Bishwajit Ghose, O'Leary Daniel Peter, Ghosh Sharmistha, Sanni Yaya, Shangfeng Tang, Zhanchun Feng
Institute of Nutrition and Food Science, University of Dhaka, Dhaka, 1000, Bangladesh.
School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
BMC Psychiatry. 2017 Jan 14;17(1):15. doi: 10.1186/s12888-017-1198-1.
In recent years there has been a growing research interest regarding the impact of dietary behaviour on mental health outcomes. The present study aimed to investigate the association between fruit and vegetable (F&V) consumption and depression in three south Asian countries- Bangladesh, India and Nepal.
Cross-sectional data were obtained from World Health Survey of WHO conducted during 2002-04. In total 14,133 adult subjects (Bangladesh 3262, India 7594, Nepal 3277) aged 18 years and above were included in the study. Outcome variables were Self-Reported Depression (SRD) during last 30 days and 12 months. Multivariable regression methods were used to explore the association between F&V consumption and depression.
Prevalence of Self-Reported Depression during past 12 months were respectively 39%, 17.7%, and 49.9% for Bangladesh, India and Nepal. In India, those who consumed less than five servings of vegetables were respectively 41% [AOR = 1.41; 95%CI = 0.60-3.33] and 57% [AOR = 1.57; 95%CI = 0.93-2.64] more likely to report severe-extreme and mild-moderate depression during past 30 days compared to those who consumed five servings a day. Regarding fruit consumption, compared to those who consumed five servings a day, the odds of severe-extreme and mild-moderate SRD were respectively 3.5 times [AOR = 3.48; 95%CI = 1.216-10.01] and 45% [AOR = 1.44; 95%CI = 0.89-2.32] higher in Bangladesh, and 2.9 times [AOR = 2.92; 95%CI = 1.12-7.64] and 42% higher [AOR = 1.41; 95%CI = 0.89-2.24] in Nepal compared to those who consumed less than five servings a day during last 30 days.
Daily intake of less than five servings of F&V was associated with higher odds of depression. Nutrition programs aimed at promoting F&V consumption might prove beneficial to reduce the prevalence of depression in south Asian population. Further studies are required to understand the factors limiting the adequate consumption of F&V.
近年来，关于饮食行为对心理健康结果的影响，研究兴趣日益浓厚。本研究旨在调查孟加拉国、印度和尼泊尔这三个南亚国家水果和蔬菜（F&V）摄入量与抑郁症之间的关联。
横断面数据取自2002 - 2004年世界卫生组织开展的世界卫生调查。研究纳入了总共14133名18岁及以上的成年受试者（孟加拉国3262人、印度7594人、尼泊尔3277人）。结果变量为过去30天和12个月内的自我报告抑郁症（SRD）。采用多变量回归方法探讨F&V摄入量与抑郁症之间的关联。
孟加拉国、印度和尼泊尔过去12个月内自我报告抑郁症的患病率分别为39%、17.7%和49.9%。在印度，与每天食用五份及以上蔬菜的人相比，过去30天内蔬菜摄入量少于五份的人报告严重 - 极重度抑郁症和轻度 - 中度抑郁症的可能性分别高出41%[调整后比值比（AOR）= 1.41；95%置信区间（CI）= 0.60 - 3.33]和57%[AOR = 1.57；95%CI = 0.93 - 2.64]。关于水果摄入量，与每天食用五份及以上水果的人相比，在孟加拉国，过去30天内严重 - 极重度和轻度 - 中度SRD的几率分别高出3.5倍[AOR = 3.48；95%CI = 1.216 - 10.01]和45%[AOR = 1.44；95%CI = 0.89 - 2.32]；在尼泊尔，分别高出2.9倍[AOR = 2.92；95%CI = 1.12 - 7.64]和42%[AOR = 1.41；95%CI = 0.89 - 2.24]。
每日F&V摄入量少于五份与患抑郁症的几率较高相关。旨在促进F&V消费的营养计划可能有助于降低南亚人群抑郁症的患病率。需要进一步研究以了解限制F&V充足消费的因素。
