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A prospective cohort study to examine the association between dietary patterns and depressive symptoms in older Chinese people in Hong Kong.
PLoS One 2014; 9(8):e105760Plos

Abstract

INTRODUCTION

Dietary patterns are culturally specific and there is limited data on the association of dietary patterns with late-life depression in Chinese. This study examined the associations between dietary patterns and baseline and subsequent depressive symptoms in community-dwelling Chinese older people in Hong Kong.

METHODS

Participants aged ≥65 year participating in a cohort study examining the risk factors for osteoporosis completed a validated food frequency questionnaire at baseline between 2001 and 2003. Factor analysis was used to identify three dietary patterns: "vegetables-fruits" pattern, "snacks-drinks-milk products" pattern, and "meat-fish" pattern. Depressive symptoms were measured at baseline and 4-year using the validated Geriatric Depression Scale. Multiple logistic regression was used for cross-sectional analysis (n = 2,902) to assess the associations between dietary patterns and the presence of depressive symptoms, and for longitudinal analysis (n = 2,211) on their associations with 4-year depressive symptoms, with adjustment for socio-demographic and lifestyle factors.

RESULTS

The highest quartile of "vegetables-fruits" pattern score was associated with reduced likelihood of depressive symptoms [Adjusted OR = 0.55 (95% CI: 0.36-0.83), ptrend = 0.017] compared to the lowest quartile at baseline. Similar inverse trend was observed for the highest quartile of "snacks-drinks-milk products" pattern score [Adjusted OR = 0.41 (95% CI: 0.26-0.65), ptrend<0.001] compared to the lowest quartile. There was no association of "meat-fish" pattern with the presence of depressive symptoms at baseline. None of the dietary patterns were associated with subsequent depressive symptoms at 4-year.

CONCLUSION

Higher "vegetables-fruits" and "snacks-drinks-milk products" pattern scores were associated with reduced likelihood of baseline depressive symptoms in Chinese older people in Hong Kong. The longitudinal analyses failed to show any causal relationship between dietary patterns and depressive symptoms in this population.

Authors+Show Affiliations

Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Shatin, Hong Kong.The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, Hong Kong.Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Shatin, Hong Kong.

Pub Type(s)

Clinical Trial
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25148515

Citation

Chan, Ruth, et al. "A Prospective Cohort Study to Examine the Association Between Dietary Patterns and Depressive Symptoms in Older Chinese People in Hong Kong." PloS One, vol. 9, no. 8, 2014, pp. e105760.
Chan R, Chan D, Woo J. A prospective cohort study to examine the association between dietary patterns and depressive symptoms in older Chinese people in Hong Kong. PLoS ONE. 2014;9(8):e105760.
Chan, R., Chan, D., & Woo, J. (2014). A prospective cohort study to examine the association between dietary patterns and depressive symptoms in older Chinese people in Hong Kong. PloS One, 9(8), pp. e105760. doi:10.1371/journal.pone.0105760.
Chan R, Chan D, Woo J. A Prospective Cohort Study to Examine the Association Between Dietary Patterns and Depressive Symptoms in Older Chinese People in Hong Kong. PLoS ONE. 2014;9(8):e105760. PubMed PMID: 25148515.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A prospective cohort study to examine the association between dietary patterns and depressive symptoms in older Chinese people in Hong Kong. AU - Chan,Ruth, AU - Chan,Dicken, AU - Woo,Jean, Y1 - 2014/08/22/ PY - 2014/05/23/received PY - 2014/07/23/accepted PY - 2014/8/23/entrez PY - 2014/8/26/pubmed PY - 2015/11/11/medline SP - e105760 EP - e105760 JF - PloS one JO - PLoS ONE VL - 9 IS - 8 N2 - INTRODUCTION: Dietary patterns are culturally specific and there is limited data on the association of dietary patterns with late-life depression in Chinese. This study examined the associations between dietary patterns and baseline and subsequent depressive symptoms in community-dwelling Chinese older people in Hong Kong. METHODS: Participants aged ≥65 year participating in a cohort study examining the risk factors for osteoporosis completed a validated food frequency questionnaire at baseline between 2001 and 2003. Factor analysis was used to identify three dietary patterns: "vegetables-fruits" pattern, "snacks-drinks-milk products" pattern, and "meat-fish" pattern. Depressive symptoms were measured at baseline and 4-year using the validated Geriatric Depression Scale. Multiple logistic regression was used for cross-sectional analysis (n = 2,902) to assess the associations between dietary patterns and the presence of depressive symptoms, and for longitudinal analysis (n = 2,211) on their associations with 4-year depressive symptoms, with adjustment for socio-demographic and lifestyle factors. RESULTS: The highest quartile of "vegetables-fruits" pattern score was associated with reduced likelihood of depressive symptoms [Adjusted OR = 0.55 (95% CI: 0.36-0.83), ptrend = 0.017] compared to the lowest quartile at baseline. Similar inverse trend was observed for the highest quartile of "snacks-drinks-milk products" pattern score [Adjusted OR = 0.41 (95% CI: 0.26-0.65), ptrend<0.001] compared to the lowest quartile. There was no association of "meat-fish" pattern with the presence of depressive symptoms at baseline. None of the dietary patterns were associated with subsequent depressive symptoms at 4-year. CONCLUSION: Higher "vegetables-fruits" and "snacks-drinks-milk products" pattern scores were associated with reduced likelihood of baseline depressive symptoms in Chinese older people in Hong Kong. The longitudinal analyses failed to show any causal relationship between dietary patterns and depressive symptoms in this population. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/25148515/A_prospective_cohort_study_to_examine_the_association_between_dietary_patterns_and_depressive_symptoms_in_older_Chinese_people_in_Hong_Kong_ L2 - http://dx.plos.org/10.1371/journal.pone.0105760 DB - PRIME DP - Unbound Medicine ER -