1 Department of Epidemiology and Prevention, Clinical Research Center, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo 162-8655, Japan.
2 Department of Applied Biological Chemistry, Graduate School of Bioresource and Bioenvironmental Sciences, Kyushu University, Fukuoka, Japan.
Public Health Nutr. 2014 Mar;17(3):625-33. doi: 10.1017/S1368980013000360. Epub 2013 Mar 4.
To examine the association between the consumption of green tea, coffee and caffeine and depressive symptoms.
Cross-sectional study. Consumption of green tea and coffee was ascertained with a validated dietary questionnaire and the amount of caffeine intake was estimated from these beverages. Depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale. Multiple logistic regression analysis was performed to compute odds ratios and 95% confidence intervals for depressive symptoms with adjustments for potential confounders.
Two workplaces in north-eastern Kyushu, Japan, in 2009.
A total of 537 men and women aged 20-68 years.
Higher green tea consumption was associated with a lower prevalence of depressive symptoms. Compared with participants consuming ≤1 cup/d, those consuming ≥4 cups green tea/d had a 51% significantly lower prevalence odds of having depressive symptoms after adjustment for potential confounders, with significant trend association (P for trend = 0·01). Further adjustment for serum folate slightly attenuated the association. Coffee consumption was also inversely associated with depressive symptoms (≥2 cups/d v. <1 cup/d: OR = 0·61; 95% CI 0·38, 0·98). Multiple-adjusted odds for depressive symptoms comparing the highest with the lowest quartile of caffeine consumption was OR = 0·57 (95% CI 0·30, 1·05; P for trend = 0·02).
Results suggest that higher consumption of green tea, coffee and caffeine may confer protection against depression.
探讨绿茶、咖啡和咖啡因的摄入与抑郁症状之间的关联。
横断面研究。采用经过验证的饮食问卷来确定绿茶和咖啡的摄入量,并根据这些饮料来估算咖啡因的摄入量。抑郁症状采用流行病学研究中心抑郁量表进行测量。采用多因素逻辑回归分析计算抑郁症状的比值比及其 95%置信区间,同时对潜在混杂因素进行调整。
日本九州东北部的两个工作场所,于 2009 年进行。
共有 537 名年龄在 20-68 岁的男性和女性。
绿茶摄入量较高与抑郁症状的患病率较低相关。与≤1 杯/d 的参与者相比,调整潜在混杂因素后,每天饮用≥4 杯绿茶的参与者患抑郁症状的几率显著降低 51%,且呈显著趋势关联(趋势检验 P=0.01)。进一步对血清叶酸进行校正后,这种关联稍有减弱。咖啡的摄入量也与抑郁症状呈负相关(≥2 杯/d 与<1 杯/d:OR=0.61;95%CI 0.38,0.98)。与咖啡因摄入量最低四分位数相比,最高四分位数的参与者发生抑郁症状的比值比为 0.57(95%CI 0.30,1.05;趋势检验 P=0.02)。
结果表明,较高的绿茶、咖啡和咖啡因摄入可能对预防抑郁有一定作用。