Forsyth Adrienne K, Williams Peter G, Deane Frank P
School of Health Sciences, University of Wollongong, Wollongong, NSW, Australia.
Aust J Prim Health. 2012;18(2):172-6. doi: 10.1071/PY11023.
The objective of this study was to evaluate the nutrition status of people referred to a nutrition and physical activity program for the management of mental health in general practice. Patients currently being treated for depression and/or anxiety were referred by their GPs to a lifestyle intervention program. The nutrition status was assessed during a comprehensive assessment at the commencement of the program. The lifestyle intervention program, including all assessments, was offered at multiple sites including GP clinics in the Illawarra, and in clinic rooms at the University of Wollongong. Thirty-two men and seventy-seven women completed the assessment. Patients were referred with depression (52%), anxiety (19%) or both (28%). Eighty percent of participants were overweight or obese. All participants completed an assessment that included a diet history, anthropometric measurements and the completion of several questionnaires including the Depression, Anxiety and Stress Scale (DASS). Nutrition status was assessed using mean nutrient intakes and Australian modified Healthy Eating Index scores evaluated against the National Nutrition Survey intakes and DASS scores. Participants met the estimated average requirements for all nutrients except folate (17%), magnesium (78%) and calcium (57%). Intakes were similar to those reported in the National Nutrition Survey. Only magnesium intakes were significantly related to depression (r=-0.26). Australian modified Healthy Eating Index scores were significantly negatively correlated with DASS scores (P<0.01). The associations presented here support the existing body of literature. Nutrition recommendations for patients with depression and anxiety should be based on the Australian Guide to Healthy Eating with particular attention to fruit, vegetables and wholegrains.
本研究的目的是评估被转介至一项营养与身体活动计划以在全科医疗中管理心理健康的人群的营养状况。目前正在接受抑郁症和/或焦虑症治疗的患者由其全科医生转介至一项生活方式干预计划。在该计划开始时的全面评估期间对营养状况进行了评估。该生活方式干预计划，包括所有评估，在多个地点提供，包括伊拉瓦拉的全科医生诊所以及卧龙岗大学的诊疗室。32名男性和77名女性完成了评估。患者被转介时患有抑郁症（52%）、焦虑症（19%）或两者皆有（28%）。80%的参与者超重或肥胖。所有参与者都完成了一项评估，包括饮食史、人体测量以及填写几份问卷，包括抑郁、焦虑和压力量表（DASS）。使用平均营养素摄入量以及根据全国营养调查摄入量和DASS分数评估的澳大利亚改良健康饮食指数得分来评估营养状况。除叶酸（17%）、镁（78%）和钙（57%）外，参与者满足所有营养素的估计平均需求量。摄入量与全国营养调查中报告的摄入量相似。只有镁摄入量与抑郁症显著相关（r = -0.26）。澳大利亚改良健康饮食指数得分与DASS得分显著负相关（P<0.01）。此处呈现的关联支持了现有文献。对于抑郁症和焦虑症患者的营养建议应基于《澳大利亚健康饮食指南》，尤其要关注水果、蔬菜和全谷物。
