Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/117851
Title: Dietary diversity and Depression: Cross-sectional and longitudinal analyses in Spanish adult population with Metabolic Syndrome. Findings from PREDIMED-PLUS Trial
Authors: Cano-Ibáñez, Naomi
Serra Majem, Luis 
Martín-Pelaéz, Sandra
Martínez-González, Miguel Ángel
Salas-Salvadó, Jordi
Corella, Dolores
Lassale, Camille
Martínez, J. Alfredo
Alonso-Gómez, Ángel M.
Wärnberg, Julia
Vioque, Jesús
Romaguera, Dora
López-Miranda, José
Estruch, Ramon
Gómez-Pérez, Ana Mariá
Lapetra, José
Fernández-Aranda, Fernando
Bueno-Cavanillas, Aurora
Tur, Josep A.
Cubelos, Naiara
Pintó, Xavier
Gaforio, José Juan
Matiá, Pilar
Vidal, Josep
Calderón, Cristina
Daimiel, Lidia
Ros, Emilio
Gea, Alfredo
Babio, Nancy
Gimenez-Alba, Ignacio Manuel
Zomenõ-Fajardo, Mariá Dolores
Abete, Itziar
Tojal Sierra, Lucas
Romero-Galisteo, Rita P.
Garciá De La Hera, Manoli
Martín-Padillo, Marian
Garciá-Riós, Antonio
Casas, Rosa M.
Fernández-Garciá, J. C.
Santos-Lozano, José Manuel
Toledo, Estefaniá
Becerra-Tomas, Nerea
Sorli, Jose V.
Schröder, Helmut
Zulet, Mariá A.
Sorto-Sánchez, Carolina
Diez-Espino, Javier
Gómez-Martínez, Carlos
Fitó, Montse
Sánchez Villegas, Almudena 
UNESCO Clasification: 32 Ciencias médicas
3206 Ciencias de la nutrición
Keywords: Depression
Dietary Diversity Score
Predimed-Plus Study
Issue Date: 2022
Project: Efecto de la dieta mediterránea hopocalórica y promoción de la actividad física en prevención primaria cardiovascular.Estudio piloto sobre marcadores intermedios. 
Efecto de Una Pérdida de Peso Con Dieta Mediterránea Hipocalóricay Promoción de la Actividad Física en la Prevención Primaria Cardiovascular 
Journal: Public Health Nutrition 
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 food-frequency questionnaire and was categorized into quartiles (Q). The variety in each food group was classified into 4 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. 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; Odds Ratio (OR) Q4 vs Q1= 0.76 (95% confidence interval (CI): 0.64, 0.90). This was driven by high diversity compared to low diversity (C3 vs. C1) of vegetables [OR (95%CI) = 0.75 (0.57, 0.93)], cereals [OR (95%CI) = 0.72 (0.56-0.94)] and proteins [OR (95%CI) = 0.27 (0.11, 0.62)]. In the longitudinal analysis, there was no significant association between the baseline DDS and changes in depressive symptoms after 2 y-of follow-up, except for DD in vegetables C4 vs C1= [β (95%CI) = 0.70 (0.05, 1.35)]. Conclusions: According to our results, DD is associated with the presence of depressive symptoms but eating more diverse does not seem to reduce the risk of future depression. Additional longitudinal studies (with longer follow-up period) are needed to confirm these findings.
URI: http://hdl.handle.net/10553/117851
ISSN: 1368-9800
DOI: 10.1017/S1368980022001525
Source: Public Health Nutrition[ISSN 1368-9800], (Enero 2022)
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