Association between weekly fruit and vegetable consumption and depressive symptoms: results from the Korean Elderly Environmental Panel study
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
OBJECTIVES: Although previous studies have investigated the correlation between fruit and vegetable consumption and depression, the results remain inconclusive. The present study aimed to investigate the association between weekly fruit and vegetable consumption and depressive symptoms in elderly Koreans.METHODS: A multiple covariate linear regression analysis was performed using the data of 1,226 elderly individuals ≥ 60 years of age who participated in the Korean Elderly Environmental Panel II study from 2012 to 2014. Depressive symptoms were evaluated using the Korean version of the Short form Geriatric Depression Scale (SGDS-K). Generalized linear mixed-effects models were constructed to analyze the repeated measurements of 305 people who participated in the survey every year.RESULTS: After adjusting for confounders, SGDS-K scores were negatively associated with the frequency of weekly fruit consumption as follows (β [95% confidence interval; CI]: -0.17 [-0.28 to -0.05], -0.17 [-0.27 to -0.07], -0.42 [-0.54 to 0.29], and -0.33 [-0.44 to -0.21]) for less than 1 time/wk, 1-3 times/wk, 4-6 times/wk, and daily, respectively, compared to no consumption. The SGDS-K scores were also negatively associated with the frequency of vegetable consumption (β [95% CI]: -0.86 [-1.18 to -0.55], -0.18 [-0.35 to -0.01], -0.36 [-0.53 to -0.18], and -0.15 [-0.29 to 0.00]) in the above order, respectively.CONCLUSIONS: Fruit consumption was inversely associated with depression levels in a dose-dependent manner. Although there was no dose-response relationship between vegetable consumption and the level of depression, it was negatively associated with SGDS-K scores.
Abstract
OBJECTIVES: Although previous studies have investigated the correlation between fruit and vegetable consumption and depression, the results remain inconclusive. The present study aimed to investigate the association between weekly fruit and vegetable consumption and depressive symptoms in elderly Koreans. METHODS: A multiple covariate linear regression analysis was performed using the data of 1,226 elderly individuals ≥ 60 years of age who participated in the Korean Elderly Environmental Panel II study from 2012 to 2014. Depressive symptoms were evaluated using the Korean version of the Short form Geriatric Depression Scale (SGDS-K). Generalized linear mixed-effects models were constructed to analyze the repeated measurements of 305 people who participated in the survey every year. RESULTS: After adjusting for confounders, SGDS-K scores were negatively associated with the frequency of weekly fruit consumption as follows (β [95% confidence interval; CI]: -0.17 [-0.28 to -0.05], -0.17 [-0.27 to -0.07], -0.42 [-0.54 to 0.29], and -0.33 [-0.44 to -0.21]) for less than 1 time/wk, 1-3 times/wk, 4-6 times/wk, and daily, respectively, compared to no consumption. The SGDS-K scores were also negatively associated with the frequency of vegetable consumption (β [95% CI]: -0.86 [-1.18 to -0.55], -0.18 [-0.35 to -0.01], -0.36 [-0.53 to -0.18], and -0.15 [-0.29 to 0.00]) in the above order, respectively. CONCLUSIONS: Fruit consumption was inversely associated with depression levels in a dose-dependent manner. Although there was no dose-response relationship between vegetable consumption and the level of depression, it was negatively associated with SGDS-K scores.
