@misc{10481/76684,
year = {2022},
month = {7},
url = {http://hdl.handle.net/10481/76684},
abstract = {Objective: To examine the cross-sectional and longitudinal (2-year follow-up) associations
between dietary diversity (DD) and depressive symptoms.
Design: An energy-adjusted dietary diversity score (DDS) was assessed using a
validated FFQ and was categorised into quartiles (Q). The variety in each food
group was classified into four categories of diversity (C). Depressive symptoms
were assessed with Beck Depression Inventory-II (Beck II) questionnaire and
depression cases defined as physician-diagnosed or Beck II >= 18. Linear and
logistic regression models were used.
Setting: Spanish older adults with metabolic syndrome (MetS).
Participants: A total of 6625 adults aged 55–75 years from the PREDIMED-Plus
study with overweight or obesity and MetS.
Results: Total DDS was inversely and statistically significantly associated with
depression in the cross-sectional analysis conducted; OR Q4 v. Q1= 0·76 (95 %
CI (0·64, 0·90)). This was driven by high diversity compared to low diversity
(C3 v. C1) of vegetables (OR = 0·75, 95 % CI (0·57, 0·93)), cereals (OR = 0·72
(95 % CI (0·56, 0·94)) and proteins (OR = 0·27, 95 % CI (0·11, 0·62)). In the longitudinal
analysis, there was no significant association between the baseline DDS
and changes in depressive symptoms after 2 years of follow-up, except for DD
in vegetables C4 v. C1 = (β = 0·70, 95 % CI (0·05, 1·35)).
Conclusions: According to our results, DD is inversely associated with depressive
symptoms, but eating more diverse does not seem to reduce the risk of future
depression. Additional longitudinal studies (with longer follow-up) are needed
to confirm these findings.},
organization = {European Research Council (ERC)
European Commission	340918},
organization = {official funding agency for biomedical research of the Spanish Government, ISCIII through the Fondo de Investigacion para la Salud (FIS) - European Regional Development Fund	PI13/00673	
PI13/00492	
PI13/00272	
PI13/01123	
PI13/00462	
PI13/00233	
PI13/02184	
PI13/00728	
PI13/01090	
PI13/01056	
PI14/01722	
PI14/00636	
PI14/00618	
PI14/00696	
PI14/01206	
PI14/01919	
PI14/00853	
PI14/01374},
organization = {La Caixa Foundation	2013ACUP00194},
organization = {Junta de Andalucia	PI0458/2013	
PS0358/2016	
PI0137/2018},
organization = {Center for Forestry Research & Experimentation (CIEF)},
organization = {European Commission	PROMETEO/2017/017},
organization = {CIBEROBN},
organization = {European Commission	CB06/03},
organization = {Instituto de Salud Carlos III},
organization = {International Nut&Dried Fruit Council-FESNAD Ndegreesnd longitudinal analyses in Spanish adult population with metabolic syndrome. Findings from PREDIMED-Plus trial	201302	
SEMERGEN		
PI16/00473	
PI16/00662	
PI16/01873	
PI16/01094	
PI16/00501	
PI16/00533	
PI16/00381	
PI16/00366	
PI16/01522	
PI16/01120	
PI17/00764	
PI17/01183	
PI17/00855	
PI17/01347	
PI17/00525	
PI17/01827	
PI17/00532	
PI17/00215	
PI17/01441	
PI17/00508	
PI17/01732	
PI17/00926},
publisher = {Cambridge University Press},
keywords = {Dietary diversity score},
keywords = {Depression},
keywords = {PREDIMED-Plus study},
title = {Dietary diversity and depression: cross-sectional and longitudinal analyses in Spanish adult population with metabolic syndrome. Findings from PREDIMED-Plus trial},
doi = {10.1017/S1368980022001525},
author = {Cano Ibáñez, Naomi and Martín Peláez, Sandra and Bueno Cavanillas, Aurora},
}