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男性素食与抑郁症状。

Vegetarian diets and depressive symptoms among men.

机构信息

Section on Nutritional Neurosciences, National Institute on Alcohol Abuse and Alcoholism, NIH, Rockville, MD, USA.

School of Social and Community Medicine, University of Bristol, UK.

出版信息

J Affect Disord. 2018 Jan 1;225:13-17. doi: 10.1016/j.jad.2017.07.051. Epub 2017 Jul 28.

DOI:10.1016/j.jad.2017.07.051
PMID:28777971
Abstract

BACKGROUND

Vegetarian diets are associate with cardiovascular and other health benefits, but little is known about mental health benefits or risks.

AIMS

To determine whether self-identification of vegetarian dietary habits is associated with significant depressive symptoms in men.

METHOD

Self-report data from 9668 adult male partners of pregnant women in the Avon Longitudinal Study of Parents and Children (ALSPAC) included identification as vegetarian or vegan, dietary frequency data and the Edinburgh Post Natal Depression Scale (EPDS). Continuous and binary outcomes were assessed using multiple linear and logistic regression taking account of potential confounding variables including: age, marital status, employment status, housing tenure, number of children in the household, religion, family history of depression previous childhood psychiatric contact, cigarette and alcohol consumption.

RESULTS

Vegetarians [n = 350 (3.6% of sample)], had higher depression scores on average than non-vegetarians (mean difference 0.96 points [95%CI + 0.53, + 1.40]) and a greater risk for EPDS scores above 10 (adjusted OR = 1.67 [95% CI: 1.14,2.44]) than non-vegetarians after adjustment for potential confounding factors.

CONCLUSIONS

Vegetarian men have more depressive symptoms after adjustment for socio-demographic factors. Nutritional deficiencies (e.g. in cobalamin or iron) are a possible explanation for these findings, however reverse causation cannot be ruled out.

摘要

背景

素食饮食与心血管和其他健康益处有关,但关于心理健康益处或风险知之甚少。

目的

确定自我认定的素食饮食习惯是否与男性的严重抑郁症状有关。

方法

从孕妇伴侣的 9668 名成年男性参与者(ALSPAC)中获取自我报告数据,包括素食者或纯素食者的身份、饮食频率数据和爱丁堡产后抑郁量表(EPDS)。采用多元线性和逻辑回归评估连续和二分结果,考虑到可能的混杂变量,包括:年龄、婚姻状况、就业状况、住房状况、家庭中儿童的数量、宗教、抑郁家族史、儿童时期的精神科接触、吸烟和饮酒。

结果

素食者(n=350(样本的 3.6%))的抑郁评分平均高于非素食者(平均差异 0.96 分[95%CI:0.53,1.40]),并且在调整潜在混杂因素后,EPDS 评分高于 10 的风险也更高(调整后的 OR=1.67[95%CI:1.14,2.44])。

结论

在调整社会人口因素后,素食男性的抑郁症状更多。营养缺乏(例如钴胺素或铁)可能是这些发现的原因,但不能排除反向因果关系。

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