Bidirectional associations between dietary diversity and depressive symptoms in Chinese adult women : A retrospective cohort study
Copyright © 2024 Elsevier B.V. All rights reserved..
OBJECTIVE: This study aimed to examine the bidirectional associations between dietary diversity and clinical depressive symptoms in adult women, and influencing factors of clinical depressive symptoms.
METHODS: This longitudinal study included a total of 22,385 participants, each of whom underwent at least two data collections. We used convenience sampling to recruit women from a health management center of a general hospital in southern China from April 2015 to December 2021. They completed an online self-reported health questionnaire, which included demographic characteristics, lifestyle information, the Dietary Diversity Scale (DDS), and the Patient Health Questionnaire-9.
RESULTS: New-onset depressive symptoms and low dietary diversity were observed in this study among 1285 and 3223 participants, respectively. Negative associations were observed between baseline low dietary diversity and new-onset depressive symptoms (P < 0.05) and between baseline depressive symptoms and low dietary diversity (P < 0.001). Cross-lagged panel analysis indicated that dietary diversity negatively and prospectively predicted depressive symptoms, but vice versa (P < 0.05). Strong evidence of a nonlinear association between DDS scores and incident depressive symptoms was found (P nonlinear < 0.05) regardless of whether the variables were adjusted. Besides, age, menarche age, physical activity, sleep duration, longer sedentary behavior and other lifestyle factors were influencing factors of depressive symptoms (P < 0.05).
CONCLUSIONS: The present study identified bidirectional associations between dietary diversity and depressive symptoms, and the associations were found to have a non-linear pattern. Adherence to dietary diversity and a healthy lifestyle could be effective non-pharmacological preventive measures to reduce the incidence of depressive symptoms.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:351 |
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| Enthalten in: |
Journal of affective disorders - 351(2024) vom: 15. Feb., Seite 683-693 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Dong, Xiaoqian [VerfasserIn] |
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| Links: |
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| Themen: |
Cross-lagged model |
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| Anmerkungen: |
Date Completed 28.02.2024 Date Revised 28.02.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jad.2024.01.258 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 100 | 1 | |a Dong, Xiaoqian |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Bidirectional associations between dietary diversity and depressive symptoms in Chinese adult women |b A retrospective cohort study |
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| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2024 Elsevier B.V. All rights reserved. | ||
| 520 | |a OBJECTIVE: This study aimed to examine the bidirectional associations between dietary diversity and clinical depressive symptoms in adult women, and influencing factors of clinical depressive symptoms | ||
| 520 | |a METHODS: This longitudinal study included a total of 22,385 participants, each of whom underwent at least two data collections. We used convenience sampling to recruit women from a health management center of a general hospital in southern China from April 2015 to December 2021. They completed an online self-reported health questionnaire, which included demographic characteristics, lifestyle information, the Dietary Diversity Scale (DDS), and the Patient Health Questionnaire-9 | ||
| 520 | |a RESULTS: New-onset depressive symptoms and low dietary diversity were observed in this study among 1285 and 3223 participants, respectively. Negative associations were observed between baseline low dietary diversity and new-onset depressive symptoms (P < 0.05) and between baseline depressive symptoms and low dietary diversity (P < 0.001). Cross-lagged panel analysis indicated that dietary diversity negatively and prospectively predicted depressive symptoms, but vice versa (P < 0.05). Strong evidence of a nonlinear association between DDS scores and incident depressive symptoms was found (P nonlinear < 0.05) regardless of whether the variables were adjusted. Besides, age, menarche age, physical activity, sleep duration, longer sedentary behavior and other lifestyle factors were influencing factors of depressive symptoms (P < 0.05) | ||
| 520 | |a CONCLUSIONS: The present study identified bidirectional associations between dietary diversity and depressive symptoms, and the associations were found to have a non-linear pattern. Adherence to dietary diversity and a healthy lifestyle could be effective non-pharmacological preventive measures to reduce the incidence of depressive symptoms | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Cross-lagged model | |
| 650 | 4 | |a Depressive symptoms | |
| 650 | 4 | |a Dietary diversity | |
| 650 | 4 | |a Female | |
| 650 | 4 | |a Generalized estimating equations | |
| 700 | 1 | |a Li, Ying |e verfasserin |4 aut | |
| 700 | 1 | |a Wang, Xingxing |e verfasserin |4 aut | |
| 700 | 1 | |a Duan, Yinglong |e verfasserin |4 aut | |
| 700 | 1 | |a Liu, Min |e verfasserin |4 aut | |
| 700 | 1 | |a Wang, Sha |e verfasserin |4 aut | |
| 700 | 1 | |a He, Xue |e verfasserin |4 aut | |
| 700 | 1 | |a Yang, Pingting |e verfasserin |4 aut | |
| 700 | 1 | |a Wang, Yaqin |e verfasserin |4 aut | |
| 700 | 1 | |a Xie, Jianfei |e verfasserin |4 aut | |
| 700 | 1 | |a Cheng, Andy S K |e verfasserin |4 aut | |
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