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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Detalles Bibliográficos
Autores: Cano Ibáñez, Naomi, Serra Majem, Lluís, Martín Peláez, Sandra, Martínez González, Miguel Ángel, Salas Salvadó, Jordi, Corella, Dolores, Lassale, Camille, Martínez, J. Alfredo, Alonso Gómez, Ángel María, Wärnberg, Julia, Vioque, Jesús, Romaguera, Dora, López Miranda, José, Estruch, Ramón, Gómez Pérez, Ana María, Lapetra, José, Fernández Aranda, Fernando, Bueno Cavanillas, Aurora, Tur, Josep A., Cubelos Fernández, Naiara, Pintó, Xavier, Gaforio, José Juan, Matía Martín, Pilar, Vidal, Josep, Calderón, Cristina, Daimiel, Lidia, Ros, Emilio, Gea, Alfredo, Babio, Nancy, Giménez Alba, Ignacio M, 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, Fernández García, José Carlos, Santos Lozano, José Manuel, Toledo, Estefanía, Becerra Tomás, Nerea, Sorli, José Vicente, Schröder, Helmut, Zulet, M. Ángeles, Sorto Sánchez, Carolina, Díez Espino, Javier, Gómez Martínez, Carlos, Fitó, Montserrat, Sánchez Villegas, Almudena
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad del País Vasco
Repositorio:Addi. Archivo Digital para la Docencia y la Investigación
OAI Identifier:oai:addi.ehu.eus:10810/60472
Acceso en línea:http://hdl.handle.net/10810/60472
Access Level:acceso abierto
Palabra clave:dietary diversity score
depression
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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