Su Qian, Yu Bin, He Haiyan, Zhang Qing, Meng Ge, Wu Hongmei, Du Huanmin, Liu Li, Shi Hongbin, Xia Yang, Guo Xiaoyan, Liu Xing, Li Chunlei, Bao Xue, Gu Yeqing, Fang Liyun, Yu Fei, Yang Huijun, Sun Shaomei, Wang Xing, Zhou Ming, Jia Qiyu, Zhao Honglin, Song Kun, Niu Kaijun
Nutritional Epidemiology Institute, Tianjin Medical University, Tianjin, China.
School of Public Health, Tianjin Medical University, Tianjin, China.
Depress Anxiety. 2016 Nov;33(11):1065-1072. doi: 10.1002/da.22516. Epub 2016 Apr 20.
Affective disorders, especially depressive symptoms, bring such a burden to mortality and morbidity that they are associated with physical and psychological health and quality of life. Nuts, a foodstuff rich in multiple micronutrients, macronutrients, and other useful components, were considered to be a protector against depressive symptoms. Here, we conducted an analysis to examine the relationship between nut consumption and depressive symptoms.
The study performed a cross-sectional study to examine whether nut consumption is related to depressive symptoms among 13,626 inhabitants in Tianjin. Nut consumption was assessed using a validated food frequency questionnaire and depressive symptoms was assessed using the Chinese version of 20-item Self-rating Depression Scale (SDS) with four cutoffs (40, 45, 48, and 50) to indicate elevated depressive symptoms.
The prevalence of depressive symptoms was 38.7, 19.1, 11.4, and 7.3% for SDS ≥40, 45, 48, and 50, respectively. After adjustments for potential confounding factors, the odds ratios (95% confidence interval) of having elevated depressive symptoms with SDS ≥40 by increasing frequency of nut consumption were 1.00 for <once per week (reference), 0.82 (0.75, 0.90) for 1-3 times per week, and 0.82 (0.73, 0.92) for ≥4 times per week. Similar relations were observed with the use of other cutoffs as a definition of depressive symptoms.
The present study is the first to find that nut consumption is independently associated with depressive symptoms. It is suggested that nut consumption may be beneficial to the prevention of depressive symptoms.
情感障碍,尤其是抑郁症状,给死亡率和发病率带来了沉重负担,它们与身心健康及生活质量相关。坚果是一种富含多种微量营养素、宏量营养素和其他有益成分的食物,被认为是预防抑郁症状的保护因素。在此,我们进行了一项分析,以研究食用坚果与抑郁症状之间的关系。
该研究进行了一项横断面研究,以检验天津13626名居民中食用坚果是否与抑郁症状有关。食用坚果情况通过一份经过验证的食物频率问卷进行评估,抑郁症状通过中文版20项自评抑郁量表(SDS)进行评估,设置四个临界值(40、45、48和50)来表明抑郁症状加重。
SDS≥40、45、48和50时,抑郁症状的患病率分别为38.7%、19.1%、11.4%和7.3%。在对潜在混杂因素进行调整后,随着坚果食用频率增加,SDS≥40时抑郁症状加重的比值比(95%置信区间)为:每周食用<1次(参照)时为=1.00,每周1 - 3次时为0.82(0.75,0.90),每周≥4次时为0.82(0.73,0.92)。使用其他临界值作为抑郁症状的定义时,也观察到了类似关系。
本研究首次发现食用坚果与抑郁症状独立相关。建议食用坚果可能有助于预防抑郁症状。