Interrelatioship between Diet Quality and Depressive Symptoms in Elderly.

BACKGROUND

Several observational studies have shown association between diet quality and depression, but few studies have explored the interrelationship between these variables.

OBJECTIVE

The aim of this study was to assess the interrelationship between diet quality and depressive symptoms in elderly.

DESIGN

Cross-sectional study.

SETTING

Population based.

PARTICIPANTS

1,378 elderly in the city of Pelotas, Brazil.

MEASUREMENTS

The diet quality was assessed by a short food frequency questionnaire and the prevalence of depressive symptoms was estimated by the abbreviated Brazilian version of the Geriatric Depression Scale (GDS). The association between diet quality and depressive symptoms was assessed using logistic regression.

RESULTS

The prevalence of depressive symptoms was 15.3%. Elderly with low-quality diet were more likely to experience depressive symptoms, and the association was almost twice higher in males than in females (men OR = 3.8, 95% CI 1.4, 10.6; women OR = 2.1, 95% CI: 1.4, 3.3). On the other hand, depressive elderly had higher odds of consuming a low-quality diet (OR 2.4, 95% CI: 1.7, 3.8).

LIMITATIONS

Self-reported data and cross-sectional design limit our conclusions.

CONCLUSIONS

The choice of a low-quality diet was associated to a higher risk of depressive symptoms in elderly, and vice-versa. These results highlight the importance of encouraging the choice of healthy food habits, especially in depressed elderly, in order to promote healthy aging.