Jun S Lai1,2, Alexis J Hure3,4, Christopher Oldmeadow4, Mark McEvoy3,4,5, Julie Byles3,4,6, John Attia3,4,5,7. 1. School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2308, Australia. jun.lai@uon.edu.au. 2. Research Centre for Gender, Health and Ageing, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia. jun.lai@uon.edu.au. 3. School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2308, Australia. 4. Hunter Medical Research Institute, New Lambton Heights, NSW, 2305, Australia. 5. Centre for Clinical Epidemiology and Biostatistics, University of Newcastle, Callaghan, NSW, 2308, Australia. 6. Research Centre for Gender, Health and Ageing, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia. 7. John Hunter Hospital, New Lambton Heights, NSW, 2305, Australia.
Abstract
PURPOSE: To examine the longitudinal association between diet quality and depression using prospective data from the Australian Longitudinal Study on Women's Health. METHODS: Women born in 1946-1951 (n = 7877) were followed over 9 years starting from 2001. Dietary intake was assessed using the Dietary Questionnaire for Epidemiological Studies (version 2) in 2001 and a shortened form in 2007 and 2010. Diet quality was summarised using the Australian Recommended Food Score. Depression was measured using the 10-item Centre for Epidemiologic Depression Scale and self-reported physician diagnosis. Pooled logistic regression models including time-varying covariates were used to examine associations between diet quality tertiles and depression. Women were also categorised based on changes in diet quality during 2001-2007. Analyses were adjusted for potential confounders. RESULTS: The highest tertile of diet quality was associated marginally with lower odds of depression (OR 0.94; 95 % CI 0.83, 1.00; P = 0.049) although no significant linear trend was observed across tertiles (OR 1.00; 95 % CI 0.94, 1.10; P = 0.48). Women who maintained a moderate or high score over 6 years had a 6-14 % reduced odds of depression compared with women who maintained a low score (moderate vs low score-OR 0.94; 95 % CI 0.80, 0.99; P = 0.045; high vs low score-OR 0.86; 95 % CI 0.77, 0.96; P = 0.01). Similar results were observed in analyses excluding women with prior history of depression. CONCLUSION: Long-term maintenance of good diet quality may be associated with reduced odds of depression. Randomised controlled trials are needed to eliminate the possibility of residual confounding.
PURPOSE: To examine the longitudinal association between diet quality and depression using prospective data from the Australian Longitudinal Study on Women's Health. METHODS:Women born in 1946-1951 (n = 7877) were followed over 9 years starting from 2001. Dietary intake was assessed using the Dietary Questionnaire for Epidemiological Studies (version 2) in 2001 and a shortened form in 2007 and 2010. Diet quality was summarised using the Australian Recommended Food Score. Depression was measured using the 10-item Centre for Epidemiologic Depression Scale and self-reported physician diagnosis. Pooled logistic regression models including time-varying covariates were used to examine associations between diet quality tertiles and depression. Women were also categorised based on changes in diet quality during 2001-2007. Analyses were adjusted for potential confounders. RESULTS: The highest tertile of diet quality was associated marginally with lower odds of depression (OR 0.94; 95 % CI 0.83, 1.00; P = 0.049) although no significant linear trend was observed across tertiles (OR 1.00; 95 % CI 0.94, 1.10; P = 0.48). Women who maintained a moderate or high score over 6 years had a 6-14 % reduced odds of depression compared with women who maintained a low score (moderate vs low score-OR 0.94; 95 % CI 0.80, 0.99; P = 0.045; high vs low score-OR 0.86; 95 % CI 0.77, 0.96; P = 0.01). Similar results were observed in analyses excluding women with prior history of depression. CONCLUSION: Long-term maintenance of good diet quality may be associated with reduced odds of depression. Randomised controlled trials are needed to eliminate the possibility of residual confounding.
Entities:
Keywords:
Depression; Diet; Prospective study; Women
Authors: P Ireland; D Jolley; G Giles; K O'Dea; J Powles; I Rutishauser; M L Wahlqvist; J Williams Journal: Asia Pac J Clin Nutr Date: 1994-03 Impact factor: 1.662
Authors: Patricia O Chocano-Bedoya; Eilis J O'Reilly; Michel Lucas; Fariba Mirzaei; Olivia I Okereke; Teresa T Fung; Frank B Hu; Alberto Ascherio Journal: Am J Clin Nutr Date: 2013-07-24 Impact factor: 7.045