Lee Eunho, Kim Ha Jin, Hwang Jusam, Park Minseon
Department of Family Medicine, Seoul National University College of Medicine, Seoul, Korea.
Korean J Fam Med. 2023 Nov;44(6):319-326. doi: 10.4082/kjfm.22.0165. Epub 2023 Aug 31.
Diet and physical activity are key factors related to depressive mood. Previous studies have demonstrated the effects of diet and physical activity on depression. However, the effect of energy intake-expenditure balance (EIEB) on mental health has not been fully evaluated. This study aimed to analyze the association between EIEB and depression.
A total of 13,460 participants (5,660 men and 7,800 women) aged ≥19 years were obtained from the 2014, 2016, and 2018 Korea National Health and Nutrition Examination Survey (KNHANES). EIEB was defined as the difference between the daily energy intake and energy expenditure. Energy intake was calculated and provided by the KNHANES using a 24-hour recall survey. Energy expenditure was estimated as the sum of basal metabolic rate and physical activity. Logistic regression analyses were used to investigate the association between sex-specific quartile groups (Q1-Q4) of EIEB and depression after adjusting for socioeconomic status, body mass index, lifestyle factors, and underlying diseases.
Women in Q3 of EIEB (211-669 kcal) had a significantly lower risk of depression (odd ratio [OR], 0.78; 95% confidence interval [CI], 0.67-0.92) than those in Q1 of EIEB (<-167 kcal). The adjusted ORs of depression were 0.87 (95% CI, 0.75-1.02) in Q2 and 0.86 (95% CI, 0.74-1.01) in Q4, with P for trend=0.030. There were no significant associations between the EIEB quartile groups and depression in men after adjusting for potential confounders (P for trend=0.564).
Our results suggested that the EIEB is negatively associated with depression in Korean women.
饮食和身体活动是与抑郁情绪相关的关键因素。先前的研究已经证明了饮食和身体活动对抑郁症的影响。然而，能量摄入-消耗平衡（EIEB）对心理健康的影响尚未得到充分评估。本研究旨在分析EIEB与抑郁症之间的关联。
从2014年、2016年和2018年韩国国家健康与营养检查调查（KNHANES）中选取了总共13460名年龄≥19岁的参与者（5660名男性和7800名女性）。EIEB被定义为每日能量摄入与能量消耗之间的差值。能量摄入由KNHANES通过24小时回忆调查计算并提供。能量消耗估计为基础代谢率和身体活动的总和。在调整了社会经济地位、体重指数、生活方式因素和基础疾病后，使用逻辑回归分析来研究EIEB的性别特异性四分位数组（Q1-Q4）与抑郁症之间的关联。
EIEB处于Q3（211-669千卡）的女性患抑郁症的风险显著低于EIEB处于Q1（<-167千卡）的女性（比值比[OR]，0.78；95%置信区间[CI]，0.67-0.92）。Q2中抑郁症的调整后OR为0.87（95%CI，0.75-1.02），Q4中为0.86（95%CI，0.74-1.01），趋势P值=0.030。在调整潜在混杂因素后，男性中EIEB四分位数组与抑郁症之间无显著关联（趋势P值=0.564）。
我们的结果表明，EIEB与韩国女性的抑郁症呈负相关。
