associations between dietary diversity (DD) and depressive symptoms. Design: An energy-adjusted dietary diversity score (DDS) was assessed using a validated FFQ and was categorised into quartiles (Q). The variety in each f...

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Autores: Cano-Ibáñez, Naomi, Serra-Majem, Lluis, Martín-Peláez, Sandra, Martínez-González, Miguel Ángel, Salas-Salvadó, Jordi, Corella, Dolores, Lassale, Camille, Martínez, Jose Alfredo, Alonso-Gómez, Ángel M, Wärnberg, Julia, Vioque, Jesús, Romaguera, Dora, López-Miranda, José, Estruch, Ramon, Gómez-Pérez, Ana María, Lapetra, José, Fernández-Aranda, Fernando, Bueno-Cavanillas, Aurora, Tur, Josep A, Cubelos, Naiara, Pintó, Xavier, Gaforio, José Juan, Matía-Martín, Pilar, Vidal, Josep, Calderón, Cristina, Daimiel, Lidia, Ros, Emilio, Gea, Alfredo, Babio, Nancy, Gimenez-Alba, Ignacio Manuel, Zomeño-Fajardo, María Dolores, Abete, Itziar, Tojal Sierra, Lucas, Romero-Galisteo, Rita P, García de la Hera, Manoli, Martín-Padillo, Marian, García-Ríos, Antonio, Casas, Rosa M, Fernández-García, José Carlos, Santos-Lozano, José Manuel, Toledo, Estefanía, Becerra-Tomas, Nerea, Sorli, Jose V, Schröder, Helmut, Zulet, María A, Sorto-Sánchez, Carolina, Diez-Espino, Javier, Gómez-Martínez, Carlos, Fitó, Montse, Sánchez-Villegas, Almudena
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/18717
Acceso en línea:http://hdl.handle.net/20.500.12105/18717
Access Level:acceso abierto
Palabra clave:Depression
Dietary diversity score
PREDIMED-Plus study
Descripción
Sumario:Objective: To examine the cross-sectional and longitudinal (2-year follow-up) associations between dietary diversity (DD) and depressive symptoms. Design: An energy-adjusted dietary diversity score (DDS) was assessed using a validated FFQ and was categorised into quartiles (Q). The variety in each food group was classified into four categories of diversity (C). Depressive symptoms were assessed with Beck Depression Inventory-II (Beck II) questionnaire and depression cases defined as physician-diagnosed or Beck II >= 18. Linear and logistic regression models were used. Setting: Spanish older adults with metabolic syndrome (MetS). Participants: A total of 6625 adults aged 55-75 years from the PREDIMED-Plus study with overweight or obesity and MetS. Results: Total DDS was inversely and statistically significantly associated with depression in the cross-sectional analysis conducted; OR Q4 v. Q1 = 0·76 (95 % CI (0·64, 0·90)). This was driven by high diversity compared to low diversity (C3 v. C1) of vegetables (OR = 0·75, 95 % CI (0·57, 0·93)), cereals (OR = 0·72 (95 % CI (0·56, 0·94)) and proteins (OR = 0·27, 95 % CI (0·11, 0·62)). In the longitudinal analysis, there was no significant association between the baseline DDS and changes in depressive symptoms after 2 years of follow-up, except for DD in vegetables C4 v. C1 = (β = 0·70, 95 % CI (0·05, 1·35)). Conclusions: According to our results, DD is inversely associated with depressive symptoms, but eating more diverse does not seem to reduce the risk of future depression. Additional longitudinal studies (with longer follow-up) are needed to confirm these findings.

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