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Published in: European Journal of Nutrition 1/2017

01-02-2017 | Original Contribution

Prospective study on the association between diet quality and depression in mid-aged women over 9 years

Authors: Jun S. Lai, Alexis J. Hure, Christopher Oldmeadow, Mark McEvoy, Julie Byles, John Attia

Published in: European Journal of Nutrition | Issue 1/2017

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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.
Appendix
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Metadata
Title
Prospective study on the association between diet quality and depression in mid-aged women over 9 years
Authors
Jun S. Lai
Alexis J. Hure
Christopher Oldmeadow
Mark McEvoy
Julie Byles
John Attia
Publication date
01-02-2017
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Nutrition / Issue 1/2017
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-015-1078-8

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