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Associations of Dietary Patterns with Incident Depression: The Maastricht Study

Our aim was to assess the association between a priori defined dietary patterns and incident depressive symptoms. We used data from The Maastricht Study, a population-based cohort study (n = 2646, mean (SD) age 59.9 (8.0) years, 49.5% women; 15,188 person-years of follow-up). Level of adherence to t...

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Autores principales: Gianfredi, Vincenza, Koster, Annemarie, Odone, Anna, Amerio, Andrea, Signorelli, Carlo, Schaper, Nicolaas C., Bosma, Hans, Köhler, Sebastian, Dagnelie, Pieter C., Stehouwer, Coen D.A., Schram, Miranda T., van Dongen, Martien C.J.M., Eussen, Simone J.P.M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8004955/
https://www.ncbi.nlm.nih.gov/pubmed/33806882
http://dx.doi.org/10.3390/nu13031034
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author Gianfredi, Vincenza
Koster, Annemarie
Odone, Anna
Amerio, Andrea
Signorelli, Carlo
Schaper, Nicolaas C.
Bosma, Hans
Köhler, Sebastian
Dagnelie, Pieter C.
Stehouwer, Coen D.A.
Schram, Miranda T.
van Dongen, Martien C.J.M.
Eussen, Simone J.P.M.
author_facet Gianfredi, Vincenza
Koster, Annemarie
Odone, Anna
Amerio, Andrea
Signorelli, Carlo
Schaper, Nicolaas C.
Bosma, Hans
Köhler, Sebastian
Dagnelie, Pieter C.
Stehouwer, Coen D.A.
Schram, Miranda T.
van Dongen, Martien C.J.M.
Eussen, Simone J.P.M.
author_sort Gianfredi, Vincenza
collection PubMed
description Our aim was to assess the association between a priori defined dietary patterns and incident depressive symptoms. We used data from The Maastricht Study, a population-based cohort study (n = 2646, mean (SD) age 59.9 (8.0) years, 49.5% women; 15,188 person-years of follow-up). Level of adherence to the Dutch Healthy Diet (DHD), Mediterranean Diet, and Dietary Approaches To Stop Hypertension (DASH) were derived from a validated Food Frequency Questionnaire. Depressive symptoms were assessed at baseline and annually over seven-year-follow-up (using the 9-item Patient Health Questionnaire). We used Cox proportional hazards regression analyses to assess the association between dietary patterns and depressive symptoms. One standard deviation (SD) higher adherence in the DHD and DASH was associated with a lower hazard ratio (HR) of depressive symptoms with HRs (95%CI) of 0.78 (0.69–0.89) and 0.87 (0.77–0.98), respectively, after adjustment for sociodemographic and cardiovascular risk factors. After further adjustment for lifestyle factors, the HR per one SD higher DHD was 0.83 (0.73–0.96), whereas adherence to Mediterranean and DASH diets was not associated with incident depressive symptoms. Higher adherence to the DHD lowered risk of incident depressive symptoms. Adherence to healthy diet could be an effective non-pharmacological preventive measure to reduce the incidence of depression.
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spelling pubmed-80049552021-03-29 Associations of Dietary Patterns with Incident Depression: The Maastricht Study Gianfredi, Vincenza Koster, Annemarie Odone, Anna Amerio, Andrea Signorelli, Carlo Schaper, Nicolaas C. Bosma, Hans Köhler, Sebastian Dagnelie, Pieter C. Stehouwer, Coen D.A. Schram, Miranda T. van Dongen, Martien C.J.M. Eussen, Simone J.P.M. Nutrients Article Our aim was to assess the association between a priori defined dietary patterns and incident depressive symptoms. We used data from The Maastricht Study, a population-based cohort study (n = 2646, mean (SD) age 59.9 (8.0) years, 49.5% women; 15,188 person-years of follow-up). Level of adherence to the Dutch Healthy Diet (DHD), Mediterranean Diet, and Dietary Approaches To Stop Hypertension (DASH) were derived from a validated Food Frequency Questionnaire. Depressive symptoms were assessed at baseline and annually over seven-year-follow-up (using the 9-item Patient Health Questionnaire). We used Cox proportional hazards regression analyses to assess the association between dietary patterns and depressive symptoms. One standard deviation (SD) higher adherence in the DHD and DASH was associated with a lower hazard ratio (HR) of depressive symptoms with HRs (95%CI) of 0.78 (0.69–0.89) and 0.87 (0.77–0.98), respectively, after adjustment for sociodemographic and cardiovascular risk factors. After further adjustment for lifestyle factors, the HR per one SD higher DHD was 0.83 (0.73–0.96), whereas adherence to Mediterranean and DASH diets was not associated with incident depressive symptoms. Higher adherence to the DHD lowered risk of incident depressive symptoms. Adherence to healthy diet could be an effective non-pharmacological preventive measure to reduce the incidence of depression. MDPI 2021-03-23 /pmc/articles/PMC8004955/ /pubmed/33806882 http://dx.doi.org/10.3390/nu13031034 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Gianfredi, Vincenza
Koster, Annemarie
Odone, Anna
Amerio, Andrea
Signorelli, Carlo
Schaper, Nicolaas C.
Bosma, Hans
Köhler, Sebastian
Dagnelie, Pieter C.
Stehouwer, Coen D.A.
Schram, Miranda T.
van Dongen, Martien C.J.M.
Eussen, Simone J.P.M.
Associations of Dietary Patterns with Incident Depression: The Maastricht Study
title Associations of Dietary Patterns with Incident Depression: The Maastricht Study
title_full Associations of Dietary Patterns with Incident Depression: The Maastricht Study
title_fullStr Associations of Dietary Patterns with Incident Depression: The Maastricht Study
title_full_unstemmed Associations of Dietary Patterns with Incident Depression: The Maastricht Study
title_short Associations of Dietary Patterns with Incident Depression: The Maastricht Study
title_sort associations of dietary patterns with incident depression: the maastricht study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8004955/
https://www.ncbi.nlm.nih.gov/pubmed/33806882
http://dx.doi.org/10.3390/nu13031034
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