참고문헌 (32)
- Hidaka BH, "Depression as a disease of modernity : explanations for increasing prevalence", J Affect Disord, 140, pp.205~214 (2012)
- Moussavi S, "Depression, chronic diseases, and decrements in health : results from the World Health Surveys", Lancet, 370, pp.851~858 (2007)
- Saghafian F, "Fruit and vegetable consumption and risk of depression : accumulative evidence from an updated systematic review and metaanalysis of epidemiological studies", Br J Nutr, 119, pp.1087~1101 (2018)
- Blanchflower DG, "Is psychological well-being linked to the consumption of fruit and vegetables?", Soc Indic Res, 114, pp.785~801 (2013)
- Bishwajit G, "Association between depression and fruit and vegetable consumption among adults in South Asia", BMC Psychiatry, 17, pp.15~ (2017)
- Mihrshahi S, "Fruit and vegetable consumption and prevalence and incidence of depressive symptoms in mid-age women : results from the Australian longitudinal study on women’s health", Eur J Clin Nutr, 69, pp.585~591 (2015)
- Chi SH, "Combined association of leisure-time physical activity and fruit and vegetable consumption with depressive symptoms in older Taiwanese : results of a national cohort study", Geriatr Gerontol Int, 16, pp.244~251 (2016)
- Sánchez-Villegas A, "Association of the Mediterranean dietary pattern with the incidence of depression : the Seguimiento Universidad de Navarra", University of Navarra follow-up(SUN)cohort, 2009, pp.66, 1090~1098
- Hintikka J, "Daily tea drinking is associated with a low level of depressive symptoms in the Finnish general population", Eur J Epidemiol, 20, pp.359~363 (2005)
- Akbaraly TN, "Adherence to healthy dietary guidelines and future depressive symptoms : evidence for sex differentials in the Whitehall II study", Am J Clin Nutr, 97, pp.419~427 (2013)
- Konttinen H, "Emotional eating, depressive symptoms and self-reported food consumption. A population-based study", Appetite, 54, pp.473~479 (2010)
- 지지에, "한국 성인 여성의 신체활동에 따른 과일 채소 섭취와 정신건강의 연관성- 2014~2016년 국민건강영양조사 자료를 이용하여 -", 한국식생활문화학회지, 35(1), pp.107~116 (2020), 한국식생활문화학회[DOI]
- Ju SY, "Low fruit and vegetable intake is associated with depression among Korean adults in data from the 2014 Korea National Health and Nutrition Examination Survey", J Health Popul Nutr, 38, pp.39~ (2019)
- Kim TH, "Associations between dietary pattern and depression in Korean adolescent girls", J Pediatr Adolesc Gynecol, 28(6), pp.533~537 (2015)
- 오지원, "한국 청소년의 과일, 채소 섭취빈도와 정신건강: 제10–13차 (2014–2017) 청소년건강행태조사를 이용하여", Journal of Nutrition and Health, 53(5), pp.518~531 (2020), 한국영양학회[DOI]
- "Suicide prevention whitebook 2020"[URL]
- Williamson C, "Dietary factors and depression in older people", Br J Community Nurs, 14, pp.422~426 (2009)
- Wahlqvist ML, "Interventions aimed at dietary and lifestyle changes to promote healthy aging", Eur J Clin Nutr, 54(Suppl 3), pp.S148~S156 (2000)
- Kim JH, "GSTM1, GSTT1, and GSTP1 polymorphisms and associations between air pollutants and markers of insulin resistance in elderly Koreans", Environ Health Perspect, 120, pp.1378~1384 (2012)
- Bae JN, "Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients", J Psychosom Res, 57, pp.297~305 (2004)
- 임영, "미취학 어린이를 위한 반정량식 식품섭취 빈도 조사지 개발", 대한지역사회영양학회지, 7(1), pp.58~66 (2002), 대한지역사회영양학회
- Kim KN, "Association between phthalate exposure and lower handgrip strength in an elderly population : a repeated-measures study", Environ Health, 15, pp.93~ (2016)
- "Common sense for obesity"[URL]
- "The Asia-Pacific perspective: redefining obesity and its treatment" (2000)[URL]
- 이경원, "The Traditional Korean Dietary Pattern Is Associated with Decreased Risk of Metabolic Syndrome: Findings from the Korean National Health and Nutrition Examination Survey, 1998–2009", Journal of Medicinal Food, 17(1), pp.43~56 (2014), 한국식품영양과학회[DOI]
- Blanchflower DG, "Is psychological well-being linked to the consumption of fruit and vegetables?", Soc Indic Res, 114, pp.785~801 (2013)
- Maes M, "Lower serum vitamin E concentrations in major depression. Another marker of lowered antioxidant defenses in that illness", J Affect Disord, 58, pp.241~246 (2000)
- Joshi YB, "Lipid peroxidation in psychiatric illness : overview of clinical evidence", Oxid Med Cell Longev, 2014, pp.828702~ (2014)
- Miller AL, "The methylation, neurotransmitter, and antioxidant connections between folate and depression", Altern Med Rev, 13, pp.216~226 (2008)
- Kim JM, "Predictive value of folate, vitamin B12 and homocysteine levels in late-life depression", Br J Psychiatry, 192, pp.268~274 (2008)
- Williams AL, "The role for vitamin B-6 as treatment for depression : a systematic review", Fam Pract, 22, pp.532~537 (2005)
- Westover AN, "A cross-national relationship between sugar consumption and major depression?", Depress Anxiety, 16, pp.118~120 (2002)