聊城市老年女性膳食模式与抑郁症状的关系

doi:10.6040/j.issn.1671-7554.0.2020.0413

摘要/Abstract

摘要： 目的探讨聊城市老年女性膳食模式与抑郁症状之间的关联。方法采用整群随机抽样的方法于2017年4月至5月选取聊城市城区、郊区及农村共707名60岁及以上的老年女性。膳食摄入通过简化半定量食物频率问卷获取;抑郁症状的评估通过简版中文老年抑郁量表(GDS-15)。膳食模式的获取使用因子分析方法,根据因子得分将调查对象分为T1~T3组;多因素Logistic回归分析膳食模式与抑郁症状间的关系。结果最终纳入研究的610名老年女性中,有抑郁症状的共102人(16.7%)。通过因子分析共获得3种膳食模式,分别是优质蛋白模式、素食模式与蛋-酒-谷物模式。Logistic回归分析结果显示,与优质蛋白模式T1组相比,T3组的抑郁症状发生风险更低(OR=0.48, 95%CI: 0.24~0.94;P=0.028);素食模式T3与T1组相比,抑郁症状发生风险更低(OR=0.46, 95%CI: 0.24~0.87;P=0.015),这些关联独立于混杂因素。未发现蛋-酒-谷物模式与抑郁症状之间的统计学关联。结论优质蛋白模式和素食模式可能对抑郁症状的发生具有保护作用,本研究结果可以为老年人抑郁症的膳食预防提供参考。

关键词: 抑郁症状, 社区老年人, 老年女性, 横断面研究, 膳食模式, 聊城市

Abstract: Objective To explore the association between dietary patterns and depressive symptoms among Chinese elderly women. Methods With cluster random sampling method, 707 elderly women over 60 years were recruited from the urban, suburban, and rural areas of Liaocheng from April to May 2017. Their dietary intakes were surveyed with a simplified semi-quantitative food frequency questionnaire(FFQ), and depressive symptoms were assessed with a simplified Chinese version of Geriatric Depression Scale(GDS-15). According to the factor score of each dietary pattern, the subjects were divided into T1, T2 and T3 groups. The association between dietary patterns and depressive symptoms was analyzed with multivariate Logistic regression. Results Among the 610 subjects who were finally recruited in the study, 102(16.7%)had depressive symptoms. Three dietary patterns were identified, including high-quality protein pattern, vegetarian pattern and egg-alcohol-cereal pattern. Multivariate Logistic regression showed in the high-quality protein pattern, T3 group had a significantly lower risk of depressive symptoms than T1 group(OR=0.48, 95%CI: 0.24-0.94; P=0.028). In the vegetarian pattern, the T3 group had a significantly lower risk of depressive symptoms than T1 group(OR=0.46, 95%CI: 0.24-0.87; P=0.015). These associations were independent of the confounding factors. No statistical association was found between egg-alcohol-cereal pattern and depressive symptoms. Conclusion The high-quality protein pattern and vegetarian pattern may have a protective effect on the occurrence of depressive symptoms among the elderly. The results of this study can provide reference for prevention of depression with diets in the elderly.

Key words: Depressive symptoms, Community elderly, Elderly women, Cross-sectional studies, Dietary pattern, Liaocheng City

中图分类号:

R153.3

吕岩,于潇,蔺新英,赵琦,王保珍. 聊城市老年女性膳食模式与抑郁症状的关系[J]. 山东大学学报 (医学版), 2020, 58(11): 103-108.

LYU Yan, YU Xiao, LIN Xinying, ZHAO Qi, WANG Baozhen. Association between dietary patterns and depressive symptoms among Chinese elderly women[J]. Journal of Shandong University (Health Sciences), 2020, 58(11): 103-108.

