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素食饮食与台湾地区抑郁症发病风险降低相关。

Vegetarian Diet Is Associated with Lower Risk of Depression in Taiwan.

机构信息

Department of Psychiatric, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970, Taiwan.

Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei 100, Taiwan.

出版信息

Nutrients. 2021 Mar 24;13(4):1059. doi: 10.3390/nu13041059.

Abstract

In order to determine whether Taiwanese vegetarian diets reduce the risks of depression, we analyzed data from the Tzu Chi Vegetarian Study (TCVS), which is a prospective cohort study following 12,062 participants from the Buddhist Tzu Chi Foundation of Taiwan since 2005. The cohort was prospectively followed by linking to the National Health Institute Research Database (NHIRD) of Taiwan and hazard ratios of depression between vegetarian and non-vegetarian groups were calculated by Cox proportional hazards regression. We assessed dietary intake using a detailed food frequency questionnaire (FFQ). Incident depression was ascertained through linkage to NHIRD which had claim records with the International Classification of Diseases, and a total of 3571 vegetarians and 7006 non-vegetarians were included in this analysis. Compared with non-vegetarians, the vegetarian group had a lower incidence of depressive disorders (2.37 vs. 3.21 per 10,000 person-years; adjusted hazard ratio (aHR): 0.70; 95% confidence interval (95% CI): 0.52-0.93). Thus, Taiwanese vegetarians had a lower risk of developing subsequent depressive disorders compared with non-vegetarians. This indicated that diet may be an important measure for the prevention of depression. However, to generalize to the global population requires further study.

摘要

为了确定台湾地区的素食饮食是否能降低抑郁风险,我们分析了慈济素食研究(TCVS)的数据,这是一项对来自台湾慈济基金会的 12062 名参与者进行的前瞻性队列研究,自 2005 年开始。该队列通过与台湾国家健康研究所研究数据库(NHIRD)进行链接进行前瞻性随访,并通过 Cox 比例风险回归计算素食组和非素食组之间的抑郁风险比。我们使用详细的食物频率问卷(FFQ)评估饮食摄入。通过与 NHIRD 的链接确定了抑郁的发病情况,NHIRD 有与国际疾病分类相关的索赔记录,共有 3571 名素食者和 7006 名非素食者纳入本分析。与非素食者相比,素食者的抑郁障碍发生率较低(每 10000 人年 2.37 例与 3.21 例;调整后的风险比(aHR):0.70;95%置信区间(95%CI):0.52-0.93)。因此,与非素食者相比,台湾素食者发生后续抑郁障碍的风险较低。这表明饮食可能是预防抑郁的重要措施。然而,要推广到全球人群还需要进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77dd/8064096/d9078f25f25d/nutrients-13-01059-g001.jpg

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