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Score-Based and Nutrient-Derived Dietary Patterns Are Associated with Depressive Symptoms in Community-Dwelling Older Japanese: A Cross-Sectional Study.
J Nutr Health Aging. 2019; 23(9):896-903.JN

Abstract

OBJECTIVES

This study evaluated associations of score-based and nutrient-derived dietary patterns with depressive symptoms in community-dwelling older Japanese.

DESIGN

Cross-sectional study.

SETTING

Community-based.

PARTICIPANTS

982 community-dwelling adults aged 65 years or older.

MEASUREMENTS

Score-based pattern was assessed by using dietary variety score (DVS), which covers 10 food group items in Japanese meals. Nutrient-derived dietary patterns were identified by using reduced rank regression (RRR), with folate, vitamin C, magnesium, calcium, iron, and zinc intakes as response variables. Depressive symptoms were assessed with the Geriatric Depression Scale. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated for these dietary patterns in multivariate logistic regression analyses with potential confounders. The lowest consumption category was used as the reference group.

RESULTS

The prevalence of depressive symptoms was 13.5%. Higher DVS was associated with fewer depressive symptoms (OR=0.52, 95% CI=0.27-1.03 for the highest vs the lowest DVS; P for trend=0.031). The first RRR dietary pattern score was characterized by high intakes of fish, soybean products, potatoes, most vegetables, mushrooms, seaweeds, fruits, and green tea and a low intake of rice and was inversely associated with the prevalence of depressive symptoms (OR=0.53, 95% CI=0.30-0.92; P for trend=0.030).

CONCLUSION

Greater dietary variety and a dietary pattern characterized by high intakes of fish, soybean products, potatoes, most vegetables, mushrooms, seaweeds, fruit, and green tea and a low intake of rice were consistently associated with lower prevalence of depressive symptoms in community-dwelling older Japanese. Therefore, both patterns identified the components of dietary habits essential to depression prevention.

Authors+Show Affiliations

Yuri Yokoyama, PhD, Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, 35-2, Sakaecho, Itabashi-ku, Tokyo 173-0015, Japan, Tel: +81(3)3964-3241, Fax: +81(3)3579-4776, E-mail: yokoyama@tmig.or.jp.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

31641742

Citation

Yokoyama, Y, et al. "Score-Based and Nutrient-Derived Dietary Patterns Are Associated With Depressive Symptoms in Community-Dwelling Older Japanese: a Cross-Sectional Study." The Journal of Nutrition, Health & Aging, vol. 23, no. 9, 2019, pp. 896-903.
Yokoyama Y, Kitamura A, Yoshizaki T, et al. Score-Based and Nutrient-Derived Dietary Patterns Are Associated with Depressive Symptoms in Community-Dwelling Older Japanese: A Cross-Sectional Study. J Nutr Health Aging. 2019;23(9):896-903.
Yokoyama, Y., Kitamura, A., Yoshizaki, T., Nishi, M., Seino, S., Taniguchi, Y., Amano, H., Narita, M., & Shinkai, S. (2019). Score-Based and Nutrient-Derived Dietary Patterns Are Associated with Depressive Symptoms in Community-Dwelling Older Japanese: A Cross-Sectional Study. The Journal of Nutrition, Health & Aging, 23(9), 896-903. https://doi.org/10.1007/s12603-019-1238-2
Yokoyama Y, et al. Score-Based and Nutrient-Derived Dietary Patterns Are Associated With Depressive Symptoms in Community-Dwelling Older Japanese: a Cross-Sectional Study. J Nutr Health Aging. 2019;23(9):896-903. PubMed PMID: 31641742.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Score-Based and Nutrient-Derived Dietary Patterns Are Associated with Depressive Symptoms in Community-Dwelling Older Japanese: A Cross-Sectional Study. AU - Yokoyama,Y, AU - Kitamura,A, AU - Yoshizaki,T, AU - Nishi,M, AU - Seino,S, AU - Taniguchi,Y, AU - Amano,H, AU - Narita,M, AU - Shinkai,S, PY - 2019/10/24/entrez PY - 2019/10/24/pubmed PY - 2020/6/9/medline KW - Dietary patterns KW - dietary variety KW - reduced rank regression SP - 896 EP - 903 JF - The journal of nutrition, health & aging JO - J Nutr Health Aging VL - 23 IS - 9 N2 - OBJECTIVES: This study evaluated associations of score-based and nutrient-derived dietary patterns with depressive symptoms in community-dwelling older Japanese. DESIGN: Cross-sectional study. SETTING: Community-based. PARTICIPANTS: 982 community-dwelling adults aged 65 years or older. MEASUREMENTS: Score-based pattern was assessed by using dietary variety score (DVS), which covers 10 food group items in Japanese meals. Nutrient-derived dietary patterns were identified by using reduced rank regression (RRR), with folate, vitamin C, magnesium, calcium, iron, and zinc intakes as response variables. Depressive symptoms were assessed with the Geriatric Depression Scale. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated for these dietary patterns in multivariate logistic regression analyses with potential confounders. The lowest consumption category was used as the reference group. RESULTS: The prevalence of depressive symptoms was 13.5%. Higher DVS was associated with fewer depressive symptoms (OR=0.52, 95% CI=0.27-1.03 for the highest vs the lowest DVS; P for trend=0.031). The first RRR dietary pattern score was characterized by high intakes of fish, soybean products, potatoes, most vegetables, mushrooms, seaweeds, fruits, and green tea and a low intake of rice and was inversely associated with the prevalence of depressive symptoms (OR=0.53, 95% CI=0.30-0.92; P for trend=0.030). CONCLUSION: Greater dietary variety and a dietary pattern characterized by high intakes of fish, soybean products, potatoes, most vegetables, mushrooms, seaweeds, fruit, and green tea and a low intake of rice were consistently associated with lower prevalence of depressive symptoms in community-dwelling older Japanese. Therefore, both patterns identified the components of dietary habits essential to depression prevention. SN - 1760-4788 UR - https://www.unboundmedicine.com/medline/citation/31641742/Score_Based_and_Nutrient_Derived_Dietary_Patterns_Are_Associated_with_Depressive_Symptoms_in_Community_Dwelling_Older_Japanese:_A_Cross_Sectional_Study_ L2 - https://doi.org/10.1007/s12603-019-1238-2 DB - PRIME DP - Unbound Medicine ER -