Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China.
National Health Commission Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan 250012, China.
Nutrients. 2022 Dec 8;14(24):5230. doi: 10.3390/nu14245230.
(1) Objective: This study aimed to investigate the relationship between dietary patterns and depression in Chinese older adults. (2) Method: A cohort study was conducted on the relationship between dietary patterns and the risk of depression in older adults based on the China Health and Longevity Longitudinal Survey (CLHLS) from 2011 to 2014. Exploratory factor analysis was used to identify dietary patterns. The relationship between dietary patterns and the risk of depression after four years was examined using logistic regression, and subgroup analysis was carried out to determine whether the association differed by gender. (3) Results: A total of 2873 older adults were included in our cohort study. Three dietary patterns were identified: vegetable-egg-bean-milk pattern, meat-fish pattern, and salt-preserved vegetable-garlic pattern. The vegetable-egg-beans-milk pattern was negatively correlated with the risk of geriatric depression development (adjusted OR = 0.65 (95%CI: 0.49-0.87)), and the salt-preserved vegetable-garlic pattern was positively associated with aged depression risk (adjusted OR = 1.33 (95CI: 1.00-1.77)). The meat-fish pattern was not associated with the risk of depression in older adults. These associations were consistent in both men and women. (4) Conclusions: In this cohort study, the vegetable-egg-beans-milk dietary pattern was associated with lower risk of depression, while the salt-preserved vegetable-garlic dietary pattern was associated with higher risk of depression, and there were no gender differences in these associations.
(1) 目的:本研究旨在探讨中国老年人饮食模式与抑郁之间的关系。(2) 方法:基于 2011 年至 2014 年中国健康与长寿纵向研究(CLHLS)数据,进行了一项队列研究,以探讨饮食模式与老年人抑郁风险之间的关系。采用探索性因子分析来确定饮食模式。采用 logistic 回归分析饮食模式与四年后抑郁风险之间的关系,并进行亚组分析以确定性别差异是否存在。(3) 结果:共纳入 2873 名老年人进行队列研究。确定了三种饮食模式:蔬菜-蛋-豆-奶模式、肉鱼模式和腌菜-大蒜模式。蔬菜-蛋-豆-奶模式与老年抑郁发展风险呈负相关(调整后的 OR=0.65(95%CI:0.49-0.87)),腌菜-大蒜模式与老年抑郁风险呈正相关(调整后的 OR=1.33(95CI:1.00-1.77))。肉鱼模式与老年人抑郁风险无关。这些关联在男性和女性中均一致。(4) 结论:在本队列研究中,蔬菜-蛋-豆-奶饮食模式与较低的抑郁风险相关,而腌菜-大蒜饮食模式与较高的抑郁风险相关,且这些关联在性别间无差异。