Lanuza Fabian, Petermann-Rocha Fanny, Celis-Morales Carlos, Concha-Cisternas Yeny, Nazar Gabriela, Troncoso-Pantoja Claudia, Lassere-Laso Nicole, Martínez-Sanguinetti María Adela, Parra-Soto Solange, Zamora-Ros Raul, Andrés-Lacueva Cristina, Meroño Tomás
Biomarkers and Nutrimetabolomics Laboratory, Department of Nutrition, Food Sciences and Gastronomy, Food Technology Reference Net (XIA), Nutrition and Food Safety Research Institute (INSA), Faculty of Pharmacy and Food Sciences, University of Barcelona, Avinguda Joan XXIII, 27-31, Barcelona, 08028, Spain.
Centro de Investigación Biomédica en Red de Fragilidad y Envejecimiento Saludable (CIBERFES), Instituto de Salud Carlos III, Spain.
Public Health Nutr. 2021 Dec 13;25(10):1-12. doi: 10.1017/S1368980021004869.
To investigate the relationship of a healthy eating score with depression in Chilean older adults.
Cross-sectional study.
Older adults from the Chilean National Health Survey 2016-2017. Associations were analysed using complex samples multivariable logistic regressions adjusted for age, sex, socio-demographic, lifestyles (physical activity, smoking, alcohol consumption and sleep duration), BMI and clinical conditions (hypertension, diabetes, hypercholesterolaemia and cardiovascular diseases).
The number of participants was 2031 (≥ 60 years). The Composite International Diagnostic Interview-Short Form was applied to establish the diagnosis of major depressive episode. Six healthy eating habits were considered to produce the healthy eating score (range: 0-12): consumption of seafood, whole grain, dairy, fruits, vegetables and legumes. Participants were categorised according to their final scores as healthy (≥ 9), average (5-8) and unhealthy (≤ 4).
Participants with a healthy score had a higher educational level, physical activity and regular sleep hours than participants with an average and unhealthiest healthy eating score. Participants classified in the healthiest healthy eating score had an inverse association with depression (OR: 0·28, (95 % CI 0·10, 0·74)). Food items that contributed the most to this association were legumes (15·2 %) and seafood (12·7 %).
Older adults classified in the healthiest healthy eating score, characterised by a high consumption of legumes and seafood, showed a lower risk for depression in a representative sample of Chilean population.
探讨智利老年人健康饮食得分与抑郁症之间的关系。
横断面研究。
来自2016 - 2017年智利全国健康调查的老年人。使用复杂样本多变量逻辑回归分析关联，并对年龄、性别、社会人口统计学、生活方式（体育活动、吸烟、饮酒和睡眠时间）、体重指数和临床状况（高血压、糖尿病、高胆固醇血症和心血管疾病）进行了调整。
参与者人数为2031人（≥60岁）。应用复合国际诊断访谈简表来确定重度抑郁发作的诊断。考虑六种健康饮食习惯以得出健康饮食得分（范围：0 - 12）：海鲜、全谷物、乳制品、水果、蔬菜和豆类的摄入量。参与者根据最终得分分为健康组（≥9分）、中等组（5 - 8分）和不健康组（≤4分）。
与健康饮食得分中等和最差的参与者相比，健康得分高的参与者教育水平更高、体育活动更多且睡眠时间规律。健康饮食得分最高的参与者与抑郁症呈负相关（比值比：0·28，（95%置信区间0·10，0·74））。对这种关联贡献最大的食物是豆类（15·2%）和海鲜（12·7%）。
在智利人群的代表性样本中，以豆类和海鲜高摄入量为特征的健康饮食得分最高的老年人患抑郁症的风险较低。
