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Exploring the associations of depressive symptoms with healthy eating self-efficacy over time amongst women in the READI cohort study

BACKGROUND: There is growing evidence that diet is associated with both depressive symptoms and clinical depression, likely through biological mechanisms. However, it is also plausible that depression impacts diet, for example by impairing the personal drivers of healthy eating behaviors such as sel...

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Autores principales: Opie, Rachelle, Abbott, Gavin, Crawford, David, Ball, Kylie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8684166/
https://www.ncbi.nlm.nih.gov/pubmed/34922558
http://dx.doi.org/10.1186/s12966-021-01233-5
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author Opie, Rachelle
Abbott, Gavin
Crawford, David
Ball, Kylie
author_facet Opie, Rachelle
Abbott, Gavin
Crawford, David
Ball, Kylie
author_sort Opie, Rachelle
collection PubMed
description BACKGROUND: There is growing evidence that diet is associated with both depressive symptoms and clinical depression, likely through biological mechanisms. However, it is also plausible that depression impacts diet, for example by impairing the personal drivers of healthy eating behaviors such as self-efficacy. This study is one of the first to explore the association of depressive symptoms with healthy eating self-efficacy over time. METHODS: Data was drawn from the Resilience for Eating and Activity Despite Inequality (READI) longitudinal study, a prospective cohort study of socioeconomically disadvantaged Australian women. This analysis includes a sub-sample of 1264 women. Linear mixed models, with random intercepts for suburb of residence, were performed to explore the relationships between total healthy eating self-efficacy at 5-years follow-up and depressive symptoms over time, whilst adjusting for potential confounders. To assess different trajectories of depressive symptoms over time, four categories were created; 1. no depressive symptoms (n = 667), 2. resolved depressive symptoms (n = 165), 3. new depressive symptoms (n = 189), and 4. persistent depressive symptoms (n = 243). RESULTS: There was very strong evidence of a difference in total healthy eating self-efficacy at follow-up between the four depressive symptoms trajectory categories (F(3,235) = 7.06,p < .0001), after adjusting for potential confounders. Pairwise comparisons indicated strong evidence of higher healthy eating self-efficacy among individuals with no depressive symptoms compared to individuals with persistent depressive symptoms (B = 1.97[95%CI: 0.60,3.33],p = .005). Similarly, there was evidence of higher healthy eating self-efficacy in individuals with resolved depressive symptoms than those with persistent depressive symptoms (B = 1.95[95%CI: 0.18,3.72],p = .031). CONCLUSIONS: This study provides new insights demonstrating differences in total healthy eating self-efficacy at 5-year follow-up according to trajectory of depressive symptoms over time. Future interventions should focus on strategies that enhance self-efficacy among individuals with or at risk of depressive symptoms for supporting healthier dietary practices, which in turn, may contribute to reducing the highly burdensome mental health condition.
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spelling pubmed-86841662021-12-20 Exploring the associations of depressive symptoms with healthy eating self-efficacy over time amongst women in the READI cohort study Opie, Rachelle Abbott, Gavin Crawford, David Ball, Kylie Int J Behav Nutr Phys Act Research BACKGROUND: There is growing evidence that diet is associated with both depressive symptoms and clinical depression, likely through biological mechanisms. However, it is also plausible that depression impacts diet, for example by impairing the personal drivers of healthy eating behaviors such as self-efficacy. This study is one of the first to explore the association of depressive symptoms with healthy eating self-efficacy over time. METHODS: Data was drawn from the Resilience for Eating and Activity Despite Inequality (READI) longitudinal study, a prospective cohort study of socioeconomically disadvantaged Australian women. This analysis includes a sub-sample of 1264 women. Linear mixed models, with random intercepts for suburb of residence, were performed to explore the relationships between total healthy eating self-efficacy at 5-years follow-up and depressive symptoms over time, whilst adjusting for potential confounders. To assess different trajectories of depressive symptoms over time, four categories were created; 1. no depressive symptoms (n = 667), 2. resolved depressive symptoms (n = 165), 3. new depressive symptoms (n = 189), and 4. persistent depressive symptoms (n = 243). RESULTS: There was very strong evidence of a difference in total healthy eating self-efficacy at follow-up between the four depressive symptoms trajectory categories (F(3,235) = 7.06,p < .0001), after adjusting for potential confounders. Pairwise comparisons indicated strong evidence of higher healthy eating self-efficacy among individuals with no depressive symptoms compared to individuals with persistent depressive symptoms (B = 1.97[95%CI: 0.60,3.33],p = .005). Similarly, there was evidence of higher healthy eating self-efficacy in individuals with resolved depressive symptoms than those with persistent depressive symptoms (B = 1.95[95%CI: 0.18,3.72],p = .031). CONCLUSIONS: This study provides new insights demonstrating differences in total healthy eating self-efficacy at 5-year follow-up according to trajectory of depressive symptoms over time. Future interventions should focus on strategies that enhance self-efficacy among individuals with or at risk of depressive symptoms for supporting healthier dietary practices, which in turn, may contribute to reducing the highly burdensome mental health condition. BioMed Central 2021-12-18 /pmc/articles/PMC8684166/ /pubmed/34922558 http://dx.doi.org/10.1186/s12966-021-01233-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Opie, Rachelle
Abbott, Gavin
Crawford, David
Ball, Kylie
Exploring the associations of depressive symptoms with healthy eating self-efficacy over time amongst women in the READI cohort study
title Exploring the associations of depressive symptoms with healthy eating self-efficacy over time amongst women in the READI cohort study
title_full Exploring the associations of depressive symptoms with healthy eating self-efficacy over time amongst women in the READI cohort study
title_fullStr Exploring the associations of depressive symptoms with healthy eating self-efficacy over time amongst women in the READI cohort study
title_full_unstemmed Exploring the associations of depressive symptoms with healthy eating self-efficacy over time amongst women in the READI cohort study
title_short Exploring the associations of depressive symptoms with healthy eating self-efficacy over time amongst women in the READI cohort study
title_sort exploring the associations of depressive symptoms with healthy eating self-efficacy over time amongst women in the readi cohort study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8684166/
https://www.ncbi.nlm.nih.gov/pubmed/34922558
http://dx.doi.org/10.1186/s12966-021-01233-5
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