参考文献

[1] Zhou M, Wang H, Zeng X, et al. Mortality, morbidity, and risk factors in China and its provinces, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017 [J]. Lancet, 2019, 394(10204): 1145-1158.
[2] Holden C. Global survey examines impact of depression [J]. Science, 2000, 288(5463): 39-40.
[3] 杨展, 陈饶, 胡晓, 等. 中国城乡老年人抑郁症状及其影响因素差异的分析[J]. 中华流行病学杂志, 2017, 38(8): 1088-1093. YANG Zhan, CHEN Rao, HU Xiao, et al. Factors that related to the depressive symptoms among elderly in urban and rural areas of China [J]. Chinese Journal of Epidemiology, 2017, 38(8): 1088-1093.
[4] 陶娜, 尹平. 我国中老年人群抑郁发生率的城乡差异及危险因素研究[J]. 中国社会医学杂志, 2017, 34(1): 22-25. TAO Na, YIN Ping, et al. Research on risk factors of depression and its difference betweenurban and rural middle-aged and elderly people in China [J]. Chinese Journal of Social Medicine, 2017, 34(1): 22-25.
[5] 徐曼, 刘冰, 柴云, 等. 社区老年人抑郁症与生活事件及慢性躯体疾病的关系[J]. 中国老年学杂志, 2016, 36(9): 2253-2255.
[6] 吕燕宇, 贾小芳, 黄绯绯, 等. 膳食营养和生活方式与抑郁症关系的研究进展[J]. 中华流行病学杂志, 2019, 40(4): 481-487. LYU Yanyu, JIA Xiaofang, HUANG Feifei, et al. Research progress on the relationship between dietary nutrition, lifestyle and depression [J]. Chinese Journal of Epidemiology, 2019, 40(4): 481-487.
[7] 凌文华. 膳食模式与慢性病防治[J].中华预防医学杂志, 2018, 52(3): 217-220. LING Wenhua, Dietary patterns and prevention as well as treatment of chronic diseases [J]. Chinese Journal of Preventive Medicine, 2018, 52(3): 217-220.
[8] Sadeghi O, Keshteli AH, Afshar H, et al. Adherence to Mediterranean dietary pattern is inversely associated with depression, anxiety and psychological distress [J]. Nutr Neurosci, 2019, 11: 1-12. doi: 10.1080/1028415X.2019.1620425
[9] Hart MJ, Milte CM, Torres SJ, et al. Dietary patterns are associated with depressive symptoms in older Australian women but not men [J]. Br J Nutr, 2019, 122(12): 1424-1431.
[10] Gougeon L, Payette H, Morais J, et al. Dietary patterns and incidence of depression in a cohort of community-dwelling older Canadians [J]. J Nutr Health Aging, 2015, 19(4): 431-436.
[11] 高键. 中老年人群膳食模式、体力活动与总体脂和代谢综合征关系的研究[D]. 上海: 复旦大学, 2012.
[12] Walter Willett. 营养流行病学(2版)[M]. 郝玲, 李竹, 译. 北京:人民卫生出版社, 2006.
[13] Lee HC, Chiu HF, Kowk WY, et al. Chinese elderly and the GDS short form: a preliminary study [J]. Clinical Gerontologist, 1994, 14(2): 37-42.
[14] Lim PP, Ng LL, Chiam PC, et al. Validation and comparison of three brief depression scales in an elderly Chinese population [J]. Int J Geriatr Psychiatry, 2000, 15(9): 824-830.
[15] Liao K, Gu Y, Liu M, et al. Association of dietary patterns with depressive symptoms in Chinese postmenopausal women [J]. Br J Nutr, 2019, 122(10): 1168-1174.
[16] Park SJ, Kim MS, Lee HJ. The association between dietary pattern and depression in middle-aged Korean adults [J]. Nutr Res Pract, 2019, 13(4): 316-322.
[17] 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]. J Nutr Health Aging, 2019, 23(9): 896-903.
[18] Shakya PR, Melaku YA, Page A, et al. Association between dietary patterns and adult depression symptoms based on principal component analysis, reduced-rank regression and partial least-squares [J]. Clin Nutr, 2019, pii: S0261-5614(19)33180-33182.
[19] Huang Q, Liu H, Suzuki K, et al. Linking what we eat to our mood: a review of diet, dietary antioxidants, and depression [J]. Antioxidants, 2019, 8(9): 376. doi: 10.3390/antiox8090376.
[20] Khosravi M, Sotoudeh G, Amini M, et al. The relationship between dietary patterns and depression mediated by serum levels of Folate and vitamin B12 [J]. BMC Psychiatry, 2020, 20(1): 63. doi: 10.1186/s12888-020-2455-2.
[21] Oddy WH, Allen KL, Gsa T, et al. Dietary patterns, body mass index and inflammation: Pathways to depression and mental health problems in adolescents [J]. Brain Behav Immun, 2018, 69: 428-439. doi: 10.1016/j.bbi.2018.01.002.
[22] Bender A, Hagan KE, Kingston N. The association of folate and depression: a meta-analysis [J]. J Psychiatr Res, 2017, 95: 9-18. doi: 10.1016/j.jpsychires.2017.07.019.
[23] Bhatia P, Singh N. Homocysteine excess: delineating the possible mechanism of neurotoxicity and depression [J]. Fundamental & Clinical Pharmacology, 2015, 29(6): 522-528.
[24] Shabbir F, Patel A, Mattison C, et al. Effect of diet on serotonergic neurotransmission in depression [J]. Neurochem Int, 2013, 62(3): 324-329.
[25] Parletta N, Milte CM, Meyer BJ. Nutritional modulation of cognitive function and mental health [J]. J Nutr Biochem, 2013, 24(5): 725-743.
[26] Patrick RP, Ames BN. Vitamin D and the omega-3 fatty acids control serotonin synthesis and action, part 2: relevance for ADHD, bipolar disorder, schizophrenia, and impulsive behavior [J]. FASEB J, 2015, 29(6): 2207-2222.
[27] Li Y, Lv MR, Wei YJ, et al. Dietary patterns and depression risk: a meta-analysis [J]. Psychiatry Res, 2017, 253: 373-382. doi: 10.1016/j.psychres.2017.04.020.
[28] 中国营养学会. 中国居民膳食指南2016[M]. 北京: 人民卫生出版社, 2016.
[29] Mamplekou E, Bountziouka V, Psaltopoulou T, et al. Urban environment, physical inactivity and unhealthy dietary habits correlate to depression among elderly living in eastern Mediterranean islands: the MEDIS(MEDiterranean ISlands Elderly)study [J]. J Nutr Health Aging, 2010, 14(6): 449-455.

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